Dunkirk, IN

Waters Of Dunkirk Skilled Nursing Facility, The

4-star overall rating with 3-star inspections with 5 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

11563 W 300 S, Dunkirk, IN

(765) 768-7537

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

46

Certified beds

Average residents

38

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Infinity Healthcare Consulting

Operator or chain grouping

Approved since

1995-08-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.66

Registered nurse staffing

LPN hours / resident day

0.80

Licensed practical nurse staffing

Aide hours / resident day

1.93

Nurse aide staffing

Weekend hours

2.92

Weekend nurse staffing

RN turnover

33%

Annual RN turnover

Total nurse turnover

33%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.2
1.6
1.4 pts better
1.9
1.7 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.0
1.5
0.5 pts better
1.8
0.8 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
93.6%
6.4 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
95.4%
4.6 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 0.9%
3.8%
2.9 pts better
3.3%
2.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 74.5%
24.6%
49.9 pts worse
11.4%
63.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 3.0%
5.6%
2.6 pts better
5.4%
2.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 8.0%
23.5%
15.5 pts better
19.6%
11.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 12.9%
14.8%
1.9 pts better
16.7%
3.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 6.6%
13.3%
6.7 pts better
16.3%
9.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 2.0%
11.7%
9.7 pts better
14.9%
12.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.4%
0.4 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.0%
1.2%
1.2 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 23.1%
24.2%
1.1 pts better
19.8%
3.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 3.2%
4.1%
0.9 pts better
5.1%
1.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.2%
81.6%
17.6 pts better
81.7%
17.5 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.3%
1.3 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100.0%
79.0%
21 pts better
79.7%
20.3 pts better
Short Stay · 2024Q3-2025Q2

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-21 · Fire 2025-03-21

5 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

8 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2024-05-28 · Fire 2024-05-28

1 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2023-02-20 · Fire 2023-02-20

4 health deficiencies

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

8 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-21

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2025-05-23

F · Potential for more than minimal harm 2025-03-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-23

F · Potential for more than minimal harm 2025-03-21

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-05-23

F · Potential for more than minimal harm 2025-03-21

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-05-23

F · Potential for more than minimal harm 2025-03-21

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-05-23

F · Potential for more than minimal harm 2025-03-21

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-05-23

E · Potential for more than minimal harm 2025-03-21

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-05-23

D · Potential for more than minimal harm 2025-03-21

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-05-23

E · Potential for more than minimal harm 2024-05-28

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2024-07-02

E · Potential for more than minimal harm 2024-05-28

K321 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-07-02

E · Potential for more than minimal harm 2024-05-28

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-07-02

E · Potential for more than minimal harm 2024-05-28

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-07-02

E · Potential for more than minimal harm 2024-05-28

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Corrected 2024-07-02

F · Potential for more than minimal harm 2023-02-20

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-04-13

F · Potential for more than minimal harm 2023-02-20

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-04-13

F · Potential for more than minimal harm 2023-02-20

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2023-04-13

F · Potential for more than minimal harm 2023-02-20

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2023-04-13

E · Potential for more than minimal harm 2023-02-20

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2023-04-13

E · Potential for more than minimal harm 2023-02-20

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-04-13

D · Potential for more than minimal harm 2023-02-20

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-04-13

D · Potential for more than minimal harm 2023-02-20

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-04-13

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-03-21

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2025-04-17

F · Potential for more than minimal harm 2025-03-21

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-04-17

E · Potential for more than minimal harm 2025-03-21

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-04-17

D · Potential for more than minimal harm 2025-03-21

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2025-04-17

B · Minimal harm 2025-03-21

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2025-04-17

D · Potential for more than minimal harm 2024-12-31

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-01-22

F · Potential for more than minimal harm 2023-06-15

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2023-06-16

F · Potential for more than minimal harm 2023-06-15

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2023-06-16

D · Potential for more than minimal harm 2023-04-24

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-05-16

D · Potential for more than minimal harm 2023-02-20

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-03-15

Penalties and ownership

What sits behind the stars

Ownership

Johnson Memorial Hospital

5% Or Greater Direct Ownership Interest · Organization

100% 35 facilities 2013-03-01
Berkhouse, Steven

Operational/Managerial Control · Individual

0% 21 facilities 2021-10-18
Berkhouse, Steven

Corporate Director · Individual

0% 21 facilities 2021-10-18
Berkhouse, Steven

Corporate Officer · Individual

0% 21 facilities 2021-10-18
Decola, Robert

W-2 Managing Employee · Individual

0% 33 facilities 2019-02-16
Dunkle, David

Operational/Managerial Control · Individual

0% 35 facilities 2019-03-01
Dunkle, David

Corporate Director · Individual

0% 35 facilities 2019-03-01
Dunkle, David

Corporate Officer · Individual

0% 35 facilities 2019-03-01
Minito, Danielle

Contracted Managing Employee · Individual

0% 2 facilities 2020-07-16
The Waters Of Dunkirk Skilled Nursing Facility LLC

Operational/Managerial Control · Organization

0% 1 facilities 2022-11-01
Wheeler, Tyisha

Contracted Managing Employee · Individual

0% 1 facilities 2022-08-01

Nearby options

Other facilities in reach

#1

Albany Health Care & Rehabilitation Center

Albany, IN

2-star overall rating with 2-star inspections with 13 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
3 / 5
Fines
$0
#2

Envive Of Hartford City

Hartford City, IN

4-star overall rating with 3-star inspections with 8 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
3 / 5
Staffing
4 / 5
Fines
$0

Jump out

Supporting pages