Show Inspection Reports
Total health inspections
9
Indiana average 6
Last Health inspection on Oct 2025
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
The Waters of Castleton Skilled Nursing Facility
Nursing Home
The Waters of Castleton Skilled Nursing Facility
Nursing Home
The Waters of Castleton Skilled Nursing & Rehabilitation is dedicated to providing exceptional care. It offers short-term and long-term rehabilitation services, ensuring residents receive personalized care. The facility promotes independence and emotional well-being for 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.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
114
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
46.7%
Residents per day (avg)
49
Occupancy rate
46.7%
Residents per day (avg)
49
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
17% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
46% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
38% of new residents, often for long-term daily care.
Typical stay
7 months
Finances and operations
Governmental home
County
Home revenue
$8.1M
Operating deficit
-$127.6K
Governmental home
County
Home revenue
$8,144,871.00
Operating deficit
$-127,644.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.5M
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.
$5.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.3M
114-bed community
A larger shared setting that may offer more common spaces and organized community services.
1 year in operation
A newer community that may feature more recent facilities and programs.
About this community
Occupancy Rate
46%
Occupied Beds
52 of 114
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:
25-000171-1
CMS Certification Number:
155271
Ownership & operating entity
The Waters of Castleton Skilled Nursing Facility is administrated by SHERICE RICKS.
Profit status:
OTHER
Staffing
Key information about the people who lead and staff this community.
Leadership
Director of Nursing:
RAMONE EUBANK
Care Services
Accepts Medicaid
Accepts Medicare
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Contact Information
Fax:
(317) 841-4183
Programs & Activities
Specific Programs
Living Well, In Motion, Memory Springs, Respite Care, Comprehensive Wound Care, Respiratory Services
Operating Hours
24 hours - 7 days a week
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.
7 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:May 22, 2025
Type:Plan Of Correction
67 total citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
60 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Compare Nursing Homes around Indianapolis
The information below is reported by the Indiana Department of Health, Division of Long Term Care.
Chalet Rehabilitation and Healthcare Center
-6%
-23%
+20%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IN 46221
88
No
-
-
-
83.5%
$15,438,688.00
$3,477,987.00
22.5%
73.70
2.6595
-
14
-
-6%-23%+20%
Brickyard Healthcare – Brookview Care Center
+4%
-29%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IN 46219
136
No
-
-
BROOKVIEW OPERATING LLC
49.6%
$8,615,070.00
$3,873,561.00
45%
79.60
3.5682
-
40
1
+4%-29%
American Village
+50%
-2%
+6%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Indianapolis (Canterbury-Chatard)
229
No
A+
70
COUCH, GINA
73.4%
$19,894,345.00
$9,336,471.00
46.9%
120.50
3.3613
-
55
-
+50%-2%+6%
Alpha Home – a Waters Community
-5%
-14%
-4%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IN 46222
86
No
-
-
ALPHA HOME - A WATERS COMMUNITY
66.6%
$8,586,671.00
$3,153,850.00
36.7%
52.70
2.9530
1
55
4
-5%-14%-4%
The Waters of Castleton Skilled Nursing Facility
-7%
-30%
-33%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IN 46256
114
No
-
-
THE WATERS OF CASTLETON SKILLED NURSING FACILITY LLC
46.7%
$8,139,375.00
$2,516,828.00
30.9%
49.00
2.4061
-
48
1
-7%-30%-33%
Chalet Rehabilitation and Healthcare Center
Type of care:
SNF
AL
Community:
IN 46221
Bed Count:
88
Pets Allowed:
No
CCN:
155336
Occupancy:
83.5%
Home Revenue:
$15,438,688.00
Payroll Costs:
$3,477,987.00
Payroll %:
22.5%
Avg Residents/Day:
73.70
Overall Rating:
Adj Nurse Hours:
2.6595
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
14
RN share vs State Avg:
-6%
-6%
Staffing vs State Avg:
-23%
-23%
Occupancy vs State Avg:
+20%
+20%
Brickyard Healthcare – Brookview Care Center
Type of care:
SNF
AL
Community:
IN 46219
Bed Count:
136
Pets Allowed:
No
Operator:
BROOKVIEW OPERATING LLC
CCN:
155076
Occupancy:
49.6%
Home Revenue:
$8,615,070.00
Payroll Costs:
$3,873,561.00
Payroll %:
45%
Avg Residents/Day:
79.60
Overall Rating:
Adj Nurse Hours:
3.5682
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
40
Severe Citations:
1
RN share vs State Avg:
0%
Staffing vs State Avg:
+4%
+4%
Occupancy vs State Avg:
-29%
-29%
American Village
Type of care:
SNF
AL
Community:
Indianapolis (Canterbury-Chatard)
Bed Count:
229
Pets Allowed:
No
Operator:
COUCH, GINA
CCN:
155292
Occupancy:
73.4%
Home Revenue:
$19,894,345.00
Payroll Costs:
$9,336,471.00
Payroll %:
46.9%
Avg Residents/Day:
120.50
Overall Rating:
Adj Nurse Hours:
3.3613
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
55
RN share vs State Avg:
+50%
+50%
Staffing vs State Avg:
-2%
-2%
Occupancy vs State Avg:
+6%
+6%
Alpha Home – a Waters Community
Type of care:
SNF
AL
Community:
IN 46222
Bed Count:
86
Pets Allowed:
No
Operator:
ALPHA HOME - A WATERS COMMUNITY
CCN:
155717
Occupancy:
66.6%
Home Revenue:
$8,586,671.00
Payroll Costs:
$3,153,850.00
Payroll %:
36.7%
Avg Residents/Day:
52.70
Overall Rating:
Adj Nurse Hours:
2.9530
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
55
Severe Citations:
4
RN share vs State Avg:
-5%
-5%
Staffing vs State Avg:
-14%
-14%
Occupancy vs State Avg:
-4%
-4%
The Waters of Castleton Skilled Nursing Facility
Type of care:
SNF
AL
Community:
IN 46256
Bed Count:
114
Pets Allowed:
No
Operator:
THE WATERS OF CASTLETON SKILLED NURSING FACILITY LLC
CCN:
155271
Occupancy:
46.7%
Home Revenue:
$8,139,375.00
Payroll Costs:
$2,516,828.00
Payroll %:
30.9%
Avg Residents/Day:
49.00
Overall Rating:
Adj Nurse Hours:
2.4061
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
48
Severe Citations:
1
RN share vs State Avg:
-7%
-7%
Staffing vs State Avg:
-30%
-30%
Occupancy vs State Avg:
-33%
-33%Places of interest near The Waters of Castleton Skilled Nursing Facility
11.5 miles from city center
INDIANAPOLIS, IN 46256
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
57
Total Staff
47
Employees
10
Contractors
17,804
Total Hours (Quarter)
25
Avg Staff/Day
7.8
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 5 | 5.6 | Yes |
| Licensed Practical Nurse | 8 | 9.6 | No |
| Certified Nursing Assistant | 23 | 7.9 | No |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
41 staff
8.3hs shift avg
Physicians & Practitioners ⓘ
2 staff
7.8hs shift avg
Therapy Services ⓘ
5 staff
4.2hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
3 staff
2.7hs shift avg
Dietary Services ⓘ
4 staff
7.3hs shift avg
Other Services ⓘ
1 staff
6.8hs shift avg
Contractor Analysis
5.1%
of total hours from contractors
915 contractor hours this quarter
Physical Therapy Assistant: 1
Physical Therapy Aide: 1
Respiratory Therapy Technician: 2
Registered Nurse: 2
Qualified Social Worker: 3
Speech Language Pathologist: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 23 | 0 | 23 | 7,676 | 91 | 100% | 7.9 |
| Licensed Practical Nurse | 8 | 0 | 8 | 3,275 | 91 | 100% | 9.6 |
| Medication Aide/Technician | 4 | 0 | 4 | 1,504 | 91 | 100% | 9.3 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,246 | 89 | 98% | 7.3 |
| Nurse Practitioner | 1 | 0 | 1 | 582 | 73 | 80% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 516 | 68 | 75% | 7.6 |
| RN Director of Nursing | 1 | 0 | 1 | 490 | 59 | 65% | 8.3 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Physical Therapy Aide | 0 | 1 | 1 | 427 | 68 | 75% | 6.3 |
| Mental Health Service Worker | 1 | 0 | 1 | 401 | 59 | 65% | 6.8 |
| Dietitian | 1 | 0 | 1 | 400 | 53 | 58% | 7.5 |
| Registered Nurse | 3 | 2 | 5 | 328 | 44 | 48% | 5.6 |
| Speech Language Pathologist | 0 | 1 | 1 | 210 | 39 | 43% | 5.4 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 154 | 37 | 41% | 4.2 |
| Qualified Social Worker | 0 | 3 | 3 | 64 | 24 | 26% | 2.7 |
| Physical Therapy Assistant | 0 | 1 | 1 | 52 | 55 | 60% | 1 |
Health Inspection History
Inspections
Total health citations
48
Citations per inspection
5.33
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
26 of 48 citations resulted from standard inspections; 15 of 48 resulted from complaint investigations; and 7 of 48 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Indiana averageIndiana average: 0.2
Serious Health citations
1
1
67% worse than Indiana averageIndiana average: 0.6
0 critical citations
1 serious citation
45 moderate citations
2 minor citations
Citations history (last 3 years)
Quality of Care moderate citation
Oct 28, 2025
Pharmacy moderate citation
Apr 16, 2025
Corrected
Pharmacy moderate citation
Apr 16, 2025
Corrected
Quality of Care moderate citation
Apr 16, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Resident Census by Payment Source
49
Total Residents
Medicare
1
(2%)
ⓘ
Medicaid
39
(79.6%)
ⓘ
Private Pay/Other
9
(18.4%)
ⓘ
Specialized Care Beds
20
Total Specialty Beds
17.5%
of Bed Capacity
20
Alzheimer's / Dementia Beds ⓘ
17.5%
Programs & Services
Residents' Group
ⓘ
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.3
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.3
In line with Indiana averageIndiana average: 8.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.6
27% worse than Indiana averageIndiana average: 17.1
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
16.3%
Percent of long-stay residents whose need for help with daily activities has increased
16.3%
35% worse than Indiana averageIndiana average: 12.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
15.9%
Percent of long-stay residents whose ability to move independently worsened
15.9%
11% worse than Indiana averageIndiana average: 14.4%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
32.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
32.7%
33% worse than Indiana averageIndiana average: 24.6%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.6%
Percent of long-stay residents experiencing one or more falls with major injury
0.6%
84% better than Indiana averageIndiana average: 3.9%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.6%
Percent of long-stay high risk residents with pressure ulcers
4.6%
5% worse than Indiana averageIndiana average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Indiana averageIndiana average: 1.2%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.3%
Percent of long-stay residents who lose too much weight
4.3%
25% better than Indiana averageIndiana average: 5.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
63.2%
Percent of long-stay residents who have depressive symptoms
63.2%
162% worse than Indiana averageIndiana average: 24.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
18.7%
Percent of long-stay residents who received an antipsychotic medication
18.7%
50% worse than Indiana averageIndiana average: 12.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
7% better than Indiana averageIndiana average: 93.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Indiana averageIndiana average: 95.4%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
21% better than Indiana averageIndiana average: 81.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.5%
Percent of short-stay residents who newly received an antipsychotic medication
2.5%
81% worse than Indiana averageIndiana average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
27% 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.
Financial Trends
Historical financial and operational data for The Waters of Castleton Skilled Nursing Facility based on CMS SNF Cost Reports.
Occupancy Rate
46.7%
↓ 5.2pp vs 2022
Net Income
-$127,644
↑ ~$2.3M vs 2022
Total Payroll
$3,082,206
↓ ~$3.0M vs 2022
Profit Margin
-1.6%
↑ 29.4pp vs 2022
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