The Waters of Middletown Skilled Nursing Facility

Nursing Home, Respite Care & Skilled Nursing · Middletown, IN

CMS overall rating

981 Beechwood Ave, Middletown, IN 47356 View map

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

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

Overview of The Waters of Middletown Skilled Nursing Facility

Administered by Ashley Blackmon, The Waters of Middletown Skilled Nursing Facility is a newly established skilled nursing community on Beechwood Avenue in Middletown, Indiana. It offers short-term rehabilitation and longer-term skilled nursing care. Part of Johnson Memorial Hospital, the facility accepts Medicaid, Medicare, and private pay, giving families flexibility in coverage options. The 60-bed community currently operates at about 35 percent occupancy, meaning more availability and individualized attention as it builds its resident population. The facility is tailored to support older adults healing from hospitalization, surgery, or acute illness. Residents stay 103 days on average, reflecting the mix of shorter-term rehab stays and those requiring extended skilled care.

Daily nursing care averages 3 hours 9 minutes per resident, delivered by a team of registered nurses, nurse aides, and LPN/LVNs. That staffing level supports 24-hour on-site care and allows the facility to manage complex medical needs. Alongside general rehabilitation and respite care, the community offers specialized programs in wound care, respiratory services, IV therapy, pain management, and in-house diagnostics. Memory care services through the Memory Springs program exist for occupants with cognitive decline. Daily life includes on-site medical and support services: dental, podiatry, and audiology are accessible without outside referrals. Dining is overseen by a registered dietitian who designs balanced menus considering resident preferences and nutritional needs. A secure outdoor patio, beauty and barber shop, and activity programming round out the day. With a Walk Score of 49, the location is somewhat walkable, meaning some errands are reachable on foot, though most trips by family and visitors involve a quick drive.

For families contemplating skilled nursing options, The Waters of Middletown Skilled Nursing Facility offers newer facilities with full-range on-site medical and therapeutic services in a building still in its early operation phase.

Facility Direct Line (765) 354-2278 admissions@watersofmiddletown.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

3h 9m per day

vs avg

4 of 6 metrics below state avg

Standout metric LPN / LVN is +54% 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.	27m per day	▼ 32% 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.	1h 11m per day	▲ 54% 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.	2h 12m per day	▼ 3% 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 32m per day	▲ 9% 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.	2m per day	▼ 51% 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.	23m per day	▼ 16% State avg: 27m per day · National avg: 28m per day

Capacity and availability

103 days

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.

Walk Score: 49 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

35%

Lower than the Indiana average: 68.1%

Occupied beds

21 / 60

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 Number25-000342-1

CMS Certification Number155573

The Waters of Middletown Skilled Nursing Facility is legally operated by Johnson Memorial Hospital, and administered by Ashley Blackmon.

Profit StatusFor-profit

Medicare (SNF)

10 units

SNF/NF (Combined)

50 units

Total beds

60 units

Staffing

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

Medical DirectorRobert Anderson

Director of NursingMelinda Surface

Accept Medicaid

Accept Medicare

Rehabilitation Services

Respite Care

24-Hour Staffing

Fax(765) 354-4755

Pets not allowed

Beauty/Barber Shop

Onsite Podiatry

Dental

Audiology Services

Secure Patio For Enjoying The Outdoors

Operating Hours24 hours - 7 days a week

Since 2022 · 4 years of data 53 deficiencies 4 complaints 17 inspections

Inspection Score

7 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 January 29, 2026 Annual Inspection

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.	53	36	This facility has 47% more total deficiencies than a typical Indiana assisted living residence (53 vs. IN avg 36).↑ 47% worse
Deficiencies per year Average deficiencies per year since 2022.	13.3	9	This facility has 48% more deficiencies per year than a typical Indiana assisted living residence (13.3 vs. IN avg 9).↑ 48% worse
Deficiencies per inspection Average deficiencies per inspection.	3.1	1.9	This facility has 63% more deficiencies per inspection than a typical Indiana assisted living residence (3.1 vs. IN avg 1.9).↑ 63% worse

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.	17	19	This facility has had 11% fewer total visits than the Indiana average (17 vs. IN avg 19). More inspections can mean more regulatory scrutiny rather than worse care.↓ 11% fewer
Inspections with deficiencies Inspections that resulted in at least one regulatory deficiency.	7	7	This facility has inspections with deficiencies in line with the Indiana average (7 vs. IN avg 7).— At avg
Inspection deficiency rate Percentage of inspections that resulted in at least one deficiency.	41%	37%	This facility has 4 percentage points higher inspection deficiency rate than a typical Indiana assisted living residence (41% vs. IN avg 37%).↑ 4% worse
Inspections Routine, scheduled inspections conducted by state regulators.	7	13	This facility has 46% fewer inspections than a typical Indiana assisted living residence (7 vs. IN avg 13).↓ 46% better

Complaints & Investigations Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.	This Facility	IN Average	vs. IN Avg
Total complaints Formal expressions of concern made by residents, families, or staff.	4	5	This facility has 20% fewer total complaints than a typical Indiana assisted living residence (4 vs. IN avg 5).↓ 20% better
Complaints per year Average complaints per year since 2022.	1	1.3	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 An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The January 8, 2025 annual inspection found the facility in full compliance with all surveyed federal and state regulations, including correction of two prior complaints.
The December 9, 2024 annual inspection cited six deficiencies involving resident dignity, medication administration, pain management, food safety, infection control, and room maintenance.
Life Safety Code surveys in late 2024 identified multiple fire safety deficiencies, including door latch issues, sprinkler inspections overdue by over five years, and incomplete fire drill documentation.

Show Inspection Reports

Inspections since 2022

Total health inspections 5

State average N/A

Last Health inspection on Dec 2024

Total health citations

State average N/A

Citations per inspection

4.4

State average N/A

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

14 of 22 citations resulted from standard inspections; 7 of 22 resulted from complaint investigations; and 1 of 22 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 4 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

22 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 4 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

Total staff 59

Employees 45

Contractors 14

Staff to resident ratio 3.11 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 19

Average shift 6.6 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 11,582

Nursing staff breakdown

6.2 hours

8.6 hours

6.7 hours

Contractor staffing

355 contractor hours this quarter

Speech Language Pathologist: 3 Respiratory Therapy Technician: 3 Physical Therapy Aide: 3 Physical Therapy Assistant: 2 Qualified Social Worker: 2 Registered Nurse: 1

Staff by category


Certified Nursing Assistant	19	0	19	4,650	92	100%	6.7
Licensed Practical Nurse	7	0	7	2,244	92	100%	8.6
Medication Aide/Technician	4	0	4	802	80	87%	6.9
Other Dietary Services Staff	5	0	5	734	88	96%	5
RN Director of Nursing	2	0	2	676	70	76%	6.9
Nurse Practitioner	2	0	2	587	76	83%	7.7
Registered Nurse	4	1	5	532	66	72%	6.2
Administrator	1	0	1	521	66	72%	7.9
Mental Health Service Worker	1	0	1	487	65	71%	7.5
Speech Language Pathologist	0	3	3	127	39	42%	3.3
Respiratory Therapy Technician	0	3	3	80	36	39%	2.2
Physical Therapy Aide	0	3	3	61	29	32%	2.1
Physical Therapy Assistant	0	2	2	52	30	33%	1.7
Qualified Social Worker	0	2	2	31	25	27%	1.2

19 Certified Nursing Assistant

% of Days 100%

7 Licensed Practical Nurse

% of Days 100%

4 Medication Aide/Technician

% of Days 87%

5 Other Dietary Services Staff

% of Days 96%

2 RN Director of Nursing

% of Days 76%

2 Nurse Practitioner

% of Days 83%

5 Registered Nurse

% of Days 72%

1 Administrator

% of Days 72%

1 Mental Health Service Worker

% of Days 71%

3 Speech Language Pathologist

% of Days 42%

3 Respiratory Therapy Technician

% of Days 39%

3 Physical Therapy Aide

% of Days 32%

2 Physical Therapy Assistant

% of Days 33%

2 Qualified Social Worker

% of Days 27%

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 6.6

17% better than State average

State average: 8.0

Functional decline score 14.9

13% better than State average

State average: 17.1

Long-stay resident measures

Significantly above average State avg: 4.1

Need for Help with Daily Activities Increased 2.0%

83% better than State average

State average: 12.0%

Walking Ability Worsened 19.5%

36% worse than State average

State average: 14.4%

Low Risk Residents with Bowel/Bladder Incontinence 23.1%

6% better than State average

State average: 24.6%

Falls with Major Injury 4.1%

6% worse than State average

State average: 3.9%

High Risk Residents with Pressure Ulcers 2.2%

50% better than State average

State average: 4.4%

Urinary Tract Infection 0.0%

100% better than State average

State average: 1.2%

Lost Too Much Weight 5.3%

7% better than State average

State average: 5.7%

Depressive Symptoms 58.2%

141% worse than State average

State average: 24.1%

Antipsychotic Use 8.2%

34% better than State average

State average: 12.4%

Pneumococcal Vaccine 86.3%

8% worse than State average

State average: 93.7%

Short-stay resident measures

Pneumococcal Vaccine 47.0%

43% worse than State average

State average: 81.7%

Antipsychotic medication increase 2.7%

97% worse than State average

State average: 1.4%

Influenza Vaccine 45.7%

42% worse than State average

State average: 79.0%

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

Total residents 19

Medicare

10.5% of residents

Medicaid

84.2% of residents

Private pay or other

5.3% 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 Middletown 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 36.9% ↑ 3.3pp vs 2022

Net Patient Income -$301.9K ↑ ~$591.7K vs 2022

Payroll Costs $1.8M ↑ ~$310.2K vs 2022

Operating Margin -11.1% ↑ 27.7pp vs 2022

Metric	2012	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	62.8%	60.3%	58.4%	79.4%	58.7%	66.3%	49.6%	43.8%	34.1%	33.6%	36.9%
Beds	60	60	60	60	60	60	60	60	60	60	60
Net Income	-$453,676	-$248,292	-$79,278	-$288,978	-$430,615	-$288,034	-$588,311	-$345,885	-$695,011	-$888,524	-$301,659
Gross Revenue	$3,641,636	$3,499,709	$4,120,643	$4,130,026	$4,102,348	$4,543,170	$3,250,496	$3,286,453	$2,443,645	$2,313,060	$2,907,774
Operating Expenses	$3,754,678	$3,547,280	$3,824,828	$3,933,987	$4,026,429	$4,400,185	$3,639,614	$3,718,626	$3,366,600	$3,197,289	$3,015,333
Net Patient Income	-$477,216	-$263,225	-$94,858	-$296,807	-$443,887	-$301,382	-$621,403	-$608,447	-$1,013,369	-$893,538	-$301,872
Net Patient Revenue	$3,277,462	$3,284,055	$3,729,970	$3,637,180	$3,582,542	$4,098,803	$3,018,211	$3,110,179	$2,353,231	$2,303,751	$2,713,461
Payroll Costs	$1,615,756	$1,585,279	$1,626,227	$1,697,106	$1,689,616	$1,828,409	$1,554,828	$1,625,160	$1,464,743	$1,477,413	$1,787,581
Operating Margin %	-14.6%	-8.0%	-2.5%	-8.2%	-12.4%	-7.4%	-20.6%	-19.6%	-43.1%	-38.8%	-11.1%
Medicare %	18.2%	8.4%	15.7%	9.1%	13.6%	11.2%	6.5%	6.2%	14.3%	7.2%	7.7%
Medicaid %	63.1%	64.9%	57.6%	70.0%	59.4%	61.3%	68.8%	62.1%	50.9%	64.3%	60.3%
Private %	18.7%	26.7%	26.7%	20.8%	27.0%	27.4%	24.7%	31.6%	34.8%	28.4%	32.0%
Net Patient Revenue/Day	$238	$249	$292	$209	$279	$283	$278	$324	$315	$313	$336
Cost/Day	$272	$269	$299	$226	$313	$303	$335	$387	$451	$435	$374
Avg Length of Stay	179.0 days	223.6 days	170.6 days	149.0 days	84.0 days	101.5 days	148.9 days	171.7 days	106.8 days	102.1 days	103.5 days

Finances and operations

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

Net patient revenue

$2.7M

Net patient income

-$301.9K

For-profit Operated by a single business entity.

Net patient revenue

$2.7M

Net patient income

-$301.9K

Other income

$213

Payroll costs

$1.8M 65.9% of net patient revenue

Other operating costs

$1.2M

Total costs

$3.0M

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Most new residents arrive under private pay (65% of admissions), and a typical private pay stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 27%

Private pay 65%

Medicaid 8%

Coverage residents most often leave under.

Medicare 19%

Private pay 59%

Medicaid 22%

0.0 miles from city center Estimated distance in miles from Middletown's city center to The Waters of Middletown 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 Middletown Skilled Nursing Facility	NH RC SNF	Middletown	-	60	-	49	-

Nursing Home Explorer

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

Melinda Surface is the Director of Nursing at The Waters of Middletown Skilled Nursing Facility.

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

The Waters of Middletown Skilled Nursing Facility is legally operated by Johnson Memorial Hospital, and administered by Ashley Blackmon.

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

The Waters of Middletown Skilled Nursing Facility has a walk score of 49. 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 Middletown Skilled Nursing Facility?

According to IN state health department records, The Waters of Middletown Skilled Nursing Facility's license number is 25-000342-1.

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

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

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

The Waters of Middletown Skilled Nursing Facility's occupancy is 35%.

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

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

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The Waters of Middletown Skilled Nursing Facility

Overview of The Waters of Middletown 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

Additional Policies & Features

Amenities & Lifestyle

Contact The Waters of Middletown 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.

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

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

Health Inspection History

Inspections since 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

19 Certified Nursing Assistant

7 Licensed Practical Nurse

4 Medication Aide/Technician

5 Other Dietary Services Staff

2 RN Director of Nursing

2 Nurse Practitioner

5 Registered Nurse

1 Administrator

1 Mental Health Service Worker

3 Speech Language Pathologist

3 Respiratory Therapy Technician

3 Physical Therapy Aide

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

Primarily short stays

Admissions

Discharges

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