Nursing homeActiveSpecial Focus Facility candidate · what this means

Waters Of Tipton Skilled Nursing Facility, The

300 Fairgrounds Rd, Tipton, IN 460727656758791150 certified beds · 93 residentsFor profit - IndividualMedicare and Medicaid
Surveys on file
13
since 2023
Deficiencies
46
0406
Penalties · 3 yrs
$20,494
2 fines · 1 action
Last survey
2026-06-30
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 2
Quality 3
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Indiana Department of Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-06-30Complaint011CMS-2567 (Care Compare)
2026-05-27Complaint010CMS-2567 (Care Compare)
2026-05-15Complaint010CMS-2567 (Care Compare)
2026-03-26Standard0102CMS-2567 (Care Compare)
2025-11-12Complaint010CMS-2567 (Care Compare)
2025-07-18Complaint030CMS-2567 (Care Compare)
2025-06-17Complaint020CMS-2567 (Care Compare)
2025-03-18Standard0130CMS-2567 (Care Compare)
2024-12-31Complaint010CMS-2567 (Care Compare)
2024-04-29Complaint001CMS-2567 (Care Compare)
2024-03-08Standard050CMS-2567 (Care Compare)
2024-01-09Complaint002CMS-2567 (Care Compare)
2023-10-26Complaint020CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Indiana Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-06-30Complaint survey · 2 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-07-15Record 155556-20260630-F689
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-07-15Record 155556-20260630-F684
2026-05-27Complaint survey · 1 deficiencyOfficial report
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-28Record 155556-20260527-F583
2026-05-15Complaint survey · 1 deficiencyOfficial report
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 155556-20260515-F760
2026-03-26Standard survey · 12 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-04-15Record 155556-20260326-F689
F692Provide enough food/fluids to maintain a resident's health.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-04-15Record 155556-20260326-F692
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-15Record 155556-20260326-F552
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-15Record 155556-20260326-F580
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-15Record 155556-20260326-F604
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-15Record 155556-20260326-F628
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-15Record 155556-20260326-F644
F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-15Record 155556-20260326-F740
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-28Record 155556-20260326-F761
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-04-15Record 155556-20260326-F804
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-15Record 155556-20260326-F842
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-15Record 155556-20260326-F880
2025-11-12Complaint survey · 1 deficiencyOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-01Record 155556-20251112-F550
2025-07-18Complaint survey · 3 deficienciesOfficial report
F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-18Record 155556-20250718-F744
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-18Record 155556-20250718-F757
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-18Record 155556-20250718-F842
2025-06-17Complaint survey · 2 deficienciesOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-07Record 155556-20250617-F580
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-07Record 155556-20250617-F689
2025-03-18Standard survey · 13 deficienciesOfficial report
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-16Record 155556-20250318-F604
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-16Record 155556-20250318-F623
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-16Record 155556-20250318-F657
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-16Record 155556-20250318-F677
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-16Record 155556-20250318-F690
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-16Record 155556-20250318-F695
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-04-16Record 155556-20250318-F725
F727Have 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.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-16Record 155556-20250318-F727
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-16Record 155556-20250318-F755
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-16Record 155556-20250318-F758
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-16Record 155556-20250318-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-04-16Record 155556-20250318-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-16Record 155556-20250318-F880
2024-12-31Complaint survey · 1 deficiencyOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-24Record 155556-20241231-F684
2024-04-29Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-05-29Record 155556-20240429-F689
2024-03-08Standard survey · 5 deficienciesOfficial report
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-01Record 155556-20240308-F604
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-01Record 155556-20240308-F607
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-01Record 155556-20240308-F697
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-01Record 155556-20240308-F761
F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-04-01Record 155556-20240308-F802
2024-01-09Complaint survey · 2 deficienciesOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-02-05Record 155556-20240109-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-02-05Record 155556-20240109-F689
2023-10-26Complaint survey · 2 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-27Record 155556-20231026-F550
F776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-27Record 155556-20231026-F776

Penalties & enforcement

DateActionAmountSource
2026-03-26Denial of payment for new admissions
Payment denial for 33 days, from 2026-04-25
CMS · Penalties
2024-01-09Civil money penalty$10,247CMS · Penalties
2024-01-09Civil money penalty$10,247CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.48
Facility
Indiana
National
Indiana 0.67 · National 0.69
Total nurse hours per resident day3.46
Facility
Indiana
National
Indiana 3.68 · National 3.86
Weekend total nurse hours3.06
Facility
Indiana
National
Indiana 3.24 · National 3.42
Total nursing staff turnover37%
Facility
Indiana
National
Indiana 46% · National 46%
Registered nurse turnover25%
Facility
Indiana
National
Indiana 40% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityIndianaNational
Percentage of long-stay residents with pressure ulcers
lower is better
4.1%3.6%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
8.1%3.9%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
16.2%13.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.3%1.1%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
4.2%11.0%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
11.4%5.5%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
32.1%23.5%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Johnson Memorial Hospital
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Dunkle, David
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Miller's Health Systems Inc
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
The Waters Of Tipton Skilled Nursing Facility LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Berkhouse, Steven
Individual
CORPORATE OFFICERNOT APPLICABLE
Berkhouse, Steven
Individual
CORPORATE DIRECTORNOT APPLICABLE
Decola, Robert
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Dunkle, David
Individual
CORPORATE DIRECTORNOT APPLICABLE
Dunkle, David
Individual
CORPORATE OFFICERNOT APPLICABLE
Juday, Paula
Individual
CONTRACTED MANAGING EMPLOYEENOT APPLICABLE
Part of a chain
Infinity Healthcare Consulting69 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Indiana.

No county cost figures on file for Tipton.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Aperion Care Kokomo
Kokomo
13.0 mi2026-02-050172
Elwood Health And Living
Elwood
10.5 mi2026-03-120230
Kokomo Healthcare Center
Kokomo
13.7 mi2025-09-080140
Harbour Manor Health & Living Community
Noblesville
15.0 mi2026-05-190161
Riverwalk Village
Noblesville
15.4 mi2026-01-200220
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01