The Waters of Tipton Skilled Nursing Facility
Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Tipton, 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 Tipton Skilled Nursing Facility

Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Tipton, 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 Tipton 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 2023 · 3 years of data 101 deficiencies 8 complaints 27 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.

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

Rank #349 / 392 in Indiana Inspection Score — State benchmarked This home is ranked 349th 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: 69 out of 100. Letter grade D+. 14 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 2023 vs. Indiana state average
Overall vs. IN average 8 Worse Metrics worse than Indiana average:
• Total deficiencies (181% above)
• Deficiencies per year (181% above)
• Deficiencies per inspection (95% above)
• Inspections with deficiencies (71% above)
• Inspection deficiency rate (19% above)
• Inspections (31% above)
• Total complaints (60% above)
• Complaints per year (59% above)
0 Better No metrics in this bucket.
Latest Inspection November 12, 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. 10136 This facility has 181% more total deficiencies than a typical Indiana assisted living residence (101 vs. IN avg 36).↑ 181% worse Rank #293 / 317 Total deficiencies — State benchmarked This home is ranked 293rd out of 317 homes in Indiana for Deficiencies. Shows this facility's deficiencies compared to the Indiana average among 317 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.
Deficiencies per year Info Average deficiencies per year since 2023. 33.712 This facility has 181% more deficiencies per year than a typical Indiana assisted living residence (33.7 vs. IN avg 12).↑ 181% worse
Deficiencies per inspection Info Average deficiencies per inspection. 3.71.9 This facility has 95% more deficiencies per inspection than a typical Indiana assisted living residence (3.7 vs. IN avg 1.9).↑ 95% worse Rank #252 / 317 Deficiencies per inspection — State benchmarked This home is ranked 252nd out of 317 homes in Indiana for Deficiencies per inspection. Shows this facility's deficiencies per inspection compared to the Indiana average among 317 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.

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. 2719 This facility has had 42% more total visits than the Indiana average (27 vs. IN avg 19). More inspections can mean more regulatory scrutiny rather than worse care.↑ 42% more
Inspections with deficiencies Info Inspections that resulted in at least one regulatory deficiency. 127 This facility has 71% more inspections with deficiencies than a typical Indiana assisted living residence (12 vs. IN avg 7).↑ 71% worse
Inspection deficiency rate Info Percentage of inspections that resulted in at least one deficiency. 44%37% This facility has 7 percentage points higher inspection deficiency rate than a typical Indiana assisted living residence (44% vs. IN avg 37%).↑ 7% worse
Inspections Info Routine, scheduled inspections conducted by state regulators. 1713 This facility has 31% more inspections than a typical Indiana assisted living residence (17 vs. IN avg 13).↑ 31% 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. 85 This facility has 60% more total complaints than a typical Indiana assisted living residence (8 vs. IN avg 5).↑ 60% worse Rank #254 / 293 Total complaints — State benchmarked This home is ranked 254th out of 293 homes in Indiana for Total complaints. Shows this facility's total complaints compared to the Indiana average among 293 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.
Complaints per year Info Average complaints per year since 2023. 2.71.7 This facility has 59% more complaints per year than a typical Indiana assisted living residence (2.7 vs. IN avg 1.7).↑ 59% worse

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 11, 2025, found the facility in compliance with Emergency Preparedness and Life Safety Code requirements after correcting prior deficiencies.
  • The April 15, 2025 Life Safety survey cited 8 deficiencies including failure to conduct emergency drills, maintain fire alarm accuracy, and ensure fire door inspections.
  • The March 18, 2025 annual inspection found 13 deficiencies including inadequate nursing staff coverage, delayed medication authorization, infection control lapses, and failure to monitor resident alarms and care plans.

Health Inspection History

Inspections since 2023
Total health inspections 11

State average N/A


Last Health inspection on Nov 2025

Total health citations
37 Rank #223 / 292Health citations — State benchmarkedThis home is ranked 223rd 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
3.36 Rank #118 / 292Citations per inspection — State benchmarkedThis home is ranked 118th 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.

23 of 37 citations resulted from standard inspections; 13 of 37 resulted from complaint investigations; and 1 of 37 came from combined inspections (standard and complaint).

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

State average: N/A


Serious health citations
3
In line with State average

State average: N/A

0 critical citations State average: N/A

3 serious citations State average: N/A

34 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 3 years)
Resident Rights moderate citation Nov 12, 2025

Pharmacy moderate citation Jul 18, 2025
Corrected

Quality of Care moderate citation Jul 18, 2025
Corrected

Care Planning moderate citation Jul 18, 2025
Corrected

Staffing Data

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

Total staff 145
Employees 129
Contractors 16
Staff to resident ratio 1.65 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 48
Average shift 7.6 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 33,685

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 11 total: 9 full-time employees and 2 contractors. 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 19 LPN Staff are full-time employees. No contractors work on this role. 19
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 56 CNA Staff are full-time employees. No contractors work on this role. 56
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.2 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%

2,327 contractor hours this quarter

Respiratory Therapy Technician: 4 Physical Therapy Aide: 3 Speech Language Pathologist: 3 Physical Therapy Assistant: 2 Qualified Social Worker: 2 Registered Nurse: 2

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 Assistant5605610,88792100%7.2
Nurse Aide in Training260266,32092100%8.2
Licensed Practical Nurse190194,92992100%8.1
Registered Nurse92113,66792100%9.9
Other Dietary Services Staff6061,84392100%7.1
RN Director of Nursing2029717076%7.7
Mental Health Service Worker2029237076%7.6
Speech Language Pathologist0337266975%6
Physical Therapy Aide0336386672%5.4
Administrator1015356571%8.2
Clinical Nurse Specialist1014926166%8.1
Physical Therapy Assistant0224656166%7.6
Nurse Practitioner1014325459%8
Qualified Social Worker0223466571%5.3
Dietitian1012843841%7.5
Respiratory Therapy Technician0441434043%3.6
Medication Aide/Technician5058489%7
56 Certified Nursing Assistant
% of Days 100%
26 Nurse Aide in Training
% of Days 100%
19 Licensed Practical Nurse
% of Days 100%
11 Registered Nurse
% of Days 100%
6 Other Dietary Services Staff
% of Days 100%
2 RN Director of Nursing
% of Days 76%
2 Mental Health Service Worker
% of Days 76%
3 Speech Language Pathologist
% of Days 75%
3 Physical Therapy Aide
% of Days 72%
1 Administrator
% of Days 71%
1 Clinical Nurse Specialist
% of Days 66%
2 Physical Therapy Assistant
% of Days 66%
1 Nurse Practitioner
% of Days 59%
2 Qualified Social Worker
% of Days 71%
1 Dietitian
% of Days 41%
4 Respiratory Therapy Technician
% of Days 43%
5 Medication Aide/Technician
% of Days 9%

Penalties and fines

Includes penalties issued in 2024

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 (Data as of Jan 2026)

Total fines amount $25K Rank #266 / 292Federal fines — State benchmarkedThis home is ranked 266th out of 292 homes in Indiana for Federal Fines. Shows this facility's cumulative CMS federal fine dollars versus the Indiana average among facilities with fines, and where it ranks among 292 facilities in the pool. Lower total dollars mean 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.
7% lower than State average

State average: $27K

Number of fines 3
116% more fines than State average

State average: 1.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than State average

State average: 0.4

Fines amount comparison
Fines amount comparison
This facility $25K
State average $27K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 9, 2024
$10K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 9, 2024
$10K

Last updated: Jan 2026

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. 9.4
17% worse 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. 15.1
11% better than State average

State average: 17.1

Long-stay resident measures
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 8.3%
31% better than State average

State average: 12.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 12.0%
17% 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 25.1%
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 10.4%
169% worse than State average

State average: 3.9%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.6%
5% worse 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 11.6%
105% worse than State average

State average: 5.7%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 22.8%
6% better than State average

State average: 24.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 18.9%
52% worse than State average

State average: 12.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.7%
5% 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. 1.44
10% 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. 2.79
89% worse than State average

State average: 1.48

Short-stay resident measures
Below average State avg: 2.9 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 94.8%
16% better than State average

State average: 81.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.1%
18% better than State average

State average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 79.2%
In line with State average

State average: 79.0%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 15.6%
30% better than State average

State average: 22.4%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 14.5%
38% worse than State average

State average: 10.5%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 1.3%
71% worse than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 32.7%
39% worse than State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 49.2%
In line with State average

State average: 50.6%

Breakdown by payment type

Medicare

47% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

42% of new residents, often for short stays.

Typical stay 3 - 4 months

Medicaid

10% 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 88
Medicare
8
9.1% of residents
Medicaid
50
56.8% of residents
Private pay or other
30
34.1% of residents
Programs & Services
Residents Group

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

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
Individual
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."
$13.5M
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."
$3.0M
For-profit Individual
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."
$13.5M Rank #93 / 294Revenue — State benchmarkedThis home is ranked 93rd 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."
$3.0M
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.
$488
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 #121 / 294Payroll — State benchmarkedThis home is ranked 121st 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.
$6.0M 44.4% 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 #222 / 294Payroll % — State benchmarkedThis home is ranked 222nd 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).
$4.5M
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).
$10.5M

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

New residents most often arrive under Medicare (47% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
238 total

Coverage residents most often arrive under.

Medicare 47%
Private pay 42%
Medicaid 10%
Discharges
229 total

Coverage residents most often leave under.

Medicare 34%
Private pay 48%
Medicaid 18%

Places of interest near The Waters of Tipton Skilled Nursing Facility

Address 0.6 miles from city center Info Estimated distance in miles from Tipton's city center to The Waters of Tipton Skilled Nursing Facility's address, calculated via Google Maps.

Calculate Travel Distance to The Waters of Tipton Skilled Nursing Facility

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Frequently Asked Questions about The Waters of Tipton Skilled Nursing Facility

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

Kimberly Shook is the Director of Nursing at The Waters of Tipton Skilled Nursing Facility.

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

The Waters of Tipton Skilled Nursing Facility is legally operated by Johnson Memorial Hospital, and administered by Susan Waymire.

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

The Waters of Tipton Skilled Nursing Facility has a walk score of 72. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

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

According to IN state health department records, The Waters of Tipton Skilled Nursing Facility's license number is 25-000505-1.

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

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

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

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

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

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

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