WATERS OF CASTLETON SKILLED NURSING FACILITY, THE
8400 CLEARVISTA PL, INDIANAPOLIS, IN 46256 · CCN 155271
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★★ 5
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 114
- Avg residents/day
- 50.4
- Phone
- 3178450464
Inspection history vs Indiana & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Indiana avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-12-16 | 21 | 7.6 | 9.5 | +13.4 worse |
| 2 | 2024-10-08 | 8 | 7.9 | 9.8 | +0.1 worse |
| 3 | 2023-08-11 | 22 | 8.8 | 9.3 | +13.2 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 6 |
| Resident assessment and care planning | 4 |
| Resident rights | 3 |
| Nutrition and dietary | 2 |
| Pharmacy service | 4 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.26 | 45.9% |
| RN staffing (reported) | 0.31 | 40.0% |
| Total nurse staffing (adjusted) | 2.41 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- INFINITY HEALTHCARE CONSULTING
- Facilities in chain
- 70
- Chain avg overall
- 2.20 / 5
Inspection citations (51)1 actual harm
- DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-12-16 · Health · corrected 2026-01-19
Potential for more than minimal harm
- DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-12-16 · Health · corrected 2026-01-19
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-12-16 · Health · corrected 2026-01-19
Potential for more than minimal harm
- DF0685Assist a resident in gaining access to vision and hearing services.2025-12-16 · Health · corrected 2026-01-19
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-12-16 · Health · corrected 2026-01-19
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-12-16 · Health · corrected 2026-01-19
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-12-16 · Health · corrected 2026-01-19
Potential for more than minimal harm
- DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2025-12-16 · Health · corrected 2026-01-19
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-12-16 · Health · corrected 2026-01-19
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-12-16 · Health · corrected 2026-01-19
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-12-16 · Health · corrected 2026-01-19
Potential for more than minimal harm
- DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2025-10-28 · Health · corrected 2025-11-21
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-16 · Health · corrected 2025-05-09
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-04-16 · Health · corrected 2025-05-09
Potential for more than minimal harm
- DF0758Implement 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.2025-04-16 · Health · corrected 2025-05-09
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-04-02 · Health · corrected 2025-04-25
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-04-02 · Health · corrected 2025-04-25
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-02 · Health · corrected 2025-04-25
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-04-02 · Health · corrected 2025-04-25
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2025-04-02 · Health · corrected 2025-04-25
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-04-02 · Health · corrected 2025-04-25
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-10-08 · Health · corrected 2024-10-26
Potential for more than minimal harm
- DF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-10-08 · Health · corrected 2024-10-26
Potential for more than minimal harm
- BF0641Ensure each resident receives an accurate assessment.2024-10-08 · Health · corrected 2024-10-26
Potential for minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-08 · Health · corrected 2024-10-26
Potential for more than minimal harm
- FF0727Have 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.2024-10-08 · Health · corrected 2024-10-26
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-08 · Health · corrected 2024-10-26
Potential for more than minimal harm
- CF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2024-10-08 · Health · corrected 2024-10-26
Potential for minimal harm
- EF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2024-10-08 · Health · corrected 2024-10-26
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-01-25 · Health · corrected 2024-02-11
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-08-11 · Health · corrected 2023-09-05
Potential for more than minimal harm
- EF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2023-08-11 · Health · corrected 2023-09-05
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-08-11 · Health · corrected 2023-09-05
Actual harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-08-11 · Health · corrected 2023-09-05
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-08-11 · Health · corrected 2023-09-05
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-08-11 · Health · corrected 2023-09-05
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-08-11 · Health · corrected 2023-09-05
Potential for more than minimal harm
- DF0660Plan the resident's discharge to meet the resident's goals and needs.2023-08-11 · Health · corrected 2023-09-05
Potential for more than minimal harm
- DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2023-08-11 · Health · corrected 2023-09-05
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-08-11 · Health · corrected 2023-09-05
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-08-11 · Health · corrected 2023-09-05
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-11 · Health · corrected 2023-09-05
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-08-11 · Health · corrected 2023-09-05
Potential for more than minimal harm
- DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2023-08-11 · Health · corrected 2023-09-05
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2023-08-11 · Health · corrected 2023-09-05
Potential for more than minimal harm
- DF0761Ensure 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.2023-08-11 · Health · corrected 2023-09-05
Potential for more than minimal harm
- DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-08-11 · Health · corrected 2023-09-05
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-06-20 · Health · corrected 2023-07-09
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-06-20 · Health · corrected 2023-07-09
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-04-12 · Health · corrected 2023-05-03
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-04-12 · Health · corrected 2023-05-03
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| JOHNSON MEMORIAL HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2013-03-01 |
| MILLER'S HEALTH SYSTEMS INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2013-03-01 |
| THE WATERS OF CASTLETON SKILLED NURSING FACILITY LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-11-01 |
| DUNKLE, DAVID | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-03-01 |
| BERKHOUSE, STEVEN | Individual | CORPORATE DIRECTOR | — | 2021-10-18 |
| DUNKLE, DAVID | Individual | CORPORATE DIRECTOR | — | 2019-03-01 |
| BERKHOUSE, STEVEN | Individual | CORPORATE OFFICER | — | 2021-10-18 |
| DUNKLE, DAVID | Individual | CORPORATE OFFICER | — | 2019-03-01 |
| CRAWLEY, LASHELLE | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2022-08-09 |
| PETERSON, JANCE | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2016-07-01 |
| DECOLA, ROBERT | Individual | W-2 MANAGING EMPLOYEE | — | 2019-02-16 |
Other facilities in INDIANAPOLIS
| Name | Overall | Beds |
|---|---|---|
| MILLER'S MERRY MANOR | ★★★★★ | 114 |
| FAIRWAY VILLAGE | ★★★★★ | 53 |
| MARQUETTE | ★★★★★ | 57 |
| HOOSIER VILLAGE | ★★★★★ | 24 |
| SOUTHPOINTE HEALTHCARE CENTER | ★★★★★ | 100 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.