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Danville Regional Rehabilitation

255 Meadow Dr, Danville, IN 46122 · Government - County · 110 certified beds · (317) 745-5451 Medicare & Medicaid certified

Call the home — (317) 745-5451 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Behavioral-health or dementia-care citation — no harm found (F0758)
Insights

On the public record, this home looks stronger than most — but visit before you decide.

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
  • lower-than-typical staff turnover (25% vs 45% nationally) — better care continuity
Worth asking about
  • a high number of inspection citations overall (16) — 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.

5/5
CMS overall
5 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 5 of 5

Location & what’s nearby

Hospital
★★★★★ 5/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
202 Meadow Dr · (317) 745-7759 · Call to confirm hours
Pharmacy
651 E Main St · (317) 745-5828 · Call to confirm hours
Grocery
Kroger0.7 mi
785 E Main St · (317) 745-8020 · Call to confirm hours
Park
600 E County Road 50 N · (317) 745-4180 · Typically dawn to dusk
Place of worship
1500 Temple Dr

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 5 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 5 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 held steady at 5 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 rating5★
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 increased6.6%11.0%15.4%better
Long-stay residents who lose too much weight3.1%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 infection0.6%1.1%2.0%better
Long-stay residents with depressive symptoms64.5%25.2%6.5%worse 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 injury3.8%3.9%3.3%worse
Long-stay residents whose ability to walk worsened4.7%11.9%16.1%better
Long-stay residents on antianxiety or hypnotic medication16.3%23.5%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%95.4%95.3%typical
Long-stay residents with pressure ulcers1.4%3.6%4.7%better
Long-stay residents with worsening bladder/bowel control17.5%23.3%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table4.3%13.6%17.1%better
Short-stay residents who newly got an antipsychotic medication1.0%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine100.0%79.0%79.4%better
Short-stay residents rehospitalized after admission19.8%22.2%22.6%better
Short-stay residents with an outpatient ER visit7.4%10.8%12.0%better
Long-stay hospitalizations per 1,000 resident days1.431.611.67better
Long-stay outpatient ER visits per 1,000 resident days3.101.441.80worse

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.

64.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 223 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

64.1%U.S. median 51.5%
Got home and stayed home
9.9%U.S. median 10.7%
Went back to hospital
58.9%U.S. median 56.6%
Met the expected recovery
0.35U.S. median 0.31
Therapy hours / resident / day
0.15hours / resident / day
Physical therapy
0.13hours / resident / day
Occupational therapy
0.07hours / resident / day
Speech therapy

Met the expected recovery: 58.9% 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 129 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 0.35 therapist hours per resident per day in 2026Q1 — more than 59% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 8% 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 SNF64.1%CMS range 58.3–70.051.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.9%CMS range 7.2–13.110.7%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 discharge58.9%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 discharge53.5%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 discharge53.5%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 identified100.0%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 setting96.8%100.0%Oct 2024–Sep 2025CMS makes no comparison 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 discharge98.3%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay1.9%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 worsened0.0%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 hospitalization5.4%CMS range 3.1–8.47.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.061.02Oct 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

0.57
RN hours/ resident / day
0.88
LPN hours/ resident / day
2.13
Aide hours/ resident / day
3.58
Total nurse hours/ resident / day
0.35
RN hoursweekends
24.7%
Total nursing turnover
28.6%
RN turnover

How full it usually is: this home is certified for 110 beds and averages 105.8 residents a day — about 96% occupied, or roughly 4 beds typically open. It runs essentially full — expect a waiting list. 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 3.58 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.57 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.13 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.01 hrs/resident/day on weekends vs 3.81 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.65 to 0.35 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 25% is below 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

4
deficiencies at the latest standard inspection (2025-06-23)
2
at the previous standard inspection (2024-05-03)

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

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.

16 citations, most serious first. The 10 most serious are shown; the remaining 6 are one tap away and print in full.

  • Potential for harm · D2025-06-23 · 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 interview and record review, the facility failed to ensure a resident, (Resident 94) had the right to formulate an advanced directive for 1 of 2 residents reviewed for advance directives. Findings include: On 06/19/25 at 11:44 a.m., Resident 94's medical record was reviewed. He was a long-term care resident with diagnoses which included, but was not limited to, peripheral vascular disease (PVD), a below the knee amputation of his left leg, surgical wound failure with necrosis, and dementia with unspecified severity. At the time of his admission, on 1/14/25, there was no Power of Attorney (POA) and/or guardianship documentation. Resident 94's face-sheet contact information was reviewed and revealed he was his own responsible party and received his Accounts/Receivable (AR) statements. Resident 94's family member was listed as an emergency contact. A social service progress note, dated 4/7/25 at 2:14 p.m., indicated a notary was scheduled to come to the facility to assist Resident 94 to establish a…

    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 before2025-06-23 · 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 observations, record reviews, and interviews, the facility failed to accurately code the Minimum Data Set (MDS) for a suprapubic catheter (a hollow tube inserted through the abdomen into the bladder to drain urine, typically used when a urethral catheter is not feasible or desirable) and an coded an anticoagulant medication when the resident did not received an anticoagulant medication for 2 of 7 resident reviewed (Residents 39 and 13). Findings include: 1. On 6/19/25 at 9:54 a.m., a record review was completed for Resident 39. She had the following diagnoses which included but were not limited to dementia, hypertension, anxiety, and high cholesterol. Her MDS was not coded as her having a suprapubic catheter. She had an order, dated 5/5/25, for suprapubic catheter, size 18 French (FR), 30 milliliter (ML) bulb. She had an order, dated 5/5/25, to change suprapubic catheter and urinary collection bag as needed for dislodgement, leakage, or occlusion. She had a care plan, dated 5/7/25, that she required assistance with toileting due to assistance with transfers, hygiene,…

    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 before2025-06-23 · 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

    Based on observations, interviews, and record review, the facility failed to prevent the potential for accidents with ongoing safety monitoring and assessments for a resident (Resident 62) who required the use of a seat belt in his wheelchair for 1 of 1 resident reviewed for the use of a seat belt. Findings include: On 6/19/25 at 11:41 a.m., Resident 62 was observed seated in his wheelchair (wc). A seat belt was observed across his lap but hung slack to the middle of his thighs. The left side of the belt was frayed nearly in half, as it appeared to rub against a sharp edge of the wc frame. On 6/20/25 Resident 62 was observed multiple times seated in his wc outside of the Activity Director's office door as he visited with staff and other residents. A seat belt was observed across his lap but hung slack and reached almost to the top of his knees. The left side of the belt was observed to rub against a sharp edge of his chair and remained frayed, nearly in half. On 6/23/25 at 9:41 a.m., Resident 62 was observed with the Social Service Director, (SSD). Resident 62 was asked to unbuckle…

    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 before2025-06-23 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews, the facility failed to store topical creams from medications, keep the medication cart clean, failed to remove expired insulin from use, and failed to date insulin and eye drops for 2 of 4 medications carts observed. Findings include: 1. On [DATE] at 12:04 p.m., the Cottage medication cart was observed. In the cart it was noted that wound gel was being stored next to eye drops and throat lozenges. Resident 197 had an insulin pen, Humalog, in the cart with no date to indicate when it was opened. There were approximately 50 various pills loose in the second drawer of the medication cart. 2. On [DATE] at 12:22 p.m., the Meadows medication cart was observed. In the cart nitroglycerin tablets was being stored with eye drops. Resident 12 had an insulin pen, Lispro in the cart. It was dated for [DATE]. The observations were confirmed by LPN 6 and LPN 8. A policy titled, Storage and Expiration Dating of Medications and Biologicals was provided by the Executive Director (ED) 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-05-03 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure a urinary catheter bag and catheter tubing did not touch the floor resulting in a urinary tract infection (UTI) for 1 of 2 residents observed for catheter acquired urinary tract infection (cauti) (Resident 81), and failed to ensure residents had diagnoses to support the insertion of urinary Foley catheters for 2 of 2 residents reviewed for urinary catheters (Resident 81 and 155). Findings include: 1. On 4/30/24 at 12:15 p.m., Resident 81's urinary Foley bag and catheter tubing were observed on the floor. On 5/1/24 at 12:15 p.m., Resident 81's records were reviewed. A care plan, dated 4/17/24, indicated Resident 81 required an indwelling urinary catheter related to urinary retention. The goal indicated she would have catheter care managed appropriately as evidenced by not exhibiting signs of urinary tract infection. A nursing approach was to not allow tubing or any part of the drainage system to touch the floor. An Infection Control…

    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 before2024-05-03 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure 1 of 4 treatment carts remained locked and medication remained inaccessible to residents and visitors (Residents 345, 11, 79, and 63). Findings include: One 4/30/24 at 9:48 a.m., the Rosewood treatment cart was observed unlocked. Several staff were observed to pass the treatment cart. Prescription medication found inside the treatment cart included: a. Resident 345 had SSD cream 1%. b. Resident 11 had thera-gel 0.5% shampoo. c. Resident 79 had diclofenac sodium 1% gel, one container in drawer one and one container in drawer two. d. Resident 63 had diclofenac sodium 1% gel. During an interview, on 4/30/24 at 10:03 a.m., Licensed Practical Nurse (LPN) 5 indicated the treatment cart should not be unlocked. She was observed locking it. During an interview, on 5/1/24 at 10:21 a.m., the Moving Forward Unit Manager (MFUM) 5 indicated all treatment carts should have been locked because it was a violation of resident's privacy because a resident or visitor could have been curious and looked at or taken…

    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 · Ecited before2023-02-28 · tag F0641 — pattern
    Ensure each resident receives an accurate assessment.
    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 accurately code the Minimum Data Set (MDS) for 4 of 6 residents reviewed for MDS accuracy (Residents 34, 40, 69 and 102). Findings include: 1. A comprehensive record review was completed on 2/23/23 at 12:35 p.m. for Resident 34. He admitted to the facility on [DATE]. His diagnoses included but were not limited to, after care of joint replacement surgery, unspecified atrial fibrillation, encephalopathy, acute pyelonephritis, urinary retention, GERD (gastro-esophageal reflux disease), undifferentiated schizophrenia, and restlessness with agitation. Resident 34 had a notice of Pre-admission Screening and Resident Review (PASSR) level II outcome in his medical record. The notification was dated 12/2/22 and indicated he had a diagnosis of schizophrenia. Resident 34's comprehensive MDS, dated [DATE], indicated that he did not require a level II assessment. 2. A comprehensive record review was completed on 2/22/23 at 10:40 a.m. for Resident 40.…

    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 before2023-02-28 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
    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

    Based on observation, interview, and record review, the facility failed to prevent the potential for accidents by maintaining safe hot water temperatures in the secured memory care unit. This deficient practice had the potential to effect 26 of 26 residents who resided on the memory care unit (Residents 24, 53, 54, 88, and 59). Findings include: On 2/22/23 at 9:45 a.m., Resident 24 was observed. She was seated in a recliner chair in the memory care TV lounge area. Her eyes were closed, her head was bowed, and she appeared to be asleep. During an interview on 2/22/23 at 9:50 a.m., Certified Nursing Assistant (CNA) 20 indicated Resident 24 was not a resident on the secured memory care unit, but that since her admission, a couple days prior, she had trial days on the unit due to her confusion and behaviors. Particularly, the night before, she had been found in her bathroom. She had left the bathroom sink running until it overflowed and wandered around the unit. Staff brought her to memory care early that morning and she seemed to have settled down. When asked if there were other…

    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 before2023-02-28 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — pattern
    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, interview, and record review, the facility failed to ensure urinary catheter bags were kept off the floor for 2 of 4 residents reviewed for urinary catheters (Resident 18 and 41). Findings include: 1. During an observation on 2/22/23 at 10:02 a.m., Resident 18 was lying in her bed. She indicated she had a supra-pubic catheter to drain her bladder. The catheter collection bag was lying on the floor. On 2/22/23 at 3:15 p.m., a comprehensive record review was completed for Resident 18. She had the following diagnoses, but not limited to COPD (chronic obstructive pulmonary disease), sacral spina bifida with hydrocephalus (occurs when the bones in the spine do not properly form and hydrocephalus is extra fluid in and around the brain), paraplegia, major depressive disorder, neuromuscular dysfunction of the bladder, anxiety, constipation, and tobacco use. Resident 18's care plan dated 10/29/20, indicated she required a supra-pubic urinary catheter related to neuromuscular dysfunction of the bladder and she is at risk for infection. The goal dated, 3/5/23, 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-02-28 · 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 observations, interview, and record review, the facility failed to ensure infection control procedures were followed by staff in the main dining room while assisting residents with eating for 5 of 5 randomly observed residents during a dining services observation, (Residents 9, 159, 163, 305, and one unidentified resident). Findings include: On 2/21/23 at 12:25 p.m., Licensed Practical Nurse (LPN) and Unit Manager (UM) 4 were observed in the Moving Forward dining room. LPN 4 moved Resident 159's walker with her bare hands and did not wash or gel her hands before she moved Resident 163's walker. Resident 163 was prepared to leave the dining room. LPN 4 walked with Resident 163 to her room. On 2/21/23 at 12:31 p.m., UM 4 indicated, LPN 4 should have performed hand hygiene before she touched Resident 163's walker. On 2/21/23 at 12:36 p.m., Certified Nursing Aide (CNA) 5 was observed as she touched Resident 305's arm. She did not perform hand hygiene before she returned to assist an unidentified resident with her meal. On 2/21/23 at 12:37 p.m., CNA 6 was observed as she touched…

    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 6 citations
  • Potential for harm · D2023-02-28 · tag F0655 — isolated
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to ensure a new resident had a baseline care plan initiated to identify problems related to pain and insomnia (Resident 204) for 1 of 22 residents reviewed for care planning. Findings include: On 2/27/23 at 2:55 p.m., Resident 204's medical record was reviewed. The resident's admission date was 2/24/23. The diagnoses included, but were not limited to, rhabdomyolysis (a breakdown of muscle tissue that releases damaging protein into the blood), laceration of the head, chronic heart failure, neuropathy (nerve pain), pain in left hip, sacroiliitis (a painful condition that effects one or both sacroiliac [joints at base of the spine] joints that results in lower back pain), primary insomnia, and a wedge compression fracture of the fourth lumbar (back) vertebra (bone of spine). Resident 204's care plans did not include a care plan for pain management or insomnia. Resident 204's admission pain, observation report, was dated 2/24/23 and showed In Progress. None of the questions had been answered on the Pain Interview. On 2/27/23 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-02-28 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure a resident had a new and/or revised comprehensive care plan to address a new diagnosis for 1 of 22 residents reviewed for care planning (Resident 59), and failed to revise a resident's care plan to include fall interventions for 1 of 22 residents reviewed for care planning (Resident 95). Findings include: 1. On 2/23/23 at 1:30 p.m., Resident 59's medical record was comprehensively reviewed. She had been a long-term care resident and resided on the secured memory care unit since 10/29/2020. She had previously lived at two separate Assisted Living (AL) facilities before she was admitted to long-term care. She had active diagnoses which included but were not limited to, dementia and psychotic disorder with hallucinations due to known physiological condition, and on 6/4/2022 a new diagnosis of Herpes viral vulvovaginitis (HSV) was added. Her physician's orders were reviewed and revealed she took Valacyclovir, an antiviral medication,…

    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 · D2023-02-28 · tag F0694 — isolated
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to properly place and change a gauze/transparent dressing for a PICC line (peripherally inserted central catheter) for 1 of 1 resident reviewed for a vascular access device (Resident 154). Findings include: On 2/23/23 at 8:41 a.m., a PICC line was observed in Resident 154's left upper arm. It had gauze applied at the insertion site and was covered with a transparent dressing dated 2/9/23 and initialed, AB. On 2/23/23 at 1:00 p.m., Resident 154's PICC line to the left upper arm was observed a second time, and remained dated 2/9/23 and initialed, AB. On 2/24/23 at 3:53 p.m., Resident 154's record was reviewed. She admitted to the facility on [DATE] with active diagnoses, which included, but were limited to infection and inflammatory reaction due to indwelling urethral catheter, peripheral vascular disease (disease of the blood vessels), presence of vascular implants and grafts (artificial medical device in the body), diabetes mellitus (blood…

    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 · D2023-02-28 · 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 observation, interview, and record review, the failed to ensure a resident with difficulty sleeping due to acute and chronic pain received medications, prescribed by the physician, to control pain and aid in ability to sleep, when they did not follow up after admission to obtain written prescriptions for the pharmacy to provide the prescribed medications (Resident 204) for 1 of 1 residents reviewed for pain. Findings include: On 2/27/23 at 2:55 p.m., Resident 204's medical record was reviewed. The resident's admission date was 2/24/23. The diagnoses included, but were not limited to, rhabdomyolysis (a breakdown of muscle tissue that releases damaging protein into the blood), laceration of the head, chronic heart failure, neuropathy (nerve pain), pain in left hip, sacroiliitis (a painful condition that effects one or both joints at base of the spine, that results in lower back pain), primary insomnia, and a wedge compression fracture of the fourth lumbar (back) vertebra (bone of spine). The admission Minimum Data Set (MDS) assessment, dated 12/24/23, indicated Resident 204's…

    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 · D2023-02-28 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    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 an approved psychiatric diagnosis was included in a resident's (Resident 82) comprehensive medical record for the use and indication of antipsychotic medications and failed to ensure ongoing monitoring for improving/worsening symptoms were documented to justify the medications continued use for 1 of 5 resident reviewed for unnecessary medications. Findings include: During an observation on 2/21/23 at 1:48 p.m., Resident 82 was sitting up in a Geri chair (a recliner on wheels) with the legs elevated. Her eyes were closed. She was unresponsive to verbal stimuli. During an observation on 2/22/23 at 10:02 a.m., Resident 82 was sitting up in a Geri chair with the legs elevated. Her eyes were closed. She did not respond to verbal stimuli or touch. During an observation on 2/23/23 at 3:41 p.m., Resident 82 was sitting up in a Geri chair with the legs elevated. She opened her eyes when her name was called. She did not verbally respond. During an observation on 2/27/23 at 9:23 a.m., Resident 82 was sitting up…

    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 · Dcited before2023-02-28 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to ensure medications were properly secured, and also failed to waste or destroy unused medications, according to federal guidelines, when a nurse threw medications into the trash can and then poured medication down a sink drain for 3 of 5 random medication administration observations. Findings include: On 2/27/23 at 8:47 a.m., during a random observation, a medication cart was observed outside room [ROOM NUMBER], unattended. The cart was unlocked. There were no staff members observed in the hall. The nurse was not within eyesight of the medication cart. A plastic medication cup was on the cart with applesauce and a spoon in it. Medications, several pills of different colors were mixed in the applesauce. There were 6 medication cards, containing medications, turned upside down on cart for Resident 97. On 2/27/23 at 8:50 a.m., Registered Nurse (RN) 18 came out of Resident 20's room. During an interview, she indicated she had prepared Resident 20's…

    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

“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 5 of 53.9+1.1 vs chain
Health inspection 4 of 53.4+0.6 vs chain
Staffing 3 of 52.3+0.7 vs chain
Quality measures 5 of 54.7+0.3 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 5Clark Rehabilitation And Skilled Nursing CenterClarksville, 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

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
CHIES, STEVENIndividualMANAGING CONTROL - GOVERNING BODYsince 03/17/2016
JACKSON, BLAKEIndividualMANAGING CONTROL - GOVERNING BODYsince 07/01/2015
JACKSON, ETHANIndividualMANAGING CONTROL - GOVERNING BODYsince 07/01/2015
JACKSON, MARKIndividualMANAGING CONTROL - GOVERNING BODYsince 07/01/2015
JACKSON, MICHAELIndividualMANAGING CONTROL - GOVERNING BODYsince 05/14/2024
JACKSON, WESSLEYIndividualMANAGING CONTROL - GOVERNING BODYsince 07/01/2015
JUSTICE, DAVIDIndividualMANAGING CONTROL - GOVERNING BODYsince 07/01/2015
KELSEY, DONNAIndividualMANAGING CONTROL - GOVERNING BODYsince 07/18/2024
STITLE, STEPHENIndividualMANAGING CONTROL - GOVERNING BODYsince 03/16/2016
WRIGHT, THERESSAIndividualMANAGING CONTROL - GOVERNING BODYsince 05/21/2021
DRUMMER, CARLIndividualCORPORATE DIRECTORsince 01/01/2017
FEHRIBACH, GREGORYIndividualCORPORATE DIRECTORsince 12/24/2004
HANIFY, THOMASIndividualCORPORATE DIRECTORsince 01/01/2022
LAZARD, ROBERTIndividualCORPORATE DIRECTORsince 01/29/2021
MANTRAVADI, GEETAIndividualCORPORATE DIRECTORsince 07/21/2021
MUKES-GAITHER, BEVERLYIndividualCORPORATE DIRECTORsince 01/01/2022
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 07/01/2015
BERRY, JENNAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/30/2026
CLINE, JONATHONIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/30/2026
DICE, MARKIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/01/2023
MATTHIAS, STEPHANIEIndividualOPERATIONAL/MANAGERIAL CONTROLsince 09/24/2021
SHANE, ANDREWIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/01/2023
VAN CAMP, STEVENIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/01/2023

CMS files one row per role, so the 33 rows in the source record cover these 27 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.

$13.7M
Net patient revenuemost recent cost report
+9.1%
Operating marginrevenue minus expenses
$1.4M
Related-party expense11% of expenses
Who pays — share of resident-days
Medicaid 66%Medicare 13%Other / private 21%

This home reported $1.4M paid to related parties — landlords or management companies under common ownership — equal to about 11% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$327per resident / day
operating cost
$9,943per month
≈ monthly operating cost
$360per 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 155132. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-06-23, 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.

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