Show Inspection Reports
Total Health inspections
5
17% below Indiana average
Indiana average:
6.0
Last Health inspection on Dec 2024
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
The Waters of Middletown Skilled Nursing Facility
The Waters of Middletown Skilled Nursing Facility is a Nursing Home in Indiana
The Waters of Middletown… is a Nursing Home in Indiana
The Waters of Middletown Skilled Nursing Facility
The Waters of Middletown Skilled Nursing Facility is a Nursing Home in Indiana
The Waters of Middletown… is a Nursing Home in Indiana
The Waters of Middletown is a skilled nursing and rehabilitation center located in Middletown, IN. It offers a range of services including personalized rehabilitation, memory care, and respite care. The facility is dedicated to providing exceptional care and promoting the well-being of its residents.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
60
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
36.9%
Residents per day (avg)
27
Occupancy rate
36.9%
Residents per day (avg)
27
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
27% of new residents, usually for short-term rehab.
Typical stay
27 days
Private pay
65% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
8% of new residents, often for long-term daily care.
Typical stay
2 years
Finances and operations
Governmental home
County
Home revenue
$2.9M
Operating deficit
-$301.7K
Governmental home
County
Home revenue
$2,907,987.00
Operating deficit
$-301,659.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$3.2M
60-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
1 year in operation
A newer community that may feature more recent facilities and programs.
About this community
Occupancy Rate
35%
Occupied Beds
21 of 60
Percentage of available beds currently in use by residents.
License Status
ActiveFacility Type
NURSING HOME (Skilled Nursing Facility)
License Date
March 1, 2025
Additional licensing details
License number:
25-000342-1
CMS Certification Number:
155573
Ownership & operating entity
The Waters of Middletown Skilled Nursing Facility is administrated by ASHLEY BLACKMON.
Profit status:
OTHER
Staffing
Key information about the people who lead and staff this community.
Leadership
Director of Nursing:
MELINDA SURFACE
Care Services
Accepts Medicaid
Accepts Medicare
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Independent Living
Skilled Nursing
24-Hour Staffing
Contact Information
Fax:
(765) 354-4755
Amenities & Lifestyle
Programs & Activities
Specific Programs
Living Well, In Motion, Memory Springs, Respite Care, Comprehensive Wound Care, Respiratory Services, IV Services, Nutritional Services, In-House Diagnostics, Pain Management
Operating Hours
24 hours - 7 days a week
Pricing & Financial Information
Dining & Nutrition
Food Description
Delicious menus are designed around a balanced diet featuring a variety of choices under the direction of a registered dietitian. Mealtime assistance is available according to resident need.
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
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.
4 complaints
Formal expressions of dissatisfaction or concern made by residents, or their families regarding various aspects of the care, services, and environment provided.
Latest inspection
Date:January 8, 2025
Type:Annual Inspection
27 total citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
33 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Compare Nursing Homes around Indiana
The information below is reported by the Indiana Department of Health, Division of Long Term Care.
Adams Woodcrest
-10%
+7%
+3%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IN 46733
143
No
-
71.4%
$12,192,260.00
$5,615,054.00
46.1%
108.40
3.6901
-
2
-
-10%+7%+3%
Adams Heritage
+29%
+20%
+3%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IN 46773
61
No
-
71.6%
$5,068,983.00
$2,488,962.00
49.1%
39.10
4.1205
-
2
-
+29%+20%+3%
The Waters of Middletown Skilled Nursing Facility
-36%
-8%
-47%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IN 47356
60
No
THE WATERS OF MIDDLETOWN SKILLED NURSING FACILITY LLC
36.9%
$2,907,774.00
$1,403,490.00
48.3%
27.30
3.1505
-
22
-
-36%-8%-47%
Addison Pointe Health & Rehabilitation Center
-5%
-8%
+33%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IN 46304
100
No
DOBBEN, STEVEN
92.5%
$15,225,564.00
$5,306,023.00
34.8%
92.50
3.1554
1
27
1
-5%-8%+33%
Albany Health Care & Rehabilitation Center
+4%
+2%
+9%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IN 47320
102
No
TROXWELL, MELANIE
75.6%
$12,342,683.00
$4,315,019.00
35%
77.20
3.5110
-
19
1
+4%+2%+9%
Adams Woodcrest
Type of care:
SNF
AL
Community:
IN 46733
Bed Count:
143
Pets Allowed:
No
CCN:
155747
Occupancy:
71.4%
Home Revenue:
$12,192,260.00
Payroll Costs:
$5,615,054.00
Payroll %:
46.1%
Avg Residents/Day:
108.40
Overall Rating:
Adj Nurse Hours:
3.6901
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
2
RN share vs State Avg:
-10%
-10%
Staffing vs State Avg:
+7%
+7%
Occupancy vs State Avg:
+3%
+3%
Adams Heritage
Type of care:
SNF
AL
Community:
IN 46773
Bed Count:
61
Pets Allowed:
No
CCN:
155729
Occupancy:
71.6%
Home Revenue:
$5,068,983.00
Payroll Costs:
$2,488,962.00
Payroll %:
49.1%
Avg Residents/Day:
39.10
Overall Rating:
Adj Nurse Hours:
4.1205
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
2
RN share vs State Avg:
+29%
+29%
Staffing vs State Avg:
+20%
+20%
Occupancy vs State Avg:
+3%
+3%
The Waters of Middletown Skilled Nursing Facility
Type of care:
SNF
AL
Community:
IN 47356
Bed Count:
60
Pets Allowed:
No
Operator:
THE WATERS OF MIDDLETOWN SKILLED NURSING FACILITY LLC
CCN:
155573
Occupancy:
36.9%
Home Revenue:
$2,907,774.00
Payroll Costs:
$1,403,490.00
Payroll %:
48.3%
Avg Residents/Day:
27.30
Overall Rating:
Adj Nurse Hours:
3.1505
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
22
RN share vs State Avg:
-36%
-36%
Staffing vs State Avg:
-8%
-8%
Occupancy vs State Avg:
-47%
-47%
Addison Pointe Health & Rehabilitation Center
Type of care:
SNF
AL
Community:
IN 46304
Bed Count:
100
Pets Allowed:
No
Operator:
DOBBEN, STEVEN
CCN:
155805
Occupancy:
92.5%
Home Revenue:
$15,225,564.00
Payroll Costs:
$5,306,023.00
Payroll %:
34.8%
Avg Residents/Day:
92.50
Overall Rating:
Adj Nurse Hours:
3.1554
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
27
Severe Citations:
1
RN share vs State Avg:
-5%
-5%
Staffing vs State Avg:
-8%
-8%
Occupancy vs State Avg:
+33%
+33%
Albany Health Care & Rehabilitation Center
Type of care:
SNF
AL
Community:
IN 47320
Bed Count:
102
Pets Allowed:
No
Operator:
TROXWELL, MELANIE
CCN:
155432
Occupancy:
75.6%
Home Revenue:
$12,342,683.00
Payroll Costs:
$4,315,019.00
Payroll %:
35%
Avg Residents/Day:
77.20
Overall Rating:
Adj Nurse Hours:
3.5110
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
19
Severe Citations:
1
RN share vs State Avg:
+4%
+4%
Staffing vs State Avg:
+2%
+2%
Occupancy vs State Avg:
+9%
+9%Places of interest near The Waters of Middletown Skilled Nursing Facility
0.0 miles from city center
MIDDLETOWN, IN 47356
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
66
Total Staff
53
Employees
13
Contractors
12,016
Total Hours (Quarter)
19
Avg Staff/Day
6.9
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 4 | 10.4 | No |
| Licensed Practical Nurse | 10 | 9.3 | No |
| Certified Nursing Assistant | 21 | 6.9 | No |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
43 staff
7.5hs shift avg
Physicians & Practitioners ⓘ
2 staff
8.2hs shift avg
Therapy Services ⓘ
10 staff
3.7hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
3 staff
1.5hs shift avg
Dietary Services ⓘ
6 staff
7.1hs shift avg
Other Services ⓘ
1 staff
7.9hs shift avg
Contractor Analysis
5.8%
of total hours from contractors
702 contractor hours this quarter
Physical Therapy Assistant: 4
Qualified Social Worker: 3
Speech Language Pathologist: 2
Respiratory Therapy Technician: 2
Physical Therapy Aide: 2
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 21 | 0 | 21 | 4,825 | 91 | 100% | 6.9 |
| Licensed Practical Nurse | 10 | 0 | 10 | 2,009 | 91 | 100% | 9.3 |
| Other Dietary Services Staff | 6 | 0 | 6 | 1,003 | 90 | 99% | 7.1 |
| RN Director of Nursing | 3 | 0 | 3 | 793 | 76 | 84% | 6.6 |
| Nurse Practitioner | 2 | 0 | 2 | 634 | 75 | 82% | 8.2 |
| Medication Aide/Technician | 5 | 0 | 5 | 624 | 63 | 69% | 7.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 508 | 64 | 70% | 7.9 |
| Administrator | 1 | 0 | 1 | 464 | 58 | 64% | 8 |
| Registered Nurse | 4 | 0 | 4 | 455 | 41 | 45% | 10.4 |
| Speech Language Pathologist | 0 | 2 | 2 | 315 | 66 | 73% | 4.8 |
| Physical Therapy Assistant | 0 | 4 | 4 | 214 | 65 | 71% | 3.1 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 123 | 40 | 44% | 3 |
| Qualified Social Worker | 0 | 3 | 3 | 47 | 31 | 34% | 1.5 |
| Physical Therapy Aide | 0 | 2 | 2 | 3 | 2 | 2% | 1.5 |
Health Inspection History
Total Health citations
22
12% below Indiana average
Indiana average:
25.0
4.4 citations per inspection (avg)
Citations origin
Citations can result from standard inspections or complaint-based investigations.
Standard inspections
15 citations
Complaint investigations
8 citations
Breakdown of citations
Critical Health citations
0
100% below Indiana average
Indiana average:
0.2
Serious Health citations
0
100% below Indiana average
Indiana average:
0.6
Moderate Health citations
22
Minor Health citations
0
Citations history (last 3 years)
Environmental moderate citation
Dec 09, 2024
Corrected
Infection Control moderate citation
Dec 09, 2024
Corrected
Nutrition moderate citation
Dec 09, 2024
Corrected
Quality of Care moderate citation
Dec 09, 2024
Corrected
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Resident Census by Payment Source
19
Total Residents
Medicare
2
(10.5%)
ⓘ
Medicaid
16
(84.2%)
ⓘ
Private Pay/Other
1
(5.3%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Nurse Aide Training
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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
6.6
17% better than Indiana average
Indiana average:
8.0
Functional decline score
14.9
13% better than Indiana average
Indiana average:
17.1
Long-Stay Resident Measures
Daily care & independence
Need for Help with Daily Activities Increased
2.0%
83% below Indiana average.
Walking Ability Worsened
19.5%
36% above Indiana average.
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
23.1%
6% below Indiana average.
Safety & clinical stability
Falls with Major Injury
4.1%
6% above Indiana average.
High Risk Residents with Pressure Ulcers
2.2%
50% below Indiana average.
Urinary Tract Infection
0.0%
100% below Indiana average.
Emotional & behavioral wellbeing
Depressive Symptoms
58.2%
141% above Indiana average.
Antipsychotic Use
8.2%
34% below Indiana average.
Preventive care
Pneumococcal Vaccine
86.3%
8% below Indiana average.
Nutrition & physical health
Lost Too Much Weight
5.3%
7% below Indiana average.Short-stay resident measures
Pneumococcal Vaccine
47.0%
43% worse than Indiana average
Antipsychotic medication increase
2.7%
97% worse than Indiana average
Influenza Vaccine
45.7%
42% worse than Indiana average Financial Trends
Historical financial and operational data for The Waters of Middletown Skilled Nursing Facility based on CMS SNF Cost Reports.
Occupancy Rate
36.9%
↑ 3.3pp vs 2022
Net Income
-$301,659
↑ ~$587K vs 2022
Total Payroll
$1,787,581
↑ ~$161K vs 2022
Profit Margin
-10.4%
↑ 28.0pp vs 2022
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