Restoracy Of Goshen, The

Location & what’s nearby

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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

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.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

50.7% 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 70 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 78.3% 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 23 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 0.47 therapist hours per resident per day in 2026Q1 — more than 78% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 22% 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.

Staffing

How full it usually is: this home is certified for 48 beds and averages 47.2 residents a day — about 98% occupied, or roughly 1 bed typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 5.70 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.62 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 4.29 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 5.11 hrs/resident/day on weekends vs 5.94 on weekdays — 14% thinner on weekends. RN hours go from 0.72 to 0.37 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

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.

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.

29 citations, most serious first. The 10 most serious are shown; the remaining 19 are one tap away and print in full.

• Potential for harm · Dcited before2025-08-27 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to follow physician orders for the administration of blood pressure medication and failed to follow the orders regarding medication parameters for blood pressure medication for 3 of 6 residents reviewed for quality of care. (Residents C, D & F)Findings include:1.A record review for Resident C was completed on 8/27/2025 at 9:40 A.M. Diagnoses included, but were not limited to: congestive heart failure, chronic kidney disease and hypertension.An admission Minimum Data Set (MDS) assessment, dated 5/24/2025, indicated Resident C had moderate cognitive impairment.A Physician's Order, dated 5/28/2025, indicated the resident was to receive carvedilol oral tablet 6.25 milligrams, one tablet orally two times a day for hypertension. The carvedilol medication had orders to have been held for the physician prescribed parameters of a systolic blood pressure less than 110 mmHg (millimeters of mercury) or a heart rate of less than 60 beats per minute. Review of the May 2025 Medication Administration Record (MAR) indicated a blood pressure…

  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 · D2025-06-02 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to ensure 1 of 5 staff observed administering medication met professional standards regarding ensuring a resident consumed medication for 1 of 8 residents observed during medications pass. (Resident 26) Finding includes: During a medication administration observation, on 5/30/2025 at 7:15 A.M., QMA 5 obtained Resident 26's medications from the medication cart and placed the pills in a souffle' cup. Next, QMA 5 entered the resident's room and questioned Resident 26 about her pain. Resident 26 indicated she wanted a pain pill. QMA 5 placed the souffle cup with medications on the bed side table, exited Resident 26's room and obtained a pain pill from the narcotic locked box. QMA 5 returned to Resident 26's room and placed the soufflé cup with the pain pill next to the previously placed soufflé cup, which was still full of medication, on the bed side table and left the room without observing Resident 26 consume the medications. During an interview, on 5/30/2025 at 7:18 A.M., QMA 5 indicated she should have watched…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-02 · 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, record review and interview, the facility failed to to notify the physician and obtain treatment orders timely for an unstageable pressure ulcer for 1 of 3 residents reviewed for pressure ulcers. (Resident 19) Finding includes: During an observation, on 5/28/2025 at 2:12 P.M., Resident 19 was observed to have a low air loss mattress on her bed. A record review for Resident 19 was completed on 5/29/2025 at 10:04 A.M. Diagnoses included, but were not limited to: dementia, seizures and palliative care. A Significant Change Minimum Data Set (MDS) assessment, dated 1/19/2025, indicated Resident 19 had severe cognitive impairment, had an unstageable pressure ulcer that was not present on admission, required substantial/maximal assistance for bed mobility and received hospice care. A Nursing Progress Note, dated 10/26/2024 at 1:26 A.M., indicated Resident 19 was observed to have a four centimeter by three centimeter pressure ulcer to her right hip. The pressure ulcer was described as open with adipose tissue exposed, drainage and slough (a collection of yellow or tan…

  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 · D2025-06-02 · tag F0771 — isolated
  Ensure laboratory services, blood blanks and transfusion services provided on-site meet requirements for certified laboratories.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to follow physician orders by not obtaining ordered laboratory tests for 1 of 5 residents reviewed for unnecessary medications. (Resident 6) Finding includes: A record review for Resident 6 was completed on 5/29/2025 at 8:56 A.M. Diagnoses included, but were not limited to: diabetes mellitus type 2, chronic kidney disease, chronic obstructive pulmonary disease (COPD and Parkinson's disease. A Medicare 5-day Minimum Data Set (MDS) assessment, dated 5/8/2025, indicated resident 6 received insulin injections and a diuretic. A Physician's Order, dated 9/17/2024, indicated to obtain a prealbumin (a protein in the blood to measure nutritional status) laboratory test for wound healing. This laboratory test could not be found on the laboratory portal or in the resident's medical record. A Physician's Order, dated 11/13/2024, indicated to obtain a hemoglobin A1C (measure of blood sugar for past 2-3 months) laboratory test on 12/17/2024. This laboratory test could not be found on the laboratory portal or in the resident's medical…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-02 · tag F0773 — isolated
  Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
  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 lab results were obtained in a timely manner and antibiotic treatment for a UTI was initiated in a timely manner for 1 of 1 residents reviewed for UTI (Resident 12). Finding includes: During an interview, on 5/28/2025 at 11:13 A.M. a family member of Resident 12 indicated she had been complaining about vaginal pain and had a history of UTI's (urinary tract infections). A record review was completed for Resident 12 on 5/29/2025 at 8:37 A.M. Diagnoses included, but were not limited to: dementia and type 2 diabetes. A Quarterly MDS (Minimum Data Set) assessment, dated 4/18/2025 indicated Resident 12's cognition was severely impaired, she was occasionally incontinent of bowel and bladder and required partial to moderate assistance with toileting and bathing. A Nursing Progress Note, dated 5/13/2025 at 10:45 A.M. indicated the resident had been seen by the Gynecologist. A Nursing Progress Note, dated 5/14/2025 at 2:56 P.M. indicated a call was placed to the OB/GYN (Obstetrics and Gynecology). The note indicated the…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-06-02 · 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, record review and interview, the facility failed to follow enhanced barrier precautions for a resident with a pressure ulcer for 1 of 3 residents reviewed for pressure ulcers. (Resident 19) Finding includes: During an observation, on 5/28/2025 at 2:12 P.M., Resident 19 was observed to have an enhanced barrier precaution sticker on the door frame of her room. A record review For Resident 19 was completed on 5/29/2025 at 10:04 A.M. Diagnoses included, but were not limited to: dementia, seizures and palliative care. A Significant Change Minimum Data Set (MDS) assessment, dated 1/19/2025, indicated Resident 19 had severe cognitive impairment, had an unstageable pressure ulcer that was not present on admission, received hospice care, required substantial/maximal assistance for bed mobility and was dependent on toileting. A Physician's Order, dated 10/3/2024, indicated Resident 19 was ordered enhanced barrier precautions (infection control intervention to reduce the transmission of multi-drug-resistant organisms). During an observation, on 6/2/2025 at 11:45 A.M.,…

  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 before2024-08-09 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure a resident's family member/Power of Attorney (POA) was notified when a medication was discontinued for 1 of 3 resident's reviewed for medication changes. (Resident B) Finding includes: On 8/7/24 at 3:39 P.M., a review of the clinical record for Resident B was conducted. The resident's diagnoses included, but were not limited to: Alzheimer's disease and depression. A current Care Plan indicated Resident B was at risk for adverse reactions and side effects related to receiving Zoloft for depression. The Care Plan was revised, on 7/17/24, and indicated the POA preferred no GDR (Gradual Dose Reduction) attempts be made. The interventions included, but were not limited to: .Administer antidepressant medications per orders . A Physician Order, dated 10/24/23, indicated Zoloft (Sertraline) 25 milligrams (mg) was started on 10/25/23 for depression. A Consultation Report, from the pharmacy, dated 3/1/24- 5/16/24, indicated the resident was taking Sertraline 25 mg for depression, which was due for a GDR evaluation. The report…

  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 · D2024-08-09 · tag F0659 — isolated
  Provide care by qualified persons according to each resident's written plan of care.
  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 care plan regarding self care deficits and fall risk was implemented for 1 of 3 residents reviewed for staff assisted transfers. (Resident D) Finding includes: On 8/7/24 at 1:34 P.M., Resident D was observed being pushed in her wheelchair to her room, by her husband (Resident B). Resident D's husband was observed positioning the resident's wheelchair beside her bed, then positioned himself in front of Resident D in preparation to transfer her to the bed by himself. CNA 2 entered the room and informed Resident D's husband that she would transfer Resident D to her bed. CNA 2 was then observed to transfer Resident D to the bed, by herself, and reposition her for comfort. Resident B was alert to self only. On 08/7/24 at 2:05 P.M., a review of the clinical record for Resident B was conducted. The resident's diagnoses included, but were not limited to: Parkinson's Disease, dementia and difficulty walking. A Quarterly MDS (Minimum Data Set) assessment, dated 3/6/24, indicated the resident required…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-09 · tag F0802 — failed to prepare enough nourishing food — isolated
  Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and record review, the facility failed to ensure staff members were present when 3 residents were observed at the dining room table, eating and drinking who required supervision with meals. (Resident M, Resident J and Resident K) Findings include: During an observation, on 8/8/24 at 9:21 A.M., on the Penny Lane unit, CNA 3 exited the building. Resident J, Resident K and Resident M were observed at a long dining room table. All three residents were eating their breakfast and Resident K and Resident M had spouted/lidded cups. Each resident was observed eating and drinking without any assistance or supervision. There were no staff members located in the area of the dining table or in the hallway in view of the dining table. At 9:34 A.M., CNA 3 re-entered the building and went directly to a resident's room and all three residents continued to be unsupervised as they ate. At 9:30 A.M., CNA 3 entered the dining room. She indicated she was unaware the residents were left unsupervised and thought other staff members were in the dining room, as she was taking care of an…

  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 before2024-06-21 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure a Care Plan had been updated timely for 1 of 3 residents reviewed for care plans. (Resident 9) Findings include: 1. The record for Resident 9 was reviewed on 6/19/24 at 10:29 A.M. The resident's diagnoses included, but were not limited to; mild protein calorie malnutrition and impaired cognitive function. A Quarterly Minimum Data Set (MDS) Assessment, dated 5/5/24 indicated the resident was not receiving Hospice services. A Dietary Progress Note, dated 6/7/24, indicated the resident's weight reflected a 9% significant weigh loss from three months ago and continued on a gradual trend down. His dietary interventions included, but were not limited ti, Boost, a nutritional supplement, twice a day. The dietary note, dated 6/7/2024, planned to increase the Boost supplement to three times a day and encourage good oral intakes. A Care Plan, dated 3/22/23 and revised on 5/8/24, indicated the resident was .at risk for a decline in condition, pain, depression, weight loss and other symptoms related to terminal prognosis: PVD…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“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.

Fines & penalties

No federal fines in the current CMS record. 1 Medicare payment denial on record.

• Medicare payment denial — starting 2025-09-24 for 8 days

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

Who owns this facility

CMS files one row per role, so the 18 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted.

4 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.

This home reported $266K 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

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