Public Record
Waters of Columbia City Skilled Nursing Facility
From CMS
Facility profile
- CMS overall rating
- 3 / 5
- Certified beds
- 84
- Avg. residents per day
- 41.4
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 39
- Inspections on file
- 7
- Last inspection
- 2025-12-12
*CMS
*CMS
*CMS
Citations
39 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0550Generalpotential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0761Generalpotential for harm
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.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0211Generalpotential for harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 0321Generalpotential for harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 0345Generalpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0351Generalpotential for harm
Install an approved automatic sprinkler system.
- 0712Generalpotential for harm
Have simulated fire drills held at unexpected times.
- 0029Generalno actual harm
Develop a communication plan.
- 0036Generalno actual harm
Establish emergency prep training and testing.
- 0037Generalno actual harm
Establish staff and initial training requirements.
- 0321Generalpotential for harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0355Generalpotential for harm
Properly select, install, inspect, or maintain portable fire extinguishes.
- 0511Generalpotential for harm
Have properly installed electrical wiring and gas equipment.
- 0920Generalpotential for harm
Ensure proper usage of power strips and extension cords.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0584Generalpotential for harm
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.
- 0761Generalpotential for harm
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.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0004Generalno actual harm
Develop and maintain an Emergency Preparedness Program (EP).
- 0006Generalpotential for harm
Conduct risk assessment and an All-Hazards approach.
- 0013Generalno actual harm
Develop Emergency Preparedness policies and procedures.
- 0015Generalpotential for harm
Address subsistence needs for staff and patients.
- 0025Generalpotential for harm
Create arrangements with other facilities to receive patients.
- 0684Seriousimmediate jeopardy
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0760Seriousimmediate jeopardy
Ensure that residents are free from significant medication errors.
- 0565Generalpotential for harm
Honor the resident's right to organize and participate in resident/family groups in the facility.
- 0583Generalpotential for harm
Keep residents' personal and medical records private and confidential.
- 0725Generalpotential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- 0039Generalpotential for harm
Conduct testing and exercise requirements.
- 0223Generalpotential for harm
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- 0531Generalpotential for harm
Have elevators that firefighters can control in the event of a fire.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0712Generalpotential for harm
Have simulated fire drills held at unexpected times.
- 0550Generalpotential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection10 deficiencies
- View inspection reportInspection10 deficiencies
- View inspection reportInspection18 deficiencies
- View inspection reportInspection18 deficiencies
- View inspection reportInspection2 deficiencies
- View inspection reportInspection9 deficiencies
- View inspection reportInspection9 deficiencies
FAQ
Questions and answers
- What is Waters of Columbia City Skilled Nursing Facility?
- Waters of Columbia City Skilled Nursing Facility is a Medicare- and Medicaid-certified nursing home in Columbia City, IN, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 155150.
- What is the CMS rating for Waters of Columbia City Skilled Nursing Facility?
- Waters of Columbia City Skilled Nursing Facility has a CMS overall rating of 3 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Waters of Columbia City Skilled Nursing Facility have?
- Waters of Columbia City Skilled Nursing Facility is certified for 84 beds. It serves an average of 41.4 residents per day.
- How many citations does Waters of Columbia City Skilled Nursing Facility have?
- Waters of Columbia City Skilled Nursing Facility has 39 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Waters of Columbia City Skilled Nursing Facility last inspected?
- Waters of Columbia City Skilled Nursing Facility was last inspected on December 12, 2025. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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