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Silver Birch Of Mishawaka

3630 Hickory Road, Mishawaka, IN 46545 · Residential care · 125 licensed beds · Licensed

34 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
8 licensed communities in Mishawaka. 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.

22
state surveys on record
34
deficiency citations
12/16/2024
most recent survey

Deficiencies cited

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

  • R 0297 · Pharmaceutical Services05/20/2026
    Noncompliance 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 record review and interview the facility fail
  • R 0247 · Health Services - Deficiency01/06/2026
    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 interview and record review, the facility failed to notify the physician of medication errors for 1 of 3 residents review for medica
  • R 0144 · Sanitation and Safety Standards10/24/2025
    Deficiency 410 IAC 16.2-5-1.5(a) (a) The facility shall be clean, orderly, and in a state of good repair, both inside and out, and shall provide reasonable comfort for all residents. Based on observation and interview, the facility failed to ensure the residential environment was free from carpet stains and damaged walls for 3 of 3 hallways observed. (1st floor hallway, 2nd floor hallway and 3rd f
  • R 0145 · Sanitation and Safety Standards10/24/2025
    Deficiency 410 IAC 16.2-5-1.5(b) (b) The facility shall maintain equipment and supplies in a safe and operational condition and in sufficient quantity to meet the needs of the residents. Based on observation and interview, the facility failed to maintain the walk-in freezer and walk-in refrigerator in good working order. This had the potential to affect 104 of 104 residents who consumed food prepa
  • R 0241 · Health Services - Offense10/24/2025
    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. Based on observation, record review and interview, the facilit
  • R 0273 · Food and Nutritional Services10/24/2025
    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 store, prepare and serve food under sanitary conditions for 1 of 1 kitchen areas observed. These issues had
  • R 0304 · Pharmaceutical Services10/24/2025
    Deficiency 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 and interview, the fac
  • R 0383 · Mental Health Screening10/24/2025
    Deficiency 410 IAC 16.2-5-11.1(g)(1-2) (g) The residential care facility, in cooperation with the mental health service providers, shall develop the comprehensive careplan for the resident that includes the following: (1) Psychosocial rehabilitation services that are to be provided within the community. (2) A comprehensive range of activities to meet multiple levels of need, including the followin
  • R 0406 · Infection Control - Offense10/24/2025
    410 IAC 16.2-5-12(a) (a) The facility must establish and maintain an infection control practice designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of diseases and infection. Based on observation, interview and record review, the facility failed to ensure standard precautions (a set of infection control practices used in healthcare
  • R 0243 · Health Services - Deficiency10/11/2025
    410 IAC 16.2-5-4(e)(3) (3) The individual administering the medication shall document the administration in the individual ' s medication and treatment records that indicate the: (A) time; (B) name of medication or treatment; (C) dosage (if applicable); and (D) name or initials of the person administering the drug or treatment. Based on interview and record review the facility failed to ensure pro
  • R 0148 · Sanitation and Safety Standards01/16/2025
    Deficiency 410 IAC 16.2-5-1.5(e)(1-4) (e) The facility shall maintain buildings, grounds, and equipment in a clean condition, in good repair, and free of hazards that may adversely affect the health and welfare of the residents or the public as follows: (1) Each facility shall establish and implement a written program for maintenance to ensure the continued upkeep of the facility. (2) The electric
  • R 0273 · Food and Nutritional Services01/16/2025
    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 store food under sanitary conditions related to undated food in the food preparation area for 1 of 1 kitche
  • R 0035 · Residents' Rights - Deficiency03/11/2024
    410 IAC 16.2-5-1.2(j)(1-7) (j) Residents have the right to the following: (1) Participate in the development of his or her service plan and in any updates of that service plan. (2) Choose the attending physician and other providers of services, including arranging for on-site health care services unless contrary to facility policy. Any limitation on the resident ' s right to choose the attending p
  • R 0216 · Evaluation - Noncompliance01/18/2024
    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 - Deficiency01/18/2024
    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 0273 · Food and Nutritional Services01/18/2024
    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, interview, and record review, the facility failed to ensure food was labeled, dated and stored in a sanitary manner, failed to ensure foods outd
  • R 0295 · Pharmaceutical Services01/18/2024
    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, interview and record review, the facility failed to secure medications appropriately in a resident's room for 1 of 4 residents who were reviewed for self-administration of medicati
  • R 0304 · Pharmaceutical Services01/18/2024
    Deficiency 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 and interview, the fac
  • R 0407 · Infection Control - Noncompliance01/18/2024
    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
  • R 0409 · Infection Control - Noncompliance01/18/2024
    410 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. 2. A record review was completed on 1/17/2024 at 2:58 P.M. Resident 5's diagnoses in
  • R0036 · .03/02/2023
    Complaint IN00402722 - State Residential Findings related to the allegations are cited at
  • R0243 · .03/02/2023
    Survey date: March 1 & 2, 2023 Facility number: 014260 Residential Census: 114 These State Residential Findings are cited in accordance with 410 IAC 16.2-5. Quality review completed 3/8/2023.
  • R 0036 · Residents' Rights- Deficiency03/02/2023
    410 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 0243 · Health Services - Deficiency03/02/2023
    410 IAC 16.2-5-4(e)(3) (3) The individual administering the medication shall document the administration in the individual ' s medication and treatment records that indicate the: (A) time; (B) name of medication or treatment; (C) dosage (if applicable); and (D) name or initials of the person administering the drug or treatment. Based on observation, interview, and record review the facility failed
  • R 0039 · Residents' Rights- Deficiency01/26/2023
    410 IAC 16.2-5-1.2(n) (n) Residents may, throughout the period of their stay, voice grievances to the facility staff or to an outside representative of their choice, recommend changes in policy and procedure, and receive reasonable responses to their requests without fear of reprisal or interference. Based on interviews and record reviews the facility failed to investigate concerns related to medi
  • R 0092 · Administration and Management01/26/2023
    Noncompliance 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 0148 · Sanitation and Safety Standards01/26/2023
    Deficiency 410 IAC 16.2-5-1.5(e)(1-4) (e) The facility shall maintain buildings, grounds, and equipment in a clean condition, in good repair, and free of hazards that may adversely affect the health and welfare of the residents or the public as follows: (1) Each facility shall establish and implement a written program for maintenance to ensure the continued upkeep of the facility. (2) The electric
  • R 0153 · Sanitation and Safety Standards01/26/2023
    Deficiency 410 IAC 16.2-5-1.5(j) (j) The facility shall observe safety precautions when oxygen is stored or administered in the facility. Residents on oxygen shall be instructed in safety measures concerning storage and administration of oxygen. Based on observation, interview and record review, the facility failed to ensure a resident with oxygen had orders for 1 of 1 Residents reviewed for oxyge
  • R 0246 · Health Services - Deficiency01/26/2023
    410 IAC 16.2-5-4(e)(6) (6) PRN medications may be administered by a qualified medication aide (QMA) only upon authorization by a licensed nurse or physician. The QMA must receive appropriate authorization for each administration of a PRN medication. All contacts with a nurse or physician not on the premises for authorization to administer PRNs shall be documented in the nursing notes indicating th
  • R 0274 · Food and Nutritional Services01/26/2023
    Noncompliance 410 IAC 16.2-5-5.1(g)(1-3) (g) There shall be an organized food service department directed by a supervisor competent in food service management and knowledgeable in sanitation standards, food handling, food preparation, and meal service. (1) The supervisor must be one (1) of the following: (A) A dietitian. (B) A graduate or student enrolled in and within one (1) year from completing
  • R 0297 · Pharmaceutical Services01/26/2023
    Noncompliance 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 observation, record review and interview, the
  • R 0298 · Pharmaceutical Services01/26/2023
    Deficiency 410 IAC 16.2-5-6(c)(2) (2) A consultant pharmacist shall be employed, or under contract, and shall: (A) be responsible for the duties as specified in 856 IAC 1-7; (B) review the drug handling and storage practices in the facility; (C) provide consultation on methods and procedures of ordering, storing, administering, and disposing of drugs as well as medication record keeping; (D) repor
  • R 0356 · Clinical Records - Noncompliance01/26/2023
    410 IAC 16.2-5-8.1(i)(1-8) (i) A current emergency information file shall be immediately accessible for each resident, in case of emergency, that contains the following: (1) The resident ' s name, sex, room or apartment number, phone number, age, or date of birth. (2) The resident ' s hospital preference. (3) The name and phone number of any legally authorized representative. (4) The name and phon
  • R 0144 · Sanitation and Safety Standards03/31/2022
    Deficiency 410 IAC 16.2-5-1.5(a) (a) The facility shall be clean, orderly, and in a state of good repair, both inside and out, and shall provide reasonable comfort for all residents. Based on observation, record review and interview, the facility failed to ensure the policy regarding bed bugs was followed timely for 2 of 2 residents whose room had bed bug activity confirmed. (Residents B and C) Fi

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

Open in Google Maps ↗

Hospital
UNITY PHYSICIANS HOSPITAL1.1 mi
 
Urgent care / clinic
Pain Management Group0.3 mi
3212 N Hickory Rd · (574) 251-0498 · Call to confirm hours
Pharmacy
Lifetime Pharmacy0.6 mi
212 W Edison Rd · (574) 318-4195 · Call to confirm hours
Grocery
Indiana Supermarkets0.2 mi
3501 Edison Rd · (574) 247-7800 · Call to confirm hours
Park
Helman Park0.3 mi
1120 Helmen Dr · Typically dawn to dusk
Place of worship
Church of Pentecost Indiana District0.4 mi
526 W Edison Rd · (574) 252-5720

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.→