ElderGrade
D

49/100

Below average

Waters Of Syracuse Skilled Nursing Facility, The

500 E Pickwick Dr, Syracuse, IN 46567

CMS 1/5 stars #5 of 6 in Kosciusko County (574) 457-4401
Certified beds
66
Occupancy
62%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 2 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • Nursing staff turnover of 62%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

16/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -8 for 2 actual-harm citation(s) in the last 3 years
  • -6 for 34 total citations against a national median of 17

Staffing

8/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 2.71 total nurse hours per resident per day (national median 3.77)
  • 0.52 RN hours per resident per day
  • Weekend staffing drops 11% against weekdays

Staff stability

5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 62% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record
  • -2 for 1 denial(s) of Medicare payment for new admissions

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.33 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.52 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.97 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 61.80%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 34 citations

Last standard health inspection: May 21, 2026 (3 months ago).

G May 21, 2026 F0684

Quality of Life and Care Deficiencies

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

Actual harm to a resident

E May 21, 2026 F0812

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

D May 21, 2026 F0558

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

No actual harm, potential for more than minimal harm

D May 21, 2026 F0580

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

No actual harm, potential for more than minimal harm

D May 21, 2026 F0605

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

No actual harm, potential for more than minimal harm

D May 21, 2026 F0726

Nursing and Physician Services Deficiencies

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.

No actual harm, potential for more than minimal harm

D May 21, 2026 F0757

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

No actual harm, potential for more than minimal harm

D May 21, 2026 F0761

Pharmacy Service Deficiencies

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...

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of INFINITY HEALTHCARE CONSULTING, which operates 70 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
JACKSON, NATHAN Individual CONTRACTED MANAGING EMPLOYEE
VANCE, CAROLYN Individual CONTRACTED MANAGING EMPLOYEE
DECOLA, ROBERT Individual W-2 MANAGING EMPLOYEE
BERKHOUSE, STEVEN Individual CORPORATE DIRECTOR
DUNKLE, DAVID Individual CORPORATE DIRECTOR
BERKHOUSE, STEVEN Individual CORPORATE OFFICER
DUNKLE, DAVID Individual CORPORATE OFFICER
THE WATERS OF SYRACUSE SKILLED NURSING FACILITY LLC Organization OPERATIONAL/MANAGERIAL CONTROL
DUNKLE, DAVID Individual OPERATIONAL/MANAGERIAL CONTROL
JOHNSON MEMORIAL HOSPITAL Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Waters Of Syracuse Skilled Nursing Facility, The

What is the ElderGrade for Waters Of Syracuse Skilled Nursing Facility, The? +

Waters Of Syracuse Skilled Nursing Facility, The holds an ElderGrade of D (49 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Waters Of Syracuse Skilled Nursing Facility, The? +

Residents receive an average of 3.33 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Waters Of Syracuse Skilled Nursing Facility, The been cited for harming residents? +

Yes. 2 of the 34 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Waters Of Syracuse Skilled Nursing Facility, The accept Medicaid? +

Yes, Waters Of Syracuse Skilled Nursing Facility, The is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.