Waters of Middletown Skilled Nursing Facility, the

Name: Waters of Middletown Skilled Nursing Facility, the
Address: 981 BEECHWOOD AVE, Middletown, IN, 47356, US
Telephone: 7653542278

981 Beechwood Ave, Middletown, IN 47356 · Henry County · 60 certified beds · avg 27 residents/day · certified since Aug 1, 1995

Part of chain: INFINITY HEALTHCARE CONSULTING (69 facilities, chain avg rating 2.0★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.90

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (18)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jan 29, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jan 29, 2026	D · Potential for harm, one-off	The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.
Dec 9, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
Dec 9, 2024	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Dec 9, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Dec 9, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Dec 9, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Dec 9, 2024	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint
Apr 26, 2024	E · Potential for harm, repeated	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · from a complaint
Apr 26, 2024	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Apr 26, 2024	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Apr 26, 2024	D · Potential for harm, one-off	The facility did not have enough staff with the right skills to meet the mental and behavioral health needs of its residents, such as those living with dementia or depression. · from a complaint
Oct 12, 2023	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Oct 12, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Sep 1, 2023	D · Potential for harm, one-off	The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings.
Sep 1, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Sep 1, 2023	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Sep 1, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (5 → 2).

Year	Citations	Worst severity that year
2023	6	D
2024	10	F
2026	2	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Indiana avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.90	3.42	3.95	bottom 20% in Indiana; bottom 11% in the U.S.
Registered Nurse hours	0.27	0.62	0.69	bottom 3% in Indiana; bottom 7% in the U.S.
Weekend total nurse staffing	2.67	3.01	3.50	bottom 32% in Indiana; bottom 15% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.32	0.47	0.48	bottom 27% in Indiana; bottom 36% in the U.S.
Total nursing staff turnover (%)	52.8	45.9	45.8	bottom 28% in Indiana; bottom 30% in the U.S.
RN turnover (%)	0.0	40.4	42.9	—

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.65, RN 0.34, weekend 3.36. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Johnson Memorial Hospital	Organization	5% or Greater Direct Ownership Interest	100%	03/01/2013
Berkhouse, Steven	Individual	Corporate Director	NOT APPLICABLE	10/18/2021
Berkhouse, Steven	Individual	Corporate Officer	NOT APPLICABLE	10/18/2021
Decola, Robert	Individual	W-2 Managing Employee	NOT APPLICABLE	02/16/2019
Dunkle, David	Individual	Corporate Director	NOT APPLICABLE	03/01/2019
Dunkle, David	Individual	Corporate Officer	NOT APPLICABLE	06/01/2019
Dunkle, David	Individual	Operational/Managerial Control	NOT APPLICABLE	03/01/2019
Jackman, Sarah	Individual	Contracted Managing Employee	NOT APPLICABLE	07/01/2021
The Waters of Middletown Skilled Nursing Facility LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	11/01/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can you show me an example care plan, and how are families included when it's created and updated?"
"What mental health services do you provide on-site, and who delivers them?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Middletown Nursing and Rehabilitation Center	0.7 mi	Middletown, IN	★★★★☆	3/5
Waters of Chesterfield Skilled Nursing Facility	4.6 mi	Chesterfield, IN	★★★★☆	4/5
Envive of Anderson	7.3 mi	Anderson, IN	★★☆☆☆	3/5
Bethany Pointe Health Campus	7.5 mi	Anderson, IN	★★★★☆	3/5
Countryside Manor Health & Living Community	7.7 mi	Anderson, IN	★★★★★	4/5
Yorktown Manor	8.4 mi	Yorktown, IN	★★★★☆	4/5
Beaumont Rehabilitation and Healthcare Center	9.2 mi	Anderson, IN	★★☆☆☆	1/5
Edgewater Woods	9.3 mi	Anderson, IN	★★★★☆	3/5
Northview Health and Living	9.5 mi	Anderson, IN	★★☆☆☆	2/5	abuse
Woodlands the	10.7 mi	Muncie, IN	★★☆☆☆	2/5
Waters Edge Village	10.9 mi	Muncie, IN	★★★★☆	3/5
Rawlins House Health & Living Community	11.0 mi	Pendleton, IN	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Middletown →

Facility data as of CMS processing date 2026-08-01. CCN 155573.

The Care File

Visit checklist — Waters of Middletown Skilled Nursing Facility, the

981 Beechwood Ave, Middletown, IN 47356 · 7653542278

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "What mental health services do you provide on-site, and who delivers them?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 155573 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)