Envive Of Anderson
1821 Lindberg Rd, Anderson, IN 46012 · For profit - Limited Liability company · 97 certified beds · (765) 649-2532 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- a middle-of-the-pack inspection score (3/5)
- no federal fines or payment denials on record
- it has an abuse, neglect, or exploitation citation (F0600), cited Sep 2023
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- it has a citation for mishandling residents’ money or property (F0568)
- a high number of inspection citations overall (17) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its payroll-based staffing rating is low (1/5)
- about 25% of its spending goes to commonly-owned related companies
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 1 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
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.
Quality measures — how residents actually fare
| Overall quality measures | 4 of 5 |
| Long-stay residentspeople who live here | 4 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 2 to 3 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 12.6% | 11.0% | 15.4% | better |
| Long-stay residents who lose too much weight | 6.8% | 5.5% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.4% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 0.0% | 1.1% | 2.0% | better |
| Long-stay residents with depressive symptoms | 64.6% | 25.2% | 6.5% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 4.0% | 3.9% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 8.4% | 11.9% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 22.5% | 23.5% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 78.9% | 95.4% | 95.3% | worse |
| Long-stay residents with pressure ulcers | 2.7% | 3.6% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 23.1% | 23.3% | 21.2% | typical |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 20.1% | 13.6% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 2.2% | 1.2% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 25.0% | 79.0% | 79.4% | worse |
| Long-stay hospitalizations per 1,000 resident days | 1.36 | 1.61 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 1.84 | 1.44 | 1.80 | typical |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
Therapy staffing: not reported. This home filed no therapist hours at all in its payroll data for this quarter. That is a gap in what it reported, and we do not read it as an absence of therapy — the homes that file nothing here include ones that discharged hundreds of Medicare rehab patients in the very same period, who plainly received therapy from someone. Because we cannot tell a home that under-reports from one that genuinely provides little, this home is left out of the comparison above rather than scored at zero. Ask it directly how many therapist hours a rehab resident gets, and on which days.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.3%CMS range 7.0–16.5 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.30 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 97 beds and averages 52.7 residents a day — about 54% occupied, or roughly 44 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.46 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.45 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.23 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 3.17 hrs/resident/day on weekends vs 3.57 on weekdays — 11% thinner on weekends. RN hours go from 0.52 to 0.28 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 54% is about the same as the national median of 45%. 1 administrator has left in the past year.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
17 citations, most serious first. The 10 most serious are shown; the remaining 7 are one tap away and print in full.
- Potential for harm · D2026-04-10 · tag F0655 — isolatedCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to develop and implement a baseline care plan within 48 hours for a resident admitted with pressure injury for 1 of 2 residents reviewed for pressure injury. (Resident 56) Findings include:Resident 56's clinical record was reviewed on 4/9/26 at 11:24 a.m. The resident was admitted [DATE]. A 4/1/26 admission assessment indicated the resident had a wound on his coccyx (tailbone). A risk for impaired skin integrity baseline care plan outline prompt was included in the assessment. Intervention options included diet as ordered, observe skin with daily cares, and notify the nurse of any new or worsening areas, and treatments as ordered. A current resident care plan, initiated 4/2/26, indicated the following: At risk for impaired skin integrity related to impaired mobility, self-care deficit. Goal: Resident will have no further skin breakdown through next review. Interventions included encourage good nutrition and hydration, keep skin clean and dry. Use lotion…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-04-10 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure treatment orders were in place and interventions developed and implemented to promote healing of a pressure injury for 1 of 2 residents reviewed for pressure injuries. (Resident 56)Findings include:Resident 56's clinical record was reviewed on 4/9/26 at 11:24 a.m. The resident was admitted to the facility on [DATE]. Diagnoses included stage III chronic kidney disease, congestive heart failure, and atrial fibrillation (abnormal heart rhythm).A 4/1/26 Braden Scale assessment indicated the resident was at moderate risk for pressure injury formation. A 4/1/26 nursing admission evaluation indicated the resident presented to the facility with a stage 2 pressure ulcer to his coccyx (tailbone area). A 4/1/26 nurse's note indicated the resident arrived to the facility with a stage 2 pressure ulcer (partial-thickness loss of skin with exposed dermis, presenting as a shallow open ulcer) on his coccyx. The area was cleansed with wound cleanser…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-04-10 · tag F0867 — failed to act on quality-improvement findings — isolatedSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to develop and implement approaches to maintain a Quality Assurance and Performance Improvement (QAPI) program to prevent repeat deficiencies related to implementing interventions to promote healing of pressure injuries.Findings include:Review of the Summary Statement of Deficiencies (2567), for the facility's last annual recertification and licensure survey, completed on July 25, 2025, indicated the facility had deficiencies related to failure to obtain wound assessments, monitoring, and treatments in a manner to promote the healing of a pressure injury.During an interview, on 4/10/26 at 12:02 p.m., the Administrator indicated the facility Quality Assessment and Assurance (QAA) committee met monthly and reviewed areas of concerns, areas showing trends, and/or areas with an increase in occurrence. Previous annual survey citations are reviewed through the time frame listed on the Plan of Correction (POC), usually for six months. If the audits and/or evaluations met the required threshold, those areas were considered corrected…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-04-10 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview, the facility failed to follow enhanced barrier precautions (EBP) during a wound dressing change observation for 1 of 2 residents reviewed for pressure injuries. (Resident 9)Findings include:Resident 9's clinical record was reviewed on 4/8/26 at 10:55 a.m. Diagnoses included peripheral vascular disease, unspecified bipolar disorder, and stage 4 (full-thickness wound, extending through deep tissue to expose muscle, tendon, ligament, or bone) pressure injury of the sacrum (tailbone area).Current orders indicated to cleanse the sacrum pressure injury with an external wound cleanser, apply calcium alginate (a wound dressing) to the wound bed. Apply zinc paste (a barrier cream) around the wound bed and cover with a bordered silicone dressing. Change once daily and as needed (3/17/26) and required the use of EBP related to the presence of a wound and to reduce the risk of transmission of multidrug-resistant organisms (MDROs) (10/23/25).A 10/17/25, pressure injury care plan indicated Resident 9 had a stage 4 pressure injury. Interventions…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2025-07-25 · tag F0802 — failed to prepare enough nourishing food — widespreadProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review the facility failed to ensure dietary employees where competent in dishwasher sanitation testing. This deficient practice had the potential to impact 57 of 57 residents who consumed meals prepared in the facility kitchen. Findings include:During an observation of dishwasher operations in the facility kitchen on 7/24/25 at 8:48 a.m. the following was observed:The Dietary Manager indicated the dishwasher was a low temp machine, which used sanitizer in its final rinse. The sanitizer was a chlorine-based sanitizer. The dish machine that was in operation washing the breakfast dishes, plates, bowls, cups, glasses etc. The Dietary Manager placed a test strip inside the dish machine for testing. He indicated the test strip could be used to test the sanitizer level both internally and externally in the water well located on the outside of the dishwasher. The test strips used had red writing and a red band across the edges. They were not the traditional all white dip stick style. The Dietary Manager indicated, using the test strips with the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-07-25 · tag F0628 — isolatedProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
What the surveyor found here — an excerpt from the official record, may be distressing
A. Based on record review and interview, the facility failed to provide bed hold policy and transfer/discharge notifications to the resident/representative for 2 of 5 residents reviewed for hospitalizations. (Resident 36 and 61)B. Based on record review and interview, the facility failed to provide notification of hospitalization to the Long-Term Care Ombudsman for 2 of 5 residents reviewed of hospitalization. (Residents 20 and 61) Findings include:A1. Resident 61's clinical record was reviewed on 7/22/25 at 2:36 p.m. Diagnoses included acute and chronic respiratory failure with hypoxia and malignant neoplasm of the right breast. A 6/23/25 progress note indicated the resident was non-responsive and transported to the local hospital. A 6/24/25 progress note indicated the resident was hospitalized for a change in level of consciousness. A 7/14/25 progress note indicated the resident remained hospitalized . The clinical record lacked information indicating the resident or the representative received a copy of the transfer/discharge form or the bed hold policy. During an interview on…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-07-25 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview, the facility failed to follow physician's orders regarding placement of heel boots for a resident with current skin conditions for 1 of 2 residents reviewed for skin conditions. (Resident 36) Finding includes: During an observation, on 7/21/25 at 1:10 p.m., Resident 36 was lying in bed with bare feet. Resident 36 indicated she had a wound on her right ankle and foot. A dressing was noted to her right lateral ankle and foot. The resident's right ankle and foot was positioned with the dressing side facing down, flat on the bed. The resident was not wearing heel boots.On 7/22/25 at 10:10 a.m., Resident 36 was lying in bed with bare feet. A dressing was noted to her right lateral ankle and foot. The resident's right ankle and foot was positioned with the dressing side facing down, flat on the bed. The resident was not wearing heel boots.Resident 36's clinical record was reviewed on 7/23/25 at 9:10 a.m. Diagnoses included metabolic encephalopathy, unspecified severe protein-calorie malnutrition, and atherosclerotic heart disease of the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-07-25 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, observation, and record review, the facility failed to provide wound assessments/monitoring and wound treatments in a manner to promote healing of a pressure ulcer for 1 of 1 resident reviewed for pressure ulcers. (Resident 1)Finding includes:Based on interview, observation, and record review, the facility failed to provide wound assessments/monitoring and wound treatments in a manner to promote healing of a pressure ulcer for 1 of 1 resident reviewed for pressure ulcers. (Resident 1)Finding includes:During an interview on 7/21/25 at 10:15 a.m., Resident 1 was in her bed on a low air loss mattress and turned slightly to her right side. She indicated she had a wound on her buttock that was present on admission. She did not feel well and was uncertain why. The resident was dependent on staff for repositioning. Resident 1's clinical record was reviewed on 7/22/225 at 3:41 p.m. Diagnoses included multiple sclerosis, weakness, and pressure ulcer of the sacral region, stage IV (Full-thickness skin…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-05-22 · tag F0550 — failed to protect resident dignity and rights — patternHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure residents were afforded the opportunity to go outside per their preference, weather permitting, for 4 of 4 residents reviewed for resident rights. This deficient practice had the potential to impact 17 of 59 resident who were unable to go outside with out supervision. Findings include: 1. Resident B's clinical record was reviewed on 5/19/25 at 10:07 a.m. Diagnoses included chronic respiratory failure with hypoxia, chronic pulmonary disease, congestive heart failure, morbid obesity, overactive bladder, anemia, and depression. The most current admission MDS (Minimum Data Set) assessment, dated 3/19/25, indicated the resident was cognitively intact. The resident identified going outside to get fresh air when the weather was good as being very important to them. During an interview on 5/19/25 at 10:32 a.m., Resident B indicated she was unable to go outside without someone taking her. She liked going outside if the weather is nice and would go…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-12-03 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to ensure medications were received from pharmacy in accordance with policy to ensure the safe handling of narcotics. Findings include: Review of a facility reportable, dated 11/25/24, indicated on 11/24/24, LPN 1 received medications from the pharmacy and did not secure a pill card of tramadol (opiod analgesic) immediately or properly. This deficient practice resulted in the 30 pill card becoming missing. Review of a written statement by LPN 1, provided by the facility, indicated on 11/24/24 at approximately 8:30 p.m., medications from the pharmacy were delivered to the facility. LPN 1 placed the 30 pill card of Tramadol (opiod analgesic) in the nurses' station, unsupervised. After checking the number of medications against the medications on the list, LPN 1 became distracted and placed the card of tramadol on the back of the desk in the nurses' station. As he continued with task throughout the shift, LPN 1 failed to realize the Tramadol had not been properly secured in the locked narcotic drawer of the medication cart. LPN…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 7 citations
- Potential for harm · D2024-07-26 · tag F0568 — isolatedProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to manage Resident Funds in accordance with acceptable accounting principles for 1 of 4 residents reviewed for management of Resident Funds. (Resident 29) Findings include: A review of the facility's Resident Funds was completed on 7/24/24 at 3:55 p.m. The Business Office Manager provided a Resident Funds Trial Balance sheet. The facility managed personal resident funds for 37 residents. Resident 29 was listed with two separate accounts; account B had a current negative balance of $2,911.47 and account C had a current negative balance of $15.16. Resident 29's account B Resident Funds record indicated the following: On 11/1/23, the resident's account balance was $0.53. On 11/13/23, a personal check was credited for the amount of $3,000.00. On 11/13/23, a care cost auto withdrawal for the amount of $2,948.00. On 11/17/23, a return deposit item for the amount of $3,000.00. On 11/17/23, a return deposit item fee for the amount of $16.00. On 11/30/23, a personal check was credited for the amount of $ 3,300.00 On 11/20/23, a care…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-07-26 · tag F0694 — isolatedProvide for the safe, appropriate administration of IV fluids for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure protective Peripherally Inserted Central Catheter (PICC) dressings were intact and changed as ordered for 1 of 6 residents reviewed for infection control. (Resident 151) Finding includes: During an observation on 7/22/24 at 2:51 p.m., to the left of the door, Resident 151's room indicated Enhanced Barrier Precautions. The resident was accompanied back to her room from the therapy room by an unknown staff member with an intravenous (IV) pole on her right side. Her single lumen PICC on her right upper arm was connected to the IV tubing and the PICC dressing was visible and loose from the skin around the top half of the dressing. During an interview on 7/22/24 at 3:58 p.m., Resident 151 indicated her PICC dressing was loose and had not been changed since before admission to the facility. The PICC dressing to her right upper arm was dated 7/16/24. The facility staff last administered her antibiotic through the PICC line on 7/22/24 at…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-07-26 · tag F0761 — failed to label and store drugs safely — isolatedEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY A. Based on observation and interview, the facility failed to ensure insulin pens were labeled with appropriate resident identifier information on 1 of 3 carts reviewed for medication storage. (Front treatment cart) B. Based on observation and interview, the facility failed to ensure that expired vaccinations were disposed of timely for 1 of 1 medication rooms reviewed for medication storage. (Front medication room) Findings include: A. During a medication storage observation of the front treatment cart, accompanied by RN 6, on [DATE] at 9:31 a.m., the following were observed without resident identifiers or directions: One Humalog Kwikpen (insulin), dated [DATE], containing 130 units. One Humalog Kwikpen, dated [DATE], containing 220 units. One Humalog Kwikpen, dated [DATE], containing 150 units. One undated Humalog Kwikpen, containing 120 units. During an interview, at the time of the observation, RN 6 indicated she was unsure how long the unlabeled pens had been in the treatment cart, and the pens should have…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-07-26 · tag F0867 — failed to act on quality-improvement findings — isolatedSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to implement corrective and preventive actions to ensure systemic issues related to resident funds, medication labeling, and medication expiration were identified and quality assessment and performance improvement (QAPI) plans were implemented to prevent deficiencies from re-occurring. Findings include: On 7/25/24 at 3:13 p.m., the Administrator provided a QAPI action plan, dated 5/17/24. The root cause analysis indicated medication carts and rooms were not routinely inspected to ensure removal of expired medications. The concern included medication carts and rooms with expired medications. Action items of the plan included: the front medication room would be inspected with expired medications removed and destroyed. The actual completion date was 5/16/24. The back unit medication room was to be inspected with expired medications destroyed and lacked a completion date. An additional action plan indicated the medication rooms would be inspected weekly for four weeks from 5/23/24 through 6/20/24 and then weekly for…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-03-15 · tag F0610 — failed to investigate and act on abuse reports — isolatedRespond appropriately to all alleged violations.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to report an allegation of abuse to the State Agency in the required timeframe, and failed to complete a thorough investigation of the allegation of abuse for 1 of 3 residents reviewed for abuse. (Resident D) Findings include: The clinical record for Resident D was reviewed on 3/14/24 at 3:21 p.m. Diagnoses included history of a stroke, left side hemiplegia, bipolar disorder, anxiety disorder and depression. An admission Minimum Data Set (MDS) assessment, dated 2/9/24, indicated the resident had moderate cognitive impairment. The resident had no hallucinations or delusions, rejection of care, and had no physical or verbal behaviors. Review of a facility self reportable, dated 3/6/24, indicated on 3/1/24, Resident D alleged a staff member had physical contact with his face. The resident had called the police. The nurse who assessed the resident noted no marks on their face and no evidence of physical contact of any kind. A pain assessment was performed. A follow up report was submitted on 3/12/24 and indicated that due to the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-09-19 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to prevent staff to resident abuse (CNA 1 and Resident C) for 1 of 3 residents reviewed for abuse. Findings include: During an interview on 9/18/2023 at 12:36 p.m., Resident C indicated CNA 1 transported her from her room to the shower room while she was only wearing a bra. CNA 1 did not provide any covering of her exposed body parts. The resident told the CNA to stop, but the CNA did not stop, and told the resident they were almost to the shower room. The clinical record for Resident C was reviewed on 9/19/2023 at 9:05 a.m Diagnoses included chronic pain syndrome, cardiomyopathy, type 2 diabetes with diabetic neuropathy, Bell's Palsy, rheumatoid arthritis, depressive disorder and hypertensive heart disease. Review of the most current quarterly Minimum Data Set (MDS) assessment, dated 7/11/2023, indicated the resident was cognitively intact. During an interview on 9/19/2023 at 10:57 a.m., the Activity Director indicated she was coming out of the laundry room when she saw and heard Resident C yelling at CNA 1 because she could…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- No harm found · C2026-04-10 · tag F0732 — widespreadPost nurse staffing information every day.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to post current and accurate nursing staff information daily for residents and visitors. This deficiency had the potential to affect 53 of 53 residents in the facility.Findings include:The facility nurse staffing information, dated 4/2/26 and observed on 4/6/26 at 6:13 a.m., was posted on a small table, to the right of the entrance doors and indicated the following:The form lacked a census number.Number of Registered Nurses (RN): Day shift hours: 0.00, Evening shift hours: 4.00, and Night shift hours: 8.00.Number of Licensed Practical Nurses (LPN): Day shift hours: 16.00, Evening shift hours: 16.00, and Night shift hours: 8.00.Number of Qualified Medication Aides (QMA): Day shift hours: 16.00, Evening shift hours: 0.00, and Night shift hours: 8.00Number of Certified Nursing Assistant (CNA): Day shift hours: 32.00, Evening shift hours: 32.00, and Night shift hours: 16.00.During an observation, on 4/6/26 at 9:22 a.m., the 4/6/26 facility nurse staffing posting indicated the following:Census: 53Number of RN: Day…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to ENVIVE HEALTHCARE — 12 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 2 of 5 | 2.2 | -0.2 vs chain |
| Health inspection | 3 of 5 | 2.3 | +0.7 vs chain |
| Staffing | 1 of 5 | 1.8 | -0.8 vs chain |
| Quality measures | 4 of 5 | 3.8 | +0.2 vs chain |
The other 11 homes this chain runs (chain average 2.2★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| NBH BANK | Organization | 5% OR GREATER MORTGAGE INTEREST | since 12/01/2021 |
| BORNE-BAUMAN, CANDICE | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL | since 12/01/2021 |
| FLUECKIGER, RUSSELL | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL | since 12/01/2021 |
| LEHMAN, SCOTT | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL | since 12/01/2021 |
| MACKLIN, LARRY | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL | since 12/01/2021 |
| MCINTIRE, DAVID | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL | since 12/01/2021 |
| ANDERSON NURSING HOLDINGS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 12/01/2021 |
| ENVIVE NURSING HOLDINGS, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | since 08/01/2021 |
| LT CARE ACQUISITION CORP | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 12/01/2021 |
| ANDERSON, ROBERT | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 11/01/2024 |
| KINZIE, RYAN | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 07/15/2024 |
| SMITH, SCOTT | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 12/01/2021 |
| SPRUNGER, KYLE | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 12/01/2021 |
| WHEELER, DANE | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 12/01/2021 |
| ANDERSON PROPERTY HOLDINGS LLC | Organization | ADP OF THE SNF | since 12/01/2021 |
| BLUE MANAGEMENT SERVICES LLC | Organization | ADP OF THE SNF | since 01/01/2024 |
| ENVIVE HEALTHCARE LLC | Organization | ADP OF THE SNF | since 01/01/2021 |
| FIRST BANK OF BERNE | Organization | ADP OF THE SNF | since 12/01/2021 |
CMS files one row per role, so the 27 rows in the source record cover these 18 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.
8 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
About 82% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.8M paid to related parties — landlords or management companies under common ownership — equal to about 25% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in IN
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Indiana Medicaid page.
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.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 155690. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-10, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.