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

Core Of Dale

510 W Medcalf Road, Dale, IN 47523 · Government - City/county · 52 certified beds · (812) 937-7073 Medicare & Medicaid certified

Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Special Focus Facility (federal watch list)Abuse/neglect citations on record (F0600, F0602) — most recent May 2025Behavioral-health or dementia-care citations — no harm found (F0741, F0744)2 immediate-jeopardy citations$12,682 in federal fines1 Medicare payment denial
Insights

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

In its favor
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it’s on the federal Special Focus watch list for a persistent pattern of problems
  • it has abuse, neglect, or exploitation citations (F0600, F0602) — most recent May 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
  • inspectors cited 2 immediate-jeopardy problems — the most serious level
  • a high number of inspection citations overall (31) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $12,682 in federal fines (most recent 2024-08-21)

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.

/5
CMS overall
Not rated — CMS suppresses ratings for Special Focus Facilities
Health inspectionSurveyor-assigned, ranked within your stateInspector-verifiedNot rated — CMS suppresses ratings for Special Focus Facilities
StaffingFrom payroll records (PBJ)Not rated — CMS suppresses ratings for Special Focus Facilities
Quality measuresSelf-reported by the facilityNot rated — CMS suppresses ratings for Special Focus Facilities

Location & what’s nearby

Urgent care / clinic
92 W Christmas Blvd · (812) 937-4120 · Call to confirm hours
Pharmacy
5 N Washington St · (812) 937-2071 · Call to confirm hours
Grocery
550 S Washington St · (812) 937-2856 · Call to confirm hours
Park
Dale Park0.6 mi
10 E Medcalf St · Typically dawn to dusk
Place of worship

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measuresNot rated — CMS suppresses ratings for Special Focus Facilities

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 2026-02, this home’s CMS overall rating held steady at 1 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.

CMS has published no overall rating for this home since 2026-02 — most often because it is a Special Focus Facility, whose rating CMS withholds. The line above is where the record stops; we do not carry the last star forward, and it is not this home’s rating today.

Overall ratingnot rated now
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 increased28.0%11.0%15.4%worse
Long-stay residents who lose too much weight3.7%5.5%5.4%better
Long-stay residents with a catheter left in their bladder0.0%0.4%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.0%1.1%2.0%better
Long-stay residents with depressive symptoms12.0%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 injury7.6%3.9%3.3%worse
Long-stay residents whose ability to walk worsened31.2%11.9%16.1%worse
Long-stay residents on antianxiety or hypnotic medication39.2%23.5%18.9%worse
Long-stay residents given the seasonal flu vaccine90.0%95.4%95.3%typical
Long-stay residents with pressure ulcers2.8%3.6%4.7%better
Long-stay residents with worsening bladder/bowel control20.5%23.3%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table33.8%13.6%17.1%worse
Long-stay hospitalizations per 1,000 resident days1.791.611.67typical
Long-stay outpatient ER visits per 1,000 resident days1.931.441.80typical

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.

0.17U.S. median 0.31
Therapy hours / resident / day
0.04hours / resident / day
Physical therapy
0.13hours / resident / day
Occupational therapy
0.01hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.17 therapist hours per resident per day in 2026Q1 — more than 16% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 23% 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 SNFnot reported — The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot 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 dischargenot 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 dischargenot 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 identifiednot 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 settingnot reported — Newly certified nursing home with less than 12-15 months of data available or the nursing home opened less than 6 months ago, and there were no data to submit or claims for this 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 — Newly certified nursing home with less than 12-15 months of data available or the nursing home opened less than 6 months ago, and there were no data to submit or claims for this measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF staynot 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 worsenednot 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 hospitalizationnot 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 SNFsnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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

0.42
RN hours/ resident / day
0.58
LPN hours/ resident / day
1.99
Aide hours/ resident / day
2.99
Total nurse hours/ resident / day
0.29
RN hoursweekends
Total nursing turnover
RN turnover

How full it usually is: this home is certified for 52 beds and averages 43.6 residents a day — about 84% occupied, or roughly 8 beds typically open. It usually has some room. 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 2.99 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.42 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.99 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 2.61 hrs/resident/day on weekends vs 3.15 on weekdays — 17% thinner on weekends. RN hours go from 0.48 to 0.29 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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

5
deficiencies at the latest standard inspection (2026-04-07)
8
at the previous standard inspection (2025-09-25)

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.

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

  • Immediate jeopardy · J2024-08-21 · 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 A 2. On 8/13/24 at 9:15 A.M., an Indiana Department of Health Incident Report, dated 8/4/24, indicated Resident C was found walking up the road by a staff member. Facility was investigating how she got out. It was reported that a nurse left for lunch and resident may have followed the nurse out the front entrance door. Resident C was immediately returned to facility and placed on 1:1 for 2 hours and 15 minute checks for 72 hours. Facility immediately notified maintenance to check the doors and called (Name of Door Repair Company #1) to come and inspect the doors. On 8/13/24 at 9:30 A.M., Resident C's medical records were reviewed. admission date was 2/8/24. Diagnosis included, but were not limited to rheumatoid arthritis, coronary artery disease, hypertension, non-Alzheimer's dementia, seizure disorder, anxiety disorder, asthma, and hallucinations. The most current Quarterly MDS (Minimum Data Set) Assessment, dated 5/8/24, indicated Resident C was moderately cognitively impaired, needed supervision of one 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Immediate jeopardy · Jcited before2023-08-02 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY A. Based on interview and record review, the facility failed to protect the resident's right to be free from neglect for 1 of 1 resident reviewed for discharge. A resident (Resident B) with a court order to remain at the facility was allowed to leave and did not return. The resident was being monitored for suicide precautions at the time the resident was allowed to leave with an unknown female and has never returned. The resident's whereabouts was currently unknown. Legal authorities and the physician were not notified of the resident's departure from the facility or failure to return. As an endangered adult, the resident has the potential of harming himself if not under supervision. The resident had a history of being aggressive which has the potential of others being harmed as well. (Resident B) B. Based on observation, interview, and record review. The facility failed to protect each resident from physical and verbal abuse for 2 of 3 residents reviewed for abuse. A staff member struck a resident on his chest…

    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 · Ecited before2026-04-07 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure safe storage and preparation of food to prevent the outbreak of foodborne illness during 2 of 2 observations of the kitchen. During the kitchen observations the eggs were noted to not be pasteurized and the two scoops lying on the flour and sugar bulk containers were not covered. (Kitchen)Findings include:On 3/31/26 at 8:45 A.M., during a brief tour of the kitchen, the eggs in the refrigerator were noted not to be marked with a P and the box did not indicate that the eggs were pasteurized. At that time, Dietary Aide 5 pulled the egg box from the refrigerator and indicated she did not see a P on the eggs, nor was the box marked as pasteurized. She indicated she was not sure if the eggs were pasteurized or not.On 3/31/26 at 8:45 A.M., in the dry storage area a scoop was observed to be lying on top of the bulk container of flour and another scoop on the bulk container of sugar. The scoops were not covered.On 4/1/26 at 10:57 A.M., two…

    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
  • Potential for harm · D2026-04-07 · 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 interview and record review, the facility failed to ensure notification to a provider as ordered. The physician was not notified of a resident's blood sugar outside of parameters for 1 of 2 closed records reviewed. (Resident N) Finding includes:On 4/1/26 at 7:10 A.M., Resident N's clinical record was reviewed. Diagnosis included, but was not limited to, diabetes mellitus.The most recent Minimum Data Set (MDS) assessment, dated 2/7/26, indicated a severe cognitive impairment. Resident N was dependent on staff with toileting, transferring, bed mobility, showering, and eating.Current physician orders included, but were not limited to:Blood glucose monitoring before meals and at bedtime, call physician if blood sugar less than 60 or greater than 400, dated 8/19/24 through 12/23/25.Blood glucose monitoring two times a day, call physician if blood sugar less than 60 or greater than 400, dated 12/23/25 through 3/18/26.Resident N's Medication Administration Record (MAR) indicated, but was not limited to, the following blood sugar readings:10/4/25 at 7:30 A.M. blood sugar 4210/14/25…

    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 · D2026-04-07 · 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 medications were given as ordered for 1 of 2 closed records reviewed, 1 of 5 residents reviewed for unnecessary medications, and 1 random observation during a medication pass. Insulin was not held as indicated in the order, blood pressure medication was not held as indicated, and medications were found under a resident's bed. (Resident 16, Resident B, Resident N)Findings include:1. On 4/1/26 at 7:10 A.M., Resident N's clinical record was reviewed. Diagnosis included, but was not limited to, diabetes mellitus. The most recent Minimum Data Set (MDS) assessment, dated 2/7/26, indicated a severe cognitive impairment. Resident N was dependent on staff with toileting, transferring, bed mobility, showering, and eating. Current physician orders included, but were not limited to: Tresiba subcutaneous solution 100 UNIT/ML (milliliters) (Insulin Degludec) inject 26 unit subcutaneously in the afternoon. Hold for blood sugar less than 150, dated 2/5/26 through 3/18/26. Resident N's Medication Administration Record (MAR)…

    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 · F2025-09-25 · tag F0801 — widespread
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on interview and record review, the facility failed to employ sufficient staff with the appropriate competencies to carry out the functions of food and nutrition services. The Dietary Manager lacked appropriate certification. Finding includes: On 9/16/25 at 8:05 A.M., the current Dietary Manager indicated she started in that role on 9/5/25 and lacked a current certification and was working to become re-certified. On 9/25/25 at 9:48 A.M., the Director of Nursing (DON) provided a current, undated, Dietary Manager job description as their policy that indicated, Required Qualifications Minimum requirements include one of the following: Certification as a dietary manager. Certification as a food service manager .Must also meet State requirements for food service managers or dietary managers . This Federal tag relates to Intake 2607081.3.1-20(h)

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2025-09-25 · tag F0812 — failed to store, cook, and serve food safely — widespread
    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, interview, and record review, the facility failed to appropriately test the dishwasher to verify it was functioning correctly. Staff lacked knowledge of the test strips used to test the sanitation chemicals in 1 of 2 observations of dishwasher use. Finding includes: On 9/16/25 at 8:05 A.M., the Dietary Manager indicated she was unsure of what kind of dishwasher the facility had, and that staff checked to make sure the temperature reached 120 degrees Fahrenheit. At that time, she indicated that the staff failed to test the dishwasher with chlorine strips and was unable to find strips.During an observation on 9/16/25 at 8:18 A.M., Maintenance 11 indicated the dishwasher is a low-temperature dishwasher, and he verified the temperature reached 120 degrees Fahrenheit daily. At that time, he indicated he was not a dietary employee, so he did not check the chemicals on the dishwasher.During an interview on 9/16/25 at 9:45 A.M., the Maintenance Supervisor indicated the dishwasher should be tested with a chlorine strip every shift. At that time, she located a container…

    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
  • Potential for harm · E2025-09-25 · tag F0576 — pattern
    Ensure residents have reasonable access to and privacy in their use of communication methods.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on interview and record review, the facility failed to deliver mail to the residents on Saturdays. Ten of ten anonymous residents interviewed indicated they failed to get mail every Saturday. Findings include: During a resident council meeting on 9/23/25 at 9:41 A.M., an anonymous resident indicated they failed to receive mail on Saturdays and they would like to receive it, but their Business Office Manager was not at the facility on Saturday's to deliver it. During an interview on 9/23/25 at 9:44 A.M., the Business Office Manager indicated she delivered mail to the residents and since she does not work on Saturdays, the residents do not receive mail on Saturdays. On 9/25/25 at 11:04 A.M., the Director of Nursing (DON) provided a current, undated, Residents Mail and Finances policy that indicated, .All personal mail is given to the Activities Director to take to the residents . 3.1-3(s)(1)

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-09-25 · tag F0641 — pattern
    Ensure each resident receives an accurate assessment.
    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 accurate resident assessments for 10 of 13 resident records reviewed. Minimum Data Set (MDS) assessments did not reflect accurate resident information. (Resident 6, Resident B, Resident D, Resident 3, Resident 1, Resident 8, Resident 2, Resident 19, Resident 23, Resident C)Findings include: 1. On 9/18/25 at 10:48 A.M., Resident 3's clinical record was reviewed. Diagnoses included, but were not limited to, alcohol-induced dementia, anxiety, depression, and bipolar disorder. The most recent quarterly Minimum Data Set (MDS) assessment, dated 7/26/25, indicated a moderate cognitive impairment. The MDS assessment indicated the use of antipsychotic, antidepressant, hypnotic, opioid, anticoagulant, antiplatelet, and hypoglycemic medications. The MDS assessment indicated a gradual dose reduction (GDR) had been completed on 4/16/25, as well as a contraindication to a GDR on 4/16/25. Current physician orders included, but were not limited to: duloxetine (Cymbalta) (antidepressant) 60mg (milligrams) once a 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-09-25 · tag F0657 — failed to keep the care plan current — pattern
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    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 specific, comprehensive care plans were revised for 4 of 4 reviewed for behaviors related to sexual offenders. Care plans were not revised to include specific behaviors, restrictions, and interventions. (Resident B, Resident C, Resident D, Resident F)Findings include:On 9/24/25 at 9:55 A.M., a binder was provided by the Director of Nursing (DON) with a list of registered sexual offenders that were currently residents or had previously been a resident at the facility.The Sex Offender Registry list on the [NAME] County Sheriff's Department website was retrieved on 9/24/25 at 2:20 P.M. The list included registered sex offenders who have been convicted of a sexual offense and were mandated to register as a sexual offender annually and were within a one mile radius of the facility address (510 [NAME] St Dale, Indiana 47523). The registry included 16 residents currently residing at the facility. It included the type of offense, but…

    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 · E2025-09-25 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    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 a homelike environment for 6 of 15 resident rooms reviewed for the environment. Rooms and a hall had a strong urine odor, peri-cleanser and cream (used for incontinence care) were found in a resident refrigerator, call light strings in the bathrooms were soiled, and grab bars and the toilet seat were loose. (East Hall, [NAME] Hall, Resident rooms and or shared bathrooms, Rooms 101, 102, 103/105, 108/110, 207/209, 204/206)Findings include:1. On 9/16/25 12:33 P.M., room [ROOM NUMBER] and the private bathroom was observed with a strong urine odor.On 9/24/25 at 9:10 A.M., the same was observed. 2. On 9/16/25 at 12:35 P.M., room [ROOM NUMBER], there was cream in an open clear cup and a bottle of peri-cleanser observed in Resident 8's refrigerator with three cans of soda.On 9/24/25 at 9:11 A.M., the same was observed.On 9/24/25 at 9:23 A.M., Certified Nurse Aide (CNA) 22 indicated those shouldn't be stored there, took them out, and…

    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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-09-25 · tag F0628 — isolated
    Provide 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

    Based on interview and record review, the facility failed to ensure a notice of transfer or discharge notice and a bed hold policy was given to residents or resident representatives for 2 of 2 residents reviewed for hospitalizations. There was no documentation of a resident or representative receiving a notice of transfer or discharge and a bed hold at the time of hospitalization. (Resident 1, Resident 7)Findings include: 1. On 9/18/25 at 9:38 A.M., Resident 7's clinical record was reviewed. Diagnoses included, but were not limited to, diabetes mellitus and anxiety disorder. Resident 7 was admitted from the facility to the hospital on 7/21/25 and returned to the facility from the hospital on 7/28/25. Resident 7 was admitted from the facility to the hospital on 8/19/25 and returned to the facility from the hospital on 8/20/25. Resident 7 was admitted from the facility to the hospital on 8/31/25 and returned to the facility from the hospital on 9/3/25. Resident 7's clinical record lacked a notice of transfer/discharge and bed hold policy given to the resident or a representative 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
Show the remaining 19 citations
  • Potential for harm · D2025-09-25 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    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 services provided by the facility met professional standards for 1 of 2 residents reviewed for nutrition. A resident's weights were not transferred into the clinical record, the medical provider and family were not notified of weight loss, the dietitian's recommended orders were not put into place, and the resident continued to have weight loss. (Resident G)Finding includes:On 9/19/25 at 12:06 P.M., Resident G was observed sitting in a Broda chair in the dining room while staff fed him.On 9/18/25 at 12:48 P.M., Resident G's clinical record was reviewed. Diagnoses included, but were not limited to, dementia.The most recent quarterly Minimum Data Set (MDS) assessment, dated 7/12/25, indicated Resident G's cognitive status could not be assessed and was dependent on staff for eating, showering, toileting, bed mobility, and transfers. He was on a mechanical diet (consisting of foods that are modified to be easy to chew and swallow) and experienced a weight loss. His current weight was 156.0 pounds (lbs) and…

    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 · D2025-05-19 · 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 residents were free from misappropriation for 1 of 3 residents reviewed for misappropriation. A resident's debit card was taken without consent and used by staff to withdraw $305.00 from the resident's bank account. (Resident D) Finding includes: During a review of facility reported incidents on 5/19/25 at 10:15 A.M., an incident dated 5/6/25, indicated Resident D had been alerted of suspected fraudulent activity from his bank. A withdraw was made from a local automatic teller machine (ATM) on 5/5/25 at 2:05 A.M. for $305.00. CNA 13 indicated that Resident D asked her to withdraw $300.00 from the bank at 2:00 A.M. during her lunch break. During a review of the facility's investigation into the incident on 5/19/25 at 10:20 A.M., a typed note, dated 5/6/25 and signed by the Facility Administrator indicated Resident D came to the office after he received an alert of suspected fraud at the bank. Resident D indicated he had asked CNA 13 to call the bank for him and check on his account balance and gave her his Personal…

    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 · Dcited before2025-01-07 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect 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 interview and record review, the facility failed to ensure residents were free from abuse for 1 of 3 residents reviewed for abuse. A resident was allegedly threatened with physical abuse and then was smacked by a staff member in retaliation for the resident striking the staff member during care. (Resident L) Finding includes: During a review of state reportable incidents on 1/7/25 at 11:15 A.M., an incident report dated 1/5/25 at 6:50 P.M. indicated Certified Nurse Aide (CNA) 13 reported herself to the nurse after an incident with Resident L. Resident L allegedly hit CNA 13 in the face and CNA 13 then hit [Resident 13] back in the ribs. During record review on 1/7/25 at 12:00 P.M., Resident L's diagnoses included but were not limited to, hemiplegia affecting left side, anxiety, depression, bipolar disorder, schizoaffective disorder, dementia, traumatic brain injury, and conduct disorder. Resident L's most recent quarterly Minimum Data Set (MDS) assessment, dated 10/12/24, indicated the resident's cognition was moderately impaired. Resident L's care plan included, but was…

    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 · E2024-08-21 · tag F0623 — pattern
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal 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 a notice of transfer or discharge was given to residents or resident representatives for 5 of 5 residents reviewed for hospitalizations. There was no documentation of a resident or representative receiving a notice of transfer or discharge at the time of hospitalization. (Resident 12, Resident 33, Resident 6, Resident 18, Resident 7) Findings include: 1. On 8/15/24 at 1:07 P.M., Resident 12's clinical record was reviewed. Diagnoses included, but were not limited to, Parkinson's disease and dementia without behaviors. Resident 12 was admitted from the facility to the hospital on 4/28/24 and returned back to the facility from the hospital on 5/6/24. Resident 12's records lacked a notice of transfer/discharge given to the resident or a representative at the time of the transfer. During an interview on 8/20/24 at 10:52 A.M., the DON (Director of Nursing) indicated the facility did not have documentation of Resident 12 or Resident 12's representative…

    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 · E2024-08-21 · tag F0625 — pattern
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    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 a bed hold policy was given to residents or resident representatives for 5 of 5 residents reviewed for hospitalizations. There was no documentation of a resident or representative receiving a bed hold policy at the time of hospitalization. (Resident 12, Resident 33, Resident 6, Resident 18, Resident 7) Findings include: 1. On 8/15/24 at 1:07 P.M., Resident 12's clinical record was reviewed. Diagnoses included, but were not limited to, Parkinson's disease and dementia without behaviors. Resident 12 was admitted from the facility to the hospital on 4/28/24 and returned back to the facility from the hospital on 5/6/24. Resident 12's records lacked documentation a bed hold policy was given to the resident or a representative at the time of the transfer. During an interview on 8/20/24 at 10:52 A.M., the DON (Director of Nursing) indicated the facility did not have documentation of Resident 12 or Resident 12's representative receiving a bed hold…

    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 · E2024-08-21 · tag F0880 — failed to prevent and control infections — pattern
    Provide 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 and interview, the facility failed to ensure infection control practices were in place for 4 of 4 residents during incontinence care and 1 of 1 resident during wound care. Staff failed to sanitize hands and change gloves between dirty to clean tasks. Staff failed to lather for at least 20 seconds when washing hands. (Resident 2, Resident 12, Resident 15, Resident 31, Resident 35) Findings include: 1. On 8/21/24 at 9:38 A.M., Registered Nurse (RN) 25 was observed to change a dressing for Resident 35. RN 25 entered the room with supplies, and did not wash or sanitize hands prior to putting on gloves. With gloved hands, RN 25 removed the dressing from the resident's left shin, retrieved the garbage can from beside the bed touching the side of the bed and nightstand and placed it by the resident who was sitting in a wheelchair, and threw away the old dressing. Without changing gloves, RN 25 placed a piece of gauze in her palm, and sprayed it with wound cleanser. That gauze was then used to rub the wound area. The area was then dried, ointment placed, and a new clean…

    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
  • Potential for harm · D2024-08-21 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    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 clarify a Resident's code status for 1 of 2 residents reviewed for advanced directives. A Resident's current Physician Orders did not match the signed DNR (Do Not Resuscitate) form. (Resident 41) Finding includes: On [DATE] at 9:34 A.M., Resident 41's clinical record was reviewed. Diagnoses included, but were not limited to, hypertension and hyperlipidemia. The most recent admission MDS (Minimum Data Set) Assessment, dated [DATE], indicated Resident 41 was cognitively intact. Current Physician's Orders included, but was not limited to, full code status, dated [DATE]. Current care plans included, but was not limited to, Advanced Directives .Code Status: CPR [Cardiopulmonary resuscitation] . dated [DATE] A current State of Indiana Out of Hospital Do Not Resuscitate Declaration and Order form was signed by Resident 41 and Nurse Practitioner 43 on [DATE]. During an interview on [DATE] at 9:53 A.M., Resident 41 indicated he wanted to be a DNR.…

    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 · Dcited before2024-08-21 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    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 accuracy of MDS (Minimum Data Set) Assessments for 3 of 17 resident assessments reviewed. A resident's traumatic brain injury, a resident's history of CVA (Cerebrovascular Accident), and a resident's antiplatelet use were not marked on the MDS Assessments. (Resident 5, Resident 14, Resident B) Findings include: 1. On 8/15/24 at 11:59 A.M., Resident 5's clinical record was reviewed. Diagnosis included, but were not limited to history of CVA. The most recent Quarterly MDS (Minimum Data Set) Assessment, dated 5/11/24, indicated cognition status could not be assessed. CVA was not marked as a diagnoses. On 8/20/24 at 12:37 P.M., the MDS Coordinator indicated CVA should have been marked on the 5/11/24 MDS and was an oversight. 2. On 8/15/24 at 1:09 P.M., Resident 14's clinical record was reviewed. Diagnosis included, but were not limited to, cerebral infarction. The most recent Annual MDS Assessment, dated 7/6/24, indicated a moderate cognitive impairment. The MDS indicated Resident 14 had taken an anticoagulant, but…

    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 · D2024-08-21 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    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 develop a care plan for 3 of 5 residents reviewed for Unnecessary Medications. Three residents did not have a care plan for antiplatelets while receiving an antiplatelet. (Resident C, Resident 3, Resident 10) Findings include: 1. On 8/13/24 at 9:00 A.M., Resident C's clinical records were reviewed. Diagnosis included, but were not limited to rheumatoid arthritis, paroxysmal atrial fibrillation, unspecified dementia, hallucinations and anxiety disorder. The most current Quarterly MDS (Minimum Data Set) Assessment, dated 5/18/24, indicated Resident C had moderate cognitive impairment, required supervision of one for bed mobility, supervision with set up assist for transfers, eating, and limited assistance of one for toilet use. Medications included antipsychotic, antidepressant, diuretic and antiplatelet. Physician orders included, but were not limited to the following: Aspirin Oral Capsule 81 MG (Milligram) Give 1 capsule by mouth in the morning related to paroxysmal atrial fibrillation, dated 2/9/24 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-08-21 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to revise care plans and physician orders to reflect the current status of residents for 2 of 17 resident care plans reviewed. A resident's physician order for a pre-op diet was not removed after the procedure, a care plan for respiratory illness was not removed when the resident recovered from the illness, and a resident with current antianxiety and anticoagulant care plans was not receiving either medication. (Resident 14, Resident 10) Findings include: 1. On 8/15/24 at 1:09 P.M., Resident 14's clinical record was reviewed. Diagnosis included, but were not limited to, dementia and depression. The most recent Annual MDS (Minimum Data Set) Assessment, dated 7/6/24, indicated a moderate cognitive impairment. Current physician orders included, but were not limited to: On 6-22-24 stop all NSAIDS, iron pills, and all foods that contain skins, hulls, seeds, nuts (peanuts, popcorn, grapes, green beans, peels of apples, potatoes), dated 3/27/24. Resident 14 had a current care plan for a respiratory illness, dated 6/24/24. A progress…

    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 · D2024-08-21 · tag F0741 — failed to have staff trained for behavioral health — isolated
    Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
    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 resident's safety by sufficiently tracking behaviors and assessing residents that were at risk for behaviors according to their plan of care for 2 of 2 residents reviewed for behavior monitoring. The behavior tracking system used by the facility staff was inconsistent and ineffective for monitoring behaviors to keep residents safe for 2 of 2 residents. (Resident B, Resident 4) Findings include: 1. On 8/13/24 at 9:03 A.M., Resident B was observed asleep in his bed. On 8/13/24 at 8:30 A.M., Resident B's clinical record was reviewed. Diagnoses included, but were not limited to, traumatic brain injury, epilepsy with status epilepticus, unsteadiness on feet, rheumatoid arthritis, dementia with behavioral disturbance, insomnia, schizoaffective disorder The most recent Annual MDS (Minimum Data Set) Assessment, dated 8/3/24, indicated Resident B's cognition was severely impaired, supervision of 1 staff with set up for bed mobility, transfers, eating, and toileting, did not have behaviors of wandering or exit…

    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 · D2024-08-21 · tag F0842 — failed to keep accurate, complete medical records — isolated
    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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure accurate documentation for 2 of 7 residents reviewed for accidents. A resident's fall risk assessments, MD notes, and evaluations did not accurately reflect the resident's current status, and a resident's clinical record reflected him as present in the facility while hospitalized . (Resident 4, Resident 5) Findings include: 1. On 8/15/24 at 10:08 A.M., Resident 4's clinical record was reviewed. Diagnosis included, but were not limited to, Parkinson's Disease, seizures, anxiety, depression, and history of Cerebrovascular Accident (CVA). The most recent Quarterly MDS (Minimum Data Set) Assessment, dated 5/25/24, indicated a severe cognitive impairment. Resident 4 was hospitalized from [DATE] through 7/19/24. Progress notes from 7/2/24 through 7/19/24 included, but were not limited to: 7/2/24 at 11:02 P.M. Nurse indicated resident was transferred to a behavioral health center. 7/3/24 at 3:32 P.M. An activity participation note 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-08 · tag F0744 — failed to care for residents with dementia — isolated
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
    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 provide necessary treatment and services for 2 of 3 residents diagnosed with dementia with behavioral disturbances. Residents' plan of care were not updated following persistent behaviors, recommended treatments and orders were not followed, outside services were not updated on continuing behaviors, and residents were left unsupervised. (Resident B, Resident C, Resident D, Resident F) Findings include: 1. A facility reported incident dated 3/2/24 at 7:01 A.M., included that a nurse entered the main dining room and noticed Resident B standing over Resident D with his hands around his neck. A handwritten note signed by the ADON (Assistant Director of Nursing), dated 3/2/24, included that when the ADON entered the main dining room they witnessed Resident B at Resident D's table choking him. ADON removed Resident B's hands from Resident D and separated them. An order was received to send Resident B to the emergency room for a Psychiatric…

    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 · D2024-02-15 · 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 interview and record review, the facility failed to complete a thorough investigation for 1 of 2 allegations of resident abuse reviewed. Following an allegation of verbal abuse, all potential witnesses were not interviewed, and multiple resident interviews were not conducted on the unit where the alleged abuse occurred. (Resident B) Finding includes: During a review of facility reported incidents on 2/15/24 at 9:30 A.M., an incident, dated 2/11/24, included that a nurse overheard CNA 12 yelling and cursing while in the room with Resident B. During a review of the facility investigation of the verbal abuse allegation on 2/15/24 at 9:40 A.M., an undated written statement from LPN 4 included that CNA 12 was heard hollering at Resident B and cursing at him while telling him to sit down and that CNA 6 was a witness to the incident. The facility investigation included a typed statement from CNA 12 regarding the alleged incident on 2/11/24 and an interview between the SSD (social service director) and Resident B's roommate, dated 2/12/24. No interviews or statements were included…

    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 · Dcited before2024-01-30 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect 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 interview and record review, the facility failed to ensure residents were free from verbal abuse for 2 of 4 allegations of abuse. A staff member threatened to hit a resident while providing care, and a staff member was overheard talking down to a resident while administering medication, and then referred to the resident as lazy. (Resident C, Resident D) Findings include: 1. During a review of facility reported incidents on 1/30/2 at 11:15 A.M., an incident, dated 12/29/23, included that Resident C shook their fist at CNA 13 and told CNA 13 that she was going to hit her. CNA 13 then told Resident C that she would hit her back. During record review on 1/30/24 at 10:30 A.M., Resident C's diagnoses included, but were not limited to bipolar disorder, mild intellectual disabilities, anxiety, chronic pain, and post-traumatic stress disorder (PTSD). Resident C's most recent quarterly MDS (Minimum Data Set) assessment, dated 12/22/23, indicated the resident's cognition was severely impaired and the resident demonstrated verbal behaviors towards others during 1 to 3 days of a 7-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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-11-27 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect 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 interview and record review, the facility failed to ensure residents were free from abuse for 2 of 3 residents reviewed for allegations of abuse. A resident reported feeling fearful after verbally abusive behavior from nursing staff and a resident was told to shut up and stop acting like a baby. (Resident D, Resident F) Findings include: 1. During a review of facility reported incidents on 11/27/23 at 9:30 A.M., an incident that occurred on 10/29/23 included that Housekeeping 3 overheard LPN 13 being very nasty towards Resident D and other residents and told Resident D to get away from her medication cart before I get my feels, and flip on you. Resident D was also told to mind her business when she asked about her own eye drop medications. During record review on 11/27/23 at 10:00 A.M., Resident D's diagnoses included, but were not limited to dementia and bipolar disorder. Resident D's most recent quarterly MDS (Minimum Data Set) assessment, dated 9/9/23, indicated the resident was cognitively intact. 10/31/23 Social Service followed up with Resident D, the note indicated…

    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 · D2023-10-26 · 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, interview, and record review, the facility failed to provide assistance with activities of daily living (ADLs) for 3 of 4 residents reviewed for bathing. Residents requiring assistance with bathing were not offered bathing regarding their preferences or regarding their plan of care. (Resident B, Resident D, Resident F) Findings include: 1. During a review of facility grievances on 10/25/23 at 1:00 P.M., a grievance dated 8/25/23 included that Resident B had not been receiving bathing. During record review on 10/25/23 at 9:30 A.M., Resident B's diagnoses included, but were not limited to amyotrophic lateral sclerosis (ALS or Lou Gehrigsdisease), neuromuscular disorder, chronic pain syndrome, muscle wasting and atrophy. Resident B's most recent quarterly Minimum Data Set (MDS) assessment, dated 10/7/23, indicated the resident had functional limitation in range of motion impairment to both sides of upper extremities, and was dependent for showers/bathing. Resident B's care plan included but was not limited to; preferences - resident prefers showers twice weekly…

    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
  • No harm found · C2026-04-07 · tag F0577 — widespread
    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
    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 the past survey results were easily accessible to visitors, residents, family members, and legal representatives of residents for 5 of 5 days during the survey period. The survey binder was in a closed room behind the East Hall nurse's station. Findings include:On 4/1/26 at 7:15 A.M., a sign was observed in the entrance area of the facility that indicated the survey binder was available at the East side nurse's station.On 4/6/26 at 10:15 A.M., Certified Nurse Aide (CNA) 22 retrieved the survey binder from a closed room behind the East Hall nurse's station and indicated there was a spot on the shelf in that room for the binder and that was usually where it was kept. On 4/7/26 at 9:17 A.M., a current non dated Resident Rights Policy was provided by the Director of Nursing (DON) and indicated, The resident has the right to the following: examination of the results of the most recent annual survey of the facility conducted by federal or state surveyors, any plan of correction in effect with respect 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • No harm found · C2026-04-07 · tag F0732 — widespread
    Post 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 ensure posted nurse staffing forms were posted daily with the total working hours of unlicensed staff (CNA/QMA) for 5 of 5 days reviewed during the survey period. The posted nurse staffing form lacked the facility name and the total working hours of unlicensed staff was not included on the form. Finding includes:On 3/31/26 at 9:07 A.M., the posted nurse staffing forms were observed hanging in the hallway across from the entrance. It lacked the facility name on it and the unlicensed staff (CNA/QMAs) did not have the total hours worked listed. There have not been total hours listed for the CNAs. They don't have the facility name on it. The same was observed on 4/1/26, 4/2/26, 4/6/26, and 4/7/26.On 4/6/26 at 2:00 P.M., the Business Office Manager indicated she posted the unlicensed staff and the Director of Nursing (DON) did the licensed (nurse) staff. She was not aware that the facility name needed to be on the form. She indicated the total hours worked for the unlicensed staff was not posted, just the total…

    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.

    Nursing and Physician Services 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

$12,682 in federal fines across 1 penalty. 1 Medicare payment denial on record.

  • $12,682 — penalty dated 2024-08-21
  • Medicare payment denial — starting 2024-09-14 for 6 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

Owner / managerTypeRoleSince
CLAXTON, RYANIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/27/2025
WHEELER, WHITNEYIndividualCORPORATE OFFICER; ADP OF THE SNFsince 09/23/2002
CORE OF HUNTINGBURG INCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/01/2013
RD DININGOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/09/2025
BRAZZELL, CHARLESIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/23/2002
NEESE, KEVINIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/01/2022
HORTON, FRANCESIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 10/03/2025
BLUE MANAGEMENT SERVICES LLCOrganizationADP OF THE SNFsince 05/01/2020
CORE AND ASSOCIATES LLCOrganizationADP OF THE SNFsince 11/01/1997
HSC MEDICAL BILLING & CONSULTING LLCOrganizationADP OF THE SNFsince 12/01/1999
LACY BEYL & COMPANY INCOrganizationADP OF THE SNFsince 09/01/2020
WILLIAMS BROS HEALTH CARE PHARMACY INCOrganizationADP OF THE SNFsince 04/01/2008

CMS files one row per role, so the 19 rows in the source record cover these 12 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.

7 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.

$3.6M
Net patient revenuemost recent cost report
-18.6%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 90%Medicare 1%Other / private 10%

About 90% 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. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

$302per resident / day
operating cost
$9,170per month
≈ monthly operating cost
$254per 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 155270. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-07, 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