Occupancy rate
35%
49% lower than Indiana averageIndiana average: 68%
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Explore Open Rooms
1
Contact details
2
What type of senior care service are you looking for?
3
What budget do you have in mind for senior care?
4
How soon do you need to find care?
5
Additional details
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
Nursing Home in Indiana
CMS overall rating
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.
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.
The Waters of Middletown Skilled Nursing Facility
Nursing Home in Indiana
CMS overall rating
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.
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.
The Waters of Middletown Skilled Nursing Facility
The Waters of Middletown is a skilled nursing and rehabilitation center located in Middletown, IN. It offers a range of services including personalized rehabilitation, memory care, and respite care. The facility is dedicated to providing exceptional care and promoting the well-being of 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
Smaller home
May offer a more intimate, personalized care environment.
Total beds
60
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
35%
Residents per day
21
Occupancy rate
35%
Residents per day
21
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
27% of new residents, usually for short-term rehab.
Typical stay
27 days
Private pay
65% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
8% of new residents, often for long-term daily care.
Typical stay
2 years
Finances and operations
Governmental community
Operated by county authorities.
Home revenue
$2.9M
Operating deficit
-$301.7K
Governmental community
Operated by county authorities.
Home revenue
$2,907,987.00
Operating deficit
$-301,659.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.4M
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.
$1.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$3.2M
60-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
1 year in operation
A newer community that may feature more recent facilities and programs.
About this community
Occupancy
49% lower than Indiana averageOccupied beds
21 / 60
Average residents
70 per day
Facility TypeNursing Home (skilled Nursing Facility)
IssuanceJanuary 3, 2025
ExpirationFebruary 28, 2026
License Number25-000342-1
CMS Certification Number155573
The Waters of Middletown Skilled Nursing Facility is legally operated by Johnson Memorial Hospital, and administrated by Ashley Blackmon.
Profit StatusOTHER
SNF (Skilled Nursing)
10 units
SNF/NF (Combined)
50 units
Total beds
60 units
Staffing
Key information about the people who lead and staff this community.
Medical DirectorRobert Anderson
Director of NursingMELINDA SURFACE
Accept Medicaid
Accept Medicare
Rehabilitation Services
Respite Care
Skilled Nursing
24-Hour Staffing
Fax(765) 354-4755
Beauty/Barber Shop
Onsite Podiatry
Dental
Audiology Services
Secure Patio For Enjoying The Outdoors
Specific ProgramsLiving Well, In Motion, Memory Springs, Respite Care, Comprehensive Wound Care, Respiratory Services, IV Services, Nutritional Services, In-House Diagnostics, Pain Management
Operating Hours24 hours - 7 days a week
Food DescriptionDelicious menus are designed around a balanced diet featuring a variety of choices under the direction of a registered dietitian. Mealtime assistance is available according to resident need.
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.
Inspection Overview
17 total visits · Indiana avg: 19
Ranked 172nd of 388 in Indiana
7
Inspections
Indiana avg: 13
46% below Indiana avg
7
Visits with Citations
Indiana avg: 7
0% below Indiana avg
34
Citations Total
Indiana avg: 34
0% below Indiana avg Ranked 230th of 385
10
Visits without Citations
Indiana avg: 12
17% below Indiana avg
Show Inspection Reports
4 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: 5 complaints
Latest inspection
Date
January 8, 2025
Annual Inspection34 total citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
Indiana average: 34 citations
33 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Indiana average: 36 deficiencies
Inspection Report Summary for The Waters of Middletown Skilled Nursing Facility
The most recent inspections on January 8, 2025, found the Waters of Middletown Skilled Nursing Facility in compliance with all applicable federal and state regulations, including Life Safety Code requirements, and corrected previously investigated complaints. Earlier inspections showed a pattern of deficiencies primarily related to Life Safety Code compliance, such as fire safety equipment maintenance and door hardware, as well as resident care issues including dignity, medication administration, infection control, and staffing adequacy. Complaint investigations substantiated deficiencies involving abuse prevention, staffing, and care planning, though several complaints were also found unsubstantiated or corrected. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s recent clean inspections suggest improvement in addressing prior deficiencies.
Health Inspection History
Inspections
Total health inspections
5
Indiana average 6
Last Health inspection on Dec 2024
Total health citations
22
Indiana average 25
Citations per inspection
4.4
Indiana average 4.12
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
14 of 22 citations resulted from standard inspections; 7 of 22 resulted from complaint investigations; and 1 of 22 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
0
0
100% better than Indiana averageIndiana average: 0.6
0 critical citations
0 serious citations
22 moderate citations
0 minor citations
Citations history (last 3 years)
Environmental moderate citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Dec 09, 2024
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Dec 09, 2024
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Dec 09, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Dec 09, 2024
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Dec 09, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Dec 09, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Dec 09, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Dec 09, 2024
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 Indiana The information below is reported by the Indiana Department of Health, Division of Long Term Care.
Filter by care type
Adams Woodcrest
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.
DECATUR
143
67.1%
-3%
3.69
+7%
0
2
2.0
0
108
-
Adams County Memorial Hospital
$12.2M
$5.6M
46.1%
155747
Adams Heritage
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.
MONROEVILLE
61
60.7%
-13%
4.12
+20%
0
2
1.0
0
39
A+
Adams County Memorial Hospital
$5.1M
$2.5M
49.1%
155729
The Waters of Middletown 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.
MIDDLETOWN
60
36.7%
-47%
3.15
-8%
0
22
4.4
0
27
-
The Waters Of Middletown Skilled Nursing Facility Llc
$2.9M
$1.4M
48.3%
155573
Addison Pointe Health & Rehabilitation 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.
CHESTERTON
100
93.0%
+34%
3.16
-8%
1
27
4.5
1
93
-
Dobben, Steven
$15.2M
$5.3M
34.8%
155805
Albany Health Care & Rehabilitation 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.
ALBANY
102
75.5%
+9%
3.51
+2%
0
19
3.2
1
77
-
Troxwell, Melanie
$12.3M
$4.3M
35%
155432
Places of interest near The Waters of Middletown Skilled Nursing Facility
0.0 miles from city center
981 BEECHWOOD AVE, MIDDLETOWN, IN 47356
Calculate Travel Distance to The Waters of Middletown Skilled Nursing Facility
Add your location
Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
66
Employees
53
Contractors
13
Staff to resident ratio
3.47:1
3473584% better than Indiana averageIndiana average ratio: 0.00:1
Avg staff/day
19
Average shift
6.9 hours
10% worse than Indiana averageIndiana average: 7.7 hours
Total staff hours (quarter)
12,016
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
4
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.4 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
21
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
5.8%
702 contractor hours this quarter
Physical Therapy Assistant: 4
Qualified Social Worker: 3
Speech Language Pathologist: 2
Respiratory Therapy Technician: 2
Physical Therapy Aide: 2
Staff by category
| Certified Nursing Assistant | 21 | 0 | 21 | 4,825 | 91 | 100% | 6.9 |
| Licensed Practical Nurse | 10 | 0 | 10 | 2,009 | 91 | 100% | 9.3 |
| Other Dietary Services Staff | 6 | 0 | 6 | 1,003 | 90 | 99% | 7.1 |
| RN Director of Nursing | 3 | 0 | 3 | 793 | 76 | 84% | 6.6 |
| Nurse Practitioner | 2 | 0 | 2 | 634 | 75 | 82% | 8.2 |
| Medication Aide/Technician | 5 | 0 | 5 | 624 | 63 | 69% | 7.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 508 | 64 | 70% | 7.9 |
| Administrator | 1 | 0 | 1 | 464 | 58 | 64% | 8 |
| Registered Nurse | 4 | 0 | 4 | 455 | 41 | 45% | 10.4 |
| Speech Language Pathologist | 0 | 2 | 2 | 315 | 66 | 73% | 4.8 |
| Physical Therapy Assistant | 0 | 4 | 4 | 214 | 65 | 71% | 3.1 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 123 | 40 | 44% | 3 |
| Qualified Social Worker | 0 | 3 | 3 | 47 | 31 | 34% | 1.5 |
| Physical Therapy Aide | 0 | 2 | 2 | 3 | 2 | 2% | 1.5 |
21 Certified Nursing Assistant
% of Days
100%
10 Licensed Practical Nurse
% of Days
100%
6 Other Dietary Services Staff
% of Days
99%
3 RN Director of Nursing
% of Days
84%
2 Nurse Practitioner
% of Days
82%
5 Medication Aide/Technician
% of Days
69%
1 Mental Health Service Worker
% of Days
70%
1 Administrator
% of Days
64%
4 Registered Nurse
% of Days
45%
2 Speech Language Pathologist
% of Days
73%
4 Physical Therapy Assistant
% of Days
71%
2 Respiratory Therapy Technician
% of Days
44%
3 Qualified Social Worker
% of Days
34%
2 Physical Therapy Aide
% of Days
2%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
19 residents
Residents by payment source
Medicare
2 residents (10.5%)
Medicaid
16 residents (84.2%)
Private pay or other
1 resident (5.3%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
6.6
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.6
17% better than Indiana averageIndiana average: 8.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.9
13% better 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
2.0%
Percent of long-stay residents whose need for help with daily activities has increased
2.0%
83% better than Indiana averageIndiana average: 12.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
19.5%
Percent of long-stay residents whose ability to move independently worsened
19.5%
36% 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
23.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.1%
6% better than Indiana averageIndiana average: 24.6%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.1%
Percent of long-stay residents experiencing one or more falls with major injury
4.1%
6% worse than Indiana averageIndiana average: 3.9%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.2%
Percent of long-stay high risk residents with pressure ulcers
2.2%
50% better 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
5.3%
Percent of long-stay residents who lose too much weight
5.3%
7% better than Indiana averageIndiana average: 5.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
58.2%
Percent of long-stay residents who have depressive symptoms
58.2%
141% worse than Indiana averageIndiana average: 24.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
8.2%
Percent of long-stay residents who received an antipsychotic medication
8.2%
34% better than Indiana averageIndiana average: 12.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
86.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
86.3%
8% worse than Indiana averageIndiana average: 93.7%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
47.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
47.0%
43% worse than Indiana averageIndiana average: 81.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.7%
Percent of short-stay residents who newly received an antipsychotic medication
2.7%
97% worse than Indiana averageIndiana average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
45.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
45.7%
42% worse 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 Middletown Skilled Nursing Facility based on CMS SNF Cost Reports.
Occupancy Rate
36.9%
↑ 3.3pp vs 2022
Net Income
-$301,659
↑ ~$587K vs 2022
Total Payroll
$1,787,581
↑ ~$161K vs 2022
Profit Margin
-10.4%
↑ 28.0pp vs 2022
Loading trend charts...
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Financial Aid for Indiana Seniors
Get financial aid guidanceContact Us
Planning a tour? Check our touring checklist.
Thinking of living here? We can help you speak to a current resident
Thinking about senior living? Use our bidding system to get competitive quotes from the best homes in your area.
Touring Checklist for Senior Living
Touring a community? Use this expert-backed checklist to stay organized, ask the right questions, and find the perfect fit.
Location
Community Spaces and Overall Environment
Services
Staffing
Accommodations
Finances
Other Notes
0/250
Send Checklist to Your Email
We'll send you a PDF version of the touring checklist.
Feedback
