Indiana › Sullivan County › Sullivan
Waters of Sullivan Nursing Facility, The
505 W Wolfe St, Sullivan, IN 47882
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 93 beds, Waters of Sullivan Nursing Facility, The serves Sullivan in Sullivan County, Indiana and has taken Medicare and Medicaid residents since 1985.
CMS gives it 1 of 5 stars overall, below the Indiana median of 3; the health inspection rating is 1, staffing 2 and quality measures 4.
Inspectors recorded 37 health deficiencies across the three most recent survey cycles (21, 10, 6 by cycle, most recent first), none at the actual-harm level. That is 39.8 per 100 beds, more than the state median of 22.9.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.4 hours per resident per day (0.6 RN), close to the Indiana median of 3.6; nursing staff turnover is 32.6%.
Compared with county, state and nation
| Measure | This facility | Sullivan Co. median | Indiana median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 37 | 37 | 19 | 28.7 |
| Citations per 100 beds | 39.8 | 40.3 | 22.9 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.4 | 3.6 | 3.9 |
| RN hours per resident day | 0.6 | 1.0 | 0.6 | 0.7 |
| Nursing staff turnover | 32.6% | 53.7% | 45.4% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (2 in the county, 507 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Indiana average per facility for the same cycle, as published by CMS. Standard health survey dates: 1 Aug 2025, 21 Jun 2024.
Severity mix: D ×29 E ×2 F ×5 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 24 Apr 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 22 May 2026 |
| 24 Apr 2026 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint investigation | 22 May 2026 |
| 13 Feb 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 4 Mar 2026 |
| 5 Dec 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint investigation | 6 Jan 2026 |
| 5 Dec 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Complaint investigation | 6 Jan 2026 |
| 5 Dec 2025 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint investigation | 6 Jan 2026 |
| 1 Aug 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard survey | 3 Sep 2025 |
| 1 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 3 Sep 2025 |
| 1 Aug 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 3 Sep 2025 |
| 1 Aug 2025 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Standard survey | 3 Sep 2025 |
| 1 Aug 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 3 Sep 2025 |
| 1 Aug 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 3 Sep 2025 |
| 1 Aug 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 3 Sep 2025 |
| 1 Aug 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 3 Sep 2025 |
| 1 Aug 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 3 Sep 2025 |
| 1 Aug 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 3 Sep 2025 |
| 1 Aug 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 3 Sep 2025 |
| 1 Aug 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 3 Sep 2025 |
| 1 Aug 2025 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard survey | 3 Sep 2025 |
| 1 Aug 2025 | F0761 | Ensure 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. | D | Standard survey | 3 Sep 2025 |
| 1 Aug 2025 | F0732 | Post nurse staffing information every day. | C | Standard survey | 3 Sep 2025 |
| 28 Feb 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 21 Mar 2025 |
| 28 Feb 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Complaint investigation | 21 Mar 2025 |
| 21 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 26 Jul 2024 |
| 21 Jun 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 26 Jul 2024 |
| 21 Jun 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 26 Jul 2024 |
| 21 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 26 Jul 2024 |
| 21 Jun 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 26 Jul 2024 |
| 21 Jun 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 26 Jul 2024 |
| 21 Jun 2024 | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Standard survey | 26 Jul 2024 |
| 21 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 26 Jul 2024 |
| 12 May 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 4 Jun 2023 |
| 12 May 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 4 Jun 2023 |
| 12 May 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 4 Jun 2023 |
| 12 May 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 4 Jun 2023 |
| 12 May 2023 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard survey | 4 Jun 2023 |
| 12 May 2023 | F0758 | Implement 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. | D | Standard survey | 4 Jun 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Indiana average. Turnover: nursing staff 32.6%, RNs 50.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Indiana median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 11.7% | 8.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.8% | 0.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.5% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.4% | 9.3% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.6% | 3.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.1% | 11.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Johnson Memorial Hospital. Chain: Infinity Healthcare Consulting (69 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Johnson Memorial Hospital | 5% or greater direct ownership interest | 100% | 03/01/2013 |
| Miller'S Health Systems Inc | Operational/managerial control | NOT APPLICABLE | 03/01/2013 |
| The Waters of Sullivan Nursing Facility LLC | Operational/managerial control | NOT APPLICABLE | 11/01/2022 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Sullivan County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Envive of Sullivan | Sullivan | 77 | 3 | 2 | 3 | 31 | 40.3 | — | 21 May 2026 |
All 2 facilities in Sullivan County
Questions and answers
How many deficiencies has Waters of Sullivan Nursing Facility, The been cited for?
37 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Indiana median is 19 per facility.
Has Waters of Sullivan Nursing Facility, The been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Waters of Sullivan Nursing Facility, The compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Indiana median of 3.6 and a national average of 3.9.
Who operates Waters of Sullivan Nursing Facility, The?
It is part of the Infinity Healthcare Consulting chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Johnson Memorial Hospital, Miller'S Health Systems Inc and The Waters of Sullivan Nursing Facility LLC. Individual owners and managers are not listed on this site.
When was Waters of Sullivan Nursing Facility, The last inspected?
The most recent survey or investigation in the CMS record is dated 24 Apr 2026; the most recent standard health survey was 1 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.