Indiana State Department of Health
Division of Long Term Care
 
CONSUMER REPORT
 
WATERS OF MARTINSVILLE, THE
 
NURSING HOME
SKILLED NURSING FACILITY / NURSING FACILITY DUALLY CERTIFIED
Created on: 07/25/2025
 
Posted to the Web on: 08/06/2025
 
 



Basic Information

FACILITY CONTACT INFORMATION:
Address: 2055 HERITAGE DR
City: MARTINSVILLE
Telephone: (765) 342-3305
Web Site:  
 
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
 
LICENSE INFORMATION:
  License number: 25-000096-1
  License effective date: 05/01/2025
  License expiration date: 04/30/2026
 


Administration and Staff

Administrator: STEPHANIE BLEVINS
  Start date: 04/01/2025
 
Director of Nursing: MISTI HICKMAN
  Start date: 01/09/2025
 
Medical director:  
  Start date:   /  /  
 
Wound care specialist:  
  Start date:   /  /  
 
Infection preventionist:  
  Start date:   /  /  
 


Ownership

CURENT OWNERSHIP:
 
Owning corporation: PUTNAM COUNTY HOSPITAL
1542 BLOOMINGTON ST
GREENCASTLE IN 46135
 
Ownership type:  OTHER
 
Officer(s): DENNIS WEATHERFORD
            JANICE FRY
            MATTHEW HEADLEY
            DAVID BRAY
            KEITH LANDRY
            ALAN NERONE
            KATRINA LEWIS
            WENDELL UNDERWOOD
            MARK WOOD
 
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: WATERS OF MARTINSVILLE LLC
Date of last change of ownership: 05/23/2014
 


Bed Counts and Census

COMPREHENSIVE CARE BEDS:
Number of Medicaid beds (NF):                     0
Number of Medicare beds (SNF):                    0
Number of Medicare/Medicaid beds (SNF/NF):        103
Number of non-certified comprehensive care beds (State Licensed only):     0
Total number of comprehensive care beds:     103
 
RESIDENTIAL CARE BEDS:
 
Total number of residential beds:            0
 
Total number of beds in facility:            103
 
CENSUS:
Facility census:  53
As reported by the facility on: 06/11/2025
 
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 06/11/2025
 
Residential care beds occupied:  0
As reported by the facility on: 06/11/2025
 
Alzheimer Beds:  20
Alzheimer Beds Occupied:  17
As reported by the facility on:   /  /  
 
Ventilator Beds:  0
Ventilator Beds Occupied:  0
As reported by the facility on:   /  /  
 


Sprinklers and Smoke Detectors

This facility is: FULLY SPRINKLERED
 
Number of comprehensive care resident rooms: 52
Number of comprehensive care resident rooms with battery 
                    operated smoke detectors: 52
Number of comprehensive care resident rooms 
             with hard wired and/or wireless smoke detectors: 0
 
Person completing form - KEITH LONG
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. MAINTENANCE DIRECTOR
Date form completed - 06/11/2025
 


Nurse Aide Training

NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 09/23/2019
Nurse aide training and competency evaluation program (NATCEP) expires: 04/01/2023
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 02/17/2024
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     AMERICAN RED CROSS
         Approved: 03/23/1998
         Terminated: 02/23/2001
     WATERS OF MARTINSVILLE, THE
         Approved: 09/23/2019
         Terminated: 02/18/2022
     WATERS OF GREENCASTLE, THE
         Approved: 04/19/2024
         Terminated: N/A
 


Complaints

NUMBER OF SUBSTANTIATED COMPLAINTS: 
 
  Current year:  0
  Previous year:  0
  2 years previous:  3

 


Facility Report Card



 


 
03/01/2020 Current QTR
12/01/2019 Previous QTR
09/01/2019 Previous QTR
06/01/2019 Previous QTR


Report Card Score
344
434
434
404


Rank of Score
53
12
12
27


Average Score
302
296
295
296


 
*Facility report card scores have not been updated since March 1, 2020 due to changes in the survey process during the ongoing COVID-19 pandemic. 
The facility report card score is calculated four times per calendar year 
for the two most recent nursing home health surveys.  The facility report card score 
also includes all complaint surveys, life safety code surveys, emergency preparedness surveys, 
and any follow-up surveys that occur within the two most recent nursing home health surveys. 
The facility report card score ranges from 500 to 0, with 500 being the best score possible. 
 
View the Scope and Severity grid
 
View the scoring methodology
 



Overview of Survey findings




 
 The Most Recent Set
 2ND Most Recent Set
 3RD Most Recent Set

Immediate Jeopardy
No
No
Yes


 Substandard Quality of Care 
No
No
Yes


Administrator Change
No
Yes
Yes


Owner Change
No
No
No


Number of Substantiated Complaints With Deficiencies
0
0
0


Deficiency Free Standard Health Survey
No
No
No


 
    The term 'Recent Set' referenced above relates to the referenced annual survey,
    and any other surveys performed between it and the previous annual survey.
 

 


Enforcement Actions

 
Federal Certification Actions Imposed
 
Date terminated from Medicare/Medicaid: N/A
 


Survey History


    The survey report is not posted until the report has been provided to the facility and their plan of correction submitted and approved.
    The survey report therefore will likely not be posted until four to six weeks after the exit date.
        
    In the grid below click on an event ID that is underlined to see the survey report for that event.


 
Event ID
Survey Type
Exit Date

QUXH11
Complaint
06/30/2025


30EF12
Complaint, Follow Up
05/12/2025


TDHU11
Complaint
05/07/2025


IEXO11
Complaint
04/29/2025


30EF11
Complaint
04/16/2025


HMKW11
Complaint
04/03/2025


3D1D12
Complaint, Follow Up
02/20/2025


ECP612
Complaint, Follow Up
02/20/2025


3D1D11
Complaint
01/23/2025


ECP611
Complaint
12/30/2024


R2GF11
Complaint
12/17/2024


RVCH12
Complaint, Follow Up
10/29/2024


UQRX22
Follow Up, Life Safety Code, Recertification
10/07/2024


RVCH11
Complaint
10/03/2024


HQL211
Complaint
09/09/2024


UQRX12
Complaint, Follow Up, Recertification, State Licensure
08/28/2024


UQRX21
Recertification, Life Safety Code
08/14/2024


UQRX11
Recertification, Complaint, State Licensure
08/02/2024


QVZQ11
Complaint
04/17/2024


W9VG11
Complaint
03/05/2024


J8TR11
Complaint
01/24/2024


0OG522
Complaint, Follow Up, Life Safety Code
11/17/2023


W5PG11
Complaint
10/23/2023


85GW11
Complaint
10/02/2023


0OG521
Complaint, Life Safety Code
09/25/2023


CZKM22
Follow Up, Life Safety Code, Recertification
09/11/2023


XDWP11
Complaint
08/24/2023


CZKM12
Complaint, Follow Up, Recertification, State Licensure
08/24/2023


CZKM21
Recertification, Life Safety Code
07/27/2023


CZKM11
Recertification, Complaint, State Licensure
07/14/2023


88WW11
Complaint, Other
04/18/2023


YM3G12
Complaint, Follow Up
02/27/2023


UK2G11
Complaint
01/31/2023


YM3G11
Complaint
01/12/2023


BJ9022
Recertification, Follow Up, Life Safety Code
11/28/2022


Z7HV11
Complaint
11/14/2022


BJ9012
Recertification, Follow Up, State Licensure
10/26/2022


BJ9021
Recertification, Life Safety Code
10/20/2022


BJ9011
Recertification, State Licensure
09/21/2022


VEMY11
Complaint
08/03/2022


 
 


Links and Resources

 
CMS nursing home compare page 
 
    In addition to the information provided on this 
    web site, the Centers for Medicare & Medicaid Services (CMS) has a web site 
    which contains information on every Medicare and Medicaid certified nursing 
    home in the country. The CMS nursing home survey results contain summary information 
    about a facility's noncompliance of regulations regarding the care of residents 
    found in the nursing homes. You can locate nursing homes in your area and find 
    information about compliance with federal regulations.
 
Resources and links to other organizations
 
Choosing a Nursing Home
 
Overview of the Survey Process
 
State Wide Grouping of all Scores
   
Overview of current comprehensive facility scores
   
Spreadsheet of current comprehensive facility names and scores
   
Legal Disclaimer for Long Term Care Reports.