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

Waters Of Columbia City Skilled Nursing Facility

640 W Ellsworth St, Columbia City, IN · (260) 248-8101

CMS overall rating

3 of 5

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Certified beds
84
Residents per day
40
Ownership
For-Profit
Chain
Infinity Healthcare Consulting
Medicare / Medicaid
Medicare + Medicaid
Certified since
January 3, 1974

1

How this home got 3 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

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Indiana homes

Waters Of Columbia City Skilled Nursing Facility carries 74.5 inspection points. That is fewer than 18% of Indiana's 504 rated homes.

5★4★3★2★1★+16 homes above 163.2505102550100inspection points → fewer is better on the leftThis home · 74.5 pts · 2★

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

17 health citations on record since 2023. 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 2 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 7 4 pts
E 6 8 pts
F 2 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.

Harm and immediate-jeopardy citations (2)

  1. J

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

    February 22, 2024 · Complaint inspection · Quality of Life and Care · F684 · Corrected February 24, 2024

  2. J

    Ensure that residents are free from significant medication errors.

    February 22, 2024 · Complaint inspection · Pharmacy Service · F760 · Corrected February 24, 2024

Everything else, by area of care

Resident Rights5E
  1. E

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    December 12, 2025 · Standard · F550 · Corrected January 16, 2026

  2. E

    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.

    October 21, 2024 · Standard · F584 · Corrected November 1, 2024

  3. E

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    September 29, 2023 · Standard · F565 · Corrected October 20, 2023

  4. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    September 29, 2023 · Standard · F550 · Corrected October 20, 2023

  5. D

    Keep residents' personal and medical records private and confidential.

    September 29, 2023 · Standard · F583 · Corrected October 20, 2023

Quality of Life and Care3D
  1. D

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

    December 12, 2025 · Standard · F684 · Corrected January 16, 2026

  2. D

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

    December 12, 2025 · Standard · F695 · Corrected January 16, 2026

  3. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    October 21, 2024 · Standard · F677 · Corrected November 1, 2024

Nutrition and Dietary2F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    December 12, 2025 · Standard · F812 · Corrected January 16, 2026

  2. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    October 21, 2024 · Standard · F812 · Corrected November 1, 2024

Pharmacy Service2D
  1. D

    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.

    December 12, 2025 · Standard · F761 · Corrected January 16, 2026

  2. D

    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.

    October 21, 2024 · Standard · F761 · Corrected November 1, 2024

Infection Control2E
  1. E

    Provide and implement an infection prevention and control program.

    October 21, 2024 · Standard · F880 · Corrected November 1, 2024

  2. E

    Provide and implement an infection prevention and control program.

    September 29, 2023 · Standard · F880 · Corrected October 20, 2023

Nursing and Physician Services1E
  1. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    September 29, 2023 · Standard · F725 · Corrected October 20, 2023

Inspection history

  1. 2025-12-12

    5 health deficiencies · 6 fire-safety deficiencies

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

  2. 2024-10-21

    5 health deficiencies · 13 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

  3. 2023-09-29

    7 health deficiencies · 4 fire-safety deficiencies

    Top issue: Resident Rights (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 2 h 54 min of nursing staff time a day, 1 h 8 min of it from a registered nurse.

This home

2 h 54 min

Indiana average

3 h 44 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 66% of nursing staff and 38% of registered nurses left in the past year.

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

5

Fines and payment denials

$60,590 in federal fines on record over the past three years.

DatePenaltyAmount
2024-02-22Fine$60,590

6

Resident outcomes

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

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.3 pts better100.0%93.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.9 pts better100.0%95.1%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts worse4.7%3.8%3.2%
Percentage of long-stay residents who have depressive symptoms2.1 pts worse27.6%25.5%13.5%
Percentage of long-stay residents who lose too much weight0.5 pts better4.8%5.3%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication12.2 pts worse35.7%23.5%19.5%
Percentage of long-stay residents who received an antipsychotic medication6.2 pts better7.5%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 worsened5.2 pts better5.9%11.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased8.4 pts better2.4%10.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts worse0.6%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 incontinence8.7 pts worse31.1%22.4%18.3%
Percentage of long-stay residents with pressure ulcers0.9 pts better2.6%3.5%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.4 pts better97.3%81.9%82.3%
Percentage of short-stay residents who had an outpatient emergency department visitAbout the same10.9%10.9%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better0.0%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11.1 pts better90.3%79.2%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission6.5 pts better15.3%21.8%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Johnson Memorial Hospital5% Or Greater Direct Ownership Interest · Organization100%35 facilities
Baker, StephenContracted Managing Employee · Individual0%2 facilities
Berkhouse, StevenCorporate Director · Individual0%21 facilities
Berkhouse, StevenCorporate Officer · Individual0%21 facilities
Decola, RobertW-2 Managing Employee · Individual0%33 facilities
Dunkle, DavidCorporate Director · Individual0%35 facilities
Dunkle, DavidCorporate Officer · Individual0%35 facilities
Dunkle, DavidOperational/Managerial Control · Individual0%35 facilities
The Waters Of Columbia City Skilled Nursing Facility LLCOperational/Managerial Control · Organization0%1 facilities

·

Fire safety

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

Emergency Preparedness9F
  1. F

    Address subsistence needs for staff and patients.

    October 21, 2024 · E15 · Corrected December 21, 2024

  2. F

    Create arrangements with other facilities to receive patients.

    October 21, 2024 · E25 · Corrected December 21, 2024

  3. F

    Conduct risk assessment and an All-Hazards approach.

    October 21, 2024 · E6 · Corrected December 21, 2024

  4. C

    Develop Emergency Preparedness policies and procedures.

    October 21, 2024 · E13 · Corrected December 21, 2024

  5. C

    Develop a communication plan.

    October 21, 2024 · E29 · Corrected December 21, 2024

  6. C

    Establish emergency prep training and testing.

    October 21, 2024 · E36 · Corrected December 21, 2024

  7. C

    Establish staff and initial training requirements.

    October 21, 2024 · E37 · Corrected December 21, 2024

  8. C

    Develop and maintain an Emergency Preparedness Program (EP).

    October 21, 2024 · E4 · Corrected December 21, 2024

  9. F

    Conduct testing and exercise requirements.

    September 29, 2023 · E39 · Corrected November 30, 2023

Smoke6F
  1. F

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

    December 12, 2025 · K345 · Corrected January 29, 2026

  2. F

    Install an approved automatic sprinkler system.

    December 12, 2025 · K351 · Corrected January 29, 2026

  3. D

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

    December 12, 2025 · K321 · Corrected January 29, 2026

  4. E

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

    October 21, 2024 · K321 · Corrected December 21, 2024

  5. E

    Inspect, test, and maintain automatic sprinkler systems.

    October 21, 2024 · K353 · Corrected December 21, 2024

  6. E

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

    October 21, 2024 · K355 · Corrected December 21, 2024

Miscellaneous3F
  1. F

    Have simulated fire drills held at unexpected times.

    December 12, 2025 · K712 · Corrected January 29, 2026

  2. F

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    December 12, 2025 · K761 · Corrected January 29, 2026

  3. F

    Have simulated fire drills held at unexpected times.

    September 29, 2023 · K712 · Corrected November 30, 2023

Egress2E
  1. D

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    December 12, 2025 · K211 · Corrected January 29, 2026

  2. E

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    September 29, 2023 · K223 · Corrected November 30, 2023

Services2E
  1. E

    Have properly installed electrical wiring and gas equipment.

    October 21, 2024 · K511 · Corrected December 21, 2024

  2. E

    Have elevators that firefighters can control in the event of a fire.

    September 29, 2023 · K531 · Corrected November 30, 2023

Gas, Vacuum, and Electrical Systems1E
  1. E

    Ensure proper usage of power strips and extension cords.

    October 21, 2024 · K920 · Corrected December 21, 2024

·

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