WATERS OF SYRACUSE SKILLED NURSING FACILITY, THE
500 E PICKWICK DR, SYRACUSE, IN 46567 · CCN 155581
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★☆ 4
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 66
- Avg residents/day
- 42.0
- Phone
- 5744574401
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 | 2025-01-10 | 17 | 7.6 | 9.5 | +9.4 worse |
| 2 | 2024-02-09 | 8 | 7.9 | 9.8 | +0.1 worse |
| 3 | 2023-01-03 | 10 | 8.8 | 9.3 | +1.2 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 6 |
| Resident assessment and care planning | 4 |
| Resident rights | 2 |
| Nutrition and dietary | 2 |
| Pharmacy service | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.25 | 61.9% |
| RN staffing (reported) | 0.63 | 75.0% |
| Total nurse staffing (adjusted) | 2.60 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 1
- Payment denials
- 1
Chain
- Chain
- INFINITY HEALTHCARE CONSULTING
- Facilities in chain
- 70
- Chain avg overall
- 2.20 / 5
Inspection citations (35)1 actual harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-01-10 · Health · corrected 2025-02-11
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-01-10 · Health · corrected 2025-02-11
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-01-10 · Health · corrected 2025-02-11
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 admitted2025-01-10 · Health · corrected 2025-02-11
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.2025-01-10 · Health · corrected 2025-02-27
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.2025-01-10 · Health · corrected 2025-02-11
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-10 · Health · corrected 2025-02-11
Actual harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-01-10 · Health · corrected 2025-02-27
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2025-01-10 · Health · corrected 2025-02-11
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-01-10 · Health · corrected 2025-02-11
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-01-10 · Health · corrected 2025-02-11
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-01-10 · Health · corrected 2025-02-11
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-01-10 · Health · corrected 2025-02-11
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.2025-01-10 · Health · corrected 2025-02-11
Potential for more than minimal harm
- DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-01-10 · Health · corrected 2025-02-11
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.2025-01-10 · Health · corrected 2025-02-11
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-01-10 · Health · corrected 2025-02-27
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-02-09 · Health · corrected 2024-03-05
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.2024-02-09 · Health · corrected 2024-03-05
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2024-02-09 · Health · corrected 2024-03-05
Potential for more than minimal harm
- DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-02-09 · Health · corrected 2024-03-05
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-02-09 · Health · corrected 2024-03-05
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-02-09 · Health · corrected 2024-03-05
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.2024-02-09 · Health · corrected 2024-03-05
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-02-09 · Health · corrected 2024-03-05
Potential for more than minimal harm
- DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2023-01-03 · Health · corrected 2023-01-26
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 admitted2023-01-03 · Health · corrected 2023-01-26
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.2023-01-03 · Health · corrected 2023-01-26
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-01-03 · Health · corrected 2023-01-26
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-01-03 · Health · corrected 2023-01-26
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-01-03 · Health · corrected 2023-01-26
Potential for more than minimal harm
- DF0727Have 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.2023-01-03 · Health · corrected 2023-01-26
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.2023-01-03 · Health · corrected 2023-01-26
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.2023-01-03 · Health · corrected 2023-01-26
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.2023-01-03 · Health · corrected 2023-01-26
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 |
| THE WATERS OF SYRACUSE 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 |
| JACKSON, NATHAN | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2021-06-21 |
| VANCE, CAROLYN | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2022-11-01 |
| DECOLA, ROBERT | Individual | W-2 MANAGING EMPLOYEE | — | 2019-02-16 |
Other facilities in SYRACUSE
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.