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Silver Birch Of Michigan City

4400 East Michigan Blvd, Michigan City, IN 46360 · Residential care · 125 licensed beds · Licensed

15 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
125 — a large community, usually with more services and more residents per caregiver at night. Larger than 66% of licensed communities in Indiana (state median 102).
Choices in this town
3 licensed communities in Michigan City. 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.

6
state surveys on record
15
deficiency citations
10/21/2021
most recent survey

Deficiencies cited

15 citations from recent state surveys, with the rule cited.

  • R 0216 · Evaluation - Noncompliance10/02/2025
    410 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 - Deficiency10/02/2025
    410 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 0241 · Health Services - Offense10/02/2025
    410 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. 2. Resident 4's record was reviewed on 10/1/25 at 11:31 a.m. D
  • R 0154 · Sanitation and Safety Standards06/20/2024
    Deficiency 410 IAC 16.2-5-1.5(k) (k) The facility shall keep all kitchens, kitchen areas, common dining areas, equipment, and utensils clean, free from litter and rubbish, and maintained in good repair in accordance with 410 IAC 7-24. Based on observation and interview, the facility failed to ensure the kitchen was clean related to adhered dirt and debris under the dish machine and on the wall beh
  • R 0217 · Evaluation - Deficiency06/20/2024
    410 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 0247 · Health Services - Deficiency06/20/2024
    410 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 record review and interview, the facility failed to ensure blood pressure medication was not administered outside of the physician-o
  • R 0273 · Food and Nutritional Services06/20/2024
    Deficiency 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 and interview, the facility failed to serve and prepare food under sanitary conditions related to dirty and greasy food equipment and a dirty rea
  • R 0295 · Pharmaceutical Services06/20/2024
    Noncompliance 410 IAC 16.2-5-6(a) (a) Residents who self-medicate may keep and use prescription and nonprescription medications in their unit as long as they keep them secured from other residents. Based on observation, record review, and interview, the facility failed to ensure medications were secured in resident rooms for those who self administered their own medications for 1 of 2 residents re
  • R 0349 · Clinical Records - Noncompliance06/20/2024
    410 IAC 16.2-5-8.1(a)(1-4) (a) The facility must maintain clinical records on each resident. These records must be maintained under the supervision of an employee of the facility designated with that responsibility. The records must be as follows: (1) Complete. (2) Accurately documented. (3) Readily accessible. (4) Systematically organized. Based on observation, record review, and interview, the f
  • R 0090 · Administration and Management10/20/2022
    Deficiency 410 IAC 16.2-5-1.3(g)(1-6) (g) The administrator is responsible for the overall management of the facility. The responsibilities of the administrator shall include, but are not limited to, the following: (1) Informing the division within twenty-four (24) hours of becoming aware of an unusual occurrence that directly threatens the welfare, safety, or health of a resident. Notice of unusu
  • R 0120 · Personnel - Noncompliance10/21/2021
    410 IAC 16.2-5-1.4(e)(1-3) (e) There shall be an organized inservice education and training program planned in advance for all personnel in all departments at least annually. Training shall include, but is not limited to, residents' rights, prevention and control of infection, fire prevention, safety, accident prevention, the needs of specialized populations served, medication administration, and
  • R 0216 · Evaluation - Noncompliance10/21/2021
    410 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 0247 · Health Services - Deficiency10/21/2021
    410 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, record review and interview, the facility failed to ensure medications were given as ordered related to antidepressants
  • R 0273 · Food and Nutritional Services10/21/2021
    Deficiency 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, record review, and interview, the facility failed to store, serve and prepare food under sanitary conditions related to dirty food equipment, sh
  • R 0407 · Infection Control - Noncompliance10/21/2021
    410 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

Survey history

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
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1225 E Coolspring Ave · (219) 769-7761 · Call to confirm hours
Pharmacy
7224 W 400 N Ste 116 · (219) 210-4122 · Call to confirm hours
Grocery
105 Coolspring Cir · (412) 616-5274 · Call to confirm hours
Park
4000 E Michigan Blvd · (219) 878-8005 · Typically dawn to dusk
Place of worship
116 Shady Ln · (219) 814-6760

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