Waters of Columbia City Skilled Nursing Facility
Nursing Home, Respite Care & Skilled Nursing · Columbia City, IN
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Waters of Columbia City Skilled Nursing Facility

Nursing Home, Respite Care & Skilled Nursing · Columbia City, IN
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Waters of Columbia City Skilled Nursing Facility accepts Medicaid, Medicare, and private pay.

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 29 deficiencies 1 complaint 10 inspections
Inspection Score Info A composite 0–100 score combining this facility's inspections, deficiencies, complaints, and enforcement actions relative to the Indiana state average. The score below shows how many points this facility sits above or below the typical Indiana nursing home score (the benchmark); higher is better.This is a proprietary Assisted Living Magazine score.

8 points above the Indiana average for nursing homes (83/100)

Rank #85 / 393 in Indiana Inspection Score — State benchmarked This home is ranked 85th out of 393 homes in Indiana for inspection score. Shows this facility's inspection score compared to the Indiana average among 393 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking. This is a proprietary Assisted Living Magazine score. Inspection score: 91 out of 100. Letter grade A-. 8 points above the Indiana average for nursing homes (83/100)

Inspection Scorecard Info 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 2022 vs. Indiana state average
Overall vs. IN average 2 Worse Metrics worse than Indiana average:
• Deficiencies per inspection (53% above)
• Inspection deficiency rate (35% above)
4 Better Metrics better than Indiana average:
• Total deficiencies (19% below)
• Inspections with deficiencies (29% below)
• Total complaints (80% below)
• Complaints per year (77% below)

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityIN Averagevs. IN Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 2936 This facility has 19% fewer total deficiencies than a typical Indiana nursing home (29 vs. IN avg 36).↓ 19% better
Deficiencies per inspection Info Average deficiencies per inspection. 2.91.9 This facility has 53% more deficiencies per inspection than a typical Indiana nursing home (2.9 vs. IN avg 1.9).↑ 53% worse

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

This FacilityIN Averagevs. IN Avg
Total visits Info Combined count of all on-site visits — routine inspections, complaint visits, follow-ups, and other focused visits. 1019 This facility has had 47% fewer total visits than the Indiana average (10 vs. IN avg 19). More inspections can mean more regulatory scrutiny rather than worse care.↓ 47% fewer
Inspections with deficiencies Info Inspections that resulted in at least one regulatory deficiency. 57 This facility has 29% fewer inspections with deficiencies than a typical Indiana nursing home (5 vs. IN avg 7).↓ 29% better
Inspection deficiency rate Info Percentage of inspections that resulted in at least one deficiency. 50%37% This facility has 13 percentage points higher inspection deficiency rate than a typical Indiana nursing home (50% vs. IN avg 37%).↑ 13% worse
Inspections Info Routine, scheduled inspections conducted by state regulators. 1013 This facility has had 23% fewer inspections than the Indiana average (10 vs. IN avg 13). More inspections can mean more regulatory scrutiny rather than worse care.↓ 23% fewer

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

This FacilityIN Averagevs. IN Avg
Total complaints Info Formal expressions of concern made by residents, families, or staff. 15 This facility has 80% fewer total complaints than a typical Indiana nursing home (1 vs. IN avg 5).↓ 80% better
Complaints per year Info Average complaints per year since 2022. 0.31.3 This facility has 77% fewer complaints per year than a typical Indiana nursing home (0.3 vs. IN avg 1.3).↓ 77% better

Health Inspection History

Inspections since 2023
Total health inspections 3

State average 6


Last Health inspection on Oct 2024

Total health citations
12 Rank #50 / 279Health citations — State benchmarkedThis home is ranked 50th out of 279 homes in Indiana for health citations. Shows this facility's total health deficiency citations benchmarked to the Indiana State average, with a ranking across all 279 IN facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 25

Citations per inspection
4 Rank #149 / 279Citations per inspection — State benchmarkedThis home is ranked 149th out of 279 homes in Indiana for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Indiana mean across 279 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 4.12


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

10 of 12 citations resulted from standard inspections; and 2 of 12 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical health citations
2
900% worse than State average

State average: 0.2


Serious health citations
0
100% better than State average

State average: 0.6

2 critical citations State average: 0.2

0 serious citations State average: 0.6

10 moderate citations State average: 23.8

0 minor citations State average: 0.4
Citations history (last 3 years)
Infection Control moderate citation Oct 21, 2024
Corrected

Nutrition moderate citation Oct 21, 2024
Corrected

Pharmacy moderate citation Oct 21, 2024
Corrected

Quality of Care moderate citation Oct 21, 2024
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 66
Employees 52
Contractors 14
Staff to resident ratio 2.44 : 1
2444344% more staff per resident than Indiana average
Indiana average ratio: 0.00 : 1 Indiana average ratio: 0.00 : 1See full Indiana ranking
Avg staff/day 22
Average shift 7 hours
9% worse than Indiana average
Indiana average: 7.7 hours Indiana average shift: 7.7 hoursSee full Indiana ranking
Total staff hours (quarter) 14,167

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 9 RN Staff are full-time employees. No contractors work on this role. 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 4 LPN Staff are full-time employees. No contractors work on this role. 4
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.4 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 18 CNA Staff are full-time employees. No contractors work on this role. 18
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

6.5%

921 contractor hours this quarter

Physical Therapy Assistant: 5 Physical Therapy Aide: 3 Respiratory Therapy Technician: 3 Speech Language Pathologist: 2 Qualified Social Worker: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant180184,44492100%7.6
Registered Nurse9092,62492100%7.6
Medication Aide/Technician7071,6559098%7.5
Licensed Practical Nurse4049788289%7.4
Clinical Nurse Specialist2029267379%7.7
Other Dietary Services Staff6068008390%6.1
Administrator1015016470%7.8
Mental Health Service Worker1014796166%7.9
Speech Language Pathologist0224586773%6.5
Nurse Practitioner1014496065%7.5
Dietitian3033905863%6.7
Physical Therapy Aide0332895257%5
Respiratory Therapy Technician033763134%2.2
Physical Therapy Assistant055712628%2.6
Qualified Social Worker011282932%1
18 Certified Nursing Assistant
% of Days 100%
9 Registered Nurse
% of Days 100%
7 Medication Aide/Technician
% of Days 98%
4 Licensed Practical Nurse
% of Days 89%
2 Clinical Nurse Specialist
% of Days 79%
6 Other Dietary Services Staff
% of Days 90%
1 Administrator
% of Days 70%
1 Mental Health Service Worker
% of Days 66%
2 Speech Language Pathologist
% of Days 73%
1 Nurse Practitioner
% of Days 65%
3 Dietitian
% of Days 63%
3 Physical Therapy Aide
% of Days 57%
3 Respiratory Therapy Technician
% of Days 34%
5 Physical Therapy Assistant
% of Days 28%
1 Qualified Social Worker
% of Days 32%

Penalties and fines

Includes penalties issued in 2024

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 $60K Rank #270 / 279Federal fines — State benchmarkedThis home is ranked 270th out of 279 homes in Indiana for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Indiana average among facilities with fines, and where it ranks among 279 facilities in the pool. Lower total dollars mean a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
120% higher than Indiana average

Indiana average: $27K

Number of fines 1
28% fewer fines than Indiana average

Indiana average: 1.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Indiana average

Indiana average: 0.4

Fines amount comparison
Fines amount comparison
This facility $60K
Indiana average $27K
Penalty History

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

1 penalty in the past 3 years

Feb 22, 2024 · $60K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Feb 22, 2024
$60K

Last updated: Jan 2026

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 6.4
20% better than Indiana average

Indiana average: 8.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 12.4
27% better than Indiana average

Indiana average: 17.1

Long-stay resident measures
Significantly above average Indiana avg: 4.1 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 4.1%
66% better than Indiana average

Indiana average: 12.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 8.0%
44% better than Indiana average

Indiana average: 14.4%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 25.0%
In line with Indiana average

Indiana average: 24.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 10.6%
174% worse than Indiana average

Indiana average: 3.9%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.6%
17% better than Indiana average

Indiana average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Indiana average

Indiana average: 1.2%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.8%
In line with Indiana average

Indiana average: 5.7%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 21.7%
10% better than Indiana average

Indiana average: 24.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 12.2%
In line with Indiana average

Indiana average: 12.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
7% better than Indiana average

Indiana average: 93.7%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
5% better than Indiana average

Indiana average: 95.4%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 93.9%
15% better than Indiana average

Indiana average: 81.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.5%
85% worse than Indiana average

Indiana average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 94.6%
20% better than Indiana average

Indiana average: 79.0%

Breakdown by payment type

Medicare

16% of new residents, usually for short-term rehab.

Typical stay 25 days

Private pay

74% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

10% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 27
Medicare
2
7.4% of residents
Medicaid
14
51.9% of residents
Private pay or other
11
40.7% 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.

Finances and operations

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

For-profit
LLC
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.8M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$339.2K
For-profit LLC
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.8M Rank #241 / 268Net patient revenue — State benchmarkedThis home is ranked 241st out of 268 homes in Indiana. Shows this facility's net patient revenue compared to the Indiana average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$339.2K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$7.7K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #247 / 268Payroll costs — State benchmarkedThis home is ranked 247th out of 268 homes in Indiana. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Indiana average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.
$2.3M 48.8% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #139 / 268Payroll % of net patient revenue — State benchmarkedThis home is ranked 139th out of 268 homes in Indiana. Shows payroll as a percentage of net patient revenue versus the Indiana average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.1M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$4.5M

Who this home usually serves

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 (74% of admissions), and a typical private pay stay runs around 1 - 2 months.

Admissions
153 total

Coverage residents most often arrive under.

Medicare 16%
Private pay 74%
Medicaid 10%
Discharges
155 total

Coverage residents most often leave under.

Medicare 13%
Private pay 74%
Medicaid 13%

Places of interest near Waters of Columbia City Skilled Nursing Facility

Address 0.0 miles from city center Info Estimated distance in miles from Columbia City's city center to Waters of Columbia City Skilled Nursing Facility's address, calculated via Google Maps.

Calculate Travel Distance to Waters of Columbia City Skilled Nursing Facility

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Address

Compare Nursing Homes around the area

Info below is compiled from CMS reports & the IN Dept. of Health (IDOH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

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155817
Westminster Village Muncie
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IL
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Muncie
303
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Mary Crutcher
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Facility $14.5MFiscal year ending 06/2024
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Facility $10.2MFiscal year ending 06/2024
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Christian Care Retirement Community
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IL
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145
Facility 145
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5.53
Facility 5.53
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98
Facility 98
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2
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155701
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ADC
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SNF
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124
Facility 124
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3.59
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92
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155838
Waters of Columbia City Skilled Nursing Facility
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--
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The Waters Of Columbia City Skilled Nursing Facility LLC
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IN AVG 51.1%
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155150

Frequently Asked Questions about Waters of Columbia City Skilled Nursing Facility

Who is the Director of Nursing at Waters of Columbia City Skilled Nursing Facility?

Ann Hill is the Director of Nursing at Waters of Columbia City Skilled Nursing Facility.

Who is the owner of Waters of Columbia City Skilled Nursing Facility?

Waters of Columbia City Skilled Nursing Facility is legally operated by Johnson Memorial Hospital, and administered by Laurie Barnes.

Is Waters of Columbia City Skilled Nursing Facility in a walkable area?

Waters of Columbia City Skilled Nursing Facility has a walk score of 77. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of Waters of Columbia City Skilled Nursing Facility?

According to IN state health department records, Waters of Columbia City Skilled Nursing Facility's license number is 25-000071-1.

When does Waters of Columbia City Skilled Nursing Facility's license expire?

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

What is the occupancy rate at Waters of Columbia City Skilled Nursing Facility?

Waters of Columbia City Skilled Nursing Facility's occupancy is 50%.

How long has Waters of Columbia City Skilled Nursing Facility been in business?

Waters of Columbia City Skilled Nursing Facility has been operating for approximately 1 year, based on available licensing and registration records.

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