Peru, IN

Waters Of Peru Skilled Nursing Facility, The

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

317 Blair Pike, Peru, IN

(765) 473-4426

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

130

Certified beds

Average residents

46

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Infinity Healthcare Consulting

Operator or chain grouping

Approved since

1972-11-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

70 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.72

Registered nurse staffing · state 0.66 · national 0.68

LPN hours / resident day

0.67

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

2.03

Nurse aide staffing · state 2.27 · national 2.35

Total nurse hours

3.42

All reported nurse hours · state 3.71 · national 3.89

Licensed hours

1.39

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

3.09

Weekend nurse staffing · state 3.24 · national 3.43

Weekend RN hours

0.67

Weekend registered nurse coverage · state 0.45 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.62

CMS adjusted RN staffing hours

Adjusted total hours

2.94

CMS adjusted total nurse staffing hours

Case-mix index

1.59

Higher values indicate more complex resident acuity

RN turnover

43%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

39%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,168

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

24.58

Composite VBP score used to determine payment impact.

Payment multiplier

0.9835

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

4.92

Baseline 43.59% · Performance 43.59% · Measure score 4.92 · Achievement 4.92 · Improvement 0

Adjusted total nurse staffing

0

Baseline 3.42 hours · Performance 2.97 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.04%	10.72% 0.3 pts worse	No Different than the National Rate · Eligible stays 40 · Observed rate 12.5% · Lower 95% interval 7.52%
Discharge to community	54.02%	50.57% 3.5 pts better	No Different than the National Rate · Eligible stays 32 · Observed rate 56.25% · Lower 95% interval 43.23%
Medicare spending per beneficiary	0.88	1.02 0.1 pts better
Drug regimen review with follow-up	95.83%	95.27% 0.6 pts better	Numerator 23 · Denominator 24
Falls with major injury	4.17%	0.77% 3.4 pts worse	Numerator 1 · Denominator 24
Discharge self-care score	15%	53.69% 38.7 pts worse	Numerator 3 · Denominator 20
Discharge mobility score	20%	50.94% 30.9 pts worse	Numerator 4 · Denominator 20
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 24 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 85
Staff flu vaccination coverage	8.05%	42% 34 pts worse	Numerator 7 · Denominator 87
Discharge function score	25%	56.45% 31.5 pts worse	Numerator 5 · Denominator 20
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.9	1.6 0.3 pts worse	1.9 About the same	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.9 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.6	1.5 0.1 pts worse	1.8 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.4 · Expected 1.5 · Used in QM five-star
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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
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 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	3.7%	3.8% 0.1 pts better	3.3% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 3.1% · Q3 2.8% · Q4 2.8% · 4Q avg 3.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	29.0%	24.6% 4.4 pts worse	11.4% 17.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 41.4% · Q2 43.8% · Q3 19.4% · Q4 14.7% · 4Q avg 29.0%
Percentage of long-stay residents who lose too much weight	5.2%	5.6% 0.4 pts better	5.4% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 0.0% · Q3 4.0% · Q4 11.1% · 4Q avg 5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	23.8%	23.5% 0.3 pts worse	19.6% 4.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q2 29.2% · Q3 18.5% · Q4 21.4% · 4Q avg 23.8%
Percentage of long-stay residents who received an antipsychotic medication	11.9%	14.8% 2.9 pts better	16.7% 4.8 pts better	Long Stay · 2024Q4-2025Q3 · Q3 13.0% · Q4 16.7% · 4Q avg 11.9% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	9.7%	13.3% 3.6 pts better	16.3% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 9.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	2.1%	11.7% 9.6 pts better	14.9% 12.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 4.5% · Q3 0.0% · Q4 0.0% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.4%	0.4% 1 pts worse	1.0% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 0.0% · Q3 3.2% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	18.7%	24.2% 5.5 pts better	19.8% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 7.1% · Q3 31.7% · Q4 17.9% · 4Q avg 18.7%
Percentage of long-stay residents with pressure ulcers	9.2%	4.1% 5.1 pts worse	5.1% 4.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 8.2% · Q3 9.8% · Q4 10.9% · 4Q avg 9.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.1%	81.6% 16.5 pts better	81.7% 16.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 93.9% · Q2 100.0% · Q3 100.0% · Q4 97.5% · 4Q avg 98.1%
Percentage of short-stay residents who had an outpatient emergency department visit	11.1%	10.5% 0.6 pts worse	12.0% 0.9 pts better	Short Stay · 20240701-20250630 · Adjusted 11.1% · Observed 11.5% · Expected 11.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	4.5%	1.3% 3.2 pts worse	1.6% 2.9 pts worse	Short Stay · 2024Q4-2025Q3 · Q2 4.3% · Q3 7.4% · Q4 4.8% · 4Q avg 4.5% · Used in QM five-star
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 · 4Q avg 100.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	18.1%	22.4% 4.3 pts better	23.9% 5.8 pts better	Short Stay · 20240701-20250630 · Adjusted 18.1% · Observed 19.2% · Expected 25.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-27 · Fire 2025-06-27

3 health deficiencies

Top issue: Infection Control (1 deficiency)

4 fire-safety deficiencies

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

Cycle 2 Health 2024-07-24 · Fire 2024-07-24

10 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2023-08-25 · Fire 2023-08-25

3 health deficiencies

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

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-08-29

F · Potential for more than minimal harm 2025-06-27

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-08-29

E · Potential for more than minimal harm 2025-06-27

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-08-22

E · Potential for more than minimal harm 2025-06-27

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-08-29

F · Potential for more than minimal harm 2024-07-24

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2024-09-12

E · Potential for more than minimal harm 2024-07-24

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-19

E · Potential for more than minimal harm 2024-07-24

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-09-19

E · Potential for more than minimal harm 2023-08-25

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2023-11-21

E · Potential for more than minimal harm 2023-08-25

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 2023-10-26

E · Potential for more than minimal harm 2023-08-25

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-10-26

C · Minimal harm 2023-08-25

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-10-26

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-06-27

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-07-17

D · Potential for more than minimal harm 2025-06-27

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-07-17

D · Potential for more than minimal harm 2025-06-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-17

E · Potential for more than minimal harm 2024-07-24

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 2024-07-31