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Elwood Health And Living

2300 Parkview Ln, Elwood, IN 46036 · Non profit - Corporation · 85 certified beds · (765) 203-2672 Medicare & Medicaid certified

Call the home — (765) 203-2672 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0602) — cited Mar 2026Behavioral-health or dementia-care citations — no harm found (F0744, F0758)
Insights

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

In its favor
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0602), cited Mar 2026
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (23) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll- and facility-reported staffing and quality-measure scores sit well above its independent inspection score
  • its independent health-inspection rating is low (2/5)

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.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 5 of 5

Worth a closer look. This home's staffing and quality-measure ratings run 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself, and staffing on its payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
226 S Anderson St · (765) 552-3000 · Call to confirm hours
Pharmacy
100 N Anderson St · (765) 552-9565 · Call to confirm hours
Grocery
Park
1500 S B St · Typically dawn to dusk
Place of worship
420 S Anderson St · (765) 437-3553

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 3 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating3★
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 increased13.7%11.0%15.4%better
Long-stay residents who lose too much weight11.8%5.5%5.4%worse
Long-stay residents with a catheter left in their bladder0.9%0.4%0.9%typical
Long-stay residents with a urinary tract infection0.0%1.1%2.0%better
Long-stay residents with depressive symptoms0.0%25.2%6.5%check this — see note marked star 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 injury7.3%3.9%3.3%worse
Long-stay residents whose ability to walk worsened9.1%11.9%16.1%better
Long-stay residents on antianxiety or hypnotic medication23.5%23.5%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%95.4%95.3%typical
Long-stay residents with pressure ulcers4.2%3.6%4.7%better
Long-stay residents with worsening bladder/bowel control23.4%23.3%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table10.2%13.6%17.1%better
Short-stay residents who newly got an antipsychotic medication3.5%1.2%1.4%worse
Short-stay residents given the seasonal flu vaccine72.4%79.0%79.4%typical
Long-stay hospitalizations per 1,000 resident days0.961.611.67better
Long-stay outpatient ER visits per 1,000 resident days1.721.441.80typical

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

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.

47.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 56 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

47.7%U.S. median 51.5%
Got home and stayed home
11.3%U.S. median 10.7%
Went back to hospital
72.7%U.S. median 56.6%
Met the expected recovery
0.15U.S. median 0.31
Therapy hours / resident / day
0.06hours / resident / day
Physical therapy
0.06hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Met the expected recovery: 72.7% 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 22 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 0.15 therapist hours per resident per day in 2026Q1 — more than 12% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 20% 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 SNF47.7%CMS range 37.0–61.851.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.3%CMS range 7.8–16.810.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge72.7%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 discharge45.5%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 discharge59.1%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 identified85.2%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%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 worsened3.7%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.6%CMS range 4.5–13.67.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.031.02Oct 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

0.40
RN hours/ resident / day
1.35
LPN hours/ resident / day
3.24
Aide hours/ resident / day
4.99
Total nurse hours/ resident / day
0.23
RN hoursweekends
48.0%
Total nursing turnover
55.6%
RN turnover

How full it usually is: this home is certified for 85 beds and averages 61.7 residents a day — about 73% occupied, or roughly 23 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 4.99 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.40 is below the 0.55-hour RN benchmark and nurse-aide staffing of 3.24 is at or above 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 4.63 hrs/resident/day on weekends vs 5.13 on weekdays — 10% thinner on weekends. RN hours go from 0.47 to 0.23 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 48% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

9
deficiencies at the latest standard inspection (2026-03-12)
5
at the previous standard inspection (2025-02-17)

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.

23 citations, most serious first. The 10 most serious are shown; the remaining 13 are one tap away and print in full.

  • Potential for harm · E2026-03-12 · tag F0602 — failed to protect residents from theft of their belongings — pattern
    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 observation, interview, and record review the facility failed to protect the residents' right to be free from misappropriation of property for 3 of 5 residents reviewed for drug diversion. (Residents B, C, and D) Findings include:During an interview, on 3/10/26 at 10:00 a.m., the DON and Administrator indicated they had been called early in the morning about an unusual occurrence with a shift-to-shift narcotic count. The count had been off by one pill from when the original count was done. LPN 13 indicated she thought she left a pill in a cup in the medication room. She went into the medication room and brought out a pill in a cup. The Administrator and DON had reviewed the camera footage and saw LPN 13 take a pill out of her bag that was in the medication room, place the pill in a med cup, then leave the medication room. During review of camera footage, on 3/10/26 at 12:22 p.m., the DON showed a clip of LPN 13 entering the medication room, getting into her personal backpack, and pulling out a plastic bag of pills. She removed a pill from the bag. She then opened a new…

    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 · D2026-03-12 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    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 accommodations to support a resident's ability to reposition in bed for comfort and safety and to have access to physician ordered respiratory supplies according to their plan of care 1 of 5 residents reviewed for accommodation of needs. (Resident 62) Findings include:During an observation, on 3/5/26 at 11:50 a.m., a sign hung on Resident 62's wall. The sign indicated Resident 62 was to only receive nectar thickened liquids when she was in an upright position, no straws, small sips were to be taken, the head of the bed was to be elevated to 90 degrees, and the resident was to be kept up for 30 minutes after meals. Resident 62 was lying on her back in her bed. The head of the bed was not elevated. A white foam cup, dated 3/5/26, with a lid and straw, sat on a bedside table that was positioned across the mid-section of Resident 62. A continuous pressure airway machine (CPAP, a machine to help breathing) sat on a nightstand at the head of the bed. No CPAP mask was present. Resident 62 indicated she…

    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 · D2026-03-12 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    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 an allegation of physical abuse was reported to the State Agency for 1 of 1 residents reviewed for abuse. (Resident 5)Resident 5's clinical record was reviewed on 3/10/26 at 8:59 a.m. Diagnoses included hemiplegia and hemiparesis (paralysis) following a cerebral infarction affecting the right dominant side.A progress note, dated 2/15/26 at 3:11 p.m., indicated Resident 5 called for the nurse to come to her room. The resident stated someone was really rough when changing her and her wrist got slammed on the wall. The nurse asked the resident what time it happened and Resident 5 stated it happened overnight. The aides were not paying attention and were in a rush. The resident's wrist was assessed and no redness or swelling were noted. The resident continued to complain of pain in the right wrist.A progress note, dated 2/15/26 at 3:14 p.m., indicated a new order for a right wrist x-ray.An acute care note, dated 2/16/26 at 3:55 p.m., indicated Resident 5 was seen for an acute visit for wrist pain. The resident reported…

    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 before2026-03-12 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide supervision and develop and implement interventions to prevent recurrent falls for 2 of 4 residents reviewed for accidents (Resident 7 and Resident 6). Findings include: 1.During an observation, on 3/5/26 at 3:03 p.m., Resident 7 walked up and down the unit's hallway. Resident 7's clinical record was reviewed on 3/9/26 at 9:36 a.m. Diagnoses included difficulty walking, low back pain, unspecified dementia, severe, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety, other intervertebral disc degeneration, lumbar region without mention of lumbar back pain or lower extremity pain, restless leg syndrome (RLS), and hypertension. Current orders included donepezil (for dementia) 10 mg daily at bedtime (8/9/23), memantine extended release (for dementia) 28 mg daily (7/5/23), acetaminophen 1000 mg daily for pain (2/6/26), activity level: up ad lib (6/8/21), apply gripper socks at bedtime to prevent falls…

    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 · D2026-03-12 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure the narcotic shift to shift count was completed for 4 of 5 medication carts reviewed. Findings include::During a medication cart observation, on 3/5/26 at 11:07 a.m., the 200-hall back medication cart Narcotic Shift to Shift Count Record was missing signatures on 3/2/26 at 6 p.m. for the oncoming nurse, on 3/3/26 at 6 a.m. for the off going nurse, on 3/3/26 at 10 p.m. for the oncoming nurse, on 3/4/26 at 6 a.m. for the off going nurse, and on 3/5/26 at 9 a.m. for the oncoming nurse. The 200-hall front medication cart was missing signatures on 2/15/26 at 6 a.m. for the oncoming nurse, on 2/15/26 at 2 p.m. for the oncoming nurse, on 2/15/26 at 6 p.m. for the off going nurse, 2/15/26 at 6 p.m., for the oncoming nurse, 2/15/26 at 10 p.m. for the off going nurse, on 2/26/26 at 6 a.m. for the oncoming nurse, on 3/3/26 at 6 a.m. for the off going nurse, 3/3/26 at 10 p.m. for the oncoming nurse, and on 3/3/26 at no time listed for the off going nurse. During the observation, RN 14 indicated the Narcotic Shift to Shift Count…

    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 before2026-03-12 · tag F0759 — failed to keep medication error rate low — isolated
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to ensure it was free of a medication error rate of greater than 5 percent for 2 of 5 residents (Residents 22 and 27) observed during the medication pass. There were 29 opportunities for error observed with 2 medication errors, resulting in a medication error rate of 6.9 percent. Findings include: 1. During a medication administration observation, on 3/10/26 at 8:42 a.m., LPN 6 prepared Resident 27's medications. She knocked on the door and took the prepared pills into the resident's room along with an 8 ounce of cup of water mixed with 17 grams of polyethylene glycol 3350 (laxative). The resident drank about four ounces of the medicated water mix. LPN 6 left the remainder of the medicated water mix on the resident's table. During an interview, on 3/10/26 at 8:57 a.m., LPN 6 indicated she left the of polyethylene glycol 3350 water mix with the resident to sip on. She would go back and check on the resident later. Resident 27's clinical record was reviewed on 3/11/26 at 9:37 a.m. Diagnoses included constipation,…

    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 before2026-03-12 · 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 and staff interview, the facility failed to ensure medications were stored in a manner to prevent loose pills in the medication cart drawers for 2 of 3 medication carts reviewed out of 5 facility medication storage carts. (200 hall and 300 hall)Findings include: During a medication cart observation on 3/5/26 at 11:07 a.m., accompanied by RN 14, a blue oblong pill inscribed with A-17 was found loose in the second drawer on the left side of the 200-hallway medication cart. RN 14 indicated that the pill should be destroyed in a drug buster (a drug disposal system). The medication carts were cleaned out weekly. During a medication cart observation on 3/5/26 at 12:19 p.m., accompanied by LPN 5, the following loose pills/capsules were observed in the third drawer from the top of the 300 hallway medication cart: one peach colored capsule inscribed with 215, a pink round pill inscribed with 262, a white round pill inscribed with HP 23, a green oblong pill inscribed with E 45, a pink and orange pill inscribed with EP 102, a white round pill inscribed with L 150, and 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-03-12 · tag F0810 — isolated
    Provide special eating equipment and utensils for residents who need them and appropriate assistance.
    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 adaptive tableware for 1 of 2 residents reviewed for assistive devices used during dining. (Resident 16) Finding includes:During a dining observation, on 3/6/26 at 12:43 p.m., Resident 16's meal was provided in the dining room on a white plate.During a dining observation, on 3/10/26 at 12:57 p.m., Resident 16's meal was provided in the dining room on a white plate. During an interview, on 3/10/26 at 1:30 p.m., LPN 5 indicated Resident 16 often fed himself but needed increased cuing and staff assistance during the lunch and supper meals. Resident 16 did not use specialty cups, plates, or utensils during meals.Resident 16's clinical record was reviewed on 3/10/26 at 3:45 p.m. Diagnoses included need for assistance for personal care, dysphagia at the oropharyngeal stage (difficulty initiating to swallow), lack of coordination, and dry eye syndrome.Current orders included regular diet with regular texture, thin liquids, and a red plate at meals (2/26/26).An annual Minimum Data Set (MDS) assessment, dated…

    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 · Dcited before2026-03-12 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    A.Based on observation, interview, and record review, the facility failed to utilize infection prevention and control strategies related to handling of a urinary drainage bag for 1 of 2 residents reviewed for indwelling catheters. (Resident 65)B. Based on observation, record review, and interview, the facility failed to ensure enhanced barrier precautions (EBP) were implemented during perineal care and wound care for a resident with a feeding tube for 1 of 3 residents reviewed for wound care. (Resident 56) Finding includes:A.During an observation, on 3/6/26 at 10:45 a.m., Resident 65's indwelling urinary catheter drainage bag hung under his wheelchair. The bag touched the floor. The bag drug on the floor as Resident 65 self-propelled his wheelchair in the hallway. During an observation, on 3/6/26 at 12:13 p.m., Resident 65's urinary catheter drainage bag drug on the floor as Resident 65 self-propelled his wheelchair in the hallway. During an observation, on 3/9/26 at 10:45 a.m., Resident 65's urinary catheter drainage bag drug on the floor as Resident 65 self-propelled his…

    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 · Dcited before2025-10-27 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide supervision for a cognitively impaired resident residing on the secured unit resulting in the resident (Resident B) leaving the secured unit twice without supervision.Findings include:Resident B's clinical record was reviewed on 10/27/25 at 10:59 a.m. Diagnoses included anxiety, depression, vascular dementia with behaviors, and stage 3 chronic kidney disease. The resident was admitted to the facility on [DATE].A current quarterly MDS (Minimum Data Set) assessment, dated 8/30/25, indicated the resident had no current behaviors and was able to ambulate independently and was severely cognitively impaired.A care plan related to elopement risk, dated 3/22/21, indicated the resident demonstrated exit seeking behaviors. Interventions included escorting the resident outside and use of distractions. A care plan related to exit seeking behaviors, dated 6/8/21, indicated the resident may shake and push/fidget with doors in an attempt to leave the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 13 citations
  • Potential for harm · E2025-02-17 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    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 maintain water temperatures at a comfortable level for 4 of 7 residents reviewed for comfortable water temperatures on the 300 Hall. (Residents C, D, E, F) Findings include: On 2/10/25 at 11:28 a.m., the following was observed: The hot water in room [ROOM NUMBER]'s bathroom sink reached a temperature of 96.8 degrees Fahrenheit (F) after it ran for five minutes. The hot water in room [ROOM NUMBER]'s bathroom sink reached a temperature of 100 degrees F after it ran for three minutes. During an interview, on 2/10/25 at 2:20 p.m., Resident E indicated the water from her bathroom sink was always cold, even after letting the water run for a while. It had been like that for the last 3-4 months. During an interview, on 2/11/25 at 10:32 a.m., Resident C indicated the water from her bathroom sink was cold all the time. During an observation, on 2/11/25 at 10:35 a.m., the hot water in Resident C's bathroom sink was turned on, and after letting the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-02-17 · 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 and interview, the facility failed to provide a safe and comfortable environment for 3 of 4 residents reviewed for homelike environment. (Resident C, Resident D and Resident 42) Findings include: Resident D's clinical record was reviewed on 2/12/25 at 10:38 a.m. Diagnoses included type 2 diabetes mellitus, chronic kidney disease, muscle weakness, and abnormality of gait and mobility. During an interview, on 2/12/25 at 12:09 p.m., Resident D indicated maintenance would be replacing her countertop. She used the countertop to help herself balance during transfers. They had not fixed the countertop at that time, as they had to order a new one. During a room observation, on 2/12/25 at 12:17 p.m., room [ROOM NUMBER]'s bathroom countertop was pulling away from the wall. It had a small gap between the backsplash and the wall. The countertop moved downward when pressure was placed on top of it. During an interview, on 2/12/25 at 1:17 p.m., Resident D indicated she went to get up from the toilet,…

    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 · D2025-02-17 · 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 ensure residents with dementia did not receive anti-psychotic medications without indication and individualized interventions for behavior expressions were implemented for 2 of 5 residents reviewed for dementia care (Resident 33 and Resident 61). Findings include: 1. During an observation, on 2/10/25 at 3:50 p.m., Resident 33 walked with a shuffling gait in the activity/dining area with his hands in his pockets. He was encouraged by a staff member to participate in an activity and was assisted to sit in a chair. On 2/12/25 at 10:09 a.m., Resident 33 shuffled up and down the hall with his hands in his pockets. On 2/12/25 at 12:40 a.m., Resident 33 talked nonsensically to his tablemate while sitting at a dining table. He moved food around on his plate, then poured water on it. He put small pieces of his pie in his water glass with his fork, then he ate small bites of the pie from his water glass. On 2/14/25 at 3:39 p.m., Resident 33 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-17 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure an antipsychotic medication was not initiated without indication for 1 of 5 residents reviewed for unnecessary medications. (Resident 15) Findings include: Resident 15's clinical record was reviewed on 2/17/25 at 9:32 a.m. Diagnoses included generalized anxiety disorder, alcohol dependence (in remission), hypertension, sedative, hypnotic, or anxiolytic dependence (uncomplicated), cognitive communication deficit, and unspecified dementia (unspecified severity - with other behavioral disturbance). A quarterly MDS, dated [DATE], indicated the resident had active diagnoses of anxiety, depression, and a psychotic disorder (other than schizophrenia). Current orders included buspirone (anti-anxiety) 5 mg tablet give 1 tablet by mouth three times a day, tramadol (opiate pain reliever) 50 mg tablet give 1 tablet by mouth every 8 hours as needed, quetiapine fumarate (anti-psychotic) 25 mg give 1 tablet by mouth at bedtime, and behavior…

    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 before2025-02-17 · tag F0880 — failed to prevent and control infections — isolated
    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, interview, and record review, the facility failed to ensure staff implemented transmission based precautions for 2 of 8 residents reviewed for infection control. (Residents D and Resident 62) Findings include: Resident 62's clinical record was reviewed on 2/10/25 at 1:38 p.m. Diagnoses included osteomyelitis of vertebra, thoracic region, cerebral infarction, COVID-19, depression, and cognitive communication deficit. Physician orders, dated 2/5/25 at 2:00 p.m., indicated transmission based (droplet) precautions were to be observed for 9 days for COVID-19. All services were to be received in his room. On 2/10/25 at 10:47 a.m., a sign on Resident 62's door indicated the resident was on droplet precautions. The Certified Occupational Therapy Assistant (COTA) exited the room wearing a surgical mask and glasses. The COTA indicated she would remove personal protective equipment (PPE) when exiting a room. She would replace the N-95 mask with a surgical mask. Her personal glasses were not covered by protective eyewear because she was not able to see well with goggles…

    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 · Dcited before2024-09-18 · 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 limit medication access to authorized personnel for 1 of 2 residents reviewed for medication storage. (Resident B) Findings include: On 9/18/24 at 10:50 a.m., Resident B was observed in her room. During the observation, the DON indicated the resident did not keep any medications in the room. The DON asked the resident if she had any medications in the room and the resident responded that she did not. The DON and the Administrator indicated there was one instance when the resident's family had brought in an injectable migraine medication, Imitrex (trade name of the medication), also known as sumatriptan succinate (generic name of the medication). The facility provided the sumatriptan succinate, but both the resident and family insisted the generic version of the medication did not work. The Administrator indicated Resident B's family had been informed they were not permitted to inject the resident with the medication, nor bring the medication into the facility from an outside source. The facility had the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-22 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to identify a pressure injury and implement interventions to promote healing (Resident 115) and failed to implement an ordered treatment (Resident 24) for pressure injury for 2 of 4 residents reviewed for pressure injuries. (Residents 115 and 24) Findings include: During an interview, on 4/16/24 at 9:30 a.m., Resident 115 sat in a wheelchair in her room and indicated she had painful sores on her bottom. During an interview, on 4/17/24 at 10:05 a.m., the resident sat in a wheelchair in her room, crying. She indicated she wanted to go back to bed because her bottom was sore, and she hurt all over. During an observation, on 4/17/24 at 2:22 p.m., the resident sat in a wheelchair in her room. During a wound observation, on 4/18/24 at 10:57 a.m., a ladybug-sized wound, with a depth slightly greater than a pencil tip, was present to Resident 115's inner left gluteal area. The wound bed had a small amount of yellow tissue and the edges were rolled. Resident 115's record was reviewed on 4/19/24 at 11:32 a.m. Diagnoses…

    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 before2024-04-22 · 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 observation, interview, and record review, the facility failed to provide adequate supervision and implement resident-specific interventions to prevent a fall resulting in a fracture for 1 of 5 residents reviewed for falls. (Resident 22) Finding includes: During an observation, on 4/15/24 at 11:18 a.m., Resident 22 was lying in bed in a low position with a mat on the floor. During an observation, on 4/17/24 at 9:55 a.m., the resident was lying in a low bed, with the head of the bed up and a mat on the floor next to the bed. During an observation, on 4/18/24 at 2:57 p.m., the resident was lying in a low bed, with the head of the bed up and a mat on the floor next to the bed. Resident 22's record was reviewed on 4/18/24 at 9:04 a.m. Diagnoses included unsteadiness on feet, muscle weakness, repeated falls, unspecified abnormalities of gait and mobility, history of falling, chronic pain, generalized anxiety disorder, and dementia. Physician orders included, but were not limited to, alprazolam 0.5 mg (anti-anxiety) three times a day for anxiety (12/12/23), duloxetine 60 mg…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-22 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to provide incontinence care in a hygienic manner for 1 of 3 residents reviewed for urinary tract infections (UTIs) (Resident 115). Finding includes: During a perineal care (washing of the genitals and rectal areas) observation, on 4/18/24 at 10:57 a.m., Resident 115 was laying on her back in the bed. CNA 9 washed under the resident's abdomen and thigh creases. Using the same washcloth, the CNA next washed Resident 115's labia from back to front. The CNA repeated the same steps, in the same order, with another washcloth to rinse the same areas. Resident 115's record was reviewed on 4/21/24 at 8:32 a.m. Diagnoses included type 2 diabetes mellitus and need for assistance for personal care. The current physician orders included a urinalysis with culture and sensitivity (urine testing for infection) to be collected via in and out catheter for dysuria and altered mental status (4/18/24) and nitrofurantoin (antibiotic) 100 mg two times a day for five days for UTI (4/21/24). An admission, 4/11/24, Minimum Data Set…

    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 before2024-04-22 · tag F0759 — failed to keep medication error rate low — isolated
    Ensure medication error rates are not 5 percent or greater.
    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 administer medications as ordered by the physician. There were 26 opportunities with 2 errors, resulting in a 7.69% medication administration error rate. These errors involved 2 of 6 residents observed for medication administration. (Residents 31 and 50) Findings include: 1. During an observation of medication administration for Resident 31, on [DATE] at 11:24 a.m., QMA 5 prepared the following medication to administer: Insulin Aspart (to treat diabetes), 2 units. The insulin vial was dated [DATE] for the opened date. QMA 5 administered the 2 units of insulin for Resident 31 in the lower left quadrant of her abdomen. 2. During an observation of medication administration for Resident 50, on [DATE] at 11:26 a.m., QMA 5 prepared the following medication to administer: NovoLOG (Insulin Aspart), 1 unit, the insulin vial was dated [DATE] for the opened date. QMA 5 administered the 1 unit of insulin for Resident 50 in her left forearm.…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-01 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure staff treated a resident with respect and dignity for 1 of 3 residents reviewed for abuse. (Resident B) Findings include: Resident B's clinical record was reviewed on 4/1/24 at 10:19 a.m. Diagnoses included morbid (severe) obesity due to excess calories, anxiety disorder, and depression. Her physicians orders included escitalopram oxalate (treat depression) 10 mg daily. A 12/22/23, significant change MDS (Minimum Data Set) assessment indicated she was cognitively intact. She required extensive assistance of one staff member for bed mobility and toilet use. Her care plan indicated she enjoyed when staff used terms of endearment with her (sugar, honey, darling, etc.) (11/16/23). Her interventions included encourage her to express other preferences (11/16/23) and honor her preferences (11/16/23). Review of her nurses notes indicated the following: On 3/12/24 at 2:30 p.m. (created on 3/13/24 at 8:34 a.m.), the resident reported to a CNA that on the prior shift, a CNA had called her a name that hurt her…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-29 · 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 conduct a thorough investigation of an injury (fracture) of unknown origin to determine a root cause (Resident B). Findings include: The clinical record for Resident B was reviewed on 1/29/24 at 10:00 a.m. Diagnoses include restless leg syndrome, osteoarthritis, cerebral aneurysm, transient cerebral ischemic attack, dysphagia, psychotic disorder with hallucinations, type 2 diabetes with diabetic neuropathy, anxiety, delusions, Alzheimer's Disease, and vascular dementia. The most recent Quarterly Minimum Data Set (MDS) assessment, dated 11/7/23, indicated the resident required extensive assistance for bed mobility and transfers. The resident was severely cognitively impaired. Review of the clinical record indicated the resident had a current, 1/2/24 care plan for alteration in musculoskeletal status related to fracture of the right heel. Interventions included encourage, supervise, and assist the resident, with the use of supportive devices as recommended; avoid weight bearing to right foot until healed; ice pack to right…

    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 before2024-01-29 · 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 interview and record review, the facility failed to investigate a fall resulting in fracture to determine root cause and identify individualized interventions to prevent further falls (Resident C). Findings include: The clinical record for Resident C was reviewed on 1/29/24 at 11:36 a.m. Diagnoses include dementia, repeated falls and osteoarthritis. The most recent Quarterly Minimum Data Set (MDS) assessment, dated 12/29/23, indicated the resident required touch assistance for walking and partial moderate assistance for transfers. The resident was severely cognitively impaired. Review of the clinical record indicated the resident had a current, 12/27/23 care plan for an actual falls on 11/10/23 12/26/23 1/16/24,dated 11/10/23. The intervention for the fall on 12/26/23 was more frequent rounding. Review of a progress note, dated 1/16/24 at 5:20 p.m., indicated Resident C sustained an unwitnessed fall. The resident was found sitting on the bathroom floor. The resident denied pain and was assessed for injuries. No injuries were found. Review of a progress note, dated 1/16/24…

    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

“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.

Who owns this facility

Owner / managerTypeRoleShareSince
PUTNAM COUNTY HOSPITALOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 10/01/2018
STAR FINANCIAL BANKOrganization5% OR GREATER MORTGAGE INTERESTsince 12/02/2021
AIMAN, BRANDONIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROLsince 05/31/2022
BAKER, TINAIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROLsince 05/31/2024
BRAY, ARNOLDIndividualMANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNFsince 09/01/2012
CRUM, BETTYIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROLsince 05/31/2023
FRY, JANICEIndividualMANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNFsince 09/01/2012
GATEWOOD, STEVENIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROLsince 05/31/2024
HARPE, ELIZABETHIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF; ADP OF THE SNFsince 06/11/2025
HEADLEY, MATTHEWIndividualMANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNFsince 09/01/2012
LANDRY, KEITHIndividualMANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNFsince 09/01/2020
LEWIS, KATRINAIndividualMANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR; TRUSTEE OF THE SNFsince 12/21/2022
ROBINSON, KERRYIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROLsince 04/30/2024
SIPES, PAMELAIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROLsince 10/01/2018
SMITH, DIANAIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/01/2018
STANDIFER, LEVEDAIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROLsince 05/01/2023
UNDERWOOD, WENDELLIndividualMANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNFsince 05/20/2024
WOOD, MARKIndividualMANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNFsince 08/05/2024
SILLERY, DEBRAIndividualCORPORATE DIRECTOR; TRUSTEE OF THE SNFsince 01/03/2026
COMMUNITY LTC INCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/01/2018
HEALTH MANAGEMENT ADVISORS INCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/01/2018
PROACTIVE MEDICAL REVIEW AND CONSULTANTS LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/01/2023
BALL, MICHELLEIndividualOPERATIONAL/MANAGERIAL CONTROLsince 10/21/2019
BECKLEY, CANDICEIndividualOPERATIONAL/MANAGERIAL CONTROLsince 04/15/2019
BONWELL, ALEAUSIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/28/2025
BROSHAR, PENNYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/09/2021
CHATHAM, BARRYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/01/2023
CHATHAM, BRIANIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/01/2023
CHATHAM, STEPHENIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/01/2023
COLLINS, JENNIFERIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/01/2018
COLLINS, PAIGEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/01/2018
CONCIO, CRYSTALIndividualOPERATIONAL/MANAGERIAL CONTROLsince 08/11/2024
COOK, BRODYIndividualOPERATIONAL/MANAGERIAL CONTROLsince 10/01/2018
CREASY, DARRENIndividualOPERATIONAL/MANAGERIAL CONTROLsince 03/24/2022
EMERICK, DEBRAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 04/16/2023
GAINES-ANDREWS, RENEEIndividualOPERATIONAL/MANAGERIAL CONTROLsince 10/01/2018
GORDON, HEATHERIndividualOPERATIONAL/MANAGERIAL CONTROLsince 10/01/2018
GRAVES, NATALIEIndividualOPERATIONAL/MANAGERIAL CONTROLsince 11/01/2018
GREEN, AMANDAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/01/2018
GRISSOM, KATIEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/01/2018
GUILL, CINDYIndividualOPERATIONAL/MANAGERIAL CONTROLsince 11/07/2022
HARRIS, JOHNIndividualOPERATIONAL/MANAGERIAL CONTROLsince 10/01/2018
HARRIS, MARYIndividualOPERATIONAL/MANAGERIAL CONTROLsince 10/01/2018
KENDALL, ANGELAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/01/2018
LEMING, LINDAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 09/07/2021
MARTIN, ARNIEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/01/2023
MATTINGLY, SHEENAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/01/2018
MCCORMICK, SARAH-BETHIndividualOPERATIONAL/MANAGERIAL CONTROLsince 05/16/2021
MESALAM, AMYIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/31/2025
MULLANIX, APRILIndividualOPERATIONAL/MANAGERIAL CONTROLsince 06/30/2021
MURRAY, CASSANDRAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/01/2018
RUSSELL, STEPHANIEIndividualOPERATIONAL/MANAGERIAL CONTROLsince 10/01/2018
SEMON, BRITTANYIndividualOPERATIONAL/MANAGERIAL CONTROLsince 11/14/2024
STEVENS, PENNYIndividualOPERATIONAL/MANAGERIAL CONTROLsince 03/01/2019
SYLVESTER, NICOLEIndividualOPERATIONAL/MANAGERIAL CONTROLsince 02/07/2021
WALBRIDGE, TIMOTHYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2024
WEATHERFORD, DENNISIndividualOPERATIONAL/MANAGERIAL CONTROLsince 09/18/2012
YOST, SHAWNIndividualOPERATIONAL/MANAGERIAL CONTROLsince 12/28/2021
ALTEA MEDICAL INDIANA PCOrganizationADP OF THE SNFsince 06/21/2024
HEALTHCARE THERAPY SERVICES INCOrganizationADP OF THE SNFsince 01/01/2020
MILLER, BRYONIndividualADP OF THE SNFsince 06/21/2024

CMS files one row per role, so the 98 rows in the source record cover these 61 parties — each is shown once here with every role it holds. Nothing is omitted.

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.

$7.5M
Net patient revenuemost recent cost report
-8.1%
Operating marginrevenue minus expenses
$423K
Related-party expense5% of expenses
Who pays — share of resident-days
Medicaid 0%Medicare 7%Other / private 93%

This home reported $423K paid to related parties (affiliated landlords or management companies) in its most recent cost report. 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

$366per resident / day
operating cost
$11,128per month
≈ monthly operating cost
$339per 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 155522. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-12, 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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