WATERS OF SULLIVAN NURSING FACILITY, THE
Certified for Medicare and Medicaid since 1985-06-19, WATERS OF SULLIVAN NURSING FACILITY, THE is a 93-bed nursing home in SULLIVAN, Indiana, averaging 47.0 residents a day.
Has WATERS OF SULLIVAN NURSING FACILITY, THE been cited for violations?
CMS lists 37 health-inspection deficiencies for WATERS OF SULLIVAN NURSING FACILITY, THE since 2023-05-12, 31 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2026-04-24.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-04-24 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2026-04-24 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D |
| 2026-02-13 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-12-05 | F0725, F0835 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F |
| 2025-12-05 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E |
| 2025-08-01 | F0804, F0812 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2025-08-01 | F0558, F0565, F0580, F0582, F0609, F0641, F0657, F0690, F0695, F0698, F0740, F0761 | Reasonably accommodate the needs and preferences of each resident. / Honor the resident's right to organize and participate in resident/family groups in the facility. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure each resident receives an accurate assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D |
| 2025-08-01 | F0732 | Post nurse staffing information every day. | C |
| 2025-02-28 | F0755, F0804 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D |
| 2024-06-21 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2024-06-21 | F0657, F0684, F0689, F0695, F0757, F0773, F0880 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. / Provide and implement an infection prevention and control program. | D |
| 2023-05-12 | F0623, F0657, F0690, F0695, F0740, F0758 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D |
How is WATERS OF SULLIVAN NURSING FACILITY, THE staffed relative to the IN average?
| Measure | This facility | IN average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.39385 | 3.67961 |
| Total nursing staff turnover (%) | 32.6 | 45.9 |
| Average number of residents per day | 47.0 | 72.5 |
Who owns WATERS OF SULLIVAN NURSING FACILITY, THE, and what chain is it in?
WATERS OF SULLIVAN NURSING FACILITY, THE is registered with CMS as For profit - Corporation, operates under the legal business name JOHNSON MEMORIAL HOSPITAL and belongs to the INFINITY HEALTHCARE CONSULTING chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | JOHNSON MEMORIAL HOSPITAL | since 03/01/2013 |
| CONTRACTED MANAGING EMPLOYEE | ABBOTT, ALEXA | since 06/01/2021 |
| W-2 MANAGING EMPLOYEE | DECOLA, ROBERT | since 02/16/2019 |
| CORPORATE DIRECTOR | BERKHOUSE, STEVEN, DUNKLE, DAVID | since 03/01/2019 |
| CORPORATE OFFICER | BERKHOUSE, STEVEN, DUNKLE, DAVID | since 03/01/2019 |
| OPERATIONAL/MANAGERIAL CONTROL | MILLER'S HEALTH SYSTEMS INC, THE WATERS OF SULLIVAN NURSING FACILITY LLC, BERKHOUSE, STEVEN, DUNKLE, DAVID | since 03/01/2013 |
Were you or a family member harmed at WATERS OF SULLIVAN NURSING FACILITY, THE?