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The Waters of Castleton Skilled Nursing Facility
Nursing Home, Assisted Living, Respite Care & Skilled Nursing · Indianapolis, 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 Castleton Skilled Nursing Facility

Nursing Home, Assisted Living, Respite Care & Skilled Nursing · Indianapolis, 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.
8400 Clearvista Pl, Indianapolis, IN 46256 View map Calculator: See prices in your area
The Waters of Castleton Skilled Nursing Facility accepts Medicaid, Medicare, and private pay.
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The Waters of Castleton Skilled Nursing Facility accepts Medicaid, Medicare, and private pay.

Overview of The Waters of Castleton Skilled Nursing Facility

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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.

Facility Direct Line (317) 845-0464
Facility Direct Line (317) 845-0464 admissions@watersofcastleton.com
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 35.2% Below IN avg. ▼ 35.2% Below IN avg.IN average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 64.4% Below IN avg. ▼ 64.4% Below IN avg.IN average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▼ 59.3% Below IN avg. ▼ 59.3% Below IN avg.IN average: 2.5Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 22.3% Above IN avg. ▲ 22.3% Above IN avg.IN average: 4.1Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs Indiana averages

Rank #269 / 275Nurse hours — State benchmarkedThis home is ranked 269th out of 275 homes we track in Indiana for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Indiana average, with a ranking across 275 Indiana facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Indiana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 269th out of 275 homes we track in Indiana for nurse hours. 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.

2h 26m

29% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
20m
−50% State avg: 40m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
35m
−23% State avg: 46m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
1h 31m
−33% State avg: 2h 16m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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 19m
−28% State avg: 3h 14m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
2m
−56% State avg: 4m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
30m
+9% State avg: 27m per day · National avg: 28m per day

5 of 6 metrics below state avg

Standout metric: Weekend RN is +9% above Indiana average

By The Numbers

Community insights.

Bed count Info A larger shared setting that may offer more common spaces and organized community services. 114 Rank #190 / 431Bed count — State benchmarkedThis home is ranked 190th out of 431 homes we track in Indiana for bed count. Shows this facility's certified or reported bed count compared to other Indiana facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Indiana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking. 114-bed community

Medium-capacity home · Offers a balance of services and community atmosphere.

Years of operating Info A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. Rank #30 / 417Years in operation — State benchmarkedThis home is ranked 30th out of 417 homes we track in Indiana for years in operation. Shows how long this facility has been in operation compared to other Indiana facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Indiana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
36 years
Walk Score Info Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation. Rank #271 / 551Walk Score — State benchmarkedThis home is ranked 271st out of 551 homes we track in Indiana for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Indiana facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Indiana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
40 / 100
Occupancy rate Info Occupancy lower than 85% suggests more openings may be available. Rank #365 / 410Occupancy rate — State benchmarkedThis home is ranked 365th out of 410 homes we track in Indiana for occupancy. Shows this facility's occupancy rate versus the Indiana average, with its Statewide rank out of 410. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Indiana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
46% This home usually has availability 46%
Lower than the Indiana average: 68.1%
Occupied beds
52 / 114
Average occupied beds in Indiana homes 70 beds
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
98 days
BBB Rating Info An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
A+ Not Accredited
How BBB ratings work

About this community

License Details

Facility TypeNursing Home / Skilled Nursing Facility / Nursing Facility Distinct Part
StatusActive
IssuanceMarch 1, 2025
ExpirationFebruary 28, 2027
License Number25-000171-1
CMS Certification Number155271

Ownership & Operating Entity

The Waters of Castleton Skilled Nursing Facility is legally operated by Johnson Memorial Hospital, and administered by Sherice Ricks.

Type Of Units

Medicare (SNF)
14 units
SNF/NF (Combined)
100 units
Total beds
114 units

Staffing

Key information about the people who lead and staff this community.

Leadership

Medical DirectorTammy Christenberry
Director of NursingRamone Eubank

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

1 service
24-Hour Staffing

Contact Information

Fax(317) 841-4183

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Specific ProgramsLiving Well, In Motion, Memory Springs, Comprehensive Wound Care, Respiratory Services
Operating Hours24 hours - 7 days a week

Contact The Waters of Castleton Skilled Nursing Facility

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.

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.

Overall vs. IN average 6 Worse Metrics worse than Indiana average:
• Total deficiencies (103% above)
• Deficiencies per inspection (82% above)
• Inspections with deficiencies (29% above)
• Inspection deficiency rate (3% above)
• Total complaints (40% above)
• Complaints per year (35% above) 0 Better No metrics in this bucket.

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. 6733 This facility has 103% more total deficiencies than a typical Indiana nursing home (67 vs. IN avg 33).↑ 103% worse Rank #290 / 318 Total deficiencies — State benchmarked This home is ranked 290th out of 318 homes we track in Indiana for deficiencies. Shows this facility's deficiencies compared to the Indiana average among 318 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in Indiana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Deficiencies per inspection Info Average deficiencies per inspection. 4.52.47 This facility has 82% more deficiencies per inspection than a typical Indiana nursing home (4.5 vs. IN avg 2.47).↑ 82% worse Rank #265 / 309 Deficiencies per inspection — State benchmarked This home is ranked 265th out of 309 homes we track in Indiana for deficiencies per inspection. Shows this facility's deficiencies per inspection compared to the Indiana average among 309 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in Indiana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.

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. 1519 This facility has had 21% fewer total visits than the Indiana average (15 vs. IN avg 19). More inspections can mean more regulatory scrutiny rather than worse care.↓ 21% fewer
Inspections with deficiencies Info Inspections that resulted in at least one regulatory deficiency. 97 This facility has 29% more inspections with deficiencies than a typical Indiana nursing home (9 vs. IN avg 7).↑ 29% worse
Inspection deficiency rate Info Percentage of inspections that resulted in at least one deficiency. 60%58% This facility has 2 percentage points higher inspection deficiency rate than a typical Indiana nursing home (60% vs. IN avg 58%).↑ 2% worse
Inspections Info Routine, scheduled inspections conducted by state regulators. 1513 This facility has had 15% more inspections than the Indiana average (15 vs. IN avg 13). More inspections can mean more regulatory scrutiny rather than worse care.↑ 15% more

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. 75 This facility has 40% more total complaints than a typical Indiana nursing home (7 vs. IN avg 5).↑ 40% worse Rank #227 / 290 Total complaints — State benchmarked This home is ranked 227th out of 290 homes we track in Indiana for total complaints. Shows this facility's total complaints compared to the Indiana average among 290 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in Indiana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Complaints per year Info Average complaints per year since 2023. 2.31.7 This facility has 35% more complaints per year than a typical Indiana nursing home (2.3 vs. IN avg 1.7).↑ 35% worse
Show Inspection Reports

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2022 · 4 years of data
Total health inspections 9

Indiana average 6

Last Health inspection on Oct 2025

Total health citations
48 Rank #249 / 278Health citations — State benchmarkedThis home is ranked 249th out of 278 homes we track in Indiana for health citations. Shows this facility's total health deficiency citations benchmarked to the Indiana State average, with a ranking across all 278 IN facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Indiana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Indiana average 25

Citations per inspection
5.33 Rank #209 / 278Citations per inspection — State benchmarkedThis home is ranked 209th out of 278 homes we track in Indiana for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Indiana mean across 278 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Indiana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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 4 years)
Critical health citations
0
100% better than Indiana average

Indiana average: 0.2

Serious health citations
1
67% worse than Indiana average

Indiana average: 0.6

0 critical citations Indiana average: 0.2
1 serious citation Indiana average: 0.6
45 moderate citations Indiana average: 23.8
2 minor citations Indiana average: 0.4
Citations history (last 4 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, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.

Staffing Data

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

Total staff 72
Employees 64
Contractors 8
Staff to resident ratio 1.47 : 1
1469288% more staff per resident than Indiana average
Indiana average ratio: 0.00 : 1 Indiana average ratio: 0.00 : 1See full Indiana ranking
Avg staff/day 24
Average shift 7.6 hours
0% compared with Indiana average
Indiana average: 7.7 hours Indiana average shift: 7.7 hoursSee full Indiana ranking
Total staff hours (quarter) 16,774

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 All 8 RN Staff are full-time employees. No contractors work on this role. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.8 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 12 LPN Staff are full-time employees. No contractors work on this role. 12
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.4 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 28 CNA Staff are full-time employees. No contractors work on this role. 28
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.8 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

5.7%

958 contractor hours this quarter

Respiratory Therapy Technician: 3 Speech Language Pathologist: 2 Physical Therapy Aide: 1 Qualified Social Worker: 1 Physical Therapy Assistant: 1

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 Assistant280286,82192100%7.8
Licensed Practical Nurse120123,40392100%8.4
Medication Aide/Technician3031,2428491%8.7
Registered Nurse8081,1127480%9.8
Other Dietary Services Staff5051,0289199%6.9
RN Director of Nursing1015496368%8.7
Administrator1014806065%8
Physical Therapy Aide0114506773%6.7
Nurse Practitioner1014445661%7.9
Clinical Nurse Specialist1014285863%7.4
Respiratory Therapy Technician0331853942%4.8
Dietitian2021842628%7.1
Qualified Social Worker0111533033%5.1
Mental Health Service Worker2021261921%6.6
Speech Language Pathologist0221101820%6.1
Physical Therapy Assistant011595358%1.1
28 Certified Nursing Assistant
% of Days 100%
12 Licensed Practical Nurse
% of Days 100%
3 Medication Aide/Technician
% of Days 91%
8 Registered Nurse
% of Days 80%
View All Staffing Data in Indianapolis

Penalties and fines

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.

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. 8.3
In line with Indiana average

Indiana average: 8.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 21.6
27% worse than Indiana average

Indiana average: 17.1

Long-stay resident measures
Significantly above average Indiana 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 16.3%
35% worse than Indiana average

Indiana average: 12.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 15.9%
11% worse than Indiana average

Indiana 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 32.7%
33% worse than Indiana average

Indiana average: 24.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.6%
84% better than Indiana average

Indiana 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 Indiana average

Indiana average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Indiana average

Indiana average: 1.2%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.3%
25% better than Indiana average

Indiana average: 5.7%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 63.2%
162% worse than Indiana average

Indiana average: 24.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 18.7%
50% worse than Indiana average

Indiana average: 12.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
7% better than Indiana average

Indiana average: 93.7%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
5% better than Indiana average

Indiana average: 95.4%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.2%
21% better than Indiana average

Indiana average: 81.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.5%
81% worse than Indiana average

Indiana average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
27% better than Indiana average

Indiana average: 79.0%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 59.5%
18% better than Indiana average

Indiana average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 49
Medicare
1
2% of residents
Medicaid
39
79.6% of residents
Private pay or other
9
18.4% 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.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
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."
$7.5M
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."
-$133.1K
For-profit Operated by a single business entity.
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."
$7.5M Rank #186 / 268Net patient revenue — State benchmarkedThis home is ranked 186th out of 268 homes we track in Indiana. Shows this facility's net patient revenue compared to the Indiana average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Indiana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
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."
-$133.1K
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.
$5.5K
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 #212 / 268Payroll costs — State benchmarkedThis home is ranked 212th out of 268 homes we track in Indiana. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Indiana average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Indiana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$3.1M 41.1% 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 #221 / 268Payroll % of net patient revenue — State benchmarkedThis home is ranked 221st out of 268 homes we track in Indiana. Shows payroll as a percentage of net patient revenue versus the Indiana average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Indiana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
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).
$4.6M
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).
$7.6M
How we calculate these figures

This home is administered by Sherice Ricks.

This home is owned by The Waters Of Castleton Skilled Nursing Facility LLC

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 155271

Show certification details

Who this home usually serves

TYPE OF STAY

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.

New residents most often arrive under private pay (46% of admissions), and a typical private pay stay runs around 1 - 2 months.

Admissions
184 total

Coverage residents most often arrive under.

Medicare 17%
Private pay 46%
Medicaid 38%
Discharges
199 total

Coverage residents most often leave under.

Medicare 13%
Private pay 42%
Medicaid 45%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

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Address 8400 Clearvista Pl, Indianapolis, IN 46256

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The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Indiana average is: 51.1% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Marquette Senior Living ★ ★ ★ ★ ★
NH
AL
IL
MC
SNF
Indianapolis (Westchester Estates)
134
Facility 134
IN AVG 116
Rank #127 / 431
92.5%
Facility 92.5%
IN AVG 66.9%
Rank #21 / 410
+38%
4.64
Facility 4.64
IN AVG 3.44
Rank #20 / 275
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ +19%+35%
$0
Facility $0
IN AVG $31.4k
Rank #1 / 278
26
Facility 26
IN AVG 25.0
Rank #161 / 278
6.5
Facility 6.5
IN AVG 4.1
Rank #242 / 278
3124A+
22
Facility 22
IN AVG 40
Rank #383 / 551
Retirement Living Inc
$33.6MFiscal year ending 12/2023
Facility $33.6MFiscal year ending 12/2023
IN AVG $10.5M
Rank #1 / 268
$15.2MFiscal year ending 12/2023
Facility $15.2MFiscal year ending 12/2023
IN AVG $5.2M
Rank #2 / 268
45.1%Fiscal year ending 12/2023
Facility 45.1%Fiscal year ending 12/2023
IN AVG 51.1%
Rank #188 / 268
155198
Altenheim Family-first Senior Living ★ ★ ★ ★ ☆
NH
AL
IL
SNF
Indianapolis (Perry Township)
87
Facility 87
IN AVG 116
Rank #291 / 431
97.5%
Facility 97.5%
IN AVG 66.9%
Rank #6 / 410
+46%
3.38
Facility 3.38
IN AVG 3.44
Rank #121 / 275
 ★ ★ ★ ★ ☆ ★ ☆ ☆ ☆ ☆ ★ ★ ★ ★ ★ -17%-2%
$0
Facility $0
IN AVG $31.4k
Rank #1 / 278
10
Facility 10
IN AVG 25.0
Rank #40 / 278
1.3
Facility 1.3
IN AVG 4.1
Rank #6 / 278
-85A
24
Facility 24
IN AVG 40
Rank #365 / 551
-
$15.1MFiscal year ending 12/2023
Facility $15.1MFiscal year ending 12/2023
IN AVG $10.5M
Rank #44 / 268
$7.0MFiscal year ending 12/2023
Facility $7.0MFiscal year ending 12/2023
IN AVG $5.2M
Rank #52 / 268
46.6%Fiscal year ending 12/2023
Facility 46.6%Fiscal year ending 12/2023
IN AVG 51.1%
Rank #166 / 268
155196
American Village ★ ★ ★ ☆ ☆
NH
AL
HOS
IL
MC
RC
SNF
Indianapolis (Canterbury-Chatard)
229
Facility 229
IN AVG 116
Rank #18 / 431
53.3%
Facility 53.3%
IN AVG 66.9%
Rank #313 / 410
-20%
3.10
Facility 3.10
IN AVG 3.44
Rank #177 / 275
 ★ ★ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ★ +11%-10%
$0
Facility $0
IN AVG $31.4k
Rank #1 / 278
55
Facility 55
IN AVG 25.0
Rank #264 / 278
6.1
Facility 6.1
IN AVG 4.1
Rank #232 / 278
-122A+
70
Facility 70
IN AVG 40
Rank #71 / 551
Gina Couch
$18.7MFiscal year ending 12/2023
Facility $18.7MFiscal year ending 12/2023
IN AVG $10.5M
Rank #15 / 268
$10.7MFiscal year ending 12/2023
Facility $10.7MFiscal year ending 12/2023
IN AVG $5.2M
Rank #13 / 268
57.1%Fiscal year ending 12/2023
Facility 57.1%Fiscal year ending 12/2023
IN AVG 51.1%
Rank #59 / 268
155292
Spring Mill Meadows ★ ★ ★ ☆ ☆
NH
HOS
IL
RC
SNF
Indianapolis (North Willow Farms)
130
Facility 130
IN AVG 116
Rank #139 / 431
63.8%
Facility 63.8%
IN AVG 66.9%
Rank #242 / 410
-5%
3.58
Facility 3.58
IN AVG 3.44
Rank #90 / 275
 ★ ★ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ +11%+4%
$0
Facility $0
IN AVG $31.4k
Rank #1 / 278
27
Facility 27
IN AVG 25.0
Rank #171 / 278
3.4
Facility 3.4
IN AVG 4.1
Rank #116 / 278
383A+
68
Facility 68
IN AVG 40
Rank #81 / 551
Cynthia Kump
$10.3MFiscal year ending 12/2023
Facility $10.3MFiscal year ending 12/2023
IN AVG $10.5M
Rank #123 / 268
$5.4MFiscal year ending 12/2023
Facility $5.4MFiscal year ending 12/2023
IN AVG $5.2M
Rank #101 / 268
52.8%Fiscal year ending 12/2023
Facility 52.8%Fiscal year ending 12/2023
IN AVG 51.1%
Rank #107 / 268
155154
The Waters of Castleton Skilled Nursing Facility ★ ★ ☆ ☆ ☆
NH
AL
RC
SNF
Indianapolis
114
Facility 114
IN AVG 116
Rank #190 / 431
45.6%
Facility 45.6%
IN AVG 66.9%
Rank #365 / 410
-32%
2.44
Facility 2.44
IN AVG 3.44
Rank #269 / 275
 ★ ☆ ☆ ☆ ☆ ★ ☆ ☆ ☆ ☆ ★ ★ ★ ★ ★ +13%-29%
$0
Facility $0
IN AVG $31.4k
Rank #1 / 278
48
Facility 48
IN AVG 25.0
Rank #249 / 278
5.3
Facility 5.3
IN AVG 4.1
Rank #209 / 278
152A+
40
Facility 40
IN AVG 40
Rank #271 / 551
The Waters Of Castleton Skilled Nursing Facility LLC
$7.5MFiscal year ending 12/2023
Facility $7.5MFiscal year ending 12/2023
IN AVG $10.5M
Rank #186 / 268
$3.1MFiscal year ending 12/2023
Facility $3.1MFiscal year ending 12/2023
IN AVG $5.2M
Rank #212 / 268
41.1%Fiscal year ending 12/2023
Facility 41.1%Fiscal year ending 12/2023
IN AVG 51.1%
Rank #221 / 268
155271
Nursing Home Explorer

Financial Assistance for
Nursing Home in Indiana

The Waters of Castleton Skilled Nursing Facility is located in INDIANAPOLIS, Indiana.
Here are the financial assistance programs available to residents in Indiana.

Get Financial aid guidance

Aged and Disabled Waiver

Indiana Medicaid A&D Waiver

Age 65+ or disabled
General Indiana resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
IN

Requires level-of-care determination.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home health services

CHOICE Program

Indiana CHOICE

Age 60+
General Indiana resident, at risk of nursing home.
Income Limits ~$2,000/month varies
Asset Limits $10,000 individual
IN

Limited funding; regional variation.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Transportation (~5 trips/month)

Residential Care Assistance Program (RCAP)

Indiana Residential Care Assistance Program

Age 65+
General or blind, or disabled, Indiana resident, in approved facility, low-income or SSI recipient.
Income Limits (2025) ~$1,004/month including SSI
Asset Limits $2,000 (individual), $3,000 (couple).
IN

~50 facilities statewide; per diem rate set by FSSA.

Benefits
Room/board Laundry Minimal care coordination (~$20-$50/day subsidy)

Medicare Savings Program (MSP)

Indiana Medicare Savings Program

Age 65+ or disabled
General Indiana resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
IN

Three tiers; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

National Family Caregiver Support Program (NFCSP) Respite

Indiana NFCSP Respite Care

Age —
General Caregivers of 60+ needing care or 55+ caregivers of others; Indiana resident; functional needs (2+ ADLs).
Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits Not assessed; need-based.
IN

16 AAAs; prioritizes low-income, rural caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Caregiver training

VA Aid and Attendance (A&A) and Housebound Benefits

Indiana VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Indiana resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
IN

High veteran demand statewide.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Frequently Asked Questions about The Waters of Castleton Skilled Nursing Facility

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

Ramone Eubank is the Director of Nursing at The Waters of Castleton Skilled Nursing Facility.

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

The Waters of Castleton Skilled Nursing Facility is legally operated by Johnson Memorial Hospital, and administered by Sherice Ricks.

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

The Waters of Castleton Skilled Nursing Facility has a walk score of 40. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

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

According to IN state health department records, The Waters of Castleton Skilled Nursing Facility's license number is 25-000171-1.

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

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

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

The Waters of Castleton Skilled Nursing Facility's occupancy is 46%.

How long has The Waters of Castleton Skilled Nursing Facility been in business?

The Waters of Castleton Skilled Nursing Facility has been operating for approximately 36 years, based on available licensing and registration records.

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