The Waters of Syracuse Skilled Nursing Facility

Nursing Home, Respite Care & Skilled Nursing · Syracuse, IN

CMS overall rating

500 E Pickwick Dr, Syracuse, IN 46567 View map

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The Waters of Syracuse Skilled Nursing Facility accepts Medicaid, Medicare, and private pay.

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The Waters of Syracuse Skilled Nursing Facility accepts Medicaid, Medicare, and private pay.

Overview of The Waters of Syracuse Skilled Nursing Facility

The Waters of Syracuse Skilled Nursing Facility is a 66-bed skilled nursing community on Pickwick Drive in Syracuse, Indiana. Operating as part of Johnson Memorial Hospital and administered by Jeffrey Brinkman, it takes Medicaid, Medicare, and private pay, giving families numerous ways to cover care. As a relatively new community, the facility is focused on post-acute rehabilitation and short-term skilled care, with an average stay of 89 days reflecting a population transitioning between hospital and home.

The facility spotlights rehabilitation support via dedicated programs, including Living Well and In Motion, backed by a full clinical team. Total nursing care averages 3 hours per resident day, with registered nurses contributing 31 minutes, nurse aides 2 hours 16 minutes, and licensed practical nurses 36 minutes daily. That mix of staffing creates consistent hands-on support for occupants working through recovery and rehabilitation goals. Daily living is bolstered by practical amenities, including on-site podiatry, dental, and audiology services, which help residents manage ongoing health needs without leaving the community. A registered dietitian designs balanced menus with variety, and mealtime help exists according to each resident’s needs. The community also maintains a secure outdoor patio, beauty and barber services, basic cable television, and personalized shadowboxes outside each room for family photos and mementos. The facility is in an average walkable neighborhood where some errands can be finished on foot, though most trips require a car. The current occupancy rate at 71 percent, with 47 of the 66 beds filled, reflects the community’s growth since opening.

Facility Direct Line (574) 457-4401 admissions@watersofsyracuse.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 0m per day

vs avg

5 of 6 metrics below state avg

Staff type	Hours / Day / Resident	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.	31m per day	▼ 23% 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.	36m per day	▼ 22% 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.	2h 16m per day	■ Avg State avg: 2h 16m per day · National avg: 2h 20m per day
Weekend Total Nursing 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 58m per day	▼ 8% State avg: 3h 14m per day · National avg: 3h 26m per day
Physical Therapist 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.	1m per day	▼ 74% State avg: 4m per day · National avg: 4m per day
Weekend RN 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.	19m per day	▼ 28% State avg: 27m per day · National avg: 28m per day

Capacity and availability

89 days

66-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.

Walk Score: 51 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

71%

Similar to the Indiana average: 68.1%

Occupied beds

47 / 66

Average occupied beds in Indiana homes 70 beds

Facility TypeNursing Home / Skilled Nursing Facility / Nursing Facility Distinct Part

StatusActive

IssuanceMarch 1, 2025

ExpirationFebruary 28, 2027

License Number25-000566-1

CMS Certification Number155581

The Waters of Syracuse Skilled Nursing Facility is legally operated by Johnson Memorial Hospital, and administered by Jeffrey Brinkman.

Profit StatusFor-profit

Medicare (SNF)

4 units

SNF/NF (Combined)

62 units

Total beds

66 units

Staffing

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

Director of NursingWendy Pappas

Accept Medicaid

Accept Medicare

Rehabilitation Services

Respite Care

Short-Term Rehab

24-Hour Staffing

Fax(574) 457-5726

Pets not allowed

Beauty/Barber Shop

Onsite Podiatry

Dental

Audiology Services

Secure Patio For Enjoying The Outdoors When Accompanied By Staff

Basic Cable Tv Service Available

Shadowbox Outside Each Room For Personalization

Operating Hours24 hours - 7 days a week

Since 2023 · 3 years of data 82 deficiencies 2 complaints 17 inspections

Inspection Score

2 points below the Indiana average for assisted living residences (83/100)

Inspection Scorecard 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.

Since 2023 vs. Indiana state average

Overall vs. IN average

Latest Inspection February 25, 2025 Plan Of Correction

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	IN Average	vs. IN Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	82	36	This facility has 128% more total deficiencies than a typical Indiana assisted living residence (82 vs. IN avg 36).↑ 128% worse
Deficiencies per year Average deficiencies per year since 2023.	27.3	12	This facility has 128% more deficiencies per year than a typical Indiana assisted living residence (27.3 vs. IN avg 12).↑ 128% worse
Deficiencies per inspection Average deficiencies per inspection.	4.8	1.9	This facility has 153% more deficiencies per inspection than a typical Indiana assisted living residence (4.8 vs. IN avg 1.9).↑ 153% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	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.	17	19	This facility has had 11% fewer total visits than the Indiana average (17 vs. IN avg 19). More inspections can mean more regulatory scrutiny rather than worse care.↓ 11% fewer
Inspections with deficiencies Inspections that resulted in at least one regulatory deficiency.	6	7	This facility has 14% fewer inspections with deficiencies than a typical Indiana assisted living residence (6 vs. IN avg 7).↓ 14% better
Inspection deficiency rate Percentage of inspections that resulted in at least one deficiency.	35%	37%	This facility has 2 percentage points lower inspection deficiency rate than a typical Indiana assisted living residence (35% vs. IN avg 37%).↓ 2% better
Inspections Routine, scheduled inspections conducted by state regulators.	7	13	This facility has 46% fewer inspections than a typical Indiana assisted living residence (7 vs. IN avg 13).↓ 46% better

Complaints & Investigations Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.	This Facility	IN Average	vs. IN Avg
Total complaints Formal expressions of concern made by residents, families, or staff.	2	5	This facility has 60% fewer total complaints than a typical Indiana assisted living residence (2 vs. IN avg 5).↓ 60% better
Complaints per year Average complaints per year since 2023.	0.7	1.7	This facility has 59% fewer complaints per year than a typical Indiana assisted living residence (0.7 vs. IN avg 1.7).↓ 59% better

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The February 25, 2025 post-survey revisit found the facility in full compliance with no deficiencies cited.
The January 10, 2025 recertification survey cited 17 deficiencies including failures in catheter care, care planning, infection control, nutrition, and food sanitation.
Complaint investigations in 2024 and 2025 repeatedly found no deficiencies related to allegations, showing consistent unsubstantiated complaints.

Show Inspection Reports

Inspections since 2023

Total health inspections 3

State average N/A

Last Health inspection on Jan 2025

Total health citations

State average N/A

Citations per inspection

11.67

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 35 citations resulted from standard inspections.

Breakdown of citation severity (last 3 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

1 serious citation State average: N/A

34 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 3 years)

Infection Control moderate citation Jan 10, 2025

Corrected

Nutrition moderate citation Jan 10, 2025

Corrected

Nutrition moderate citation Jan 10, 2025

Corrected

Pharmacy moderate citation Jan 10, 2025

Corrected

Total staff 64

Employees 55

Contractors 9

Staff to resident ratio 1.45 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 24

Average shift 7.2 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 15,908

Nursing staff breakdown

8.6 hours

9.1 hours

6.9 hours

Contractor staffing

694 contractor hours this quarter

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

Staff by category


Certified Nursing Assistant	28	0	28	6,836	92	100%	6.9
Licensed Practical Nurse	6	0	6	2,298	92	100%	9.1
Medication Aide/Technician	8	0	8	1,814	89	97%	9
Clinical Nurse Specialist	2	0	2	1,105	83	90%	7.8
Administrator	1	0	1	574	62	67%	9.3
Mental Health Service Worker	2	0	2	530	63	68%	8.2
Nurse Practitioner	1	0	1	526	66	72%	8
Other Dietary Services Staff	2	0	2	526	66	72%	6.9
Dietitian	1	0	1	472	59	64%	8
Speech Language Pathologist	0	3	3	383	64	70%	6
Registered Nurse	2	0	2	326	38	41%	8.6
Other Social Services Staff	1	0	1	193	35	38%	5.5
Physical Therapy Assistant	0	1	1	122	34	37%	3.6
Physical Therapy Aide	0	2	2	117	32	35%	3.7
Respiratory Therapy Technician	0	2	2	67	36	39%	1.9
Nurse Aide in Training	1	0	1	16	2	2%	8
Qualified Social Worker	0	1	1	5	6	7%	0.8

28 Certified Nursing Assistant

% of Days 100%

6 Licensed Practical Nurse

% of Days 100%

8 Medication Aide/Technician

% of Days 97%

2 Clinical Nurse Specialist

% of Days 90%

1 Administrator

% of Days 67%

2 Mental Health Service Worker

% of Days 68%

1 Nurse Practitioner

% of Days 72%

2 Other Dietary Services Staff

% of Days 72%

1 Dietitian

% of Days 64%

3 Speech Language Pathologist

% of Days 70%

2 Registered Nurse

% of Days 41%

1 Other Social Services Staff

% of Days 38%

1 Physical Therapy Assistant

% of Days 37%

2 Physical Therapy Aide

% of Days 35%

2 Respiratory Therapy Technician

% of Days 39%

1 Nurse Aide in Training

% of Days 2%

1 Qualified Social Worker

% of Days 7%

View All Staffing Data

Total fines amount $0

100% lower than State average

State average: $27K

Number of fines 0

100% fewer fines than State average

State average: 1.4

Payment Denials 1

152% more payment denials than State average

State average: 0.4

Fines amount comparison

This facility $0

State average $27K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Jan 10, 2025 · 13 days

Payment Denial Jan 10, 2025

13 days

Last updated: Jan 2026

High-risk clinical events score 7.2

11% better than State average

State average: 8.0

Functional decline score 14.0

18% better than State average

State average: 17.1

Long-stay resident measures

Significantly above average State avg: 4.1

Need for Help with Daily Activities Increased 10.5%

13% better than State average

State average: 12.0%

Walking Ability Worsened 7.3%

49% better than State average

State average: 14.4%

Low Risk Residents with Bowel/Bladder Incontinence 24.1%

In line with State average

State average: 24.6%

Falls with Major Injury 0.7%

82% better than State average

State average: 3.9%

High Risk Residents with Pressure Ulcers 3.1%

28% better than State average

State average: 4.4%

Urinary Tract Infection 0.7%

42% better than State average

State average: 1.2%

Lost Too Much Weight 14.2%

150% worse than State average

State average: 5.7%

Depressive Symptoms 44.0%

83% worse than State average

State average: 24.1%

Antipsychotic Use 15.8%

27% worse than State average

State average: 12.4%

Pneumococcal Vaccine 93.8%

In line with State average

State average: 93.7%

Influenza Vaccine 100.0%

5% better than State average

State average: 95.4%

Hospitalizations per 1,000 days 1.61

In line with State average

State average: 1.60

ED visits per 1,000 days 2.25

52% worse than State average

State average: 1.48

Short-stay resident measures

Average State avg: 2.9

Pneumococcal Vaccine 83.8%

In line with State average

State average: 81.7%

Antipsychotic medication increase 0.0%

100% better than State average

State average: 1.4%

Influenza Vaccine 91.8%

16% better than State average

State average: 79.0%

Re-hospitalized after SNF stay 14.4%

36% better than State average

State average: 22.4%

Emergency department visits 13.6%

30% worse than State average

State average: 10.5%

Falls with major injury 2.6%

242% worse than State average

State average: 0.8%

Ability to care for self at discharge 15.4%

71% worse than State average

State average: 53.7%

Successful return to home or community 42.5%

16% worse than State average

State average: 50.6%

Breakdown by payment type

Medicare

21% of new residents, usually for short-term rehab.

Typical stay 26 days

Private pay

65% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

14% of new residents, often for long-term daily care.

Typical stay 11 - 12 months

Total residents 44

Medicare

11.4% of residents

Medicaid

63.6% of residents

Private pay or other

25% 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.

Financial Trends

Historical financial and operational data for The Waters of Syracuse Skilled Nursing Facility from 2012–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 55.2% ↑ 2.9pp vs 2022

Net Patient Income $300.6K ↑ ~$1.5M vs 2022

Payroll Costs $1.9M ↑ ~$50.5K vs 2022

Operating Margin 6.4% ↑ 35.6pp vs 2022

Metric	2012	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	68.8%	75.2%	76.1%	69.0%	69.5%	70.9%	66.6%	67.2%	60.6%	52.4%	55.2%
Beds	66	66	66	66	66	66	66	66	66	66	66
Net Income	-$169,124	$54,368	$454,462	-$157,505	-$93,933	-$79,110	-$400,767	$122,992	-$783,721	-$1,209,483	$300,835
Gross Revenue	$4,141,341	$5,168,292	$5,725,368	$4,966,666	$5,156,629	$5,433,311	$5,566,052	$5,515,246	$5,220,937	$4,401,432	$5,060,637
Operating Expenses	$4,151,550	$4,868,168	$4,915,756	$4,750,388	$4,800,115	$5,117,770	$5,346,042	$5,399,397	$5,800,259	$5,394,189	$4,431,811
Net Patient Income	-$192,581	$31,101	$426,440	-$173,815	-$119,102	-$101,149	-$422,845	-$378,211	-$997,821	-$1,220,639	$300,570
Net Patient Revenue	$3,958,969	$4,899,269	$5,342,196	$4,576,573	$4,681,013	$5,016,621	$4,923,197	$5,021,186	$4,802,438	$4,173,550	$4,732,381
Payroll Costs	$1,881,497	$2,142,676	$2,141,723	$2,192,653	$2,169,627	$2,185,103	$2,151,320	$2,468,264	$2,473,666	$1,850,029	$1,900,549
Operating Margin %	-4.9%	0.6%	8.0%	-3.8%	-2.5%	-2.0%	-8.6%	-7.5%	-20.8%	-29.3%	6.4%
Medicare %	15.5%	10.7%	13.9%	8.8%	11.2%	11.2%	12.3%	8.4%	8.6%	10.3%	6.4%
Medicaid %	63.5%	61.1%	55.8%	57.9%	54.3%	53.3%	55.8%	60.9%	55.8%	59.6%	58.6%
Private %	21.0%	28.2%	30.4%	33.3%	34.5%	35.5%	32.0%	30.7%	35.7%	30.1%	35.0%
Net Patient Revenue/Day	$238	$270	$292	$275	$280	$294	$307	$309	$329	$331	$356
Cost/Day	$250	$269	$268	$285	$287	$300	$333	$333	$398	$428	$333
Avg Length of Stay	153.9 days	156.2 days	130.0 days	103.5 days	88.1 days	117.0 days	95.0 days	113.5 days	93.5 days	78.4 days	89.3 days

Finances and operations

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

Net patient revenue

$4.7M

Net patient income

$300.6K

For-profit Operated by a single business entity.

Net patient revenue

$4.7M

Net patient income

$300.6K

Other income

$265

Payroll costs

$1.9M 40.2% of net patient revenue

Other operating costs

$2.5M

Total costs

$4.4M

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Most new residents arrive under private pay (65% of admissions), and a typical private pay stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 21%

Private pay 65%

Medicaid 14%

Coverage residents most often leave under.

Medicare 15%

Private pay 68%

Medicaid 17%

0.0 miles from city center Estimated distance in miles from Syracuse's city center to The Waters of Syracuse Skilled Nursing Facility's address, calculated via Google Maps.

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The information below is reported by the Indiana Department of Health, Division of Long Term Care.


The Barrington of Carmel	NH AL IL MC SNF	Carmel	-	154	A+	39	Studio / 1 Bed / 2 Bed
Westminster Village Muncie	NH AL IL SNF	Muncie	-	303	A+	6	Studio / 1 Bed / 2 Bed
Greenwood Village South	NH AL IL MC SNF	Greenwood	-	207	A+	50	Apartment / Cottage
Christian Care Retirement Community	NH AL IL MC SNF	Bluffton (Toll Gate Heights)	-	145	-	4	1 Bed / 2 Bed / 3 Bed
The Waters of Syracuse Skilled Nursing Facility	NH RC SNF	Syracuse	-	66	-	51	-

Nursing Home Explorer

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

Wendy Pappas is the Director of Nursing at The Waters of Syracuse Skilled Nursing Facility.

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

The Waters of Syracuse Skilled Nursing Facility is legally operated by Johnson Memorial Hospital, and administered by Jeffrey Brinkman.

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

The Waters of Syracuse Skilled Nursing Facility has a walk score of 51. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

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

According to IN state health department records, The Waters of Syracuse Skilled Nursing Facility's license number is 25-000566-1.

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

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

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

The Waters of Syracuse Skilled Nursing Facility's occupancy is 71%.

Are pets allowed at The Waters of Syracuse Skilled Nursing Facility?

No, The Waters of Syracuse Skilled Nursing Facility has a no-pet policy.

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The Waters of Syracuse Skilled Nursing Facility

Overview of The Waters of Syracuse Skilled Nursing Facility

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Staffing

Leadership

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact The Waters of Syracuse Skilled Nursing Facility

Inspection History

Inspection Scorecard 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.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Complaints & Investigations Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

28 Certified Nursing Assistant

6 Licensed Practical Nurse

8 Medication Aide/Technician

2 Clinical Nurse Specialist

1 Administrator

2 Mental Health Service Worker

1 Nurse Practitioner

2 Other Dietary Services Staff

1 Dietitian

3 Speech Language Pathologist

2 Registered Nurse

1 Other Social Services Staff

1 Physical Therapy Assistant

2 Physical Therapy Aide

2 Respiratory Therapy Technician

1 Nurse Aide in Training

1 Qualified Social Worker

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Primarily short stays

Admissions

Discharges

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