About The Waters of Castleton Skilled Nursing Facility
The Waters Of Castleton Skilled Nursing Facility, located in INDIANAPOLIS, IN, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose The Waters of Castleton Skilled Nursing Facility
Key Performance Indicators
- CMS Overall Rating 2 Stars
- Nursing Hours 3.29 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the INFINITY HEALTHCARE CONSULTING network. This chain operates 70 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
The Waters of Castleton Skilled Nursing Facility provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 2 |
|
| Health Inspection | 1 |
|
| Quality Measures | 5 |
|
| Staffing | 1 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 72 | Dec 16, 2025 |
| Weighted Average | 86 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | N/A |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | N/A |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | N/A |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | N/A |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 10.8% |
| Percentage of long-stay residents who lose too much weight (QM404) | 4.0% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.0% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 0.0% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 68.6% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 1.2% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 100.0% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 99.5% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 1.8% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 10.5% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 14.9% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 100.0% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 100.0% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 3.1% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 30.2% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 23.2% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 8 complaints
- 2024: 2 complaints
- 2025: 10 complaints
- 2026: 5 complaints
- Total: 25 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Apr 07, 2026 | Allow residents to self-administer drugs if determined clinically appropriate. |
| Apr 07, 2026 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Apr 07, 2026 | Respond appropriately to all alleged violations. |
| Apr 07, 2026 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| Apr 07, 2026 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. |
| Nov 21, 2025 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. |
| May 09, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| May 09, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| May 09, 2025 | 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. |
| Apr 25, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Apr 25, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| Apr 25, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Apr 25, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Apr 25, 2025 | Provide enough food/fluids to maintain a resident's health. |
| Apr 25, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Oct 26, 2024 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. |
| Feb 11, 2024 | Ensure each resident receives an accurate assessment. |
| Sep 05, 2023 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted |
| Sep 05, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Sep 05, 2023 | Plan the resident's discharge to meet the resident's goals and needs. |
| Sep 05, 2023 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. |
| Sep 05, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Sep 05, 2023 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Jul 09, 2023 | Provide safe and appropriate respiratory care for a resident when needed. |
| Jul 09, 2023 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
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Owner & Operator Information
Business Entity
JOHNSON MEMORIAL HOSPITAL
Ownership Structure
- JOHNSON MEMORIAL HOSPITAL Direct: 100%
Management & Direction
- STEVEN BERKHOUSE CORPORATE DIRECTOR
- STEVEN BERKHOUSE CORPORATE OFFICER
- LASHELLE CRAWLEY CONTRACTED MANAGING EMPLOYEE
- ROBERT DECOLA W-2 MANAGING EMPLOYEE
- DAVID DUNKLE CORPORATE DIRECTOR
- DAVID DUNKLE CORPORATE OFFICER
- DAVID DUNKLE OPERATIONAL/MANAGERIAL CONTROL
- MILLER'S HEALTH SYSTEMS INC OPERATIONAL/MANAGERIAL CONTROL
- JANCE PETERSON CONTRACTED MANAGING EMPLOYEE
- THE WATERS OF CASTLETON SKILLED NURSING FACILITY LLC OPERATIONAL/MANAGERIAL CONTROL
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Fairway Village | N/A | 5 |
| The Springs of Mooresville | N/A | 5 |
| The Barrington of Carmel | N/A | 5 |
| Greenwood Village South | N/A | 5 |
| Miller's Merry Manor | N/A | 5 |
| Aspen Trace Health and Living Community | N/A | 5 |
| Southpointe Healthcare Center | N/A | 5 |
| Prairie Lakes Health Campus | N/A | 5 |
| Greenwood Meadows | N/A | 5 |
| Countryside Manor Health and Living Community | N/A | 5 |
Related Analysis
Best Nursing Homes in INDIANAPOLIS, IN
Compare The Waters of Castleton Skilled Nursing Facility to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact The Waters of Castleton Skilled Nursing Facility directly at 3178450464. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.