| Waters of Wakarusa Skilled Nursing Facility, the | |
| 300 N Washington St, Wakarusa, Indiana 46573 | |
| (574) 862-4511 | |
| Name | Waters of Wakarusa Skilled Nursing Facility, the |
|---|---|
| Location | 300 N Washington St, Wakarusa, Indiana |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 133 |
| Occupancy Rate | 61.5% |
| Medicare ID (CCN) | 155582 |
| Legal Business Name | Johnson Memorial Hospital |
| Ownership Type | For Profit - Partnership |
| Chain | Infinity Healthcare Consulting (69 nursing homes) |
| Chain Average Overall Rating | 2 out of 5 |
| NPI Number | 1962425306 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Johnson Memorial Hospital |
| Doing Business As | The Waters of Wakarusa Skilled Nursing Facility |
| Address | 300 N Washington St, Wakarusa, IN 46573 |
| Phone Number | 574-862-4511 |
| NPI Number | 1356059026 |
| Match | Possible same name, address or phone number |
| Organization Name | The Waters of Wakarusa Skilled Nursing Facility LLC |
| Address | 300 N Washington St, Wakarusa, IN 46573 |
| Phone Number | 574-862-4511 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.46 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.6 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.57 | 0.86 |
| Nurse aide hours per resident per day | 2.28 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.14 | 3.42 |
| RN hours per resident per day on the weekend | 0.4 | 0.48 |
| Physical therapist hours per resident per day | 0.01 | 0.07 |
| Total nursing staff turnover | 57.1% | 45.8% |
| Registered nurse turnover | 23.1% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $14,661 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Mar 16, 2026 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Mar 27, 2026 |
| Mar 16, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Mar 27, 2026 |
| Mar 14, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Apr 14, 2025 |
| Mar 14, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Apr 14, 2025 |
| Mar 14, 2025 | 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. F0803, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Apr 14, 2025 |
| Mar 14, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Apr 14, 2025 |
| Mar 14, 2025 | 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. F0578, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 14, 2025 |
| Mar 14, 2025 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. F0691, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Apr 14, 2025 |
| Mar 14, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 14, 2025 |
| Mar 14, 2025 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 14, 2025 |
| Mar 14, 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. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Apr 14, 2025 |
| Mar 14, 2025 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Apr 14, 2025 |
| Mar 14, 2025 | Provide timely, quality laboratory services/tests to meet the needs of residents. F0770, Administration, Standard inspection | Potential for harm, isolated | Corrected by Apr 14, 2025 |
| Jan 8, 2025 | 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. F0622, Resident Rights, Complaint inspection | Immediate jeopardy, isolated | Corrected by Jan 28, 2025 |
| Jan 8, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Complaint inspection | Potential for harm, widespread | Corrected by Jan 28, 2025 |
| Jan 8, 2025 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Jan 28, 2025 |
| Jan 8, 2025 | Prepare residents for a safe transfer or discharge from the nursing home. F0624, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Jan 28, 2025 |
| Jan 8, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jan 28, 2025 |
| Jan 8, 2025 | 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. F0693, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jan 28, 2025 |
| Jan 8, 2025 | Post nurse staffing information every day. F0732, Nursing and Physician Services, Complaint inspection | Minimal harm potential, widespread | Corrected by Jan 28, 2025 |
| Apr 3, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 6, 2024 |
| Apr 3, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 6, 2024 |
| Apr 3, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Past non-compliance (already corrected) |
| Apr 3, 2024 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. F0712, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by May 6, 2024 |
| Feb 21, 2024 | Plan the resident's discharge to meet the resident's goals and needs. F0660, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Mar 12, 2024 |
| Feb 6, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Feb 25, 2023 |
| Feb 6, 2023 | Assure that each resident’s assessment is updated at least once every 3 months. F0638, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Feb 25, 2023 |
| Feb 6, 2023 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Feb 25, 2023 |
| Feb 6, 2023 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 25, 2023 |
| Feb 6, 2023 | Provide activities to meet all resident's needs. F0679, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 25, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.97 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 5.06 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.29 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 3.48 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 23.1 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.79 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.14 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.47 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 9.2 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.98 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 83.65 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 3.95 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 35.51 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 7.39 | 15.38 |