Waters of Sullivan Nursing Facility, the
505 W Wolfe St · Sullivan, IN · 47882 · 8122686361
93 certified beds For profit - Corporation Chain: Infinity Healthcare Consulting
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.31 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.53 | 0.55–0.75 |
| Weekend hours / resident-day | 3.02 | ≈ weekday level |
| Nursing turnover / year | 33% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (37 in the current record)
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Potential for harm · D April 24, 2026 · found via complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected May 22, 2026 · Nutrition and Dietary
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Potential for harm · F April 24, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 22, 2026 · Nutrition and Dietary
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Potential for harm · D February 13, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 4, 2026 · Quality of Life and Care
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Potential for harm · E December 5, 2025 · found via complaint
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.
Corrected January 6, 2026 · Resident Rights
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Potential for harm · F December 5, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected January 6, 2026 · Nursing and Physician Services
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Potential for harm · F December 5, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected January 6, 2026 · Administration
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Potential for harm · D August 1, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected September 3, 2025 · Resident Rights
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Potential for harm · D August 1, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected September 3, 2025 · Resident Rights
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Potential for harm · D August 1, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected September 3, 2025 · Resident Rights
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Potential for harm · D August 1, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected September 3, 2025 · Resident Rights
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Potential for harm · D August 1, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 1, 2025
Ensure each resident receives an accurate assessment.
Corrected September 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 1, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 1, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected September 3, 2025 · Quality of Life and Care
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Potential for harm · D August 1, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 3, 2025 · Quality of Life and Care
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Potential for harm · D August 1, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected September 3, 2025 · Quality of Life and Care
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Potential for harm · D August 1, 2025
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected September 3, 2025 · Quality of Life and Care
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Potential for harm · D August 1, 2025
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 September 3, 2025 · Pharmacy Service
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Potential for harm · F August 1, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected September 3, 2025 · Nutrition and Dietary
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Potential for harm · F August 1, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 3, 2025 · Nutrition and Dietary
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No harm found · C August 1, 2025
Post nurse staffing information every day.
Corrected September 3, 2025 · Nursing and Physician Services
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Potential for harm · D February 28, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 21, 2025 · Pharmacy Service
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Potential for harm · D February 28, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 21, 2025 · Nutrition and Dietary
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Potential for harm · D June 21, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 21, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 26, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 155262 · certified since June 19, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.