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    WATERS OF CASTLETON SKILLED NURSING FACILITY, THE

    8400 CLEARVISTA PL, INDIANAPOLIS, IN 46256

    114 beds · For profit - Limited Liability company

    CMS Provider #155271

    Data updated: March 1, 2026

    43
    IQ ScoreA composite score from 0–100 combining federal ratings, staffing, inspections, penalties, and complaint history.

    Overall Rating

    ★★★★★

    Health Rating

    ★★★★

    Staffing Rating

    ★★★★

    Quality Rating

    ★★★★★

    Daily nursing care

    3.3 hrs/resident

    Getting worse

    Inspection findings

    21

    More issues

    Ownership changes

    0

    Private for-profit (Limited Liability Company) owned by Johnson Memorial Hospital and Miller's Health Systems.

    Complaint trend

    Steady

    Records show 10 complaint-related findings in the most recent inspection cycle.

    Facility vs. Indiana Averages

    Overall Rating

    Facility★★★★★
    State Avg★★★★★
    Below State Avg

    Health Inspection

    Facility★★★★
    State Avg★★★★★
    Below State Avg

    Staffing Rating

    Facility★★★★
    State Avg★★★★★
    Below State Avg

    Quality Rating

    Facility★★★★★
    State Avg★★★★
    Exceeds State Avg
    State staffing benchmarks:Nursing hours/resident/day 3.7RN hours/resident/day 0.7

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    NursingHomeIQ Analysis

    Summary

    This 114-bed facility displays a significant gap between high quality-of-care metrics for long-term residents and low staffing levels and health inspection scores relative to state averages.

    Detailed Analysis

    Analysis of data from the Centers for Medicare and Medicaid Services (CMS) reveals a complex quality profile for this facility. While the facility achieved a five-star rating in quality measures—specifically for long-stay residents—its health inspection and staffing ratings remain at the lowest possible level (one star). The most recent inspection identified 21 findings, including issues related to infection control programs, the use of unnecessary psychotropic medications, and delays in developing comprehensive care plans. These findings are significantly more frequent than the Indiana average of 7.6 per cycle.

    Staffing data indicates 3.26 total hours of nursing care per resident per day, which falls below the state average of 3.71 hours. Furthermore, registered nurse care is provided at 0.30 hours per resident day, less than half the state average of 0.66. There is a 7% decrease in nursing hours during weekends compared to weekdays, which is within the typical range for Indiana facilities. Although the total nursing staff turnover rate has improved from 81.2% to 45.9% over the past two years, the departure of one administrator in the last year remains a signal for potential management instability. Notably, the facility reports no reliance on contract or agency labor, suggesting that care is provided exclusively by permanent employees. Compared to its parent chain, Infinity Healthcare Consulting, the facility's overall rating of two stars is slightly lower than the chain's average of 2.2 stars.

    Key Findings

    The facility reported 0.30 registered nurse hours per resident day, which is 54% lower than the Indiana state average of 0.66 hours.

    Public records indicate 21 health inspection findings in the most recent cycle, nearly three times the state average of 7.6 findings.

    The facility reported zero usage of contract or agency nursing staff, relying entirely on direct employees for care.

    Performance Trends (24 months)

    This shows how the facility's federal ratings have changed over the past 24 months. Consistent high ratings suggest stable quality, while declining trends may warrant further investigation.

    CategoryApr 24Jun 24Aug 24Oct 24Dec 24Mar 25May 25Jul 25Nov 25Jan 26Mar 26Trend
    Overall1★1★2★2★2★1★1★1★2★2★2★
    Staffing1★1★1★1★1★1★1★1★1★1★1★
    Health1★1★1★1★1★2★2★1★1★1★1★
    4-5 Stars 3 Stars 1-2 Stars

    Staffing Deep Dive

    Staffing depth is the strongest predictor of care quality. Facilities routinely cut staff on evenings and weekends — the shifts when falls happen and call lights go unanswered.

    Weekend vs. Weekday Staffing

    Weekday3.3 hrs/resident/day
    Weekend3.0 hrs/resident/day
    Drop7% — Consistent

    RN Hours Specifically

    Weekday RN0.31
    Weekend RN0.24
    RN Drop20%

    State avg total staffing: 3.7 hrs/resident/day

    Administrator Turnover

    1

    administrator departed in past year

    Some change

    Nursing Staff Turnover

    Total NursingElevated

    45.9%

    State avg: 47.0%

    RN TurnoverElevated

    40.0%

    State avg: 41.7%

    Agency/Contract Staff

    0.0%

    of nursing hours from contract/agency staff

    Low — good continuity
    RN contract %0.0%
    CNA contract %0.0%

    Source: PBJ data, 2025Q3

    Location & Neighborhood

    A facility's location matters — nearby hospitals, pharmacies, and public transit can make visits easier and ensure quick access to emergency care.

    Walk Score

    22

    Car-Dependent

    Transit Score

    27

    Some Transit

    Neighborhood Demographics (46256)

    Median Income

    $83,330

    Median Home Value

    $256,600

    Poverty Rate

    7.4%

    Age 65+

    17.0%

    Median Age

    39

    Pop. Density

    22,373/mi²

    Median Rent

    $1,089

    Google Reviews

    Google reviews provide firsthand accounts from residents' families and visitors.

    Inspection & Deficiency History

    Federal and state inspectors conduct regular surveys of every nursing home. Deficiencies listed here are problems found during those inspections.

    DateTagCategoryDescriptionSeverityCorrectedTypeIC
    12/16/20250880Infection Control DeficienciesProvide and implement an infection prevention and control program.
    Minimal harm
    1/19/2026Standard
    12/16/20250605Freedom from Abuse, Neglect, and Exploitation DeficienciesPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    Minimal harm
    1/19/2026Standard
    12/16/20250628Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    Minimal harm
    1/19/2026Standard
    12/16/20250657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    Minimal harm
    1/19/2026Standard
    12/16/20250685Quality of Life and Care DeficienciesAssist a resident in gaining access to vision and hearing services.
    Minimal harm
    1/19/2026Standard
    12/16/20250697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.
    Minimal harm
    1/19/2026Standard
    12/16/20250755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    Minimal harm
    1/19/2026Standard
    12/16/20250756Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    Minimal harm
    1/19/2026Standard
    12/16/20250805Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    Minimal harm
    1/19/2026Standard
    12/16/20250812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Actual harm
    1/19/2026Standard
    Page 1 of 6

    Penalties & Fines

    When inspection deficiencies are serious enough, the government may impose financial penalties or deny Medicare/Medicaid payments.

    No penalties or fines recorded for this facility.

    Ownership Records

    Ownership structure and changes can affect facility quality.

    Facilities in Chain

    70

    Chain Avg Rating

    2.2

    Years Operating

    40

    Owner NameTypeRoleOwnership %Association Date
    JOHNSON MEMORIAL HOSPITALOrganization100%3/1/2013
    MILLER'S HEALTH SYSTEMS INCOrganization3/1/2013
    THE WATERS OF CASTLETON SKILLED NURSING FACILITY LLCOrganization11/1/2022
    DUNKLE, DAVIDIndividual3/1/2019
    BERKHOUSE, STEVENIndividual10/18/2021
    DUNKLE, DAVIDIndividual3/1/2019
    BERKHOUSE, STEVENIndividual10/18/2021
    DUNKLE, DAVIDIndividual3/1/2019
    CRAWLEY, LASHELLEIndividual8/9/2022
    PETERSON, JANCEIndividual7/1/2016
    DECOLA, ROBERTIndividual2/16/2019

    News & Media

    Recent news articles, lawsuits, and media coverage mentioning this facility.

    No recent news coverage found for this facility.

    Data updated: March 1, 2026 · CMS, OSCAR, state inspection records

    NursingHomeIQ provides informational synthesis to help families make informed decisions. This does not constitute legal, financial, or medical advice.

    NursingHomeIQ

    Data sourced from CMS, OSCAR, and state inspection records. Not affiliated with the U.S. government.

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