Best Senior Communities in Indiana

Overview of The Waters of Castleton Skilled Nursing Facility

The Waters of Castleton Skilled Nursing Facility is a 114-bed skilled nursing and rehabilitation community in Indianapolis, Indiana, offering short- and long-term rehabilitation, memory care, and respite services. It is operated by The Waters of Castleton Skilled Nursing Facility LLC and has been operating for approximately 20 years. It accepts Medicaid, Medicare, and private pay.

CMS rates the facility 2 stars overall, driven primarily by 1-star Health Inspection and 1-star Staffing ratings, both of which are substantially below the Indiana average. Nurse staffing averages 2 hours and 24 minutes per resident per day, compared with the state’s average of 3 hours and 32 minutes, placing the facility 276th out of 287 Indiana SNFs on adjusted staffing.

The inspection record reflects significant compliance challenges: back-to-back 2023 surveys cited 14 deficiencies in resident care — including substantiated findings of verbal and sexual abuse, medication errors, and grievance-handling failures — as well as 18 life safety code violations. The 2024 annual survey added 8 more deficiencies, including 12 days without required RN coverage. Early 2025 complaint investigations cited 9 further deficiencies related to dignity, wound care documentation, and medication management. The most recent inspection in May 2025 found full compliance. No fines or immediate jeopardy findings appear in the available records.

Quality measures are a counterpoint. The facility’s 4-star Quality Measures rating is 23.5% above the Indiana average, reflecting stronger performance on clinical outcome indicators such as hospital readmissions and functional improvement. Clinical programs include Memory Springs for dementia care, Comprehensive Wound Care, and Respiratory Services, as well as the rehabilitation tracks Living Well and In Motion.

The facility’s occupancy rate of 46% — well below the state’s 68% average — indicates that most room types are currently available.

The Waters of Castleton Skilled Nursing Facility is best suited to residents in Indianapolis who require short- or long-term skilled nursing and post-acute rehabilitation, particularly those whose care needs align with its capacity for wound care and respiratory services. However, families should carefully review the facility’s staffing levels and inspection history before making a placement decision.

Plainfield Health Care Center is a 189-bed skilled nursing and rehabilitation community at 3700 Clarks Creek Rd in Plainfield, Indiana, offering skilled nursing, short-term rehabilitation, memory care, and respite services. The facility is operated by Plainfield Care Center, LLC, and has served the area for nearly 30 years.

CMS rates the facility at 2 stars overall — 33.6% below the Indiana average — driven largely by inspection and staffing performance. Total nursing hours average 2 hours and 41 minutes per resident per day, placing the facility 254th out of 287 Indiana SNFs. Quality Measures, by contrast, are 23.5% above the state average, a meaningful split in an otherwise below-average profile.

The inspection record carries the most weight in evaluating this facility. Over the past four years, it has averaged 15.5 deficiencies per year, compared with Indiana’s average of 4.2. A March 2024 Immediate Jeopardy finding — in which a cognitively impaired resident with Alzheimer’s dementia exited a second-story window and sustained serious fractures due to inadequate supervision — represents the most serious single event in the recent record. The facility corrected the IJ, and subsequent standard surveys in April and June 2025 showed compliance. No fines or license actions appear in the available reports.

The facility’s amenities include patio seating, a beauty salon, a resident library, and a quiet room. Clinical services include Sound Telemedicine, wound care, and a certified RN wound care nurse on staff.

Plainfield Health Care Center’s rehabilitation capacity, short-term private rooms, and acceptance of Medicare and Medicaid make it well-suited to post-acute and short-stay residents in the Plainfield and Hendricks County area. Families considering memory care placement should weigh the 2024 elopement finding against the facility’s recent compliance trend.

Overview of Kingston Care Center of Fort Wayne

Kingston Care Center of Fort Wayne is a 137-bed, privately owned skilled nursing and memory care community at 1010 W. Washington Center Road in Fort Wayne, Indiana. The facility serves Allen County residents across a continuum of care, including assisted living, memory care, skilled nursing, and short-term rehabilitation, with 24-hour nursing coverage and respite care. It is operated by Kingston Care Center of Fort Wayne, LLC.

Over four years of inspection data, Kingston has recorded 10.3 deficiencies per year — roughly 145% above Indiana’s average of 4.2. An immediate jeopardy finding in February 2023 involved a morphine overdose that caused respiratory distress and required emergent treatment. A separate substantiated verbal abuse complaint from May 2023 led to the staff member’s separation. No fines or license actions appear in the available reports. The most recent standard inspection, completed in June 2025, found the facility fully in compliance with no deficiencies cited — a meaningful shift from prior years.

CMS rates the facility 3 stars overall, in line with the Indiana average. Its below-average Health Inspection rating reflects the deficiency history above. Staffing is 17.6% above the state average, with nurse staffing averaging 3 hours and 29 minutes per resident per day — a figure that supports the facility’s rehabilitation and post-acute caseload, which includes physical therapy hours that are more than double the state benchmark.

Quality Measures performs 23.5% above the Indiana average, and the short-stay rehospitalization rate of 19.6% is 13% lower than the state figure. The facility’s occupancy rate is 75%, exceeding Indiana’s average of 68.1%.

Kingston Care Center fits residents pursuing short-term post-acute rehabilitation or needing a structured memory care setting, with a payer mix and staffing model oriented toward Medicare and Medicaid residents in Fort Wayne’s Allen County. However, families should review the facility’s prior medication-related Immediate Jeopardy finding with its more recent compliance improvements.

Alpha Home – a Waters Community is an 86-bed skilled nursing and rehabilitation facility at 2640 Cold Spring Rd in Indianapolis, Indiana, operated as a nonprofit under Henry County Memorial Hospital. The community offers long-term skilled nursing, memory care, respite care, and short-term rehabilitation and accepts Medicare, Medicaid, and private pay.

The facility holds a 2-star CMS overall rating, driven largely by a Health Inspection score 63.4% below the Indiana average. Across inspections from 2022 through mid-2025, the facility averaged roughly 10.5 deficiencies per year — two and a half times the Indiana average of 4.2.

The September 2024 annual survey cited 14 deficiencies, including an actual-harm finding tied to a bus transport accident, along with gaps in medication management, care planning, and resident dignity. Substantiated complaints during the same period included a pressure ulcer that required hospitalization, a four-month lapse in physician orders for a resident’s tracheostomy care, and an employee’s unauthorized use of $15,179 from a resident’s debit card. No fines or immediate jeopardy findings appear in the available records. The most recent visit, in June 2025, found the facility in full compliance.

Staffing averages 2 hours and 57 minutes of total nursing care per resident per day, ranking 208th of 287 Indiana facilities — 21.6% below the state average. CNA staffing averages 1 hour and 50 minutes compared with the state’s 2 hours and 16 minutes. Quality measures are the outlier, scoring 23.5% above the Indiana average. Clinical programs include Memory Springs, Comprehensive Wound Care, Respiratory Services, Living Well, and In Motion.

Alpha Home – a Waters Community’s rehabilitation capacity, Medicaid acceptance, and memory care and respiratory programming make it suited for residents requiring post-acute skilled care or longer-term nursing support in the West Indianapolis area.