Occupancy rate
57%
Lower than the Indiana average: 68.1%The Waters of Sullivan Nursing Facility
Nursing Home · Indiana, IN
The Waters of Sullivan Nursing Facility
Nursing Home · Indiana, IN
The Waters of Sullivan Nursing Facility accepts Medicaid and Medicare.
The Waters of Sullivan is a skilled nursing and rehabilitation center in Sullivan, IN. It offers a range of services including short-term rehabilitation, long-term care, and respite care. The facility is dedicated to providing quality care and ensuring the well-being of its residents.
Staffing hours breakdown
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.
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 27m per day | ▼ 33% State avg: 40m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 53m per day | ▲ 15% State avg: 46m per day · National avg: 52m per day |
|
Nurse Aide
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 56m per day | ▼ 15% State avg: 2h 16m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
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.
| 3h 0m per day | ▼ 7% State avg: 3h 14m per day · National avg: 3h 26m per day |
|
RN (Weekend)
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.
| 13m per day | ▼ 52% State avg: 27m per day · National avg: 28m per day |
93-bed community
A larger shared setting that may offer more common spaces and organized community services.
1 year in operation
A newer community that may feature more recent facilities and programs.
Walk Score: 60 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
About this community
Occupancy
Lower than the Indiana average: 68.1%Occupied beds
53 / 93
Average residents per home in Indiana
70 per day
Facility TypeNursing Home (skilled Nursing Facility)
IssuanceJanuary 3, 2025
ExpirationFebruary 28, 2026
License Number25-000163-1
The Waters of Sullivan Nursing Facility is legally operated by Johnson Memorial Hospital, and administrated by Sally Robertson.
Profit StatusOther
SNF (Skilled Nursing)
16 units
SNF/NF (Combined)
77 units
Total beds
93 units
Staffing
Key information about the people who lead and staff this community.
Director of NursingMACKENZIE DRAKE
Accept Medicaid
Accept Medicare
Rehabilitation Services
Respite Care
24-Hour Staffing
Fax(812) 268-4454
On-Site Nursing
Therapies (Physical
Occupational
Speech)
Restorative Therapy
Early To Late-Stage Dementia Care
On-Site Psychiatric And Psychological Services
Ongoing Dementia And Behavioral Education
Beauty/Barber Shop
Onsite Podiatry
Dental
Audiology Services
Specific ProgramsLiving Well, In Motion
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.
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.
Since 2022 · 4 years of data
22 deficiencies
1 complaint
18 inspections
Inspection Scorecard
This scorecard compares key inspection, citation, 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.
Since 2022 vs. Indiana state average
Overall vs. IN average
0 Worse
No metrics in this bucket.
9 Better
Metrics better than Indiana average:
• Total deficiencies (39% below)
• Deficiencies per year (39% below)
• Deficiencies per inspection (37% below)
• Total visits (5% below)
• Inspections with deficiencies (29% below)
• Inspection deficiency rate (24% below)
• Inspections (23% below)
• Total complaints (80% below)
• Complaints per year (77% below)
• Total deficiencies (39% below)
• Deficiencies per year (39% below)
• Deficiencies per inspection (37% below)
• Total visits (5% below)
• Inspections with deficiencies (29% below)
• Inspection deficiency rate (24% below)
• Inspections (23% below)
• Total complaints (80% below)
• Complaints per year (77% below)
Latest Inspection
April 29, 2025
Plan Of Correction
Deficiencies
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 22 | 36 | This facility has 39% fewer total deficiencies than a typical Indiana nursing home (22 vs. IN avg 36).↓ 39% better |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 5.5 | 9 | This facility has 39% fewer deficiencies per year than a typical Indiana nursing home (5.5 vs. IN avg 9).↓ 39% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.2 | 1.9 | This facility has 37% fewer deficiencies per inspection than a typical Indiana nursing home (1.2 vs. IN avg 1.9).↓ 37% better |
Inspections
State inspections evaluate whether the facility meets health and safety standards.
| Metric | This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total visits
Combined count of all on-site visits — routine inspections, complaint visits, follow-ups, and other focused visits.
| 18 | 19 | This facility has 5% fewer total visits than a typical Indiana nursing home (18 vs. IN avg 19).↓ 5% better |
|
Inspections with deficiencies
Inspections that resulted in at least one regulatory deficiency.
| 5 | 7 | This facility has 29% fewer inspections with deficiencies than a typical Indiana nursing home (5 vs. IN avg 7).↓ 29% better |
|
Inspection deficiency rate
Percentage of inspections that resulted in at least one deficiency.
| 28% | 37% | This facility has 9 percentage points lower inspection deficiency rate than a typical Indiana nursing home (28% vs. IN avg 37%).↓ 9% better |
|
Inspections
Routine, scheduled inspections conducted by state regulators.
| 10 | 13 | This facility has 23% fewer inspections than a typical Indiana nursing home (10 vs. IN avg 13).↓ 23% better |
Complaints & Investigations
Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.
| Metric | This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 1 | 5 | This facility has 80% fewer total complaints than a typical Indiana nursing home (1 vs. IN avg 5).↓ 80% better |
|
Complaints per year
Average complaints per year since 2022.
| 0.3 | 1.3 | This facility has 77% fewer complaints per year than a typical Indiana nursing home (0.3 vs. IN avg 1.3).↓ 77% better |
Inspection Reports Summary
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on April 29, 2025, found the facility in compliance following a paper review related to complaint investigations. Prior inspections showed a mix of results, with some complaint investigations citing deficiencies in medication administration and dietary services, while others found no issues. Earlier reports noted deficiencies mainly in medication management, food safety, infection control, care planning, and Life Safety Code compliance, including a door without a self-closing device and generator maintenance lapses. Complaint investigations were mostly unsubstantiated or found no deficiencies, except for two complaints in early 2025 that resulted in citations for medication and dietary services. The inspection history shows some recurring issues but also periods of compliance, with no enforcement actions or fines listed in the available reports.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection Reports
Financial Assistance for
Nursing Home in Indiana
The Waters of Sullivan Nursing Facility is located in SULLIVAN, Indiana.
Here are the financial assistance programs available to residents in Indiana.
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Estimated distance in miles from Sullivan's city center to The Waters of Sullivan Nursing Facility's address, calculated via Google Maps.
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Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.63
Number of hospitalizations per 1,000 long-stay resident days.
1.63
In line with Indiana averageIndiana average: 1.60
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.11
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.11
43% worse than Indiana averageIndiana average: 1.48
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
13.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
13.5%
40% better than Indiana averageIndiana average: 22.4%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
21.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
21.5%
105% worse than Indiana averageIndiana average: 10.5%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
4.7%
Percentage of SNF residents who experience falls with major injury during their stay.
4.7%
504% worse than Indiana averageIndiana average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
31.3%
Percentage of residents at or above expected ability to care for themselves at discharge.
31.3%
42% worse than Indiana averageIndiana average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
64.2%
Rate of successful return to home or community from a skilled nursing facility.
64.2%
27% better than Indiana averageIndiana average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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The information below is reported by the Indiana Department of Health, Division of Long Term Care.
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Frequently Asked Questions about The Waters of Sullivan Nursing Facility
Who is the Director of Nursing at The Waters of Sullivan Nursing Facility?
Mackenzie Drake is the Director of Nursing at The Waters of Sullivan Nursing Facility.
Who is the owner of The Waters of Sullivan Nursing Facility?
The legal owner and operator of The Waters of Sullivan Nursing Facility is Johnson Memorial Hospital.
Is The Waters of Sullivan Nursing Facility in a walkable area?
The Waters of Sullivan Nursing Facility has a walk score of 60. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
What is the license number of The Waters of Sullivan Nursing Facility?
According to IN state health department records, The Waters of Sullivan Nursing Facility's license number is 25-000163-1.
When does The Waters of Sullivan Nursing Facility's license expire?
According to IN state health department records, The Waters of Sullivan Nursing Facility's license expires on February 28, 2026.
What is the occupancy rate at The Waters of Sullivan Nursing Facility?
The Waters of Sullivan Nursing Facility's occupancy is 57%.
Who is the administrator of The Waters of Sullivan Nursing Facility?
Sally Robertson is the administrator of The Waters of Sullivan Nursing Facility.
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