Starfile

Starfile / Indiana

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.

CycleInspection dateThis facilityIndiana avgNational avgvs state
12025-12-16217.69.5+13.4 worse
22024-10-0887.99.8+0.1 worse
32023-08-11228.89.3+13.2 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Quality of life and care6
Resident assessment and care planning4
Resident rights3
Nutrition and dietary2
Pharmacy service4
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.2645.9%
RN staffing (reported)0.3140.0%
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

  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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

  9. 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

  10. 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

  11. DF0880Provide and implement an infection prevention and control program.2025-12-16 · Health · corrected 2026-01-19

    Potential for more than minimal harm

  12. 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

  13. 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

  14. 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

  15. 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

  16. 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

  17. 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

  18. 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

  19. 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

  20. DF0692Provide enough food/fluids to maintain a resident's health.2025-04-02 · Health · corrected 2025-04-25

    Potential for more than minimal harm

  21. 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

  22. 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

  23. 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

  24. BF0641Ensure each resident receives an accurate assessment.2024-10-08 · Health · corrected 2024-10-26

    Potential for minimal harm

  25. 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

  26. 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

  27. 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

  28. 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

  29. 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

  30. DF0641Ensure each resident receives an accurate assessment.2024-01-25 · Health · corrected 2024-02-11

    Potential for more than minimal harm

  31. 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

  32. 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

  33. 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

  34. 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

  35. 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

  36. 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

  37. 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

  38. 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

  39. 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

  40. 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

  41. 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

  42. 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

  43. 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

  44. 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

  45. DF0759Ensure medication error rates are not 5 percent or greater.2023-08-11 · Health · corrected 2023-09-05

    Potential for more than minimal harm

  46. 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

  47. 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

  48. 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

  49. 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

  50. 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

  51. 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

OwnerTypeRolePercentSince
JOHNSON MEMORIAL HOSPITALOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2013-03-01
MILLER'S HEALTH SYSTEMS INCOrganizationOPERATIONAL/MANAGERIAL CONTROL2013-03-01
THE WATERS OF CASTLETON SKILLED NURSING FACILITY LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2022-11-01
DUNKLE, DAVIDIndividualOPERATIONAL/MANAGERIAL CONTROL2019-03-01
BERKHOUSE, STEVENIndividualCORPORATE DIRECTOR2021-10-18
DUNKLE, DAVIDIndividualCORPORATE DIRECTOR2019-03-01
BERKHOUSE, STEVENIndividualCORPORATE OFFICER2021-10-18
DUNKLE, DAVIDIndividualCORPORATE OFFICER2019-03-01
CRAWLEY, LASHELLEIndividualCONTRACTED MANAGING EMPLOYEE2022-08-09
PETERSON, JANCEIndividualCONTRACTED MANAGING EMPLOYEE2016-07-01
DECOLA, ROBERTIndividualW-2 MANAGING EMPLOYEE2019-02-16

Other facilities in INDIANAPOLIS

NameOverallBeds
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.