Silver Birch Of Kokomo
408 S Washington Street, Kokomo, IN 46901 · Residential care · 128 licensed beds · Licensed
41 deficiency citation(s) on recent state surveys
What the licence record says about this community
Indiana licence type
Residential care. One of 229 in Indiana with this licence.
Licensed beds
128 — a large community, usually with more services and more residents per caregiver at night. Larger than 70% of licensed communities in Indiana (state median 102).
Choices in this town
5 licensed communities in Kokomo. None with a memory-care designation.
Indiana publishes memory-care designations and this community does not carry one. If dementia is part of the picture, ask what happens as it progresses — and ask what behaviour triggers a discharge notice, in writing.
State inspection record
Assisted living is licensed and inspected by the state, not by Medicare/Medicaid — so there is no federal 5-star rating. Below is this community’s record from the state licensing agency.
19
state surveys on record
41
deficiency citations
12/21/2022
most recent survey
Deficiencies cited
41 citations from recent state surveys, with the rule cited.
- R 0247 · Health Services - Deficiency10/07/2025410 IAC 16.2-5-4(e)(7) (7) Any error in medication administration shall be noted in the resident ' s record. The physician shall be notified of any error in medication administration when there are any actual or potential detrimental effects to the resident. Based on interview and record review, the facility failed to ensure insulin was administered according to the physician's order and the physi
- R 0064 · Residents' Rights- Noncompliance11/13/2024410 IAC 16.2-5-1.2(hh) (hh) The facility shall exercise reasonable care for the protection of residents ' property from loss and theft. The administrator or his or her designee is responsible for investigating reports of lost or stolen resident property and that the results of the investigation are reported to the resident. Based on interview and record review, the facility failed to ensure reside
- R 0117 · Personnel - Deficiency11/13/2024410 IAC 16.2-5-1.4(b) (b) Staff shall be sufficient in number, qualifications, and training in accordance with applicable state laws and rules to meet the twenty-four (24) hour scheduled and unscheduled needs of the residents and services provided. The number, qualifications, and training of staff shall depend on skills required to provide for the specific needs of the residents. A minimum of one
- R 0297 · Pharmaceutical Services11/13/2024Noncompliance 410 IAC 16.2-5-6(c)(1) (c) If the facility controls, handles, and administers medications for a resident, the facility shall do the following for that resident: (1) Make arrangements to ensure that pharmaceutical services are available to provide residents with prescribed medications in accordance with applicable laws of Indiana. Based on interview and record review, the facility fai
- R 0409 · Infection Control - Noncompliance11/13/2024410 IAC 16.2-5-12(d) (d) Prior to admission, each resident shall be required to have a health assessment, including history of significant past or present infectious diseases and a statement that the resident shows no evidence of tuberculosis in an infectious stage as verified upon admission and yearly thereafter. Based on interview and record review, the facility failed to ensure residents had an
- R 0410 · Infection Control - Noncompliance11/13/2024410 IAC 16.2-5-12(e)(f)(g) (e) In addition, a tuberculin skin test shall be completed within three (3) months prior to admission or upon admission and read at forty-eight (48) to seventy-two (72) hours. The result shall be recorded in millimeters of induration with the date given, date read, and by whom administered and read. (f) For residents who have not had a documented negative tuberculin skin
- R 0029 · Residents' Rights - Deficiency01/19/2024410 IAC 16.2-5-1.2(d) (d) Residents have the right to be treated with consideration, respect, and recognition of their dignity and individuality. Based on observation, interview and record review, the facility failed to ensure a resident was treated with respect and dignity during incontinence care and failed to ensure a resident's preference for how she wanted to be checked for incontinence was r
- R 0052 · Residents' Rights - Offense01/19/2024410 IAC 16.2-5-1.2(v)(1-6) (v) Residents have the right to be free from: (1) sexual abuse; (2) physical abuse; (3) mental abuse; (4) corporal punishment; (5) neglect; and (6) involuntary seclusion. Based on observation, interview and record review, the facility failed to ensure a resident was free from physical abuse, related to another resident physically abusing him in the gazebo in front of thr
- R 0053 · Residents' Rights - Deficiency01/19/2024410 IAC 16.2-5-1.2(w) (w) Residents have the right to be free from verbal abuse. Based on observation, interview and record review, the facility failed to ensure a resident was free from verbal abuse by a staff member related to the resident being spoken to by the staff member in a derogatory and threatening manner for 1 of 6 residents reviewed for verbal abuse. (Resident E) Finding includes: A do
- R 0064 · Residents' Rights- Noncompliance01/19/2024410 IAC 16.2-5-1.2(hh) (hh) The facility shall exercise reasonable care for the protection of residents ' property from loss and theft. The administrator or his or her designee is responsible for investigating reports of lost or stolen resident property and that the results of the investigation are reported to the resident. Based on interview and record review, the facility failed to ensure reside
- R 0245 · Health Services - Offense01/19/2024410 IAC 16.2-5-4(e)(5) (5) Injectable medications shall be given only by licensed personnel. Based on interview and record review, the facility failed to ensure insulin (used to treat high blood sugars) was administered by licensed or certified personnel for 11 of 12 residents reviewed for injectable medications. (Residents K, L, N, O, P, Q, R, S, T, U and H) Findings include: A document, titled "
- R 0052 · Residents' Rights - Offense09/05/2023410 IAC 16.2-5-1.2(v)(1-6) (v) Residents have the right to be free from: (1) sexual abuse; (2) physical abuse; (3) mental abuse; (4) corporal punishment; (5) neglect; and (6) involuntary seclusion.
- R 0092 · Administration and Management09/05/2023Noncompliance 410 IAC 16.2-5-1.3(i)(1-2) (i) The facility must maintain a written fire and disaster preparedness plan to assure continuity of care of residents in cases of emergency as follows: (1) Fire exit drills in facilities shall include the transmission of a fire alarm signal and simulation of emergency fire conditions, except that the movement of nonambulatory residents to safe areas or to
- R 0247 · Health Services - Deficiency09/05/2023410 IAC 16.2-5-4(e)(7) (7) Any error in medication administration shall be noted in the resident ' s record. The physician shall be notified of any error in medication administration when there are any actual or potential detrimental effects to the resident.
- R 0273 · Food and Nutritional Services09/05/2023Deficiency 410 IAC 16.2-5-5.1(f) (f) All food preparation and serving areas (excluding areas in residents ' units) are maintained in accordance with state and local sanitation and safe food handling standards, including 410 IAC 7-24. correcting provided it is determined that other safeguards provide instructions.) PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
- R 0052 · Residents' Rights - Offense07/14/2023410 IAC 16.2-5-1.2(v)(1-6) (v) Residents have the right to be free from: (1) sexual abuse; (2) physical abuse; (3) mental abuse; (4) corporal punishment; (5) neglect; and (6) involuntary seclusion. Based on observation, interview and record review, the facility failed to ensure residents were free from sexual abuse related to a male resident (Resident G) received nude pictures from a facility staf
- R 0092 · Administration and Management07/14/2023Noncompliance 410 IAC 16.2-5-1.3(i)(1-2) (i) The facility must maintain a written fire and disaster preparedness plan to assure continuity of care of residents in cases of emergency as follows: (1) Fire exit drills in facilities shall include the transmission of a fire alarm signal and simulation of emergency fire conditions, except that the movement of nonambulatory residents to safe areas or to
- R 0247 · Health Services - Deficiency07/14/2023410 IAC 16.2-5-4(e)(7) (7) Any error in medication administration shall be noted in the resident ' s record. The physician shall be notified of any error in medication administration when there are any actual or potential detrimental effects to the resident. Based on observation, interview and record review, the facility failed to follow physician's orders and administer a resident her pain medica
- R 0273 · Food and Nutritional Services07/14/2023Deficiency 410 IAC 16.2-5-5.1(f) (f) All food preparation and serving areas (excluding areas in residents ' units) are maintained in accordance with state and local sanitation and safe food handling standards, including 410 IAC 7-24. Based on observation, interview and record review, the facility failed to follow proper sanitation procedures for air drying metal pans, changing the oil in the deep
- R 0052 · Residents' Rights - Offense03/15/2023410 IAC 16.2-5-1.2(v)(1-6) (v) Residents have the right to be free from: (1) sexual abuse; (2) physical abuse; (3) mental abuse; (4) corporal punishment; (5) neglect; and (6) involuntary seclusion. Based on interview and record review, the facility failed to ensure a resident was free from physical abuse related to a staff member aggressively touching the resident's forehead during a physical alte
- R 0052 · Residents' Rights - Offense12/21/2022410 IAC 16.2-5-1.2(v)(1-6) (v) Residents have the right to be free from: (1) sexual abuse; (2) physical abuse; (3) mental abuse; (4) corporal punishment; (5) neglect; and (6) involuntary seclusion. Based on observation, interview and record review, the facility failed to ensure a resident was free from neglect, related to a resident was not kept safe during a transport ride to and from the facilit
- R 0119 · Personnel - Noncompliance12/21/2022410 IAC 16.2-5-1.4(d)(1)(A-E)(2)(A-D)(3- (d) Prior to working independently, each employee shall be given an orientation to the facility by the supervisor (or his or her designee) of the department in which the employee will work. Orientation of all employees shall include the following: (1) Instructions on the needs of the specialized populations: (A) aged; (B) developmentally disabled; (C) menta
- R 0151 · Sanitation & Safety Standards09/15/2022-Noncompliance 410 IAC 16.2-5-1.5(h) (h) Any pet housed in a facility shall have periodic veterinary examinations and required immunizations. Based on interview and record review, the facility failed to have the residents' assistance animals examined and ensure the animals had the required immunizations for 5 of 8 assistance animals reviewed for periodic veterinary examinations and required immuni
- R 0216 · Evaluation - Noncompliance09/15/2022410 IAC 16.2-5-2(c)(1-4)(d) (c) The scope and content of the evaluation shall be delineated in the facility policy manual, but at a minimum the needs assessment shall include an evaluation of the following: (1) The resident ' s physical, cognitive, and mental status. (2) The resident ' s independence in the activities of daily living. (3) The resident ' s weight taken on admission and semiannually
- R 0217 · Evaluation - Deficiency09/15/2022410 IAC 16.2-5-2(e)(1-5) (e) Following completion of an evaluation, the facility, using appropriately trained staff members, shall identify and document the services to be provided by the facility, as follows: (1) The services offered to the individual resident shall be appropriate to the: (A) scope; (B) frequency; (C) need; and (D) preference; of the resident. (2) The services offered shall be re
- R 0304 · Pharmaceutical Services09/15/2022Deficiency 410 IAC 16.2-5-6(e) (e) Medicine or treatment cabinets or rooms shall be appropriately locked at all times except when authorized personnel are present. All Schedule II drugs administered by the facility shall be kept in individual containers under double lock and stored in a substantially constructed box, cabinet, or mobile drug storage unit. Based on observation, interview, and record
- R 0412 · Infection Control - Noncompliance09/15/2022410 IAC 16.2-5-12(i) (i) Persons with a documented history of a positive tuberculin skin test, adequate treatment for disease, or preventive therapy for infection shall be exempt from further skin testing. In lieu of a tuberculin skin test, these persons should have an annual risk assessment for the development of symptoms suggestive of tuberculosis, including, but not limited to, cough, fever, ni
- R 0407 · Infection Control - Noncompliance01/27/2022410 IAC 16.2-5-12(b)(1-4) (b) The facility must establish an infection control program that includes the following: (1) A system that enables the facility to analyze patterns of known infectious symptoms. (2) Provides orientation and in-service education on infection prevention and control, including universal precautions. (3) Offering health information to residents, including, but not limited to
- R117 · and .09/07/2021Survey dates: September 2, 3 and 7, 2021 Facility number: 014137 Residential Census: 115 These state residential findings are cited in accordance with 410 IAC 16.2-5. Quality review was completed on September 13, 2021.
- R 0036 · Residents' Rights- Deficiency09/07/2021410 IAC 16.2-5-1.2(k)(1-2) (k) The facility must immediately consult the resident ' s physician and the resident ' s legal representative when the facility has noticed: (1) a significant decline in the resident ' s physical, mental, or psychosocial status; or (2) a need to alter treatment significantly, that is, a need to discontinue an existing form of treatment due to adverse consequences or to
- R 0086 · Administration and Management09/07/2021Deficiency 410 IAC 16.2-5-1.3(a)(1-2) The licensee: (1) is responsible for compliance with all applicable laws; and (2) has full authority and responsibility for the: (A) organization; (B) management; (C) operation; and (D) control; of the licensed facility. The delegation of any authority by the licensee does not diminish the responsibilities of the licensee. Based on interview and record review,
- R 0117 · Personnel - Deficiency09/07/2021410 IAC 16.2-5-1.4(b) (b) Staff shall be sufficient in number, qualifications, and training in accordance with applicable state laws and rules to meet the twenty-four (24) hour scheduled and unscheduled needs of the residents and services provided. The number, qualifications, and training of staff shall depend on skills required to provide for the specific needs of the residents. A minimum of one
- R 0241 · Health Services - Offense09/07/2021410 IAC 16.2-5-4(e)(1) (e) The administration of medications and the provision of residential nursing care shall be as ordered by the resident ' s physician and shall be supervised by a licensed nurse on the premises or on call as follows: (1) Medication shall be administered by licensed nursing personnel or qualified medication aides. Based on interview and record review, the facility failed to w
- R 0055 · Residents' Rights - Deficiency07/26/2021410 IAC 16.2-5-1.2(y)(1-4) (y) Residents have the right to be treated as individuals with consideration and respect for their privacy. Privacy shall be afforded for at least the following: (1) Bathing. (2) Personal care. (3) Physical examinations and treatments. (4) Visitations. Based on interview and record review, the facility failed to ensure a resident was allowed to have visitors in the priva
- R 0117 · Personnel - Deficiency07/26/2021410 IAC 16.2-5-1.4(b) (b) Staff shall be sufficient in number, qualifications, and training in accordance with applicable state laws and rules to meet the twenty-four (24) hour scheduled and unscheduled needs of the residents and services provided. The number, qualifications, and training of staff shall depend on skills required to provide for the specific needs of the residents. A minimum of one
- R 0248 · Health Services - Deficiency07/26/2021410 IAC 16.2-5-4(f) (f) The facility shall have available on the premises or on call the services of a licensed nurse at all times. Based on interview and record review, the facility failed to ensure the services of a licensed nurse were available at all times for 1 of 3 residents reviewed for night care services (Resident G). Finding includes: During an interview on 7/26/21 at 4:45 p.m., the Exec
- R244 · and .07/12/2021Complaint IN00357605 - Substantiated. State deficiencies related to the allegations were cited at R241,
- R 0064 · Residents' Rights- Noncompliance07/12/2021410 IAC 16.2-5-1.2(hh) (hh) The facility shall exercise reasonable care for the protection of residents ' property from loss and theft. The administrator or his or her designee is responsible for investigating reports of lost or stolen resident property and that the results of the investigation are reported to the resident. Based on interview and record review, the facility failed to ensure a resi
- R 0241 · Health Services - Offense07/12/2021410 IAC 16.2-5-4(e)(1) (e) The administration of medications and the provision of residential nursing care shall be as ordered by the resident ' s physician and shall be supervised by a licensed nurse on the premises or on call as follows: (1) Medication shall be administered by licensed nursing personnel or qualified medication aides. Based on interview and record review, the facility failed to e
- R 0244 · Health Services - Noncompliance07/12/2021410 IAC 16.2-5-4(e)(4) (4) Preparation of doses for more than one (1) scheduled administration is not permitted. Based on interview and record review, the facility failed to ensure medications were not prepared and administered for more than one scheduled administration for 1 of 10 residents being observed for medication administration pass (Resident B). Finding includes: 1. A document, titled "In
- R 0306 · Pharmaceutical Services07/12/2021Noncompliance 410 IAC 16.2-5-6(g)(1-9) (g) Medications administered by the facility shall be disposed in compliance with appropriate federal, state, and local laws, and disposition of any released, returned, or destroyed medication shall be documented in the resident ' s clinical record and shall include the following information: (1) The name of the resident. (2) The name and strength of the drug
Survey history
- Complaint12/21/2022 · view state report ↗
- Complaint, Re-Licensure11/13/2024 · view state report ↗
- Complaint, Re-Licensure10/07/2025 · view state report ↗
- Complaint, Re-Licensure09/15/2022 · view state report ↗
- Complaint, Other-Fed09/07/2021 · view state report ↗
- Complaint, Re-Licensure, Revisit09/05/2023 · view state report ↗
- Complaint08/18/2023 · view state report ↗
- Complaint08/01/2023 · view state report ↗
- Complaint07/26/2021 · view state report ↗
- Complaint, Re-Licensure07/14/2023 · view state report ↗
- Complaint07/12/2021 · view state report ↗
- Complaint05/31/2023 · view state report ↗
- Complaint04/09/2025 · view state report ↗
- Complaint, Revisit04/04/2024 · view state report ↗
- Complaint04/01/2026 · view state report ↗
- Complaint03/15/2023 · view state report ↗
- Complaint, Revisit02/02/2023 · view state report ↗
- Complaint, Other-Fed01/27/2022 · view state report ↗
- Complaint01/19/2024 · view state report ↗
What it costs around here
Typical monthly cost in Indiana
$5,639/mo
Assisted living
$6,839/mo
Memory care†our estimate — not surveyed
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
† Memory care is our estimate, not survey data: CareScout does not survey memory care, so we take the assisted-living median for the state and add $1,200/month — the typical secured-dementia-unit premium. It is a planning figure with no state-level detail behind it, and real memory-care pricing varies far more than that. Treat it as a starting point and ask the community for its own memory-care rate.
Estimated cost range · regional
In Indiana, assisted living typically runs about $4,500–$6,750/month.
This is a regional estimate modeled from published survey data (the CareScout/Genworth state median, ±20%) — not this community’s actual price, which it sets privately. Ask the community for its current all-in monthly rate and what each care level adds.
Does this community take Medicaid?
Not published. Indiana does not record Medicaid acceptance in its licensing file, so we do not know — and we will not infer it from Indiana’s waiver rules, because a state covering assisted living says nothing about whether this building accepts it. Ask the community directly, and get the run-out-of-money answer in writing.
Indiana Medicaid helps pay for assisted living only in limited circumstances. A waiver pays for care, never for room and board. Which Indiana waivers, waitlists and how to apply →
Cost
Assisted-living and memory-care prices are set by each community and not publicly disclosed — no state or federal source publishes them, and the “starting at” figures on referral sites are estimates, not this community’s real rate. Ask the community directly for its current monthly price and what it includes (base rent versus care-level add-ons and memory-care premiums).
Worried about someone here? How to report it
If you have seen something that concerns you — neglect, an injury, medication problems, or a resident who seems afraid — you do not need proof to report it. Reporting is what triggers an inspection, and inspections are what put a record on this page in the first place.
- The state licensing agency — Indiana licenses this community and is the body that can inspect it and act on a complaint. Complaints can usually be made anonymously.
- Your Long-Term Care Ombudsman — free, independent, and works for the resident, not the state or the company. They will visit and advocate. Find yours via the Eldercare Locator at 1-800-677-1116 or theconsumervoice.org/get_help ↗.
- Adult Protective Services — for suspected abuse, neglect or financial exploitation of a vulnerable adult. The Eldercare Locator above routes you to your local APS office.
- If someone is in immediate danger, call 911 first. Report to the agencies above afterwards — the two are separate, and one does not do the job of the other.
We are a data site, not a regulator: we cannot investigate or intervene, and there is no point reporting it to us. The three routes above are the ones with actual power.
Location & what’s nearby
Hospital
Urgent care / clinic
Pharmacy
Genoa Healthcare0.4 mi
Grocery
The Grazing Cow1.0 mi
Park
Kokomo Creek Chubs0.2 mi
Place of worship
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Source: Indiana Dept. of Health, QAMIS residential-care survey record (public record), last pulled from the state 2026-07-14.
What to do next
Understand itQuestions to ask on a tourThe things staffing brochures leave out — what to ask and what to watch for.→Afford itCan you afford it, long-term?Assisted living runs private-pay. Model the years and taxes in My Plan — free, private.→DecideIs assisted living the right fit?A two-minute check: assisted living, memory care, home help, or skilled nursing.→