Occupancy rate
59%
14% lower than Indiana averageIndiana average: 68%
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
The Waters of Wakarusa 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 Wakarusa 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 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
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.
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.
Total nursing care / resident
This home is ranked 181st out of 275 homes in Indiana.
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.
This home is ranked 181st out of 275 homes in Indiana.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.
3h 9m per day
vs Indiana avg
-11%
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
133
Avg. Length of Stay
146 days
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
$13.2M
Surplus of revenue
$1.6M
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
14% lower than Indiana averageOccupied beds
78 / 133
Average residents
70 per day
Facility TypeNursing Home (skilled Nursing Facility)
IssuanceJanuary 3, 2025
ExpirationFebruary 28, 2026
License Number25-000521-1
CMS Certification Number155582
The Waters of Wakarusa Skilled Nursing Facility is legally operated by Johnson Memorial Hospital, and administrated by David Henke.
Profit StatusOTHER
SNF (Skilled Nursing)
24 units
SNF/NF (Combined)
109 units
Total beds
133 units
Staffing
Key information about the people who lead and staff this community.
Medical DirectorIsrar Siddiqi
Director of NursingMARY DAMM
ContactMichael Blisko
Accept Medicaid
Accept Medicare
Rehabilitation Services
Respite Care
Skilled Nursing
24-Hour Staffing
Fax(574) 862-4005
24-Hour Skilled Nursing
Therapies (Physical
Occupational & Speech)
Restorative Therapy
Early To Late-Stage Dementia Care
On-Site Psychiatric And Psychological Services
Ongoing Dementia And Behavioral Education
Exceptional Dining Services
Beauty/Barber Shop
Onsite Podiatry
Dental
And Audiology Services
Secure Patio For Enjoying The Outdoors
Specific ProgramsLiving Well, In Motion, Respite Care, Services, Virtual Tour, Our Blog, Careers, Contact Us
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
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
24 total visits · Indiana avg: 19
Ranked 268th of 388 in Indiana
13
Inspections
Indiana avg: 13
0% below Indiana avg
11
Visits with Citations
Indiana avg: 7
57% above Indiana avg
69
Citations Total
Indiana avg: 34
103% above Indiana avg Ranked 345th of 385
13
Visits without Citations
Indiana avg: 12
8% above 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
June 19, 2025
Plan Of Correction69 total citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
Indiana average: 34 citations
69 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 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
Indiana average 25
Citations per inspection
6
Indiana average 4.12
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
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Mar 14, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Mar 14, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 14, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 14, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 14, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 14, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 14, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
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.
Filter by care type
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| 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 | -5% | -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 | +4% | +2% | 0 | 19 | 3.2 | 1 | 77 | - | - | Troxwell, Melanie | $12.3M | $4.3M | 35% | 155432 | ||||
| The Waters of Wakarusa 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. | Wakarusa | 133 | 62.4% | -10% | 3.15 | 0% | -8% | 1 | 30 | 6.0 | 1 | 80 | A+ | - | The Waters Of Wakarusa Skilled Nursing Facility, Llc | $13.2M | $4.2M | 31.9% | 155582 |
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
105
Employees
94
Contractors
11
Staff to resident ratio
1.27:1
1264960% better than Indiana averageIndiana average ratio: 0.00:1
Avg staff/day
41
Average shift
8.1 hours
5% better than Indiana averageIndiana average: 7.7 hours
Total staff hours (quarter)
30,222
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
15
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
42
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
4.1%
1,253 contractor hours this quarter
Respiratory Therapy Technician: 3
Physical Therapy Aide: 2
Speech Language Pathologist: 2
Physical Therapy Assistant: 2
Medical Director: 1
Qualified Social Worker: 1
Staff by category
| 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 |
42 Certified Nursing Assistant
% of Days
100%
15 Licensed Practical Nurse
% of Days
100%
14 Medication Aide/Technician
% of Days
100%
10 Registered Nurse
% of Days
100%
3 Clinical Nurse Specialist
% of Days
95%
4 Other Dietary Services Staff
% of Days
100%
2 Mental Health Service Worker
% of Days
75%
1 Administrator
% of Days
66%
1 Dietitian
% of Days
71%
2 Speech Language Pathologist
% of Days
71%
1 Nurse Practitioner
% of Days
57%
2 Physical Therapy Aide
% of Days
65%
2 Physical Therapy Assistant
% of Days
37%
3 Respiratory Therapy Technician
% of Days
58%
1 Qualified Social Worker
% of Days
33%
1 Medical Director
% of Days
15%
1 RN Director of Nursing
% of Days
1%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
83
Medicare
12
14.5% of residents
Medicaid
59
71.1% of residents
Private pay or other
12
14.5% of residents
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
$1.6M
↑ ~$3.4M vs 2022
Total Payroll
$5.3M
↓ ~$2.4M vs 2022
Profit Margin
12.4%
↑ 28.3pp vs 2022
Loading trend charts...
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