Waters of Middletown Skilled Nursing Facility, the
Strong Medicare quality ratings; families often praise compassionate and attentive nursing staff. Still worth an in-person visit.
based on 33 Google reviews

Watch Waters of Middletown Skilled Nursing Facility, the
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What this means for your family
While the facility receives glowing praise for its atmosphere and nursing care in recent months, the serious allegations regarding management's behavior and hygiene neglect in memory care are concerning. We recommend scheduling an unannounced tour and specifically asking to see the memory care unit to ensure hygiene standards meet your expectations.
Google Reviews
Google Reviews
33 reviews on Google“The Waters of Middletown receives high praise for its compassionate nursing staff, clean environment, and supportive administration, particularly regarding rehab and long-term care. However, there are serious allegations from some families regarding unprofessional conduct by management and neglect of basic hygiene needs for residents with memory issues.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Clean and well-maintained facility
- Effective communication with families
- Supportive and responsive administration
Concerns
- Unprofessional or combative behavior by management/social services (mentioned by 2 reviewers)
- Neglect of basic hygiene (showering/changing) for residents (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 36 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1Given that the facility has a smaller capacity of 60 residents, how does the team ensure consistent, personalized attention for daily hygiene and grooming needs?
- 2I noticed the facility is active in responding to online feedback; how does that open line of communication help you address family concerns or suggestions in real-time?
- 3With the current staffing levels, what specific systems are in place to ensure residents receive prompt assistance and oversight throughout the day and night?
- 4Since memory care is a specialized area, what specific training or additional support do staff members receive to better serve residents with cognitive needs?
- 5How does the administration foster a collaborative and supportive environment for the social services team to ensure they remain focused on resident well-being?
- 6What does a typical daily activity schedule look like for residents to ensure they stay engaged and socially connected within the facility?
Personalized based on this facility's data
Key Review Excerpts
“When my mother needed unexpected rehab The Waters was communicative and transparent along our journey. Nurse Linda and the Social Services Director Kacey were two employees who stood out during this stay.”
“I am amazed by the quality of care the staff provide and their loving treatment of everyone. The rooms are clean and safe, such wonderful care!”
“The social worker Rachelle is very combative. She talks down to patients and their family. She gets mad at the patients and will take out her frustrations on them by reducing her level of care.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 16 measures
7
measures
7
measures
2
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents whose walking got worse
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents who lost too much weight
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows concerning patterns with multiple families filing complaints that triggered 8 deficiencies, particularly around resident protection from abuse and neglect, care planning, and maintaining a safe environment. The most recurring issues involve fire safety systems, electrical problems, and quality of care standards. While most past deficiencies have been corrected, several serious safety violations from the most recent survey remain without correction plans, raising immediate safety concerns for potential residents.
Jan 29, 2026Routine10
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Egress Deficiencies
Meet other general requirements that are deficient.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Dec 9, 2024Routine8
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Smoke Deficiencies
Provide properly protected cooking facilities.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Meet other general requirements.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Dec 9, 2024Complaint2
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Apr 26, 2024Complaint8
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Quality of Life and Care Deficiencies
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Quality of Life and Care Deficiencies
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Oct 12, 2023Complaint2
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Sep 1, 2023Routine10
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Ownership & Operations
Who Operates This Facility
Waters of Middletown Skilled Nursing Facility, the
for profit
Chain Affiliation
Infinity Healthcare Consulting
70 facilities nationwide
Chain avg rating: 2.2/5 · Rank 8 of 69
Ownership & Management
Owners
Johnson Memorial Hospital
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
33 reviews from families & visitors
Official Website
Visit watersofmiddletown.com
Medicare data downloads
Original nursing home datasets
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