The Waters of Peru Skilled Nursing Facility

Nursing Home, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Peru, IN

CMS overall rating

317 Blair Pike, Peru, IN 46970 View map

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The Waters of Peru Skilled Nursing Facility accepts Medicaid, Medicare, and private pay.

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The Waters of Peru Skilled Nursing Facility accepts Medicaid, Medicare, and private pay.

Overview of The Waters of Peru Skilled Nursing Facility

Located in Peru, Indiana, The Waters of Peru Skilled Nursing Facility is a skilled nursing home with 130 beds. Johnson Memorial Hospital operates in the community, and Suzanne Wagner is the administrator. As a newer facility, it accepts Medicare, Medicaid, and private pay, giving families several ways to arrange rehabilitation and long-term nursing care. The rural location has a Walk Score of 3, so a vehicle is needed for most trips.

The community has an occupancy rate of 32%. Residents stay an average of 149 days, including those recovering after a hospital stay and those requiring ongoing skilled nursing support. Daily nurse staffing averages 2 hours and 56 minutes per resident. Registered nurses, licensed practical nurses, and certified nursing aides provide care throughout the day and night. This around-the-clock staffing ensures residents are regularly supervised and receive hands-on assistance.

Rehabilitation and post-acute recovery are central parts of the facility’s care model. Residents have access to general rehabilitation services, respite care, and 24-hour staffing. Specialty programs include Memory Springs for residents experiencing cognitive decline, Comprehensive Wound Care for complex wound management, and Respiratory Services for those with breathing-related conditions. The facility also offers Living Well and In Motion programs that support broader quality-of-life goals.

State inspections produced mixed results over time. A complaint investigation found the facility in compliance with both state and federal regulations. Earlier reviews identified concerns involving care planning and infection control. Life Safety Code inspections also noted recurring building safety issues. However, there was progress in addressing those findings through corrective actions.

Families interested in The Waters of Peru should take a tour to get a closer look at available room layouts, daily operations, and the overall care environment.

Facility Direct Line (765) 473-4426 admissions@watersofperu.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

2h 56m per day

vs avg

3 of 6 metrics below state avg

Standout metric Weekend RN is +31% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	40m per day	■ Avg State avg: 40m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	47m per day	▲ 3% State avg: 46m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	1h 59m per day	▼ 13% State avg: 2h 16m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	3h 6m per day	▼ 4% State avg: 3h 14m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	1m per day	▼ 74% State avg: 4m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	35m per day	▲ 31% State avg: 27m per day · National avg: 28m per day

Capacity and availability

149 days

130-bed community

A larger shared setting that may offer more common spaces and organized community services.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 3 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate

32%

Lower than the Indiana average: 68.1%

Occupied beds

42 / 130

Average occupied beds in Indiana homes 70 beds

Facility TypeNursing Home / Skilled Nursing Facility / Nursing Facility Distinct Part

StatusActive

IssuanceMarch 1, 2025

ExpirationFebruary 28, 2027

License Number25-000014-1

CMS Certification Number155039

The Waters of Peru Skilled Nursing Facility is legally operated by Johnson Memorial Hospital, and administered by Suzanne Wagner.

Profit StatusFor-profit

Medicare (SNF)

11 units

SNF/NF (Combined)

119 units

Total beds

130 units

Staffing

Key information about the people who lead and staff this community.

Medical DirectorMichael Mull

Director of NursingPatsy Raber

Accept Medicaid

Accept Medicare

Rehabilitation Services

Respite Care

24-Hour Staffing

Fax(765) 472-7609

Operating Hours24 hours - 7 days a week

Since 2022 · 4 years of data 37 deficiencies 13 inspections

Inspection Score

4 points below the Indiana average for assisted living residences (83/100)

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Indiana state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2022 vs. Indiana state average

Overall vs. IN average

Latest Inspection June 27, 2025 Routine

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	IN Average	vs. IN Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	37	36	This facility has 3% more total deficiencies than a typical Indiana assisted living residence (37 vs. IN avg 36).↑ 3% worse Rank #176 / 317 Total deficiencies — State benchmarked This home is ranked 176th out of 317 homes in Indiana. Shows this facility's deficiencies compared to the Indiana average among 317 comparable communities in the ranking pool. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.
Deficiencies per year Average deficiencies per year since 2022.	9.3	9	This facility has 3% more deficiencies per year than a typical Indiana assisted living residence (9.3 vs. IN avg 9).↑ 3% worse
Deficiencies per inspection Average deficiencies per inspection.	2.8	1.9	This facility has 47% more deficiencies per inspection than a typical Indiana assisted living residence (2.8 vs. IN avg 1.9).↑ 47% worse Rank #311 / 317 Deficiencies per inspection — State benchmarked This home is ranked 311th out of 317 homes in Indiana. Shows this facility's deficiencies per inspection compared to the Indiana average among 317 comparable communities in the ranking pool. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	IN Average	vs. IN Avg
Total visits Combined count of all on-site visits — routine inspections, complaint visits, follow-ups, and other focused visits.	13	19	This facility has had 32% fewer total visits than the Indiana average (13 vs. IN avg 19). More inspections can mean more regulatory scrutiny rather than worse care.↓ 32% fewer
Inspections with deficiencies Inspections that resulted in at least one regulatory deficiency.	5	7	This facility has 29% fewer inspections with deficiencies than a typical Indiana assisted living residence (5 vs. IN avg 7).↓ 29% better
Inspection deficiency rate Percentage of inspections that resulted in at least one deficiency.	38%	37%	This facility has 1 percentage point higher inspection deficiency rate than a typical Indiana assisted living residence (38% vs. IN avg 37%).↑ 1% worse
Inspections Routine, scheduled inspections conducted by state regulators.	3	13	This facility has 77% fewer inspections than a typical Indiana assisted living residence (3 vs. IN avg 13).↓ 77% better

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The most recent inspection on April 9, 2025 found no deficiencies related to the complaint investigated and confirmed compliance with federal and state regulations.
The July 21-24, 2024 annual survey cited 10 deficiencies including failure to prevent weight loss, improper oxygen therapy, mechanical lift injury, infection control lapses, and inadequate care planning.
Life Safety Code inspections from August 19, 2024 and prior found recurring issues with smoke alarms, sprinkler corrosion, door latching hardware, and hazardous area protections, with some corrected by September 2024.

Show Inspection Reports

Inspections since 2023

Total health inspections 3

State average N/A

Last Health inspection on Jun 2025

Total health citations

State average N/A

Citations per inspection

5.33

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 16 citations resulted from standard inspections.

Breakdown of citation severity (last 3 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

16 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 3 years)

Infection Control moderate citation Jun 27, 2025

Corrected

Pharmacy moderate citation Jun 27, 2025

Corrected

Care Planning moderate citation Jun 27, 2025

Corrected

Infection Control moderate citation Jul 24, 2024

Corrected

Total staff 65

Employees 54

Contractors 11

Staff to resident ratio 1.63 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 28

Average shift 7 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 17,984

Nursing staff breakdown

9.5 hours

9.7 hours

6.9 hours

Contractor staffing

837 contractor hours this quarter

Physical Therapy Aide: 2 Speech Language Pathologist: 2 Registered Nurse: 2 Physical Therapy Assistant: 2 Qualified Social Worker: 2 Respiratory Therapy Technician: 1

Staff by category


Certified Nursing Assistant	23	0	23	6,496	92	100%	6.9
Licensed Practical Nurse	8	0	8	2,825	91	99%	9.7
Registered Nurse	5	2	7	1,919	91	99%	9.5
Medication Aide/Technician	5	0	5	1,805	92	100%	7.8
Other Dietary Services Staff	7	0	7	1,303	90	98%	5.3
Administrator	1	0	1	496	62	67%	8
Physical Therapy Aide	0	2	2	480	67	73%	6.7
RN Director of Nursing	1	0	1	475	59	64%	8.1
Mental Health Service Worker	1	0	1	469	54	59%	8.7
Nurse Practitioner	1	0	1	464	58	63%	8
Dietitian	1	0	1	454	57	62%	8
Clinical Nurse Specialist	1	0	1	447	56	61%	8
Speech Language Pathologist	0	2	2	223	67	73%	1.9
Respiratory Therapy Technician	0	1	1	72	35	38%	2.1
Physical Therapy Assistant	0	2	2	46	41	45%	1.1
Qualified Social Worker	0	2	2	12	8	9%	1.5

23 Certified Nursing Assistant

% of Days 100%

8 Licensed Practical Nurse

% of Days 99%

7 Registered Nurse

% of Days 99%

5 Medication Aide/Technician

% of Days 100%

7 Other Dietary Services Staff

% of Days 98%

1 Administrator

% of Days 67%

2 Physical Therapy Aide

% of Days 73%

1 RN Director of Nursing

% of Days 64%

1 Mental Health Service Worker

% of Days 59%

1 Nurse Practitioner

% of Days 63%

1 Dietitian

% of Days 62%

1 Clinical Nurse Specialist

% of Days 61%

2 Speech Language Pathologist

% of Days 73%

1 Respiratory Therapy Technician

% of Days 38%

2 Physical Therapy Assistant

% of Days 45%

2 Qualified Social Worker

% of Days 9%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 6.8

16% better than State average

State average: 8.0

Functional decline score 13.7

20% better than State average

State average: 17.1

Long-stay resident measures

Above average State avg: 4.1

Need for Help with Daily Activities Increased 5.7%

53% better than State average

State average: 12.0%

Walking Ability Worsened 13.0%

10% better than State average

State average: 14.4%

Low Risk Residents with Bowel/Bladder Incontinence 22.4%

9% better than State average

State average: 24.6%

Falls with Major Injury 4.7%

21% worse than State average

State average: 3.9%

High Risk Residents with Pressure Ulcers 7.1%

62% worse than State average

State average: 4.4%

Urinary Tract Infection 0.8%

35% better than State average

State average: 1.2%

Lost Too Much Weight 3.3%

41% better than State average

State average: 5.7%

Depressive Symptoms 30.2%

25% worse than State average

State average: 24.1%

Antipsychotic Use 11.7%

6% better than State average

State average: 12.4%

Pneumococcal Vaccine 100.0%

7% better than State average

State average: 93.7%

Influenza Vaccine 100.0%

5% better than State average

State average: 95.4%

Hospitalizations per 1,000 days 1.85

16% worse than State average

State average: 1.60

ED visits per 1,000 days 1.57

6% worse than State average

State average: 1.48

Short-stay resident measures

Average State avg: 2.9

Pneumococcal Vaccine 97.3%

19% better than State average

State average: 81.7%

Antipsychotic medication increase 3.7%

170% worse than State average

State average: 1.4%

Influenza Vaccine 100.0%

27% better than State average

State average: 79.0%

Re-hospitalized after SNF stay 18.1%

19% better than State average

State average: 22.4%

Emergency department visits 11.1%

6% worse than State average

State average: 10.5%

Falls with major injury 4.2%

442% worse than State average

State average: 0.8%

Ability to care for self at discharge 15.0%

72% worse than State average

State average: 53.7%

Successful return to home or community 54.0%

7% better than State average

State average: 50.6%

Breakdown by payment type

Medicare

32% of new residents, usually for short-term rehab.

Typical stay 24 days

Private pay

48% of new residents, often for short stays.

Typical stay 3 - 4 months

Medicaid

20% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Total residents 40

Medicare

12.5% of residents

Medicaid

67.5% of residents

Private pay or other

20% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for The Waters of Peru Skilled Nursing Facility from 2012–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 29.9% ↓ 3.2pp vs 2022

Net Patient Income -$678.4K ↑ ~$891.5K vs 2022

Payroll Costs $2.8M ↓ ~$346.9K vs 2022

Operating Margin -15.0% ↑ 16.3pp vs 2022

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	54.8%	50.5%	54.3%	51.0%	52.2%	56.2%	58.9%	55.8%	50.5%	34.9%	33.1%	29.9%
Beds	130	130	130	130	130	130	130	130	130	130	130	130
Net Income	-$363,666	-$231,894	-$354,900	-$433,460	-$369,653	-$490,373	-$112,711	-$417,189	$83,787	-$1,509,259	-$1,559,271	-$678,170
Gross Revenue	$6,453,296	$5,717,111	$7,449,415	$6,988,725	$7,267,207	$7,672,717	$8,570,502	$7,755,067	$7,579,605	$5,535,054	$5,081,887	$4,653,675
Operating Expenses	$6,338,378	$5,579,546	$7,328,125	$7,054,177	$7,186,919	$7,613,342	$8,157,490	$7,723,373	$7,855,705	$7,291,750	$6,573,722	$5,191,472
Net Patient Income	-$400,138	-$252,851	-$389,940	-$468,393	-$405,714	-$531,709	-$145,682	-$467,504	-$334,728	-$1,976,030	-$1,569,901	-$678,362
Net Patient Revenue	$5,938,240	$5,326,695	$6,938,185	$6,585,784	$6,781,205	$7,081,633	$8,011,808	$7,255,869	$7,520,977	$5,315,720	$5,003,821	$4,513,110
Payroll Costs	$3,214,183	$2,442,531	$3,204,504	$3,094,878	$3,087,651	$3,485,394	$3,550,371	$3,551,310	$3,591,424	$3,235,350	$3,131,077	$2,784,191
Operating Margin %	-6.7%	-4.8%	-5.6%	-7.1%	-6.0%	-7.5%	-1.8%	-6.4%	-4.5%	-37.2%	-31.4%	-15.0%
Medicare %	16.0%	12.4%	13.3%	10.0%	13.1%	10.4%	9.8%	7.3%	9.7%	10.4%	8.7%	4.6%
Medicaid %	61.0%	67.1%	62.0%	62.0%	60.0%	59.8%	65.9%	62.9%	57.2%	58.1%	67.4%	62.6%
Private %	23.0%	20.5%	24.6%	28.0%	26.9%	29.7%	24.4%	29.8%	33.1%	31.5%	24.0%	32.8%
Net Patient Revenue/Day	$228	$265	$270	$272	$273	$266	$287	$274	$313	$321	$319	$318
Cost/Day	$243	$278	$285	$292	$289	$286	$292	$292	$327	$440	$419	$366
Avg Length of Stay	182.4 days	236.1 days	231.9 days	187.5 days	167.9 days	146.4 days	173.4 days	176.6 days	185.0 days	138.0 days	137.6 days	149.3 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$4.5M

Net patient income

-$678.4K

For-profit Corporation

Net patient revenue

$4.5M

Net patient income

-$678.4K

Other income

$192

Payroll costs

$2.8M 61.7% of net patient revenue

Other operating costs

$2.4M

Total costs

$5.2M

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

New residents most often arrive under private pay (48% of admissions), and a typical private pay stay runs around 3 - 4 months.

Coverage residents most often arrive under.

Medicare 32%

Private pay 48%

Medicaid 20%

Coverage residents most often leave under.

Medicare 21%

Private pay 53%

Medicaid 26%

1.4 miles from city center Estimated distance in miles from Peru's city center to The Waters of Peru Skilled Nursing Facility's address, calculated via Google Maps.

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The information below is reported by the Indiana Department of Health, Division of Long Term Care.


The Barrington of Carmel	NH AL IL MC SNF	Carmel	-	154	A+	39	Studio / 1 Bed / 2 Bed
Westminster Village Muncie	NH AL IL SNF	Muncie	-	303	A+	6	Studio / 1 Bed / 2 Bed
Greenwood Village South	NH AL IL MC SNF	Greenwood	-	207	A+	50	Apartment / Cottage
Christian Care Retirement Community	NH AL IL MC SNF	Bluffton (Toll Gate Heights)	-	145	-	4	1 Bed / 2 Bed / 3 Bed
The Waters of Peru Skilled Nursing Facility	NH MC PC RC SNF	Peru	-	130	-	3	-

Nursing Home Explorer

Who is the Director of Nursing at The Waters of Peru Skilled Nursing Facility?

Patsy Raber is the Director of Nursing at The Waters of Peru Skilled Nursing Facility.

Who is the owner of The Waters of Peru Skilled Nursing Facility?

The Waters of Peru Skilled Nursing Facility is legally operated by Johnson Memorial Hospital, and administered by Suzanne Wagner.

Is The Waters of Peru Skilled Nursing Facility in a walkable area?

The Waters of Peru Skilled Nursing Facility has a walk score of 3. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of The Waters of Peru Skilled Nursing Facility?

According to IN state health department records, The Waters of Peru Skilled Nursing Facility's license number is 25-000014-1.

When does The Waters of Peru Skilled Nursing Facility's license expire?

According to IN state health department records, The Waters of Peru Skilled Nursing Facility's license expires on February 28, 2027.

What is the occupancy rate at The Waters of Peru Skilled Nursing Facility?

The Waters of Peru Skilled Nursing Facility's occupancy is 32%.

Does The Waters of Peru Skilled Nursing Facility operate as a for-profit or non-profit?

The Waters of Peru Skilled Nursing Facility is registered as a for-profit in IN.

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The Waters of Peru Skilled Nursing Facility

Overview of The Waters of Peru Skilled Nursing Facility

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Staffing

Leadership

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Contact Information

Amenities & Lifestyle

Contact The Waters of Peru Skilled Nursing Facility

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Indiana state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

23 Certified Nursing Assistant

8 Licensed Practical Nurse

7 Registered Nurse

5 Medication Aide/Technician

7 Other Dietary Services Staff

1 Administrator

2 Physical Therapy Aide

1 RN Director of Nursing

1 Mental Health Service Worker

1 Nurse Practitioner

1 Dietitian

1 Clinical Nurse Specialist

2 Speech Language Pathologist

1 Respiratory Therapy Technician

2 Physical Therapy Assistant

2 Qualified Social Worker

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

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