01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-09-29 | 11 | 2025-09-29 | 6 |
| Cycle 2 | 2024-08-02 | 17 | 2024-08-02 | 25 |
| Cycle 3 | 2023-07-14 | 6 | 2023-07-14 | 5 |
CMS CCN 1551832026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Waters Of Martinsville, The
2055 Heritage Dr · Martinsville, IN 46151 · Morgan County
Certified beds103CMS provider file
Recent citation rows70current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
70 rows in the current release
2 rows carry G–L scope/severity codes; 0 carry J–L. 11 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-01-30 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-02-18 · complaint2026-01-30 · HEALTHF0921Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Correction field: Deficient, Provider has date of correction · 2026-02-10 · complaint2025-10-22 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-10-29 · complaint2025-09-29 · HEALTHF0552Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Correction field: Deficient, Provider has date of correction · 2025-11-272025-09-29 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2025-11-272025-09-29 · HEALTHF0628Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2025-11-262025-09-29 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-11-272025-09-29 · HEALTHF0644Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Correction field: Deficient, Provider has date of correction · 2025-11-272025-09-29 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-11-272025-09-29 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2025-11-272025-09-29 · HEALTHF0732Severity C · widespread; potential for minimal harm
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Correction field: Deficient, Provider has date of correction · 2025-11-272025-09-29 · FIREK0291Severity C · widespread; potential for minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2025-12-212025-09-29 · FIREK0511Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2025-12-212025-09-29 · FIREK0521Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: No revisit needed2025-09-29 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2025-12-212025-09-29 · FIREK0920Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2025-12-212025-09-29 · FIREK0921Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Correction field: Deficient, Provider has date of correction · 2025-12-212025-06-30 · HEALTHF0925Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Correction field: Deficient, Provider has date of correction · 2025-07-17 · complaint2025-04-16 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-05-05 · complaint2025-04-16 · HEALTHF0655Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2025-05-05 · complaint2025-04-16 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-05-05 · complaint2025-01-23 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-02-17 · complaint2024-12-30 · HEALTHF0585Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Correction field: Deficient, Provider has date of correction · 2025-01-20 · complaint2024-12-30 · HEALTHF0800Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Correction field: Deficient, Provider has date of correction · 2025-01-20 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-04-16 | Fine | $22,165 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- PUTNAM COUNTY HOSPITALOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 05/23/2014
- BRAY, ARNOLDIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 09/01/2012
- FRY, JANICEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 09/01/2012
- HEADLEY, MATTHEWIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 09/01/2012
- LANDRY, KEITHIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 09/01/2020
- LEWIS, KATRINAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 12/21/2022
- UNDERWOOD, WENDELLIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/20/2024
- WEATHERFORD, DENNISIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 09/18/2012
- WOOD, MARKIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 08/05/2024
- SILLERY, DEBRAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/03/2026
- COUNTY HOSPITAL MANAGER LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/23/2014
- WEATHERFORD, DENNISIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/18/2012
- WILSON, ZACHARYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/26/2020
- BRAY, ARNOLDIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 09/01/2012
- FRY, JANICEIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 09/01/2012
- HEADLEY, MATTHEWIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 09/01/2012
- LANDRY, KEITHIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 09/01/2012
- LEWIS, KATRINAIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 12/21/2022
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.49per resident day
RN hours0.58per resident day
Weekend nurse hours3.15per resident day
Staff turnover62.5%CMS reported field
06 / LOCAL RECORDS
Open the Martinsville ledger →