Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

WATERFORD PLACE HEALTH CAMPUS

KOKOMO, IN · 103 certified beds · Last Life Safety survey February 2, 2026

CMS Certification Number 155678 · first certified September 2000

Ownership

Operated by TRILOGY HEALTH SERVICES · Non profit - Other

No change of ownership on CMS record since January 1, 2016, when the records begin.

26
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
5
Tags cited more than once
Across separate surveys
12
Inspection & testing records
Of the citations on file

Position within IN

26 citations — more than 81% of the 507 certified nursing homes in IN. Compared within IN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 7 citations; the earlier surveys in the window averaged 9.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens January 2027 — about 3 months from now. This facility’s last Life Safety survey was February 2026. Facilities in IN are typically surveyed 11–14 months after the last one (median 13), measured over 883 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 26 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

How that compares

Citations on file over three years

Compared with the median facility in IN, and nationally. Surveyors differ markedly between states, so the IN figure is the meaningful one.

This facility26IN median15National median11
Citations on file over three years, compared
MeasureCitations
This facility26
Median facility in IN15
Median facility nationally11

Survey history

Citations at each Life Safety survey
82024-01112025-0272026-02
Citations at each Life Safety survey
Survey dateCitations
January 9, 20248
February 17, 202511
February 2, 20267

Most-cited tags

Most-cited tags at this facility
K-03633K-03552K-09142K-07122K-03512K-02811K-03531K-02911
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0363Install corridor and hallway doors that block smoke.32026-02-02
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.22025-02-17
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.22026-02-02
K-0712Have simulated fire drills held at unexpected times.22026-02-02
K-0351Install an approved automatic sprinkler system.22026-02-02
K-0281Install proper backup exit lighting.12025-02-17
K-0353Inspect, test, and maintain automatic sprinkler systems.12024-01-09
K-0291Install emergency lighting that can last at least 1 1/2 hours.12025-02-17

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 11
  • Egress Deficiencies 6
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Miscellaneous Deficiencies 3
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies11
Egress Deficiencies6
Gas, Vacuum, and Electrical Systems Deficiencies4
Miscellaneous Deficiencies3
Construction Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

February 2, 2026 — 7 citations

Citations issued on February 2, 2026
TagWhat the surveyor checksStatus
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (May 7, 2026)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (May 7, 2026)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (May 7, 2026)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (May 7, 2026)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (May 7, 2026)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (May 7, 2026)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (May 7, 2026)

February 17, 2025 — 11 citations

Citations issued on February 17, 2025
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (April 4, 2025)
K-0251Conform to length requirements for dead end corridors.Deficient, Provider has date of correction (April 4, 2025)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (April 4, 2025)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (April 4, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (April 4, 2025)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (April 4, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (April 4, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (April 4, 2025)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (April 4, 2025)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (April 4, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 4, 2025)

January 9, 2024 — 8 citations

Citations issued on January 9, 2024
TagWhat the surveyor checksStatus
K-0131Meet requirements for sections of health care facilities separated by fire resistive construction.Deficient, Provider has date of correction (March 6, 2024)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (March 6, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (March 6, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (March 6, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (March 6, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 6, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (March 6, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (March 6, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.