Occupancy rate
46%
34% lower than Indiana averageIndiana average: 69%
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.
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Nursing Home
The Waters of Castleton Skilled Nursing Facility
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
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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
45.6%
Residents per day (avg)
49
Occupancy rate
45.6%
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 community
Operated by county authorities.
Home revenue
$8.1M
Operating deficit
-$127.6K
Governmental community
Operated by county authorities.
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.
20 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
Occupancy
34% lower than Indiana averageOccupied beds
52 / 114
Average residents
70 per day
License details
Facility type
Nursing Home (skilled Nursing Facility)
Status
Active
Issuance
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
Contact:
Moishe Gubin
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.
4 visits/inspections
Results
2 with citations
0 without citations
Indiana average: 8 complaint visits
Indiana average: 3 inspections with citations
Show Inspection Reports
7 complaints
Formal expressions of dissatisfaction or concern made by residents, or their families regarding various aspects of the care, services, and environment provided.
Indiana average: 4 complaints
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.
Indiana average: 26 citations
60 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for The Waters of Castleton Skilled Nursing Facility
The most recent inspections on May 22, 2025, found the facility in compliance with all reviewed complaint investigations and no deficiencies were cited. Earlier inspections showed a pattern of deficiencies related primarily to resident care issues such as medication administration, fall interventions, dignity and hygiene care, and care planning, as well as safety concerns involving fire safety and emergency preparedness. Complaint investigations substantiated deficiencies in areas including abuse prevention, grievance handling, wound care, and documentation, but enforcement actions such as fines or license suspensions were not listed in the available reports. Most complaints investigated were either corrected or found unsubstantiated, with no immediate jeopardy findings reported. The facility’s recent compliance suggests improvement compared to prior inspections that identified multiple issues.
Health Inspection History
Inspections
Total health inspections
9
Indiana average 6
Last Health inspection on Oct 2025
Total health citations
48
Indiana average 25
Citations per inspection
5.33
Indiana average 4.12
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
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 28, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 28, 2025
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 16, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 16, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 16, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 16, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 16, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
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.
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
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.
INDIANAPOLIS
88
83.5%
+20%
2.66
-23%
0
14
0
74
-
-
-
$15,4M
$3,5M
22.5%
155336
Brickyard Healthcare – Brookview Care Center
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.
INDIANAPOLIS
136
49.6%
-29%
3.57
+4%
0
40
1
80
-
-
Brookview Operating Llc
$8,6M
$3,9M
45%
155076
American Village
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.
Indianapolis (Canterbury-Chatard)
229
73.4%
+6%
3.36
-2%
0
55
0
121
A+
70
Couch, Gina
$19,9M
$9,3M
46.9%
155292
Alpha Home – a Waters Community
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.
INDIANAPOLIS
86
66.6%
-4%
2.95
-14%
1
55
4
53
-
-
Alpha Home - A Waters Community
$8,6M
$3,2M
36.7%
155717
The Waters of Castleton Skilled Nursing Facility
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.
INDIANAPOLIS
114
46.7%
-33%
2.41
-30%
0
48
1
49
A+
-
The Waters Of Castleton Skilled Nursing Facility Llc
$8,1M
$2,5M
30.9%
155271
Places of interest near The Waters of Castleton Skilled Nursing Facility
11.5 miles from city center
8400 CLEARVISTA PL, INDIANAPOLIS, IN 46256
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
57
Employees
47
Contractors
10
Staff to resident ratio
1.16:1
1163165% better than Indiana averageIndiana average ratio: 0.00:1
Avg staff/day
25
Average shift
7.8 hours
0% compared with Indiana averageIndiana average: 7.7 hours
Total staff hours (quarter)
17,804
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
5
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
5.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
5.6 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
23
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
5.1%
915 contractor hours this quarter
Qualified Social Worker: 3
Respiratory Therapy Technician: 2
Registered Nurse: 2
Physical Therapy Assistant: 1
Physical Therapy Aide: 1
Speech Language Pathologist: 1
Staff by category
| 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 |
23 Certified Nursing Assistant
% of Days
100%
8 Licensed Practical Nurse
% of Days
100%
4 Medication Aide/Technician
% of Days
100%
3 Other Dietary Services Staff
% of Days
98%
1 Nurse Practitioner
% of Days
80%
1 Clinical Nurse Specialist
% of Days
75%
1 RN Director of Nursing
% of Days
65%
1 Administrator
% of Days
66%
1 Physical Therapy Aide
% of Days
75%
1 Mental Health Service Worker
% of Days
65%
1 Dietitian
% of Days
58%
5 Registered Nurse
% of Days
48%
1 Speech Language Pathologist
% of Days
43%
2 Respiratory Therapy Technician
% of Days
41%
3 Qualified Social Worker
% of Days
26%
1 Physical Therapy Assistant
% of Days
60%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
49 residents
Residents by payment source
Medicare
1 resident (2%)
Medicaid
39 residents (79.6%)
Private pay or other
9 residents (18.4%)
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
Loading trend charts...
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