Occupancy rate
59%
15% lower than Indiana averageIndiana average: 69%
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Nursing Home
The Waters of Wakarusa Skilled Nursing Facility
The Waters of Wakarusa Skilled Nursing & Rehabilitation is dedicated to providing exceptional care. It offers a range of services including skilled nursing, rehabilitation, and respite care. The facility promotes a healthy environment that focuses on the needs of residents and their families.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
133
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
58.6%
Residents per day (avg)
80
Occupancy rate
58.6%
Residents per day (avg)
80
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
28% of new residents, usually for short-term rehab.
Typical stay
18 days
Private pay
64% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
8% of new residents, often for long-term daily care.
Typical stay
2 - 3 years
Finances and operations
Governmental community
Operated by county authorities.
Home revenue
$13.2M
Surplus of revenue
$1.6M
Governmental community
Operated by county authorities.
Home revenue
$13,179,311.00
Surplus of revenue
$1,636,785.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.2M
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.
$7.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$11.5M
133-bed community
A larger shared setting that may offer more common spaces and organized community services.
3 years in operation
An established community with some operational experience and growing routines.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
Occupancy
15% lower than Indiana averageOccupied beds
78 / 133
Average residents
70 per day
License details
Facility type
Nursing Home (skilled Nursing Facility)
Status
Active
Issuance
March 1, 2025
Additional licensing details
License number:
25-000521-1
CMS Certification Number:
155582
Ownership & operating entity
The Waters of Wakarusa Skilled Nursing Facility is administrated by DAVID HENKE.
Profit status:
OTHER
Staffing
Key information about the people who lead and staff this community.
Leadership
Director of Nursing:
MARY DAMM
Contact:
Michael Blisko
Care Services
Accepts Medicaid
Accepts Medicare
Nursing Services
Rehabilitation Services
Respite Care
Skilled Nursing
24-Hour Staffing
Contact Information
Fax:
(574) 862-4005
Amenities & Lifestyle
Programs & Activities
Specific Programs
Living Well, In Motion, Respite Care, Assisted Living, Services, Virtual Tour, Our Blog, Careers, Contact Us
Operating Hours
24 hours - 7 days a week
Dining & Nutrition
Food Description
Delicious 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.
12 visits/inspections
Results
7 with citations
0 without citations
Indiana average: 8 complaint visits
Indiana average: 3 inspections with citations
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: 4 complaints
Latest inspection
Date:June 19, 2025
Type:Plan Of Correction
71 total citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
Indiana average: 26 citations
69 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for The Waters of Wakarusa Skilled Nursing Facility
The most recent inspection on June 19, 2025, found the facility in compliance with Medicare/Medicaid participation requirements and Life Safety Code standards, with no deficiencies noted. Prior inspections showed a pattern of Life Safety Code and emergency preparedness deficiencies, including issues with outdoor smoking area maintenance, emergency generator testing, and fire safety equipment, as well as care-related deficiencies such as discharge planning, medication management, and infection control. Complaint investigations were mostly unsubstantiated, except for a substantiated complaint in January 2025 that identified immediate jeopardy related to unsafe discharge practices and other care concerns; enforcement actions or fines were not listed in the available reports. Earlier complaints related to discharge planning were substantiated, but subsequent revisits confirmed correction of those issues. The overall trend shows improvement in Life Safety Code compliance and emergency preparedness in the most recent inspections after addressing prior deficiencies.
Health Inspection History
Inspections
Total health inspections
5
Indiana average 6
Last Health inspection on Mar 2025
Total health citations
30
Citations per inspection
6
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
20 of 30 citations resulted from standard inspections; 9 of 30 resulted from complaint investigations; and 1 of 30 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
400% worse than Indiana averageIndiana average: 0.2
Serious Health citations
0
0
100% better than Indiana averageIndiana average: 0.6
1 critical citation
0 serious citations
28 moderate citations
1 minor citation
Citations history (last 3 years)
Administration moderate citation
Mar 14, 2025
Corrected
Infection Control moderate citation
Mar 14, 2025
Corrected
Nutrition moderate citation
Mar 14, 2025
Corrected
Nutrition moderate citation
Mar 14, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Indiana
The information below is reported by the Indiana Department of Health, Division of Long Term Care.
Adams Woodcrest
-10%
+7%
+3%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IN 46733
143
-
-
71.4%
$12,192,260.00
$5,615,054.00
46.1%
108
3.6901
-
2
-
-10%+7%+3%
Adams Heritage
+29%
+20%
+3%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IN 46773
61
A+
-
71.6%
$5,068,983.00
$2,488,962.00
49.1%
39
4.1205
-
2
-
+29%+20%+3%
Addison Pointe Health & Rehabilitation Center
-5%
-8%
+33%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IN 46304
100
-
DOBBEN, STEVEN
92.5%
$15,225,564.00
$5,306,023.00
34.8%
92.50
3.1554
1
27
1
-5%-8%+33%
Albany Health Care & Rehabilitation Center
+4%
+2%
+9%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IN 47320
102
-
TROXWELL, MELANIE
75.6%
$12,342,683.00
$4,315,019.00
35%
77.20
3.5110
-
19
1
+4%+2%+9%
The Waters of Wakarusa Skilled Nursing Facility
-8%
+8%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IN 46573
133
A+
THE WATERS OF WAKARUSA SKILLED NURSING FACILITY, LLC
74.7%
$13,177,226.00
$4,200,268.00
31.9%
79.60
3.1489
1
30
1
-8%+8%
Adams Woodcrest
Type of care:
SNF
AL
Community:
IN 46733
Bed Count:
143
CCN:
155747
Occupancy:
71.4%
Home Revenue:
$12,192,260.00
Payroll Costs:
$5,615,054.00
Payroll %:
46.1%
Avg Residents/Day:
108
Overall Rating:
Adj Nurse Hours:
3.6901
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
2
RN share vs State Avg:
-10%
-10%
Staffing vs State Avg:
+7%
+7%
Occupancy vs State Avg:
+3%
+3%
Adams Heritage
Type of care:
SNF
AL
Community:
IN 46773
Bed Count:
61
CCN:
155729
Occupancy:
71.6%
Home Revenue:
$5,068,983.00
Payroll Costs:
$2,488,962.00
Payroll %:
49.1%
Avg Residents/Day:
39
Overall Rating:
Adj Nurse Hours:
4.1205
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
2
RN share vs State Avg:
+29%
+29%
Staffing vs State Avg:
+20%
+20%
Occupancy vs State Avg:
+3%
+3%
Addison Pointe Health & Rehabilitation Center
Type of care:
SNF
AL
Community:
IN 46304
Bed Count:
100
Operator:
DOBBEN, STEVEN
CCN:
155805
Occupancy:
92.5%
Home Revenue:
$15,225,564.00
Payroll Costs:
$5,306,023.00
Payroll %:
34.8%
Avg Residents/Day:
92.50
Overall Rating:
Adj Nurse Hours:
3.1554
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
27
Severe Citations:
1
RN share vs State Avg:
-5%
-5%
Staffing vs State Avg:
-8%
-8%
Occupancy vs State Avg:
+33%
+33%
Albany Health Care & Rehabilitation Center
Type of care:
SNF
AL
Community:
IN 47320
Bed Count:
102
Operator:
TROXWELL, MELANIE
CCN:
155432
Occupancy:
75.6%
Home Revenue:
$12,342,683.00
Payroll Costs:
$4,315,019.00
Payroll %:
35%
Avg Residents/Day:
77.20
Overall Rating:
Adj Nurse Hours:
3.5110
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
19
Severe Citations:
1
RN share vs State Avg:
+4%
+4%
Staffing vs State Avg:
+2%
+2%
Occupancy vs State Avg:
+9%
+9%
The Waters of Wakarusa Skilled Nursing Facility
Type of care:
SNF
AL
Community:
IN 46573
Bed Count:
133
Operator:
THE WATERS OF WAKARUSA SKILLED NURSING FACILITY, LLC
CCN:
155582
Occupancy:
74.7%
Home Revenue:
$13,177,226.00
Payroll Costs:
$4,200,268.00
Payroll %:
31.9%
Avg Residents/Day:
79.60
Overall Rating:
Adj Nurse Hours:
3.1489
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
30
Severe Citations:
1
RN share vs State Avg:
0%
Staffing vs State Avg:
-8%
-8%
Occupancy vs State Avg:
+8%
+8%Places of interest near The Waters of Wakarusa Skilled Nursing Facility
0.0 miles from city center
WAKARUSA, IN 46573
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
105
Total Staff
94
Employees
11
Contractors
30,222
Total Hours (Quarter)
41
Avg Staff/Day
8.1
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 10 | 8.7 | No |
| Licensed Practical Nurse | 15 | 8.8 | No |
| Certified Nursing Assistant | 42 | 7.9 | No |
Staff by Category
Administration ⓘ
2 staff
7.8hs shift avg
Nursing Staff ⓘ
82 staff
8.4hs shift avg
Physicians & Practitioners ⓘ
4 staff
7.8hs shift avg
Therapy Services ⓘ
9 staff
5.5hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
1 staff
2.4hs shift avg
Dietary Services ⓘ
5 staff
7.9hs shift avg
Other Services ⓘ
2 staff
8.2hs shift avg
Contractor Analysis
4.1%
of total hours from contractors
1,253 contractor hours this quarter
Physical Therapy Aide: 2
Speech Language Pathologist: 2
Physical Therapy Assistant: 2
Medical Director: 1
Qualified Social Worker: 1
Respiratory Therapy Technician: 3
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 42 | 0 | 42 | 12,434 | 91 | 100% | 7.9 |
| Licensed Practical Nurse | 15 | 0 | 15 | 4,418 | 91 | 100% | 8.8 |
| Medication Aide/Technician | 14 | 0 | 14 | 3,468 | 91 | 100% | 9.3 |
| Registered Nurse | 10 | 0 | 10 | 3,367 | 91 | 100% | 8.7 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,566 | 86 | 95% | 7.6 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,250 | 91 | 100% | 7.9 |
| Mental Health Service Worker | 2 | 0 | 2 | 955 | 68 | 75% | 8.2 |
| Administrator | 1 | 0 | 1 | 552 | 60 | 66% | 9.2 |
| Dietitian | 1 | 0 | 1 | 508 | 65 | 71% | 7.8 |
| Speech Language Pathologist | 0 | 2 | 2 | 457 | 65 | 71% | 7 |
| Nurse Practitioner | 1 | 0 | 1 | 451 | 52 | 57% | 8.7 |
| Physical Therapy Aide | 0 | 2 | 2 | 375 | 59 | 65% | 6.4 |
| Physical Therapy Assistant | 0 | 2 | 2 | 179 | 34 | 37% | 5.3 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 144 | 53 | 58% | 2.7 |
| Qualified Social Worker | 0 | 1 | 1 | 71 | 30 | 33% | 2.4 |
| Medical Director | 0 | 1 | 1 | 28 | 14 | 15% | 2 |
| RN Director of Nursing | 1 | 0 | 1 | 1 | 1 | 1% | 1.3 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
83 residents
Residents by payment source
Medicare
12 residents (14.5%)
Medicaid
59 residents (71.1%)
Private pay or other
12 residents (14.5%)
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.
8.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.4
5% worse than Indiana averageIndiana average: 8.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.6
9% worse than Indiana averageIndiana average: 17.1
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
9.5%
Percent of long-stay residents whose need for help with daily activities has increased
9.5%
21% better than Indiana averageIndiana average: 12.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
14.6%
Percent of long-stay residents whose ability to move independently worsened
14.6%
In line with 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
31.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.8%
29% worse than Indiana averageIndiana average: 24.6%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
In line with Indiana averageIndiana average: 3.9%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.6%
Percent of long-stay high risk residents with pressure ulcers
5.6%
29% worse than Indiana averageIndiana average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.0%
Percent of long-stay residents with a urinary tract infection
2.0%
60% worse than Indiana averageIndiana average: 1.2%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
8.4%
Percent of long-stay residents who lose too much weight
8.4%
49% worse than Indiana averageIndiana average: 5.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
19.3%
Percent of long-stay residents who have depressive symptoms
19.3%
20% better than Indiana averageIndiana average: 24.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
6.5%
Percent of long-stay residents who received an antipsychotic medication
6.5%
48% better than Indiana averageIndiana average: 12.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
7% better than Indiana averageIndiana average: 93.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Indiana averageIndiana average: 95.4%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.0%
9% better than Indiana averageIndiana average: 81.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
8% worse than Indiana averageIndiana average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
83.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
83.7%
6% better than Indiana averageIndiana average: 79.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 (Data as of Jan 2026)
Total fines amount
$15K
46% lower than Indiana averageIndiana average: $27K
Number of fines
1
28% fewer fines than Indiana averageIndiana average: 1.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Indiana averageIndiana average: 0.4
Fines amount comparison
Fines amount comparison
This facility
$15K
Indiana average
$27K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 8, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 8, 2025
$15K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for The Waters of Wakarusa Skilled Nursing Facility based on CMS SNF Cost Reports.
Occupancy Rate
74.7%
↑ 5.2pp vs 2022
Net Income
$1,636,785
↑ ~$3.4M vs 2022
Total Payroll
$5,338,032
↓ ~$2.4M vs 2022
Profit Margin
12.4%
↑ 28.3pp vs 2022
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