Waters of Chesterfield Skilled Nursing Facility
Nursing Home, Respite Care & Skilled Nursing · Chesterfield, IN
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Waters of Chesterfield Skilled Nursing Facility

Nursing Home, Respite Care & Skilled Nursing · Chesterfield, IN
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Waters of Chesterfield Skilled Nursing Facility accepts Medicaid, Medicare, and private pay.

Inspection History

In Indiana, the Department of Health, Division of Long Term Care is the primary regulatory body that performs onsite inspections and quality of care reviews for all licensed facilities.

Since 2022 · 4 years of data 60 deficiencies 4 complaints 28 inspections
Inspection Score Info A composite 0–100 score combining this facility's inspections, deficiencies, complaints, and enforcement actions relative to the Indiana state average. The score below shows how many points this facility sits above or below the typical Indiana assisted living residence score (the benchmark); higher is better.This is a proprietary Assisted Living Magazine score.

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

Rank #234 / 392 in Indiana Inspection Score — State benchmarked This home is ranked 234th out of 392 homes in Indiana for Inspection Score. Shows this facility's inspection score compared to the Indiana average among 392 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking. This is a proprietary Assisted Living Magazine score. Inspection score: 77 out of 100. Letter grade C+. 6 points below the Indiana average for assisted living residences (83/100)

Inspection Scorecard Info 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 5 Worse Metrics worse than Indiana average:
• Total deficiencies (67% above)
• Deficiencies per year (67% above)
• Deficiencies per inspection (11% above)
• Inspections with deficiencies (43% above)
• Inspections (23% above)
3 Better Metrics better than Indiana average:
• Inspection deficiency rate (3% below)
• Total complaints (20% below)
• Complaints per year (23% below)
Latest Inspection May 30, 2025 Complaint Investigation

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityIN Averagevs. IN Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 6036 This facility has 67% more total deficiencies than a typical Indiana assisted living residence (60 vs. IN avg 36).↑ 67% worse
Deficiencies per year Info Average deficiencies per year since 2022. 159 This facility has 67% more deficiencies per year than a typical Indiana assisted living residence (15 vs. IN avg 9).↑ 67% worse
Deficiencies per inspection Info Average deficiencies per inspection. 2.11.9 This facility has 11% more deficiencies per inspection than a typical Indiana assisted living residence (2.1 vs. IN avg 1.9).↑ 11% worse

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

This FacilityIN Averagevs. IN Avg
Total visits Info Combined count of all on-site visits — routine inspections, complaint visits, follow-ups, and other focused visits. 2819 This facility has had 47% more total visits than the Indiana average (28 vs. IN avg 19). More inspections can mean more regulatory scrutiny rather than worse care.↑ 47% more
Inspections with deficiencies Info Inspections that resulted in at least one regulatory deficiency. 107 This facility has 43% more inspections with deficiencies than a typical Indiana assisted living residence (10 vs. IN avg 7).↑ 43% worse
Inspection deficiency rate Info Percentage of inspections that resulted in at least one deficiency. 36%37% This facility has 1 percentage point lower inspection deficiency rate than a typical Indiana assisted living residence (36% vs. IN avg 37%).↓ 1% better
Inspections Info Routine, scheduled inspections conducted by state regulators. 1613 This facility has 23% more inspections than a typical Indiana assisted living residence (16 vs. IN avg 13).↑ 23% worse

Complaints & Investigations Info Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.

This FacilityIN Averagevs. IN Avg
Total complaints Info Formal expressions of concern made by residents, families, or staff. 45 This facility has 20% fewer total complaints than a typical Indiana assisted living residence (4 vs. IN avg 5).↓ 20% better
Complaints per year Info Average complaints per year since 2022. 11.3 This facility has 23% fewer complaints per year than a typical Indiana assisted living residence (1 vs. IN avg 1.3).↓ 23% better

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

  • The most recent inspection on May 30, 2025, cited one deficiency for failure to promptly resolve a resident's vegetarian diet grievance, which was substantiated but addressed with a care plan meeting.
  • The January 13, 2025 annual survey found six deficiencies including unsafe food handling, incomplete dementia training, medication labeling errors, and failure to notify physicians of weight changes.
  • Life Safety Code surveys in early 2025 showed recurring issues with hazardous storage doors, smoking area containers, and oxygen transfilling room space, with compliance achieved by March 10, 2025.

Health Inspection History

Inspections since 2023
Total health inspections 6

State average N/A


Last Health inspection on May 2025

Total health citations
18 Rank #112 / 292Health citations — State benchmarkedThis home is ranked 112th out of 292 homes in Indiana for Health Citations. Shows this facility's total health deficiency citations benchmarked to the Indiana State average, with a ranking across all 292 IN facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
3 Rank #82 / 292Citations per inspection — State benchmarkedThis home is ranked 82nd out of 292 homes in Indiana for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the Indiana mean across 292 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


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

15 of 18 citations resulted from standard inspections; and 3 of 18 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

17 moderate citations State average: N/A

1 minor citation State average: N/A
Citations history (last 3 years)
Resident Rights moderate citation May 30, 2025
Corrected

Nutrition moderate citation Jan 13, 2025
Corrected

Pharmacy moderate citation Jan 13, 2025
Corrected

Quality of Care moderate citation Jan 13, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 74
Employees 54
Contractors 20
Staff to resident ratio 1.90 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 23
Average shift 7.5 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 15,873

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 6 total: 5 full-time employees and 1 contractor. 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.1 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 10 LPN Staff are full-time employees. No contractors work on this role. 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 27 CNA Staff are full-time employees. No contractors work on this role. 27
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

6.9%

1,090 contractor hours this quarter

Qualified Social Worker: 5 Speech Language Pathologist: 5 Physical Therapy Assistant: 3 Respiratory Therapy Technician: 3 Physical Therapy Aide: 3 Registered Nurse: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant270276,29092100%7.5
Licensed Practical Nurse100103,96492100%9.1
Other Dietary Services Staff4049068693%5.6
Registered Nurse5166236065%10.1
Administrator2025766470%8
Nurse Practitioner1015376773%8
Clinical Nurse Specialist1014806571%7.4
RN Director of Nursing1014746267%7.6
Mental Health Service Worker1014727177%6.6
Dietitian1014366368%6.9
Qualified Social Worker0553666571%5.6
Physical Therapy Assistant0333486470%5.3
Speech Language Pathologist0552235964%3.6
Respiratory Therapy Technician0331264448%2.7
Medication Aide/Technician1013344%8.3
Physical Therapy Aide0332055%3.9
27 Certified Nursing Assistant
% of Days 100%
10 Licensed Practical Nurse
% of Days 100%
4 Other Dietary Services Staff
% of Days 93%
6 Registered Nurse
% of Days 65%
2 Administrator
% of Days 70%
1 Nurse Practitioner
% of Days 73%
1 Clinical Nurse Specialist
% of Days 71%
1 RN Director of Nursing
% of Days 67%
1 Mental Health Service Worker
% of Days 77%
1 Dietitian
% of Days 68%
5 Qualified Social Worker
% of Days 71%
3 Physical Therapy Assistant
% of Days 70%
5 Speech Language Pathologist
% of Days 64%
3 Respiratory Therapy Technician
% of Days 48%
1 Medication Aide/Technician
% of Days 4%
3 Physical Therapy Aide
% of Days 5%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

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

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 3.1
61% better than State average

State average: 8.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 9.5
45% better than State average

State average: 17.1

Long-stay resident measures
Significantly above average State avg: 4.1 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 2.7%
78% better than State average

State average: 12.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 4.2%
70% better than State average

State average: 14.4%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 21.5%
13% better than State average

State average: 24.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.0%
100% better than State average

State average: 3.9%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.6%
40% better than State average

State average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than State average

State average: 1.2%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.0%
6% worse than State average

State average: 5.7%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 44.8%
86% worse than State average

State average: 24.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 7.6%
39% better than State average

State average: 12.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
7% better than State average

State average: 93.7%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
5% better than State average

State average: 95.4%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 0.52
68% better than State average

State average: 1.60

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.49
67% better than State average

State average: 1.48

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.2%
21% better than State average

State average: 81.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.2%
12% better than State average

State average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
27% better than State average

State average: 79.0%

Breakdown by payment type

Medicare

27% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

58% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

15% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 39
Medicare
5
12.8% of residents
Medicaid
26
66.7% of residents
Private pay or other
8
20.5% 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.

Finances and operations

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

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.5M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$901.6K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.5M Rank #250 / 294Revenue — State benchmarkedThis home is ranked 250th out of 294 homes in Indiana for Revenue. Shows this facility's annual revenue compared to the Indiana average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$901.6K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$36
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #272 / 294Payroll — State benchmarkedThis home is ranked 272nd out of 294 homes in Indiana for Payroll. Shows total annual staff payroll benchmarked to the Indiana average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.5M 45.7% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #214 / 294Payroll % — State benchmarkedThis home is ranked 214th out of 294 homes in Indiana for Payroll %. Shows payroll as a percentage of revenue versus the Indiana average. Well-run Indiana facilities typically land around 54–68% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.1M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$4.6M

Who this home usually serves

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.

Most new residents arrive under private pay (58% of admissions), and a typical private pay stay runs around 2 - 3 months.

Admissions
124 total

Coverage residents most often arrive under.

Medicare 27%
Private pay 58%
Medicaid 15%
Discharges
117 total

Coverage residents most often leave under.

Medicare 20%
Private pay 59%
Medicaid 21%

Places of interest near Waters of Chesterfield Skilled Nursing Facility

Address 0.0 miles from city center Info Estimated distance in miles from Chesterfield's city center to Waters of Chesterfield Skilled Nursing Facility's address, calculated via Google Maps.

Calculate Travel Distance to Waters of Chesterfield Skilled Nursing Facility

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Frequently Asked Questions about Waters of Chesterfield Skilled Nursing Facility

Who is the Director of Nursing at Waters of Chesterfield Skilled Nursing Facility?

Ashley Corwin is the Director of Nursing at Waters of Chesterfield Skilled Nursing Facility.

Who is the owner of Waters of Chesterfield Skilled Nursing Facility?

Waters of Chesterfield Skilled Nursing Facility is legally operated by Johnson Memorial Hospital, and administered by Lisa Foreman.

Is Waters of Chesterfield Skilled Nursing Facility in a walkable area?

Waters of Chesterfield Skilled Nursing Facility has a walk score of 46. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Waters of Chesterfield Skilled Nursing Facility?

According to IN state health department records, Waters of Chesterfield Skilled Nursing Facility's license number is 25-000524-1.

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

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

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

Waters of Chesterfield Skilled Nursing Facility's occupancy is 60%.

Are pets allowed at Waters of Chesterfield Skilled Nursing Facility?

No, Waters of Chesterfield Skilled Nursing Facility has a no-pet policy.

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