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Otterbein Franklin Seniorlife Comm Res & Com Care

1070 W Jefferson St, Franklin, IN 46131 · Non profit - Church related · 208 certified beds · (317) 736-7185 Medicare & Medicaid certified

Call the home — (317) 736-7185 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0602) — cited Apr 2025$21,825 in federal fines
Insights

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

In its favor
  • a middle-of-the-pack inspection score (3/5)
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0602), cited Apr 2025
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0605, F0609) — 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 (17) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $21,825 in federal fines (most recent 2025-09-24)
  • about 20% of its spending goes to commonly-owned related companies

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

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

Location & what’s nearby

Hospital
★★★★★ 5/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1159 W Jefferson St Ste 204 · (317) 346-7722 · Call to confirm hours
Pharmacy
Walgreens0.4 mi
20 S Morton St · (317) 736-8089 · Call to confirm hours
Grocery
200 N Morton St · (463) 218-0351 · Call to confirm hours
Park
Typically dawn to dusk
Place of worship

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

Quality measures — how residents actually fare

Overall quality measures 3 of 5
Long-stay residentspeople who live here 3 of 5
Short-stay residentsrehab / post-hospital 4 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 4 to 2 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 rating2★
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 increased9.7%11.0%15.4%better
Long-stay residents who lose too much weight9.4%5.5%5.4%worse
Long-stay residents with a catheter left in their bladder0.7%0.4%0.9%worse than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection1.8%1.1%2.0%typical
Long-stay residents with depressive symptoms3.2%25.2%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury6.6%3.9%3.3%worse
Long-stay residents whose ability to walk worsened11.0%11.9%16.1%better
Long-stay residents on antianxiety or hypnotic medication28.8%23.5%18.9%worse
Long-stay residents given the seasonal flu vaccine99.2%95.4%95.3%typical
Long-stay residents with pressure ulcers3.0%3.6%4.7%better
Long-stay residents with worsening bladder/bowel control28.4%23.3%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table12.2%13.6%17.1%better
Short-stay residents who newly got an antipsychotic medication0.8%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine96.9%79.0%79.4%better
Short-stay residents rehospitalized after admission24.4%22.2%22.6%typical
Short-stay residents with an outpatient ER visit14.9%10.8%12.0%worse
Long-stay hospitalizations per 1,000 resident days2.151.611.67worse
Long-stay outpatient ER visits per 1,000 resident days2.331.441.80worse

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.

65.3% 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 172 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

65.3%U.S. median 51.5%
Got home and stayed home
10.2%U.S. median 10.7%
Went back to hospital
53.9%U.S. median 56.6%
Met the expected recovery
0.34U.S. median 0.31
Therapy hours / resident / day
0.12hours / resident / day
Physical therapy
0.15hours / resident / day
Occupational therapy
0.06hours / resident / day
Speech therapy

Met the expected recovery: 53.9% 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 65 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 0.34 therapist hours per resident per day in 2026Q1 — more than 56% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 18% 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 SNF65.3%CMS range 58.5–70.951.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.2%CMS range 7.7–13.610.7%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 discharge53.9%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 discharge64.6%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 discharge47.7%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 identified98.1%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 setting69.7%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 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 stay0.9%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 worsened1.9%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 hospitalization5.1%CMS range 2.9–9.07.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.901.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.50
RN hours/ resident / day
0.70
LPN hours/ resident / day
2.42
Aide hours/ resident / day
3.63
Total nurse hours/ resident / day
0.32
RN hoursweekends
51.0%
Total nursing turnover
47.8%
RN turnover

How full it usually is: this home is certified for 208 beds and averages 126.7 residents a day — about 61% occupied, or roughly 81 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.63 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.50 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.42 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 3.45 hrs/resident/day on weekends vs 3.69 on weekdays — 7% thinner on weekends. RN hours go from 0.58 to 0.32 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 51% 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

3
deficiencies at the latest standard inspection (2025-08-21)
4
at the previous standard inspection (2024-07-31)

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

Inspection deficiencies

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

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

17 citations, most serious first. The 10 most serious are shown; the remaining 7 are one tap away and print in full.

  • Potential for harm · Dcited before2025-12-04 · 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 abuse was immediately reported to the Administrator and reported to the state survey agency for 1 of 3 residents reviewed for abuse. (Resident B, Activity Assistant 1) Finding includes:During an interview on 12/3/25 at 8:40 a.m., CNA 1 indicated an activity assistant made an allegation of abuse by leaving a note under a manager's door, but the DON and the Administrator were not in the facility. The abuse allegation should have been reported to the Administrator immediately. During an interview on 12/4/25 at 9:02 a.m., the Administrator indicated Activity Assistant 1 made an allegation of abuse by leaving a note under the Director of Nursing's (DON) door. The allegation of abuse should have been reported immediately. On 12/4/25 at 10:00 a.m., the Administrator provided a copy of a hand-written note, dated 11/18/25, and indicated this was the note that was left under the DON's door that described the abuse allegation. A review of the note indicated while on the special care unit, at approximately 2:45…

    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 · Fcited before2025-10-20 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and interview, the facility failed to ensure the kitchen was thoroughly cleaned for 1 or 1 random observations. Finding includes:During an interview on 10/20/25 at 9:10 a.m., Dietary Aide 1 indicated the kitchen floors were supposed to be swept and mopped every day. The floors under the serving line, heat tables, and prep tables should have been cleaned thoroughly. During an interview on 10/20/25 at 9:11 a.m., the Dietary Director indicated the kitchen floors should have been thoroughly cleaned. During a random kitchen observation on 10/20/25 from 9:12 a.m. until 9:22 a.m., under the service line tables, the heat tables, and food prep tables, there was a buildup of old dried food particles, grapes, dirty food containers, silverware, and thick buildup of dust and debris.On 10/20/25 at 11:30 a.m., the facility was unable to provide a policy regarding cleaning kitchen floors.This citation relates to Intake 2645627.3.1-21(i)(2)3.1-21(i)(3)

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-08-21 · tag F0558 — failed to accommodate residents' needs and preferences — pattern
    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 and interview, the facility failed to provide reasonable accommodation of needs for 4 of 4 random residents observed. Four resident's bathroom emergency call lights were not accessible for resident use. (Resident 116, Resident 99, Resident 108, Resident 52)Findings include: 1. During an observation on 8/13/25 at 9:47 a.m., Resident 116's emergency call light cord was observed to be wrapped around the bathroom support bars preventing activation when pulled. During an interview at that time, Resident 116 indicated that was the bathroom he used. During an observation on 8/14/25 at 9:20 a.m., Resident 116's bathroom emergency call light cord was observed to be wrapped around support bar, preventing activation when pulled. 2. During an observation on 8/13/25 at 10:24 a.m., Resident 99's emergency call light cord in bathroom was observed to be wrapped around the support bar preventing activation when the cord was pulled. During an observation on 8/14/25 at 8:28 a.m., Resident 99's emergency call light cord in the bathroom was observed to be wrapped around the support…

    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 · Ecited before2025-08-21 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review the facility failed to ensure a kitchenette used to serve food on the Advanced Special Care Unit was clean and sanitary for 1 of 1 observations. Findings include: During an interview on 8/13/25 at 11:46 a.m., a family member of a resident who resided on the Advanced Special Care Unit indicated the kitchenette on the unit was dirty. During a dining observation on 8/13/25 from 12:15 p.m. until 12:45 p.m., observed the kitchenette located in the Advanced Special Care Unit. Food was observed being prepared to be served to the residents. The following was observed 1. The white countertop had multiple dried pink stains. 2. One drawer contained a soiled apron with an unidentifiable light green soft food substance and pot holders used to carry prepared hot trays of food.3. One drawer contained a reddish-orange flakey substance that covered the entire bottom of the inside of the drawer. The drawer also contained 10 individual packages of instant hot chocolate.4. One drawer contained a round half dollar-sized sticky brown substance at 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-08-21 · tag F0605 — failed to not use drugs as a restraint — isolated
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    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 that PRN (as needed) anti-anxiety medications were not prescribed for greater than 14 days without a rationale and a specified extended date from the physician for 1 of 5 residents reviewed for unnecessary medications. (Resident 4) Finding includes: On 8/15/25 at 10:03 a.m., Resident 4's clinical record was reviewed. The diagnosis included, but was not limited to, anxiety disorder. The admission Minimum Data Set (MDS) assessment, dated 6/22/25, indicated Resident 4 was diagnosed with anxiety disorder and was prescribed anti-anxiety medications. On 8/15/25 at 11:00 a.m., the Administrator provided a copy of Resident 4's current physician orders. A review of the orders included, but were not limited to the following:- hydroxyzine HCL (an antihistamine medication used to treat anxiety) 25 milligrams, one tablet by mouth every 8 hours PRN (as needed), ordered 6/16/25 with no end date noted.- lorazepam oral tablet (an anti-anxiety medication) 0.5 milligrams, one tablet by mouth every 24 hours PRN, ordered 7/2/25 with no…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-07-23 · 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 observation, interview, and record review, the facility failed to provide supervision to prevent a cognitively impaired resident from exiting the facility without staff knowledge for 1 of 3 residents reviewed for supervision. (Resident B) Findings include:During an interview on 7/23/25 at 9:00 a.m., the Unit Secretary indicated she was working, on 7/1/25 at approximately 10:30 a.m., when Resident B exited the facility without staff knowledge. Resident B was found on the sidewalk next to the employee parking lot near the independent living houses where she used to live with her husband. Resident B was wearing a wanderguard (a bracelet that locks a door and sounds an alarm when a wandering resident approaches the door), but the door did not lock and the alarm did not sound. Resident B's wanderguard was in place when the Unit Secretary brought her back inside the facility. Resident B was normally confused and at different times she would press on the exit doors and said things like she wanted to go home. During an interview on 7/23/25 at 9:20 a.m., observed Resident B in 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-05-14 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to prevent a severely cognitively impaired resident from exiting the facility without staff knowledge for 1 of 3 residents reviewed for elopement. (Resident B) Findings include: During an interview on 5/13/25 at 11:26 a.m., Qualified Medication Aide (QMA) 1 indicated, on 4/27/25, Resident B got on the elevator after the dietary aide scanned their badge to open the elevator doors. Resident B wore a wanderguard so an alarm should have sounded when she approached the threshold of the elevator. On 5/13/25 at 11:29 a.m., observed Health Center (HC) 2's elevators from the HC2 common area. There were two elevators side by side marked 2 (elevator on the right side) and 2A (elevator on the left side). To the right of each elevator door, were the up and down buttons and a little black box marked elevator. To the right of elevator 2's door was another black box marked code alert and above the box marked code alert was a larger white box with a touch screen to enter a number code. Elevator 2 opened to a common area, on the…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-04-09 · tag F0602 — failed to protect residents from theft of their belongings — isolated
    Protect each resident from the wrongful use of the resident's belongings or money.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review, the facility failed to protect the resident's right to be free from misappropriation of residents' controlled medications for 2 of 3 residents reviewed for misappropriation. (Resident B, Resident C) Findings include: 1. During an interview on 4/8/25 at 1:42 p.m., Unit Manager (UM) 1 indicated during the last week of February 2025, a medication monitoring record (a document used by the facility to reconcile controlled medications) was found in a binder that it did not belong behind the nurse's station. The medication monitoring record was for Resident B and indicated on 2/14/25, Resident B should have had two oxycodone (prescription narcotic pain medication) 15 milligrams (mg) tablets remaining in the locked medication cart. The medication monitoring record was last used on 2/14/25. When UM 1 looked, there were no oxycodone tablets remaining in the packet. UM 1 reported the discrepancy to the Director of Nursing (DON) that day. The clinical record for Resident B was reviewed on 4/9/25 at 10:13 a.m. The diagnoses included, but were…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-04-09 · 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 report allegations of misappropriation of residents' narcotic (prescription controlled substance used to treat pain) pain medications to the Administrator for 2 of 3 residents reviewed for misappropriation. (Resident B, Resident C) Findings include: 1. During an interview on 4/8/25 at 1:42 p.m., Unit Manager (UM) 1 indicated during the last week of February 2025, a medication monitoring record was found in a binder behind the nurse's station. The medication monitoring record was for Resident B and indicated Resident B should have had two oxycodone (prescription narcotic pain medication) 15 milligrams (mg) tablets remaining in the locked medication cart. When UM 1 looked, there were no oxycodone tablets remaining in the packet. UM 1 reported this to the Director of Nursing (DON) that day. 2. On 4/8/25 at 10:18 a.m., the Administrator provided a copy of a facility reportable incident, dated 3/17/25 at 11:01 a.m. A review of the reportable incident indicated Resident C alleged that RN 1 had not been administering 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-04-09 · 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 facility failed to ensure controlled medication records were accurately reconciled to account for all controlled drugs for 2 of 3 residents reviewed for misappropriation of property. (Resident B, Resident C) Findings include: 1. During an interview on 4/8/25 at 1:42 p.m., Unit Manager (UM) 1 indicated during the last week of February 2025, a medication monitoring record (a document used by the facility to reconcile the number of controlled substances each resident had) was found in a binder behind the nurse's station. The document did not belong in the binder. The medication monitoring record was for Resident B and indicated Resident B should have had two oxycodone (controlled drug to treat pain) 15 milligrams (mg) tablets remaining in the locked medication cart. The medication monitoring record was last used, on 2/14/25. When UM 1 reviewed the packet of Resident B's oxycodone 15 mg, there were no oxycodone tablets remaining in the packet. The clinical record for Resident B was reviewed, on 4/9/25 at 10:13 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
Show the remaining 7 citations
  • Potential for harm · Dcited before2024-09-26 · 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 supervision to prevent a cognitively impaired resident who resided on a secured memory care unit from walking out of the facility for 1 or 3 residents reviewed for elopements. (Resident B) Finding includes: On 9/25/24 from 9:25 a.m. until 9:30 a.m., observed the North 33 exit door on the secured memory care unit that led outside to a courtyard. The glass exit door was unlocked by CNA 1 using a button behind the nurse's station. The courtyard was enclosed by a brick privacy fence with a wooden door. The wooden door had a deadbolt lock and a shiny silver metal latch with another lock. Outside the wooden door was a set of concrete stairs that led down to a sidewalk and then to the parking lot. The parking lot was approximately 60 feet from a street in an independent living neighborhood on the facility's property. At that time, CNA 1 indicated Resident B had a history of exit seeking behaviors. The staff supervised him more often. When Resident B tried to elope in the past he told staff he was going to…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-07-31 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure foods were served in a sanitary and safe manner for 6 of 6 kitchen observations. Staff hair was not covered while in the kitchen food preparation area. (Assistant Dietary Manager, Chef 5, Dietary Aide 6, Dietary Aide 7, Kitchen Contractor 8, and Dietary Aide 9) Findings include: 1. During the initial kitchen tour with the Dietary Manager (DM), on 7/23/24 from 10:10 a.m. to 10:20 a.m., the following was observed: - Assistant DM was observed walking throughout the kitchen area where the noon meal was being prepared. Assistant DM's hair located in front of her ears was approximately 2 inches in length and the hair at the neckline was approximately 4 inches in length. The hair was observed to not be covered. - Chef 5 was observed walking throughout the kitchen area where the noon meal was being prepared. Chef 5's hair, approximately 2 inches in length, was observed to not be covered. 2. During a follow-up kitchen observation, on 7/23/24 from 11:30 a.m. to 12:05 p.m., the following as observed: - Dietary…

    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 · D2024-07-31 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure a resident received continuous oxygen treatment therapy for 1 of 3 residents reviewed for oxygen. (Resident 81) Finding includes: During an observation on 7/24/24 at 10:12 a.m., Resident 81 was observed lying in bed with her eyes closed and the head of the bed elevated. At the head of Resident 81's bed, next to the wall was an oxygen concentrator with oxygen tubing lying from the back side of concentrator over the top with the nasal cannula on the front side of concentrator. The tubing was observed to be out of Resident 81's reach. During an observation on 7/24/24 at 1:08 p.m., Resident 81 was observed in bed with a food tray on the over bed table. The head of the bed was elevated. Resident 81's speech was slurred and she had difficulty keeping her eyes open. Resident 81's nasal cannula was observed to still be over the concentrator at the head of bed, out of reach of Resident 81. During an observation on 7/24/24 at 1:14 p.m., RN 2 placed pulse oximeter, (a device which detects and displays a person'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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-07-31 · 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 record review and interview, the facility failed to document the drug dispositions for 2 of 3 closed records reviewed for drug dispositions. (Resident 139, Resident 44) Findings include: 1. Resident 139's closed clinical record was reviewed on 7/29/24 at 9:17 a.m. Resident 139 was discharged home on 6/12/24. The diagnoses included, but were not limited to, multiple sclerosis; dementia; mood disturbance and anxiety; epilepsy; GERD (gastro-esophageal reflux disease); congestive heart failure (CHF); hyperlipidemia (HDL); depression; constipation, pain, and hypertension (HTN). Physician's Orders, dated June 2024 and current at the time of Resident 139's discharge from the facility, included but were not limited to the following: - Acetaminophen (over the counter pain medication) 1000 milligrams (mg) by mouth at bedtime for pain - Albuterol Sulfate (a bronchodilator) inhalation nebulization solution 2.5 mg/3 ml (milliliters) .083% every 8 hours as needed for wheezing. - Atorvastatin (a medication used to treat high cholesterol) 20 mg at bedtime. - Cholecalciferol (Vitamin D) 50…

    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 · D2024-07-31 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure the staff were wearing PPE (personal protection equipment) for 1 of 3 residents who were observed for enhanced barrier precautions. (Resident 9) Findings Include: On 7/24/24 at 10:30 a.m., RN 2, CNA 4, LPN 3, entered Resident 9's room to provide wound care. RN 2 carried in supplies retrieved from treatment cart, LPN 3 assisted with turning and positioning Resident 9 while CNA 4 held clean linen. RN 2, LPN 3, and CNA 4 donned gloves. RN 2 and LPN 3 turned Resident 9 on his left side and RN 2 removed the old bandage and changed her gloves, no hand hygiene was observed. RN 2 cleaned the wound and a topical medication was applied to the wound. CNA 4 then provided incontinence care with only gloves. Only gloves were utilized during the observed treatment by all three staff providing care. Resident 9's clinical record was reviewed on 7/24/24 at 11:00 a.m., The diagnosis included, but was not limited to, pressure ulcer of right buttock,…

    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 · D2023-09-01 · tag F0554 — isolated
    Allow residents to self-administer drugs if determined clinically appropriate.
    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 self medication administration assessment was completed for residents with medications at bedside for 1 of 1 random observations. (Resident 82) Finding includes: During an observation on 8/24/23 from 12:03 p.m. to 12:07 p.m., Resident 82's room door was open. The resident's door was in full view of the hall. Resident 82 was up in her recliner with a bedside table over her lap. No staff were observed to be in the room or in hallway. The following items were observed to be sitting on top of the bedside table: - One clear plastic pill cup was filled with miscellaneous tablet and capsules. - One clear plastic pill cup was observed with unidentifiable medications. - One clear plastic pill cup was observed approximately half-filled with a pink-colored liquid. On 8/30/23 1:03 p.m., Resident 82's clinical record was reviewed. The clinical record lacked a self-administration of medications assessment for Resident 82. On 8/30/23 at 1:26…

    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 before2023-09-01 · 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 reasonable accommodation of needs for 2 of 3 random observations. Two resident's call lights were not within reach. (Resident 109, Resident 81) Finding includes: 1. On 8/24/23 at 11:34 a.m., observed Resident 109 sitting in a chair in his room facing his TV. The call light was attached to his bed directly behind him and was out of reach. On 8/25/23 at 9:23 a.m., Resident 109 was observed sitting in a chair facing the TV with the call light attached to the bed. The call light was observed to be behind the resident out of reach. Resident 109 indicated that he wanted brown sugar for his grits. During an interview on 8/25/23 at 9:26 a.m., CNA 1 indicated Resident 109 used his call light. On 8/30/23 at 8:54 a.m., Resident 109's clinical record was reviewed. The Quarterly MDS (Minimum Data Set) assessment, dated 6/6/23, indicated Resident 109 had moderate cognitive impairment and required limited assistance of one person for transfers. 2. On 8/24/23 at 12:13 p.m., observed Resident 81 up in recliner.…

    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

“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

$21,825 in federal fines across 1 penalty.

  • $21,825 — penalty dated 2025-09-24

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

Part of a chain

This home belongs to OTTERBEIN SENIORLIFE — 20 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 3 of 53.2-0.2 vs chain
Health inspection 3 of 53.0≈ chain avg
Staffing 3 of 53.2-0.2 vs chain
Quality measures 3 of 54.1-1.1 vs chain
The other 19 homes this chain runs (chain average 3.2★, per CMS)

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
HANCOCK REGIONAL HOSPITALOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 04/14/2013
BOND, MARIAIndividualMANAGING CONTROL - GOVERNING BODYsince 07/01/2021
CLARK, TIMOTHYIndividualMANAGING CONTROL - GOVERNING BODYsince 04/14/2013
DAUGHERTY, JOSHUAIndividualMANAGING CONTROL - GOVERNING BODYsince 01/01/2020
FELKER, DEANIndividualMANAGING CONTROL - GOVERNING BODYsince 04/14/2013
JOYNER, SARAIndividualMANAGING CONTROL - GOVERNING BODYsince 07/01/2019
WILLARD, LACEYIndividualMANAGING CONTROL - GOVERNING BODYsince 07/01/2022
WILSON, ROYIndividualMANAGING CONTROL - GOVERNING BODYsince 04/14/2013
MILLER, JAMESIndividualCORPORATE DIRECTORsince 04/14/2013
LONG, STEVENIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 08/01/2014
FRANKLIN UNITED METHODIST HOME, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/01/2013
FUNCTIONAL PATHWAYS OF TENNESSEE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/08/2025
APP, LYNNIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2011
BARTLETT, VICTORIAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2021
BAYLIFF, BECKYIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2021
BECK, JENNYIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2024
BIXLER, KIRKIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2025
BROWNSON, WILLIAMIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2012
BURKE, DANIELIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2021
COLEMAN, ROBERTIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2022
FRALEY, RALPHIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2021
GLOSSER, HEIDIIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2020
HASH, DENNINSIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2025
HAZELBAKER, TOMASIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2014
IRVINE, JENOTHYIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2025
KASTING, KELSEYIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2025
LOGAN, SHANNONIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/13/2022
MAURER, DAVIDIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2022
MILES, ANNAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2023
PITCHER, KELLYIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2023
SEASE, DAVIDIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2023
SWEENEY, BRENTIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2025
SWEET, DAVIDIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2023
VONDERHAAR, STEVEIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2023
WELSH, MICHAELIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2025
WILSON, JILLIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2021
OTTERBEIN HOMEOrganizationADP OF THE SNFsince 04/01/2013
OTTERBEIN LSC, LLCOrganizationADP OF THE SNFsince 04/01/2013
POLARIS PHARMACY SERVICES OF OHIO LLCOrganizationADP OF THE SNFsince 12/01/2018

CMS files one row per role, so the 44 rows in the source record cover these 39 parties — each is shown once here with every role it holds. Nothing is omitted.

6 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.

$24.5M
Net patient revenuemost recent cost report
-3.1%
Operating marginrevenue minus expenses
$5.1M
Related-party expense20% of expenses
Who pays — share of resident-days
Medicaid 71%Medicare 7%Other / private 22%

About 71% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $5.1M paid to related parties — landlords or management companies under common ownership — equal to about 20% 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

$490per resident / day
operating cost
$14,909per month
≈ monthly operating cost
$476per 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 155771. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-08-21, 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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