No sales calls · nothing personal collected unless you ask us to · no facility pays to be here
Text size
Contrast

Clark Rehabilitation And Skilled Nursing Center

517 N Little League Blvd, Clarksville, IN 47129 · Government - County · 83 certified beds · (812) 282-8406 Medicare & Medicaid certified

Call the home — (812) 282-8406 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0602) — cited Oct 20252 actual-harm citations
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0602), cited Oct 2025
  • 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 2 actual-harm citations
  • a high number of inspection citations overall (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags

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.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Urgent care / clinic
1694-1696 Blackiston View Dr · (812) 282-4037 · Call to confirm hours
Pharmacy
1404 Blackiston Mill Rd · (812) 285-0682 · Call to confirm hours
Grocery
706 E Lewis and Clark Pkwy · (502) 600-2146 · Call to confirm hours
Park
706 E Lewis and Clark Pkwy · Typically dawn to dusk
Place of worship
1732 Thames Dr · (502) 694-3467

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 5 of 5
Short-stay residentsrehab / post-hospital 2 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 3 to 4 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.

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased4.3%11.0%15.4%better
Long-stay residents who lose too much weight3.8%5.5%5.4%better
Long-stay residents with a catheter left in their bladder0.7%0.4%0.9%worse than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.4%1.1%2.0%better
Long-stay residents with depressive symptoms12.6%25.2%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury2.9%3.9%3.3%better
Long-stay residents whose ability to walk worsened5.5%11.9%16.1%better
Long-stay residents on antianxiety or hypnotic medication19.8%23.5%18.9%typical
Long-stay residents given the seasonal flu vaccine87.1%95.4%95.3%typical
Long-stay residents with pressure ulcers7.9%3.6%4.7%worse
Long-stay residents with worsening bladder/bowel control15.3%23.3%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table8.3%13.6%17.1%better
Short-stay residents who newly got an antipsychotic medication0.0%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine79.3%79.0%79.4%typical
Short-stay residents rehospitalized after admission32.8%22.2%22.6%worse
Short-stay residents with an outpatient ER visit8.9%10.8%12.0%better
Long-stay hospitalizations per 1,000 resident days2.201.611.67worse
Long-stay outpatient ER visits per 1,000 resident days1.091.441.80better

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.

50.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 37 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

50.2%U.S. median 51.5%
Got home and stayed home
12.0%U.S. median 10.7%
Went back to hospital
36.0%U.S. median 56.6%
Met the expected recovery
0.33U.S. median 0.31
Therapy hours / resident / day
0.12hours / resident / day
Physical therapy
0.15hours / resident / day
Occupational therapy
0.06hours / resident / day
Speech therapy

Met the expected recovery: 36.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 25 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.33 therapist hours per resident per day in 2026Q1 — more than 55% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 7% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF50.2%CMS range 38.0–69.651.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF12.0%CMS range 8.2–17.810.7%Oct 2022–Sep 2024no 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 discharge36.0%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge36.0%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge32.0%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified94.7%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot 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 dischargenot 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 stay2.6%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened2.6%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.8%CMS range 5.0–13.37.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.301.02Oct 2022–Sep 2024CMS 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

0.50
RN hours/ resident / day
0.80
LPN hours/ resident / day
2.21
Aide hours/ resident / day
3.51
Total nurse hours/ resident / day
0.25
RN hoursweekends
45.3%
Total nursing turnover
25.0%
RN turnover

How full it usually is: this home is certified for 83 beds and averages 72.5 residents a day — about 87% occupied, or roughly 10 beds typically open. It runs fairly full. 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 3.51 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.50 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.21 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 2.91 hrs/resident/day on weekends vs 3.76 on weekdays — 22% thinner on weekends — a notable drop. RN hours go from 0.60 to 0.25 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 45% is about the same as the national median of 45%.

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

0
deficiencies at the latest standard inspection (2025-05-19)
2
at the previous standard inspection (2024-04-05)

Deficiencies are fewer than at the previous inspection — improving. 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.

ABCDEFGHIJKL

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.

19 citations, most serious first. The 12 most serious are shown; the remaining 7 are one tap away and print in full.

  • Actual harm · G2023-03-14 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    2. The clinical record for Resident 47 was reviewed on 3/9/22 at 10:00 a.m. The diagnoses included, but were not limited to, Parkinson's disease, neurocognitive disorder with Lewy bodies (problems with thinking, movement, behavior, and mood), unspecified intellectual disabilities, moderate protein-calorie malnutrition, ESBL (extended beta-lactamase) resistance, osteomyelitis, and pressure ulcer of sacral region Stage IV(full skin loss extends below the subcutaneous fat into the deep tissues, including muscle, tendons, and ligaments). The care plan, dated 3/31/21 and last revised 3/7/23, indicated the resident had impaired skin integrity including a pressure area to her coccyx. She was at risk for further skin breakdown due to sensory perception being slightly limited; skin was very moist; she was chairfast; had very limited mobility; her nutrition was probably inadequate; and friction and shear was a problem. She preferred to lay flat on her back most of the day, she would occasionally turn slightly for very short periods of time, despite education. She frequently refused to turn,…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Actual harm · G2023-03-14 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    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, record review and interview, the facility failed to ensure appropriate intervention to prevent a fall for 1 of 3 residents reviewed for falls, which resulted in the resident having broken bones, bruising, and skin tears. (Resident 35) Findings include: The clinical record for Resident 35 was reviewed on 3/9/23 at 2:18 p.m. The diagnoses included, but were not limited to, a fall slipping, tripping, and stumbling; muscle weakness; stiffness of the left ankle; pain in the right knee; stiffness of the right hip and right ankle; idiopathic peripheral autonomic neuropathy; contracture of the left and right ankle; mechanical complication of the internal fixation device of the right femur for a displaced supracondylar fracture; abnormal posture; and the need for assistance with personal care. The physician's order, dated 2/8/22, indicated the resident was to have two quarter side rails to enhance bed mobility related to weakness. The order was discontinued on 3/2/23. The care plan, dated 11/08/18…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2026-01-22 · tag F0842 — failed to keep accurate, complete medical records — pattern
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure residents' (Residents B, C, D and E) medication administration records reflected medications administered for 4 of 4 residents reviewed for medical records. Findings include:1.The clinical record for Resident B was reviewed on 1/21/26 at 1:51 p.m. The resident's diagnoses included, but were not limited to, a history of a deep vein thrombosis (dangerous formation of a blood clot inside a vein or artery) and neuropathy (nerve damage or dysfunction). Review of the January 2026 medication administration record (MAR) indicated the resident was to receive the following medications:-Eliquis (blood thinner) 5 mg (milligrams) twice daily between 7:00 a.m. and 11:00 a.m. and again between 7:00 p.m. and 11:00 p.m.-Gabapentin 600 mg in the evening at 10:00 p.m. The January 2026 MAR lacked documentation of the administration of the above medications on the following dates and times:-Eliquis 5 mg, between 7:00 p.m. and 11:00 p.m., on 1/12/26, 1/13/26, 1/15/26, 1/16/26, 1/17/26 and 1/20/26.-Gabapentin 600 mg at 10:00 p.m. 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-10-29 · tag F0602 — failed to protect residents from theft of their belongings — isolated
    Protect each resident from the wrongful use of the resident's belongings or money.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure misappropriation of residents' property did not occur for 3 of 4 residents reviewed for abuse. (Residents B, C, and D) Findings include:1.The clinical record for Resident B was reviewed on 10/29/25 at 11:14 a.m. The residents' diagnoses included, but were not limited to, fibromyalgia, depression and chronic pain syndrome. The resident's admission minimum data set assessment indicated the resident's cognition was intact. The physician's order, dated 10/6/25, indicated the resident was to receive Hydrocodone-Acetaminophen (narcotic pain medication) 10-325 mg (milligrams) every 8 hours as needed for pain.Review of the October 2025 controlled substance record indicated on 10/9/25 at 4:00 a.m., the resident was administered a dose of the narcotic pain medication from Licensed Practical Nurse (LPN) 10.The October 2025 medication administration record, dated 10/9/25 at 4:53 a.m., indicated LPN 10 documented the administration of the resident's narcotic pain medication.Review of the timeline provided by the Executive…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
  • Potential for harm · D2025-10-29 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure a staff followed the scope of practice for certified nursing assistants for 1 of 3 residents reviewed for services provided. (Resident B) Findings include: The clinical record for Resident B was reviewed on 10/29/25 at 11:14 a.m. The residents' diagnoses included, but were not limited to, fibromyalgia, depression and chronic pain syndrome. During an interview, on 10/29/25 at 1:48 p.m., the Regional Nurse Consultant indicated it was identified that on 10/8/25, Licensed Practical Nurse (LPN) 10 provided Certified Nursing Assistant (CNA) 11 with a resident's pain medication in a cup and CNA 11 entered Resident B's room with the medication cup. Review of the timeline provided by the Executive Director on 10/29/25 at 2:26 p.m., indicated the following: -The video footage was reviewed starting on 10/8/25 at 10:30 p.m., LPN 10 entered Resident B's room at 10:40 p.m. with a medication cup and water. LPN 10 exited the room in less than a minute and then entered another resident's room, at which time, Resident B turned her…

    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.

    Resident Assessment and Care Planning Deficiencies · Past Non-Compliance
  • Potential for harm · Ecited before2025-07-01 · tag F0842 — failed to keep accurate, complete medical records — pattern
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure medication administration records accurately reflected the administration of controlled substances 4 of 4 residents reviewed for medical records. (Resident B, C, D and E) Findings include: 1. The clinical record for Resident B was reviewed on 6/30/25 at 10:45 a.m. The resident's diagnoses included, but were not limited to, diabetes, chronic pain and gastrointestinal stromal tumor of the rectum. The June 2025 medication administration (MAR) record indicated the resident was to receive Oxycodone 15 mg (milligrams) every 4 hours for pain at 12:00 a.m., 4:00 a.m., 8:00 a.m., 12:00 p.m., 4:00 p.m. and 8:00 p.m. The June 2025 controlled substance record indicated the resident received the Oxycodone on the following dates and times: - 6/02/25 at 8:00 p.m. - 6/03/25 at 8:00 p.m. - 6/04/25 at 12:00 a.m. - 6/05/25 at 12:00 a.m. and 8:00 p.m. - 6/06/25 at 12:00 a.m., 8:00 a.m. and 8:00 p.m. - 6/07/25 at 4:00 a.m. and 8:00 a.m. On 6/9/25, the resident was admitted to the hospital and returned on 6/16/25. The physician's order,…

    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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-07-01 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide 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 interview and record review, the facility failed to ensure a physician's order was in place for a resident (Resident B) for an additional dose of a narcotic pain medication and failed to ensure scheduled medications were administered to a resident (Resident C) on dialysis days for 2 of 4 residents reviewed for pharmacy services. Findings include: 1. The clinical record for Resident B was reviewed on 6/30/25 at 10:45 a.m. The resident's diagnoses included, but were not limited to, diabetes, chronic pain and gastrointestinal stromal tumor of the rectum. The physician's order, dated 2/27/25, indicated the resident was to receive Oxycodone (narcotic pain medication) 15 mg (milligrams) every 4 hours for pain at 12:00 a.m., 4:00 a.m., 8:00 a.m., 12:00 p.m., 4:00 p.m. and 8:00 p.m. Review of the May 2025 controlled substance record indicated on 5/31/25 at 12:00 a.m., the medication was signed out as given twice by Licensed Practical Nurse (LPN) 4. On 7/1/25 at 9:53 a.m., the Executive Director and Assistant Director of Nursing provided a statement from LPN 4 and indicated 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-05 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    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 ensure showers were provided consistently for 2 of 4 residents reviewed for Activities of Daily Living care. (Residents 19 and 67) 1. The record for Resident 19 was reviewed on 4/1/24 at 11:03 a.m. The resident's diagnoses included, but were not limited to, sepsis, muscle weakness, vascular dementia, personal history of traumatic brain injury, anxiety, flaccid hemiplegia affecting the left nondominant side and bipolar disorder. The care plan, dated 8/5/18 and revised on 2/20/24, indicated the Resident required assistance with ADLs (activities of daily living) included bed mobility, transfers, eating and toileting. The interventions included, but were not limited to, assist with oral care at least two times daily, and assist with bathing as needed per resident preference. Staff were to offer the resident's showers two times per week and provide a partial bath in between. The Quarterly MDS (Minimum Data Set) assessment, dated 2/15/24, indicated the resident was severely cognitively impaired. He was dependent 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-05 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    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 a splint device was provided to prevent a decrease in range of motion for 1 of 3 residents reviewed for range of motion. (Resident 40) Findings include: The record for Resident 40 was reviewed on 4/3/24 at 2:07 p.m. The resident's diagnoses included, but were not limited to, hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting the left non-dominant side, spastic hemiplegia affecting the left nondominant side, attention and concentration deficit following cerebral infarction, spastic hemiplegia affecting left dominant side, muscle weakness, and need for assistance with personal care. The care plan, dated 9/13/19, indicated the resident required assistance with ADLs (Activities of Daily Living) including bed mobility, and transfers related to a decrease in strength and an increase in weakness, and a CVA (cardiovascular accident) with left sided hemiplegia. The interventions, dated 11/12/19, included, but were not limited to, apply the LUE (left upper extremity) hand splint…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-31 · tag F0776 — isolated
    Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
    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 radiology results were obtained, in a timely manner, for 1 of 3 residents reviewed for radiology services. (Resident B) Findings include: On 1/31/24 at 1:40 p.m., the resident was observed sitting up in his wheelchair with his call light in reach with no signs of any pain or discomfort. He indicated his shoulder was still a little sore but was much better. His pain was controlled and they check on him frequently. He had no concerns with his care. The clinical record for Resident B was reviewed on 1/31/24 at 10:56 a.m. The diagnosis included, but were not limited to, left sided hemiparesis and left clavicle fracture. Review of the August 2023 - December 2023 indicated the resident had not complained of any pain. The progress note, dated 8/27/23 at 2:13 p.m., indicated the resident was found on floor during rounds. The resident was assessed and denied any pain or discomfort. The IDT (Interdisciplinary Team) note, dated 8/28/23 at 12:06 p.m., indicated the resident had a fall on 8/27/23 and denied any pain…

    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.

    Administration Deficiencies · Past Non-Compliance
  • Potential for harm · E2023-03-14 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
    Provide safe and appropriate respiratory care for a resident when needed.
    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 ensure the oxygen concentrator filters were applied and maintained for 6 of 18 residents reviewed for respiratory care. (Residents 33, 35, 56, 170, 171, and 49). Findings include: 1. The clinical record for Resident 33 was reviewed on 3/9/23 at 12:55 p.m. The diagnoses included, but were not limited to, copd (chronic obstructive pulmonary disease) with acute exacerbation, malignant neoplasm of upper lobe, left bronchus or lung, emphysema, and anxiety disorder. The physician's order, dated 10/4/22, indicated staff were to change the resident's oxygen tubing and humidity, and clean the concentrator and filter once a day on Sunday. The care plan, dated 10/5/22 and last revised on 1/21/23, indicated the resident was at risk for impaired gas exchange related to the COPD with shortness of breath while lying flat, decreased mobility, opioid use, emphysema, and lung cancer. The interventions, dated 10/5/22, indicated staff were to administer oxygen as ordered at 4 L (liters) via NC (nasal cannula), and to monitor 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-03-14 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    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 ensure the kitchen, dry storage room and equipment were clean and in good repair during 3 of 3 kitchen observations. This deficient practice had the potential to affect 66 of 67 residents who received meals in the facility. Findings include: During the initial tour of the kitchen, on 3/8/23 at 9:17 a.m., the following concerns were observed: -There was various food debris, one straw, a sugar packet, an ink pen, and built up brown grime on the floor under the two compartment sink counter. -There was a heavy accumulation of black dust on the expanders of two window unit air conditioners above the prep counter. There was duct tape and foam which was poorly secured around the border of the air conditioners and a heavy draft of cold air could be felt coming in. - There was heavy gray dust and brown streaks of grease running down the wall beside the outlet next to the prep counter. - Inside the dry storage there were crumpled creamer packets by and under the ice machine. There was a silver tumbler and a styrofoam…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
Show the remaining 7 citations
  • Potential for harm · D2023-03-14 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor 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

    Based on observation, record review and interview, the facility failed to respect the dignity of a resident with a Foley catheter by ensuring the urine side of the bag was not in sight of those who passed her room. This deficient practice affected 1 of 4 residents who had a Foley catheter. (Resident 2) Findings include: The clinical record for Resident 2 was reviewed on 3/10/23 at 1:35 p.m. The diagnoses included, but were not limited to, neuromuscular dysfunction of bladder, unspecified, paranoid schizophrenia, generalized anxiety disorder, moderate intellectual disabilities, and post traumatic stress disorder. The Annual MDS (Minimum Data Set) assessment, dated 12/15/22, indicated the resident had moderate cognitive impairment but good recall; had neuromuscular dysfunction of the bladder with an indwelling Foley catheter; and occasionally felt bad about herself. The care plan, dated 3/13/19 and last revised 12/30/22, indicated the resident required an indwelling Foley catheter due to neuromuscular dysfunction of the bladder with urinary retention. The goal was for the catheter to…

    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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-03-14 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to notify the physician when a resident's blood pressure was elevated and when staff withheld medication for 1 of 2 residents reviewed for notification of changes. (Resident 26) Finding included: The clinical record was reviewed for Resident 26 on 3/10/23 at 10:00 a.m. The resident's diagnoses included, but were not limited to, end stage renal disease, dependence on renal dialysis, essential (primary) hypertension, and ventricular tachycardia. The Significant Change MDS (Minimum Data Set) assessment, dated 12/12/22, indicated the resident was cognitively intact. The care plan, dated 9/16/22 and revised on 3/10/23, indicated the resident was at risk for ineffective tissue perfusion related to hypertension and end stage renal disease on hemodialysis. The interventions included, but were not limited to, monitor vital signs, observe and document variations in her blood pressure and notify the physician. The clinical record lacked documentation the physician was notified when the resident's blood pressure was elevated and when 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-03-14 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    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 an investigation was initiated and completed related to a resident's complaint of mistreatment for 1 of 17 residents reviewed for abuse. Findings include: The clinical record was reviewed for Resident 26 on 3/10/23 at 10:00 a.m. The resident's diagnoses included, but were not limited to, muscle weakness abnormalities of gait and mobility, reduced mobility, a nondisplaced intertrochanteric fracture of right femur, and the presence of a right artificial hip joint. The Significant Change MDS (Minimum Data Set) assessment, dated 12/12/22, indicated the resident was cognitively intact. The clinical record lacked documentation indicating an investigation was initiated and completed by the facility. During an interview on 3/9/23 at 8:55 a.m., the resident indicated in the month of February she went shopping with a group of residents and the staff from the activity department. When she came out of the mall the activity assistant was pushing her in her wheelchair. The activity assistant gave her a shove through the double…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-03-14 · tag F0685 — isolated
    Assist a resident in gaining access to vision and hearing services.
    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 ensure a resident who had a referral for an evaluation by an ophthalmologist received the proper treatment to maintain vision. This deficient practice affected 1 of 3 residents reviewed for vision services. (Resident 31) Findings include: The clinical record for Resident 31 was reviewed on 3/9/23 at 9:50 a.m. The diagnoses included, but were not limited to, multiple sclerosis (MS) and type 2 Diabetes Mellitus. The Significant Change MDS (Minimum Data Set) assessment, dated 1/18/23, indicated the resident was cognitively intact and her vision was adequate without glasses. The Monthly Physician's order, dated 7/13/22, indicated the resident may be seen by the Optometrist. A care plan, dated 2/23/22 and was last revised on 2/20/23, indicated the resident was at risk for impaired vision due to age related vision changes and diabetes. A goal included the resident would not experience negative consequences of vision loss as evidenced by participating in social activities. The interventions included, but were not…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-03-14 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    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 ensure a resident with a history of UTIs was provided proper management of the urinary catheter drainage system by maintaining the drainage system off the floor for 1 of 3 residents reviewed for urinary tract infections. (Resident 47) Findings include: The clinical record for Resident 47 was reviewed on 3/9/22 at 10:00 a.m. The diagnoses included, but were not limited to, UTI (urinary tract infection), extended beta-lactamase (ESBL) resistance, acute kidney failure, and pressure ulcer of sacral region Stage 4. The care plan, initiated on 4/12/21 and last revised on 3/7/23, indicated the resident had an indwelling urinary catheter due to pressure injury, incontinence, and neurogenic bladder. The interventions included, but were not limited to, do not allow the tubing or any part of the drainage system to touch the floor, and report signs of UTIs (acute confusion, urgency, frequency, bladder spasms, nocturia, burning, pain/difficulty urinating, nausea, emesis, chills, fever, low back/flank pain, malaise, foul…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-03-14 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure accurate documentation in the Controlled Substances Record sheet of the administered narcotics and an expired medication for 8 of 36 residents' medication storage reviewed. (Residents 55, 28, 33, 4, 10, 47, 43, and 39) Findings include: 1. During an observation of the 60 Hall medication cart on [DATE] at 9:45 a.m., with LPN (Licensed Practical Nurse) 6, the following discrepancy was observed: -Resident 55's Controlled Substances Record sheet indicated the Tramadol 50 mg (milligrams) half tablet (25 mg) had a count of 29 tablets remaining. The Tramadol medication card only contained 28 tablets. The last documented administration was on [DATE] at 8:00 a.m. The clinical record for Resident 55 was reviewed on [DATE] at 11:15 a.m. The diagnoses included, but were not limited to, osteoarthritis, gastrostomy, and hydrocephalus. The physician's order, dated [DATE], indicated the resident was prescribed Tramadol 25 mg by gastric tube once…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-03-14 · tag F0886 — failed to test for COVID-19 as required — isolated
    Perform COVID19 testing on residents and staff.
    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 the residents were COVID-19 tested in accordance with their policy for 1 of 3 residents reviewed for COVID testing. (Resident 31). Findings include: The clinical record for Resident 31 was reviewed on 3/13/23 at 9:56 a.m. The diagnoses included, but were not limited to, mild intermittent asthma, personal history of COVID-19, and MS (multiple sclerosis). The Significant Change MDS (Minimum Data Set) assessment, dated 1/18/23, indicated the resident was cognitively intact. On 7/13/22, the resident received the following physician orders: Symbicort (budesonide-formoterol) HFA aerosol inhaler 160-4.5 mcg (micrograms)/actuation - give: 2 puffs inhalation for shortness of breath twice daily, and for COVID-19 testing as needed via POC (rapid viral test) Antigen or PCR (polymerase chain reaction) test per facility policy and CDC (Center for Disease Control) Guidance - as needed. On 7/14/22, the resident received another physician's order for albuterol sulfate HFA aerosol inhaler 90 mcg/actuation - give 180 mcg inhalation…

    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.

    Infection Control Deficiencies · Deficient, Provider has date of correction

“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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • 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.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to AMERICAN SENIOR COMMUNITIES — 90 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 →

RatingThis homeChain avg
Overall 4 of 53.9+0.1 vs chain
Health inspection 4 of 53.4+0.6 vs chain
Staffing 3 of 52.3+0.7 vs chain
Quality measures 4 of 54.7-0.7 vs chain
The other 89 homes this chain runs (chain average 3.9★, per CMS)
1 of 5Valparaiso Care & RehabilitationValparaiso, IN 2 of 5Arbor Grove VillageGreensburg, IN 2 of 5Bethany VillageIndianapolis, IN 2 of 5Columbia Healthcare CenterEvansville, IN 2 of 5Community Nursing And Rehabilitation CenterIndianapolis, IN 2 of 5Eagle Valley MeadowsIndianapolis, IN 2 of 5Harcourt Terrace Nursing And RehabilitationIndianapolis, IN 2 of 5Harrison TerraceIndianapolis, IN 2 of 5Hickory Creek At New CastleNew Castle, IN 2 of 5Maple Park VillageWestfield, IN 2 of 5Park Terrace VillageEvansville, IN 2 of 5Riverside VillageElkhart, IN 2 of 5Trailpoint VillageSouth Bend, IN 2 of 5University Nursing CenterUpland, IN 2 of 5Williamsport Nursing And RehabilitationWilliamsport, IN 3 of 5Allisonville MeadowsFishers, IN 3 of 5American VillageIndianapolis, IN 3 of 5Brownsburg MeadowsBrownsburg, IN 3 of 5Countryside MeadowsAvon, IN 3 of 5East Lake Nursing & Rehabilitation CenterElkhart, IN 3 of 5Hickory Creek At CrawfordsvilleCrawfordsville, IN 3 of 5Hillcrest VillageJeffersonville, IN 3 of 5North Capitol Nursing & Rehabilitation CenterIndianapolis, IN 3 of 5Rosebud VillageRichmond, IN 3 of 5Rosewalk VillageIndianapolis, IN 3 of 5Rosewalk Village At LafayetteLafayette, IN 3 of 5Spring Mill MeadowsIndianapolis, IN 3 of 5Stonebrooke Rehabilitation CenterNew Castle, IN 4 of 5Autumn Ridge Rehabilitation CentreWabash, IN 4 of 5Beech Grove MeadowsBeech Grove, IN 4 of 5Clinton GardensClinton, IN 4 of 5Creekside VillageMishawaka, IN 4 of 5Edgewater WoodsAnderson, IN 4 of 5Forest Creek VillageIndianapolis, IN 4 of 5Franklin MeadowsFranklin, IN 4 of 5Heritage House Rehabilitation & Health Care CenterConnersville, IN 4 of 5Hickory Creek At ColumbusColumbus, IN 4 of 5Hickory Creek At MadisonMadison, IN 4 of 5Hickory Creek At PeruPeru, IN 4 of 5Hickory Creek At RochesterRochester, IN

Showing 40 of 89; lowest-rated first.

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 / managerTypeRoleSince
DRUMMER, CARLIndividualCORPORATE DIRECTORsince 01/01/2017
HANIFY, THOMASIndividualCORPORATE DIRECTORsince 01/01/2022
HORN, BRENDAIndividualCORPORATE DIRECTORsince 12/01/2023
LAZARD, ROBERTIndividualCORPORATE DIRECTORsince 01/29/2021
MANTRAVADI, GEETAIndividualCORPORATE DIRECTORsince 07/21/2021
PAYNE, MONICAIndividualCORPORATE DIRECTORsince 08/09/2021
BABCOCK, PAULIndividualCORPORATE OFFICERsince 09/30/2020
CAINE, VIRGINIAIndividualCORPORATE OFFICERsince 01/10/1994
HARRIS, LISAIndividualCORPORATE OFFICERsince 12/22/2003
AMERICAN SENIOR COMMUNITIES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2009
ADDAS, MOUHAMADIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/23/2026
BRICKER, HOLLYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/23/2026
CAREY, RUTHIndividualOPERATIONAL/MANAGERIAL CONTROLsince 12/10/2021
DICE, MARKIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/01/2023
VAN CAMP, STEVENIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/01/2023

CMS files one row per role, so the 20 rows in the source record cover these 15 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.

1 organizational owner 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.

$7.8M
Net patient revenuemost recent cost report
-2.0%
Operating marginrevenue minus expenses
$717K
Related-party expense9% of expenses
Who pays — share of resident-days
Medicaid 80%Medicare 5%Other / private 15%

About 80% 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 $717K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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

$327per resident / day
operating cost
$9,931per month
≈ monthly operating cost
$320per day
avg. revenue, all payers

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

Paying with Medicaid

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.

Typical monthly cost in Indiana
$8,943/mo
Nursing home (semi-private)
$10,326/mo
Nursing home (private)
$5,639/mo
Assisted living

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 155697. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-05-19, 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.

What to do next