Federal inspection record · CMS data as of October 1, 2026

Waterford Place Health Campus

800 St Joseph Dr, Kokomo, IN · (765) 236-1239

  • CMS high-performer trophy

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
103
Residents per day
76
Ownership
Non-Profit
Chain
Trilogy Health Services
Medicare / Medicaid
Medicare + Medicaid
Certified since
September 21, 2000

1

How this home got 5 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Indiana.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Indiana homes

Waterford Place Health Campus carries 20 inspection points. That is fewer than 74% of Indiana's 504 rated homes.

5★4★3★2★1★+16 homes above 163.2505102550100inspection points → fewer is better on the leftThis home · 20 pts · 4★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Indiana: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–9 pts
  • 4★ 9–24 pts
  • 3★ 24–42 pts
  • 2★ 42–72 pts
  • 1★ over 72 pts

Bars show every rated home in Indiana by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

11 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 8 4 pts
E 3 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Quality of Life and Care7E
  1. E

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    February 2, 2026 · Standard · F684 · Corrected February 20, 2026

  2. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    February 2, 2026 · Standard · F690 · Corrected February 20, 2026

  3. E

    Provide safe and appropriate respiratory care for a resident when needed.

    February 17, 2025 · Standard · F695 · Corrected March 16, 2025

  4. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    February 17, 2025 · Standard · F684 · Corrected March 16, 2025

  5. D

    Provide activities to meet all resident's needs.

    January 9, 2024 · Standard · F679 · Corrected January 31, 2024

  6. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    January 9, 2024 · Standard · F684 · Corrected January 31, 2024

  7. D

    Provide enough food/fluids to maintain a resident's health.

    January 9, 2024 · Standard · F692 · Corrected January 31, 2024

Resident Assessment and Care Planning1D
  1. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    February 2, 2026 · Standard · F644 · Corrected February 20, 2026

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    February 2, 2026 · Standard · F880 · Corrected February 20, 2026

Environmental1E
  1. E

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    February 17, 2025 · Complaint · F921 · Corrected March 16, 2025

Resident Rights1D
  1. D

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    January 9, 2024 · Standard · F582 · Corrected January 31, 2024

Inspection history

  1. 2026-02-02

    4 health deficiencies · 7 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  2. 2025-02-17

    3 health deficiencies · 11 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  3. 2024-01-09

    4 health deficiencies · 8 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 52 min of nursing staff time a day, 39 min of it from a registered nurse.

This home

3 h 52 min

Indiana average

3 h 44 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 37% of nursing staff and 15% of registered nurses left in the past year, along with 1 administrator.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.6 pts worse2.11.51.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts worse2.51.41.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.4 pts worse93.3%93.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2 pts worse93.1%95.1%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.8 pts better1.0%3.8%3.2%
Percentage of long-stay residents who have depressive symptoms12.5 pts worse38.0%25.5%13.5%
Percentage of long-stay residents who lose too much weight0.1 pts better5.2%5.3%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication5.2 pts worse28.7%23.5%19.5%
Percentage of long-stay residents who received an antipsychotic medication4.3 pts better9.4%13.7%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened3.6 pts better7.5%11.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased6.3 pts better4.5%10.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same0.3%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection1.1 pts better0.0%1.1%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1 pts better21.4%22.4%18.3%
Percentage of long-stay residents with pressure ulcers1.6 pts better1.9%3.5%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.3 pts better87.2%81.9%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit2.6 pts worse13.5%10.9%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts better1.0%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.5 pts better82.7%79.2%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission1.7 pts worse23.5%21.8%23.4%

·

Who owns and runs it

34 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Witham Memorial Hospital5% Or Greater Direct Ownership Interest · Organization100%29 facilities
American Healthcare Reit Holdings LPAdp Of The SNF · Organization0%77 facilities
American Healthcare Reit IncAdp Of The SNF · Organization0%78 facilities
Bardoczi, StephenCorporate Officer · Individual0%14 facilities
Barney, LeighLimited Partnership Interest · Individual0%127 facilities
Bayston, BrettCorporate Director · Individual0%29 facilities
Brand, JohnCorporate Director · Individual0%29 facilities
Braverman, KellyCorporate Officer · Individual0%29 facilities
Castetter, AndreaCorporate Director · Individual0%29 facilities
Continental Merger Sub LLCAdp Of The SNF · Organization0%100 facilities
Davis, DavidLimited Partnership Interest · Individual0%127 facilities
Gahc3 Trilogy Jv LLCAdp Of The SNF · Organization0%78 facilities
Gahc4 Trilogy Jv LLCAdp Of The SNF · Organization0%78 facilities
Hawkins, ClaudeCorporate Director · Individual0%29 facilities
Hornbecker, MichaelCorporate Director · Individual0%29 facilities
Lument Real Estate Capital LLC5% Or Greater Mortgage Interest · Organization0%44 facilities
Lument Real Estate Capital LLCAdp Of The SNF · Organization0%44 facilities
Nieves, AlmaOperational/Managerial Control · Individual0%1 facilities
Nieves, AlmaAdp Of The SNF · Individual0%1 facilities
Paragon Outpatient Rehabilitation Services LLCAdp Of The SNF · Organization0%61 facilities
Ravindra, BaikadiOperational/Managerial Control · Individual0%2 facilities
Ravindra, BaikadiAdp Of The SNF · Individual0%2 facilities
Reagan, JulieCorporate Director · Individual0%28 facilities
Sellers, DanielCorporate Officer · Individual0%29 facilities
Trilogy Healthcare Master Tenant V, LLCAdp Of The SNF · Organization0%10 facilities
Trilogy Healthcare Of Kokomo LLCOperational/Managerial Control · Organization0%1 facilities
Trilogy Investors LLCAdp Of The SNF · Organization0%77 facilities
Trilogy Management Services LLCAdp Of The SNF · Organization0%124 facilities
Trilogy Propco Ii Finance B, LLCAdp Of The SNF · Organization0%5 facilities
Trilogy Propco Ii LLCAdp Of The SNF · Organization0%17 facilities
Trilogy Property Holdings LLCAdp Of The SNF · Organization0%43 facilities
Trilogy Real Estate Investment TrustAdp Of The SNF · Organization0%78 facilities
Trilogy Real Estate Kokomo, LLCAdp Of The SNF · Organization0%1 facilities
Trilogy Reit Holdings LLCAdp Of The SNF · Organization0%78 facilities

·

Fire safety

26 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke11F
  1. F

    Install corridor and hallway doors that block smoke.

    February 2, 2026 · K363 · Corrected May 7, 2026

  2. E

    Install an approved automatic sprinkler system.

    February 2, 2026 · K351 · Corrected May 7, 2026

  3. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    February 17, 2025 · K345 · Corrected April 4, 2025

  4. E

    Properly select, install, inspect, or maintain portable fire extinguishes.

    February 17, 2025 · K355 · Corrected April 4, 2025

  5. E

    Install corridor and hallway doors that block smoke.

    February 17, 2025 · K363 · Corrected April 4, 2025

  6. F

    Inspect, test, and maintain automatic sprinkler systems.

    January 9, 2024 · K353 · Corrected March 6, 2024

  7. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    January 9, 2024 · K321 · Corrected March 6, 2024

  8. E

    Provide properly protected cooking facilities.

    January 9, 2024 · K324 · Corrected March 6, 2024

  9. E

    Properly select, install, inspect, or maintain portable fire extinguishes.

    January 9, 2024 · K355 · Corrected March 6, 2024

  10. E

    Install corridor and hallway doors that block smoke.

    January 9, 2024 · K363 · Corrected March 6, 2024

  11. D

    Install an approved automatic sprinkler system.

    January 9, 2024 · K351 · Corrected March 6, 2024

Egress6F
  1. F

    Have exits that are accessible at all times.

    February 2, 2026 · K271 · Corrected May 7, 2026

  2. E

    Have properly located and lighted "Exit" signs.

    February 2, 2026 · K293 · Corrected May 7, 2026

  3. F

    Install emergency lighting that can last at least 1 1/2 hours.

    February 17, 2025 · K291 · Corrected April 4, 2025

  4. E

    Install proper backup exit lighting.

    February 17, 2025 · K281 · Corrected April 4, 2025

  5. D

    Conform to length requirements for dead end corridors.

    February 17, 2025 · K251 · Corrected April 4, 2025

  6. D

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    January 9, 2024 · K222 · Corrected March 6, 2024

Gas, Vacuum, and Electrical Systems4F
  1. F

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    February 2, 2026 · K914 · Corrected May 7, 2026

  2. F

    Meet requirements for the installation and maintenance of electrical systems.

    February 17, 2025 · K911 · Corrected April 4, 2025

  3. F

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    February 17, 2025 · K914 · Corrected April 4, 2025

  4. F

    Have generator or other power source capable of supplying service within 10 seconds.

    February 17, 2025 · K918 · Corrected April 4, 2025

Miscellaneous3F
  1. F

    Have simulated fire drills held at unexpected times.

    February 2, 2026 · K712 · Corrected May 7, 2026

  2. C

    Provide a written emergency evacuation plan.

    February 2, 2026 · K711 · Corrected May 7, 2026

  3. F

    Have simulated fire drills held at unexpected times.

    February 17, 2025 · K712 · Corrected April 4, 2025

Construction2E
  1. E

    Use approved construction type or materials.

    February 17, 2025 · K161 · Corrected April 4, 2025

  2. E

    Meet requirements for sections of health care facilities separated by fire resistive construction.

    January 9, 2024 · K131 · Corrected March 6, 2024

·

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