The Waters of Dunkirk Skilled Nursing Facility
Nursing Home, Hospice Care, Palliative Care & Skilled Nursing · Dunkirk, 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.

The Waters of Dunkirk Skilled Nursing Facility

Nursing Home, Hospice Care, Palliative Care & Skilled Nursing · Dunkirk, 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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The Waters of Dunkirk 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 45 deficiencies 4 complaints 26 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.

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

Rank #214 / 392 in Indiana Inspection Score — State benchmarked This home is ranked 214th 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: 79 out of 100. Letter grade C+. 4 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 4 Worse Metrics worse than Indiana average:
• Total deficiencies (25% above)
• Deficiencies per year (26% above)
• Inspections with deficiencies (29% above)
• Inspections (23% above)
4 Better Metrics better than Indiana average:
• Deficiencies per inspection (11% below)
• Inspection deficiency rate (5% below)
• Total complaints (20% below)
• Complaints per year (23% below)
Latest Inspection June 19, 2025 Re Inspection

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. 4536 This facility has 25% more total deficiencies than a typical Indiana assisted living residence (45 vs. IN avg 36).↑ 25% worse
Deficiencies per year Info Average deficiencies per year since 2022. 11.39 This facility has 26% more deficiencies per year than a typical Indiana assisted living residence (11.3 vs. IN avg 9).↑ 26% worse
Deficiencies per inspection Info Average deficiencies per inspection. 1.71.9 This facility has 11% fewer deficiencies per inspection than a typical Indiana assisted living residence (1.7 vs. IN avg 1.9).↓ 11% better

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. 2619 This facility has had 37% more total visits than the Indiana average (26 vs. IN avg 19). More inspections can mean more regulatory scrutiny rather than worse care.↑ 37% more
Inspections with deficiencies Info Inspections that resulted in at least one regulatory deficiency. 97 This facility has 29% more inspections with deficiencies than a typical Indiana assisted living residence (9 vs. IN avg 7).↑ 29% worse
Inspection deficiency rate Info Percentage of inspections that resulted in at least one deficiency. 35%37% This facility has 2 percentage points lower inspection deficiency rate than a typical Indiana assisted living residence (35% vs. IN avg 37%).↓ 2% 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 June 19, 2025, found the facility fully compliant with Life Safety Code and Medicare/Medicaid participation requirements, with no deficiencies cited.
  • The March 21, 2025, annual inspection cited five deficiencies including failure to follow menus and resident preferences, poor meal palatability, and inadequate kitchen sanitation.
  • A December 31, 2024, complaint investigation substantiated a deficiency for inconsistent physical transfers causing a resident’s ankle fracture, confirming harm-level resident care issues.

Health Inspection History

Inspections since 2023
Total health inspections 5

State average N/A


Last Health inspection on Mar 2025

Total health citations
10 Rank #41 / 292Health citations — State benchmarkedThis home is ranked 41st 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
2 Rank #25 / 292Citations per inspection — State benchmarkedThis home is ranked 25th 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.

6 of 10 citations resulted from standard inspections; and 4 of 10 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

9 moderate citations State average: N/A

1 minor citation State average: N/A
Citations history (last 3 years)
Nutrition moderate citation Mar 21, 2025
Corrected

Nutrition moderate citation Mar 21, 2025
Corrected

Nutrition moderate citation Mar 21, 2025
Corrected

Resident Rights minor citation Mar 21, 2025
Corrected

Staffing Data

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

Total staff 56
Employees 48
Contractors 8
Staff to resident ratio 1.81 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 21
Average shift 7.5 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 14,485

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 All 4 RN Staff are full-time employees. No contractors work on this role. 4
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.3 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 9 LPN Staff are full-time employees. No contractors work on this role. 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 18 CNA Staff are full-time employees. No contractors work on this role. 18
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.9 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

3.6%

525 contractor hours this quarter

Speech Language Pathologist: 3 Physical Therapy Assistant: 2 Physical Therapy Aide: 1 Respiratory Therapy Technician: 1 Qualified Social Worker: 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 Assistant180184,88092100%7.9
Licensed Practical Nurse9092,65292100%9.2
Medication Aide/Technician6062,2049199%8.4
Clinical Nurse Specialist2021,0147379%7.8
Registered Nurse4048417177%6.3
Other Dietary Services Staff3034957076%6.4
Nurse Practitioner1014645762%8.1
Dietitian1014305661%7.7
Mental Health Service Worker1014305560%7.8
Administrator1013705054%7.4
Physical Therapy Aide0113426571%5.3
Nurse Aide in Training2021812123%7.8
Speech Language Pathologist033895661%1.6
Respiratory Therapy Technician011753336%2.3
Physical Therapy Assistant022141820%0.8
Qualified Social Worker011667%0.9
18 Certified Nursing Assistant
% of Days 100%
9 Licensed Practical Nurse
% of Days 100%
6 Medication Aide/Technician
% of Days 99%
2 Clinical Nurse Specialist
% of Days 79%
4 Registered Nurse
% of Days 77%
3 Other Dietary Services Staff
% of Days 76%
1 Nurse Practitioner
% of Days 62%
1 Dietitian
% of Days 61%
1 Mental Health Service Worker
% of Days 60%
1 Administrator
% of Days 54%
1 Physical Therapy Aide
% of Days 71%
2 Nurse Aide in Training
% of Days 23%
3 Speech Language Pathologist
% of Days 61%
1 Respiratory Therapy Technician
% of Days 36%
2 Physical Therapy Assistant
% of Days 20%
1 Qualified Social Worker
% of Days 7%

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. 3.4
57% 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. 12.4
28% 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 2.9%
76% better than State average

State average: 12.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 8.8%
39% 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 25.3%
In line with 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 2.5%
42% 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 2.9%
48% better than State average

State average: 5.7%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 71.8%
198% worse than State average

State average: 24.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 10.9%
12% 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. 0.23
86% 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. 1.05
29% 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 97.4%
19% better than State average

State average: 81.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% 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%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 4.4%
465% worse than State average

State average: 0.8%

Breakdown by payment type

Medicare

39% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

50% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

11% of new residents, often for long-term daily care.

Typical stay 2 - 3 years

Facility Characteristics

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

Total residents 31
Medicare
2
6.5% of residents
Medicaid
23
74.2% of residents
Private pay or other
6
19.4% 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
Corporation
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."
$4.6M
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."
$425.2K
For-profit Corporation
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."
$4.6M Rank #270 / 294Revenue — State benchmarkedThis home is ranked 270th 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."
$425.2K
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.
$660
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 #275 / 294Payroll — State benchmarkedThis home is ranked 275th 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.
$2.4M 52.4% 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 #129 / 294Payroll % — State benchmarkedThis home is ranked 129th 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).
$1.8M
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).
$4.2M

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 (50% of admissions), and a typical private pay stay runs around 2 - 3 months.

Admissions
94 total

Coverage residents most often arrive under.

Medicare 39%
Private pay 50%
Medicaid 11%
Discharges
100 total

Coverage residents most often leave under.

Medicare 27%
Private pay 46%
Medicaid 27%

Places of interest near The Waters of Dunkirk Skilled Nursing Facility

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

Calculate Travel Distance to The Waters of Dunkirk Skilled Nursing Facility

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Frequently Asked Questions about The Waters of Dunkirk Skilled Nursing Facility

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

Jodie Shimp is the Director of Nursing at The Waters of Dunkirk Skilled Nursing Facility.

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

The Waters of Dunkirk Skilled Nursing Facility is legally operated by Johnson Memorial Hospital, and administered by Tyisha Wheeler.

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

The Waters of Dunkirk Skilled Nursing Facility has a walk score of 34. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

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

According to IN state health department records, The Waters of Dunkirk Skilled Nursing Facility's license number is 25-000519-1.

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

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

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

The Waters of Dunkirk Skilled Nursing Facility's occupancy is 80%.

Are pets allowed at The Waters of Dunkirk Skilled Nursing Facility?

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

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