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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Waters of Greencastle is a nursing home in Greencastle, IN, offering memory care, respite care, rehabilitation, and skilled nursing. Fostering comfort and familiarity, the community encourages older adults to decorate their chosen accommodation. 24-hour skilled nursing, therapies, and well-balanced menus are among the excellent services dedicated to improving residents’ quality of life. The community also doubles its efforts to get to know residents’ needs and habits to provide the best possible care for their recovery.
Social gatherings, light exercises, and various games provide residents with more opportunities to explore new interests and gain meaningful experiences. A beauty/barber shop and secure patios also ensure residents can focus on their wellness. With Putnam County Hospital in the area, residents have quick access to medical care. This nursing home is a good option for senior living in Indiana, especially with its commitment to older adults’ welfare.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 240th out of 287 homes in Indiana. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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.
| 2h 57m per day | ▼ 9% State avg: 3h 15m per day · National avg: 3h 25m per day |
Lower than the Indiana average: 69.4%The Waters of Greencastle is legally operated by Putnam County Hospital, and administrated by Jennifer Etienne.
Key information about the people who lead and staff this community.
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.
This scorecard compares key inspection, citation, 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
| This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 24 | — | — |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 2.7 | — | — |
Inspections
| 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.
| 9 | — | — |
|
Inspections with deficiencies
Inspections that resulted in at least one regulatory deficiency.
| 4 | — | — |
|
Inspection deficiency rate
Percentage of inspections that resulted in at least one deficiency.
| 44% | — | — |
Complaints & Investigations
| This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 3 | — | — |
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsIndiana average 6
Last Health inspection on May 2025
Indiana average 25
Indiana average 4.12
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
19 of 21 citations resulted from standard inspections; and 2 of 21 resulted from complaint investigations.
100% better than Indiana averageIndiana average: 0.2
100% better than Indiana averageIndiana average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
1716318% better than Indiana average
6% worse than Indiana average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
777 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 45 | 0 | 45 | 9,512 | 92 | 100% | 7 |
| Licensed Practical Nurse | 11 | 0 | 11 | 3,641 | 92 | 100% | 8.6 |
| Medication Aide/Technician | 12 | 0 | 12 | 3,102 | 92 | 100% | 8.3 |
| Nurse Aide in Training | 12 | 0 | 12 | 1,961 | 90 | 98% | 7.3 |
| Other Dietary Services Staff | 8 | 0 | 8 | 1,701 | 92 | 100% | 6.4 |
| Registered Nurse | 9 | 0 | 9 | 1,671 | 90 | 98% | 9.1 |
| Administrator | 1 | 0 | 1 | 610 | 65 | 71% | 9.4 |
| Dietitian | 1 | 0 | 1 | 549 | 70 | 76% | 7.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 486 | 61 | 66% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 473 | 60 | 65% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 412 | 52 | 57% | 7.9 |
| RN Director of Nursing | 1 | 0 | 1 | 406 | 50 | 54% | 8.1 |
| Speech Language Pathologist | 0 | 2 | 2 | 395 | 66 | 72% | 5.8 |
| Physical Therapy Aide | 0 | 2 | 2 | 140 | 47 | 51% | 2.9 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 85 | 26 | 28% | 3.3 |
| Medical Director | 0 | 1 | 1 | 57 | 24 | 26% | 2.4 |
| Qualified Social Worker | 0 | 1 | 1 | 57 | 22 | 24% | 2.6 |
| Physical Therapy Assistant | 0 | 1 | 1 | 41 | 42 | 46% | 1 |
| Therapeutic Recreation Specialist | 0 | 1 | 1 | 2 | 2 | 2% | 1.1 |
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.5
32% better than Indiana averageIndiana average: 8.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.6
26% better than Indiana averageIndiana average: 17.1
Percent of long-stay residents whose need for help with daily activities has increased
2.5%
79% better than Indiana averageIndiana average: 12.0%
Percent of long-stay residents whose ability to move independently worsened
8.1%
44% better than Indiana averageIndiana average: 14.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.2%
11% worse than Indiana averageIndiana average: 24.6%
Percent of long-stay residents experiencing one or more falls with major injury
7.2%
87% worse than Indiana averageIndiana average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
4.6%
5% worse than Indiana averageIndiana average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Indiana averageIndiana average: 1.2%
Percent of long-stay residents who lose too much weight
5.0%
12% better than Indiana averageIndiana average: 5.7%
Percent of long-stay residents who have depressive symptoms
30.9%
28% worse than Indiana averageIndiana average: 24.1%
Percent of long-stay residents who received an antipsychotic medication
22.4%
80% worse than Indiana averageIndiana average: 12.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
6% better than Indiana averageIndiana average: 93.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Indiana averageIndiana average: 95.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
21% better than Indiana averageIndiana average: 81.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Indiana averageIndiana average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.3%
23% better than Indiana averageIndiana average: 79.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
19% of new residents, usually for short-term rehab.
61% of new residents, often for short stays.
20% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
67Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for The Waters of Greencastle based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #225 / 290Payroll — State benchmarkedThis home is ranked 225th out of 290 homes in Indiana. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Building Type: Single-story
On-site Medical Care and Health Services
Rehabilitative Support
Beauty Services
Dining Services
Most residents stay long-term, while a smaller portion are admitted for short-term rehab.
2.2 miles from city center
Estimated distance in miles from Greencastle's city center to The Waters of Greencastle's address, calculated via Google Maps.
Add your location
The Waters of Greencastle is located in Greencastle, Indiana.
Here are the financial assistance programs available to residents in Indiana.
The information below is reported by the Indiana Department of Health, Division of Long Term Care.
| The Waters of Greencastle |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Greencastle | 100 | 65.9% | -5% | 2.83 | -20% | -18% | $0 | 21 | 4.2 | - | 65 | - | 1 | Jennifer Etienne | $8.8M | $3.7M | 41.9% | 155202 | ||||
| Mill Pond Health Campus |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Greencastle | 117 | 70.5% | +2% | 3.00 | +7% | -13% | $0 | 22 | 3.7 | 2 | 55 | - | 36 | Trilogy Healthcare Operations Of Greencastle, LLC | $9.4M | $5.0M | 53.3% | 155736 | ||||
| Hickory Creek at Sunset |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Greencastle | 68 | 75.0% | +8% | 2.89 | +13% | -16% | $0 | 15 | 3.0 | - | 50 | A+ | 42 | Yvonne Culpepper | $4.8M | $2.8M | 59.5% | 155565 |
Karen Dee Burks is the Director of Nursing at The Waters of Greencastle.
The legal owner and operator of The Waters of Greencastle is Putnam County Hospital.
The Waters of Greencastle has a walk score of 1. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to IN state health department records, The Waters of Greencastle's license number is 25-000109-1.
According to IN state health department records, The Waters of Greencastle's license expires on April 30, 2026.
The Waters of Greencastle's occupancy is 66%.
The team at The Waters of Greencastle can be reached at [email protected].
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