nursing home in Wakarusa, IN

Waters of Wakarusa Skilled Nursing Facility, the

300 N Washington St, Wakarusa, IN 46573 · (574) 862-4511

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★1
  • Staffing★★★★★2
  • Quality measures★★★★★3

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Waters of Wakarusa Skilled Nursing Facility, the at a glance

Waters of Wakarusa Skilled Nursing Facility, the is a 133-bed for-profit nursing home in Wakarusa, Indiana (Elkhart County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Indiana average of 3.1.

Residents receive about 3.5 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 3.7 hours.

Its most recent standard health inspection (March 14, 2025) found 12 health citations. The Indiana average is 7.2.

Federal regulators fined it 1 time in the past three years, totaling $14,661.

Nursing staff turnover is 57.1% per year (state average 45.9%).

Facility details

Type
Nursing home
Ownership
For Profit - Partnership
Beds
133
Certified for
Medicare and Medicaid
Chain / affiliated entity
Infinity Healthcare Consulting
Medicare-certified since
October 1, 1995
Resident/family council
Resident
County
Elkhart County
CMS Certification Number
155582

Ratings

MeasureThis facilityIndiana avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 53.1 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)1 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)2 / 52.5 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)3 / 54.1 / 53.6 / 5Worse
Long-stay quality rating (higher is better)4 / 54.3 / 53.8 / 5Average
Short-stay (rehab) quality rating (higher is better)2 / 53.8 / 53.3 / 5Worse

Staffing

This facility3.46 hrsIndiana average3.69 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Indiana and U.S. averages
MeasureThis facilityIndiana avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.46 hrs3.69 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.60 hrs0.67 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.28 hrs2.24 hrs2.32 hrsAverage
Weekend nurse staff hours per resident per day (higher is better)3.14 hrs3.25 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)57.1%45.9%45.8%Worse
Registered nurse turnover (yearly) (lower is better)23.1%40.3%42.9%Better
Administrators who left in the past year (lower is better)101Worse

Inspections

This facility12Indiana average7U.S. average9
Health citations in the most recent inspection: this facility vs. Indiana and U.S. averages
MeasureThis facilityIndiana avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)1279Worse
Citations from complaint investigations (latest cycle) (lower is better)323Worse
Weighted health inspection score ⓘ (lower is better)80.549.280.6Average

Penalties

This facility1Indiana average0U.S. average1
Fines in the past 3 years: this facility vs. Indiana and U.S. averages
MeasureThis facilityIndiana avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)101Worse
Total fines in the past 3 years (lower is better)$14,661$8,742$30,972Better
All federal penalties in the past 3 years (lower is better)101Average

Size

MeasureThis facilityIndiana avg.U.S. avg.vs. U.S.
Certified beds13396107
Average residents per day827386
Occupancy61.5%76.2%80.9%

Long-stay residents

This facility3.8%Indiana average3.9%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Indiana and U.S. averages
MeasureThis facilityIndiana avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)3.8%3.9%3.2%Worse
Long-stay residents with pressure ulcers (lower is better)4%3.6%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)7.4%13.6%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)3.5%1.1%1.6%Worse
Long-stay residents with a catheter left in the bladder (lower is better)0.3%0.4%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)7%11%13.9%Better
Long-stay residents whose walking worsened (lower is better)9.2%11.9%14.1%Better
Long-stay residents who lose too much weight (lower is better)5.1%5.5%5.2%Average
Long-stay residents with depressive symptoms (lower is better)23.1%25.2%12.8%Worse
Long-stay residents who were physically restrained (lower is better)0%0%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)15%23.5%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)35.5%23.3%19%Worse
Long-stay residents given a flu vaccine (higher is better)100%95.4%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)100%93.6%93.6%Better

Short-stay residents

This facility1.5%Indiana average1.2%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Indiana and U.S. averages
MeasureThis facilityIndiana avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)1.5%1.2%1.6%Better
Short-stay residents given a flu vaccine (higher is better)83.7%79%79.8%Average
Short-stay residents given a pneumonia vaccine (higher is better)95.1%81.8%82%Better

Inspection citations

State inspectors cited this home for 32 health deficiencies and 35 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".

DateCitationSeverityStatus
March 16, 2026
Complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected March 27, 2026
March 16, 2026
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected March 27, 2026
March 14, 2025
Fire safety
Establish procedures for tracking staff and patients during an emergency.
Emergency Preparedness Deficiencies · Tag E0018
F
Potential harm, widespread
Corrected June 6, 2025
March 14, 2025
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected June 6, 2025
March 14, 2025
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
F
Potential harm, widespread
Corrected June 6, 2025
March 14, 2025
Fire safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Smoke Deficiencies · Tag K0354
F
Potential harm, widespread
Corrected June 6, 2025
March 14, 2025
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected June 6, 2025
March 14, 2025
Fire safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Smoke Deficiencies · Tag K0346
F
Potential harm, widespread
Corrected June 6, 2025
March 14, 2025
Fire safety
Implement emergency and standby power systems.
Emergency Preparedness Deficiencies · Tag E0041
F
Potential harm, widespread
Corrected June 6, 2025
March 14, 2025
Fire safety
Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies · Tag E0039
F
Potential harm, widespread
Corrected June 6, 2025
March 14, 2025
Fire safety
Provide emergency officials' contact information.
Emergency Preparedness Deficiencies · Tag E0031
F
Potential harm, widespread
Corrected June 6, 2025
March 14, 2025
Fire safety
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0927
F
Potential harm, widespread
Corrected June 6, 2025
March 14, 2025
Fire safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies · Tag K0741
E
Potential harm, pattern
Corrected June 19, 2025
March 14, 2025
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
E
Potential harm, pattern
Corrected June 6, 2025
March 14, 2025
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected June 6, 2025
March 14, 2025
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
E
Potential harm, pattern
Corrected June 6, 2025
March 14, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected April 14, 2025
March 14, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected April 14, 2025
March 14, 2025
Standard
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · Tag F0803
E
Potential harm, pattern
Corrected April 14, 2025
March 14, 2025
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
E
Potential harm, pattern
Corrected April 14, 2025
March 14, 2025
Standard
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0698
D
Potential harm, isolated
Corrected April 14, 2025
March 14, 2025
Standard
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · Tag F0578
D
Potential harm, isolated
Corrected April 14, 2025
March 14, 2025
Complaint
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0691
D
Potential harm, isolated
Corrected April 14, 2025
March 14, 2025
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected April 14, 2025
March 14, 2025
Standard
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · Tag F0758
D
Potential harm, isolated
Corrected April 14, 2025
March 14, 2025
Standard
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected April 14, 2025
March 14, 2025
Standard
Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies · Tag F0770
D
Potential harm, isolated
Corrected April 14, 2025
January 8, 2025
Complaint
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Resident Rights Deficiencies · Tag F0622
J
Immediate jeopardy, isolated
Corrected January 28, 2025
January 8, 2025
Complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected January 28, 2025
January 8, 2025
Complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Tag F0623
D
Potential harm, isolated
Corrected January 28, 2025
January 8, 2025
Complaint
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · Tag F0693
D
Potential harm, isolated
Corrected January 28, 2025
January 8, 2025
Complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected January 28, 2025
January 8, 2025
Complaint
Prepare residents for a safe transfer or discharge from the nursing home.
Resident Rights Deficiencies · Tag F0624
D
Potential harm, isolated
Corrected January 28, 2025
January 8, 2025
Complaint
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Tag F0732
C
No harm, widespread
Corrected January 28, 2025
April 3, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected June 15, 2024
April 3, 2024
Fire safety
Conduct risk assessment and an All-Hazards approach.
Emergency Preparedness Deficiencies · Tag E0006
F
Potential harm, widespread
Corrected June 15, 2024
April 3, 2024
Fire safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Construction Deficiencies · Tag K0131
E
Potential harm, pattern
Corrected June 15, 2024
April 3, 2024
Fire safety
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0927
E
Potential harm, pattern
Corrected June 15, 2024
April 3, 2024
Fire safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies · Tag K0741
E
Potential harm, pattern
Corrected June 15, 2024
April 3, 2024
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
E
Potential harm, pattern
Corrected June 15, 2024
April 3, 2024
Fire safety
Provide emergency officials' contact information.
Emergency Preparedness Deficiencies · Tag E0031
C
No harm, widespread
Corrected June 15, 2024
April 3, 2024
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
C
No harm, widespread
Corrected June 15, 2024
April 3, 2024
Standard
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected May 6, 2024
April 3, 2024
Standard
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Nursing and Physician Services Deficiencies · Tag F0712
D
Potential harm, isolated
Corrected May 6, 2024
April 3, 2024
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected May 6, 2024
April 3, 2024
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected March 22, 2024
February 21, 2024
Complaint
Plan the resident's discharge to meet the resident's goals and needs.
Resident Assessment and Care Planning Deficiencies · Tag F0660
D
Potential harm, isolated
Corrected March 12, 2024
February 6, 2023
Fire safety
Meet other general requirements that are deficient.
Egress Deficiencies · Tag K0300
F
Potential harm, widespread
Corrected April 17, 2023
February 6, 2023
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected April 17, 2023
February 6, 2023
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
F
Potential harm, widespread
Corrected April 17, 2023
February 6, 2023
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected May 10, 2023
February 6, 2023
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected April 17, 2023
February 6, 2023
Fire safety
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies · Tag K0341
F
Potential harm, widespread
Corrected April 17, 2023
February 6, 2023
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
E
Potential harm, pattern
Corrected April 17, 2023
February 6, 2023
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected April 17, 2023
February 6, 2023
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
E
Potential harm, pattern
Corrected April 17, 2023
February 6, 2023
Fire safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies · Tag K0761
E
Potential harm, pattern
Corrected April 17, 2023
February 6, 2023
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
D
Potential harm, isolated
Corrected April 17, 2023
February 6, 2023
Fire safety
Have properly located and lighted "Exit" signs.
Egress Deficiencies · Tag K0293
D
Potential harm, isolated
Corrected April 17, 2023
February 6, 2023
Fire safety
Have an externally vented heating system.
Services Deficiencies · Tag K0522
D
Potential harm, isolated
Corrected April 17, 2023
February 6, 2023
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
E
Potential harm, pattern
Corrected February 25, 2023
February 6, 2023
Standard
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Tag F0679
D
Potential harm, isolated
Corrected February 25, 2023
February 6, 2023
Standard
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · Tag F0758
D
Potential harm, isolated
Corrected February 25, 2023
February 6, 2023
Standard
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies · Tag F0638
D
Potential harm, isolated
Corrected February 25, 2023
February 6, 2023
Standard
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
D
Potential harm, isolated
Corrected February 25, 2023
February 6, 2023
Standard
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies · Tag F0676
D
Potential harm, isolated
Corrected February 25, 2023
February 6, 2023
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected February 25, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 1 federal penalty in the past three years, including $14,661 in fines.

DatePenaltyAmount / length
January 8, 2025Fine$14,661

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
JOHNSON MEMORIAL HOSPITAL
Organization
5% or greater direct ownership interest100%03/01/2013
SCHMIDT, JAMES
Individual
contracted managing employeeNOT APPLICABLE02/04/2019
BERKHOUSE, STEVEN
Individual
corporate directorNOT APPLICABLE10/18/2021
DUNKLE, DAVID
Individual
corporate directorNOT APPLICABLE03/01/2019
BERKHOUSE, STEVEN
Individual
corporate officerNOT APPLICABLE10/18/2021
DUNKLE, DAVID
Individual
corporate officerNOT APPLICABLE03/01/2019
DUNKLE, DAVID
Individual
operational/managerial controlNOT APPLICABLE03/01/2019
MILLER'S HEALTH SYSTEMS INC
Organization
operational/managerial controlNOT APPLICABLE07/01/2012
THE WATERS OF WAKARUSA SKILLED NURSING FACILITY, LLC
Organization
operational/managerial controlNOT APPLICABLE11/01/2022
DECOLA, ROBERT
Individual
w-2 managing employeeNOT APPLICABLE02/16/2019

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    ★★★★★5Much above average
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  5. Signature Healthcare of Bremen

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Frequently asked questions

What is Waters of Wakarusa Skilled Nursing Facility, the's rating?

Waters of Wakarusa Skilled Nursing Facility, the has 1 out of 5 stars on the CMS overall star rating. The average for Indiana nursing homes is 3.1 stars.

How many inspection citations did Waters of Wakarusa Skilled Nursing Facility, the receive?

Its most recent standard health inspection found 12 citations, compared with a Indiana average of 7.2. Every citation is listed on this page with its severity.

Does Waters of Wakarusa Skilled Nursing Facility, the accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Waters of Wakarusa Skilled Nursing Facility, the?

It is for profit - partnership and part of Infinity Healthcare Consulting. The ownership section on this page lists the owners and managers reported to CMS.

Where is Waters of Wakarusa Skilled Nursing Facility, the and how do I contact it?

Waters of Wakarusa Skilled Nursing Facility, the is at 300 N Washington St, Wakarusa, IN 46573. Phone: (574) 862-4511.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.