SNF
WATERS OF MIDDLETOWN SKILLED NURSING FACILITY, THE
CCN: 155573 · MIDDLETOWN, IN 47356 · Henry County
Overview
- Address
- 981 BEECHWOOD AVE, MIDDLETOWN, IN 47356
- Phone
- 7653542278
- Certified beds
- 60
- Avg daily residents
- 28 (47% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1995-08-01
- Setting
- Rural
4 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.81 | 4.78 | 3.07 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.37 | 0.84 | 0.30 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.16 | 1.06 | 0.93 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.28 | 2.89 | 1.84 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.53 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.01 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.43
hrs / resident / day
RN (weekend)
0.35
hrs / resident / day
Total nurse (adjusted, weekend)
2.77
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
68.8%
annual
RN turnover
100.0%
annual
Administrators departed
2
last 12 months
Resident acuity
Nursing Case-Mix Index
1.70
higher acuity than avg
Case-Mix Index Ratio
1.23
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2026-01-29 | 2 | 2 | 0 | 8 | 0 | 8 |
| Cycle 2/3 (prior) | 2024-12-09 | 12 | 5 | 8 | 68 | 1 | 68 |
Total weighted health score
23.0
lower is better
Deficiencies (18)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
18 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2026-01-29 | 2026-02-20 |
| 0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2026-01-29 | 2026-02-20 |
| 0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2024-12-09 | 2024-12-30 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-12-09 | 2024-12-30 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-12-09 | 2024-12-30 |
| 0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-12-09 | 2024-12-30 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2024-12-09 | 2024-12-30 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-12-09 | 2024-12-30 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-04-26 | 2024-05-20 |
| 0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-04-26 | 2024-05-20 |
| 0732 | Post nurse staffing information every day. | E | 2024-04-26 | 2024-05-20 |
| 0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | D | 2024-04-26 | 2024-05-20 |
| 0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2023-10-12 | 2023-10-31 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-10-12 | 2023-10-31 |
| 0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2023-09-01 | 2023-09-20 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-09-01 | 2023-09-20 |
| 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2023-09-01 | 2023-09-20 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-09-01 | 2023-09-20 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 7.7% Medicaid 60.3% Other 32.0%
Operating performance
Operating Margin
-11.1%
Total Margin
-11.1%
Occupancy Rate
36.9%
Cost per Resident Day
$31
Revenue & costs
Net Patient Revenue
$2.7M
Total Costs
$247K
Net Income
-$302K
Balance sheet
Total Assets
$203K
Total Liabilities
$584K
Fund Balance
-$381K
Current Ratio
0.25
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: INFINITY HEALTHCARE CONSULTING
- Chain ID
763- Facilities in chain
- 70
- Legal business name
- JOHNSON MEMORIAL HOSPITAL
Chain-average star ratings (for peer context)
Overall
2.2
Health
2.3
Staffing
1.5
QM
3.8
Owner / manager organizations (2)
| Organization | Role | Association |
|---|---|---|
| JOHNSON MEMORIAL HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 03/01/2013 |
| THE WATERS OF MIDDLETOWN SKILLED NURSING FACILITY LLC | OPERATIONAL/MANAGERIAL CONTROL | since 11/01/2022 |
Owner / manager individuals (7)
| Name | Role | Association |
|---|---|---|
| DUNKLE, DAVID | OPERATIONAL/MANAGERIAL CONTROL | since 03/01/2019 |
| BERKHOUSE, STEVEN | CORPORATE DIRECTOR | since 10/18/2021 |
| DUNKLE, DAVID | CORPORATE DIRECTOR | since 03/01/2019 |
| BERKHOUSE, STEVEN | CORPORATE OFFICER | since 10/18/2021 |
| DUNKLE, DAVID | CORPORATE OFFICER | since 06/01/2019 |
| JACKMAN, SARAH | CONTRACTED MANAGING EMPLOYEE | since 07/01/2021 |
| DECOLA, ROBERT | W-2 MANAGING EMPLOYEE | since 02/16/2019 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $31 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.25 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 60.3% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 7.7% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-301,659 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $2,713,461 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 36.9% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -11.1% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $203,249 | metrics.total_assets |
| Cost Report | Total Costs ($) | $246,802 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-380,889 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $584,138 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -11.1% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.93374 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.83786 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.29892 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.07052 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 2.76849 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 28.1 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 1.06191 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.88603 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.83702 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.78495 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 4.21743 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.3 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.2 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.8 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 1.5 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 763 | Chain ID |
| Provider Information | Chain Name | INFINITY HEALTHCARE CONSULTING | Chain Name |
| Provider Information | City/Town | MIDDLETOWN | City/Town |
| Provider Information | CMS Certification Number (CCN) | 155573 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Henry | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1995-08-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 4 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 40.0632 | Latitude |
| Provider Information | Legal Business Name | JOHNSON MEMORIAL HOSPITAL | Legal Business Name |
| Provider Information | Location | 981 BEECHWOOD AVE,MIDDLETOWN,IN,47356 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -85.541 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 2 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 60 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 70 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.69509 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.23043 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 4 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 981 BEECHWOOD AVE | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | WATERS OF MIDDLETOWN SKILLED NURSING FACILITY, THE | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 320 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 8 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 0 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 2 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2026-01-29 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 8 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 2 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 5 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-12-09 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 68 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 8 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 68 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 12 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.34726 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 100.0 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.52767 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.15721 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.27770 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.01095 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.37046 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.80538 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | — | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | 2 | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 1 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | IN | State |
| Provider Information | Telephone Number | 7653542278 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.43107 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 68.8 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 23.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | N | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 47356 | ZIP Code |