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Hooverwood

7001 Hoover Rd, Indianapolis, IN 46260 · Non profit - Corporation · 155 certified beds · (317) 251-2261 Medicare & Medicaid certified

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Flagged for abuseBehavioral-health or dementia-care citation — no harm found (F0758)1 immediate-jeopardy citation1 immediate-jeopardy citation CMS recorded as corrected before the inspection ended (past non-compliance)$41,064 in federal fines
Insights

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

In its favor
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • CMS has flagged it for abuse
  • it has abuse, neglect, or exploitation citations (F0600, F0602) — most recent Dec 2025
  • inspectors cited 1 immediate-jeopardy problem — the most serious level
  • inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
  • a high number of inspection citations overall (34) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $41,064 in federal fines (most recent 2025-12-30)
  • its payroll-based staffing score sits well above its independent inspection score
  • its independent health-inspection rating is low (1/5)
  • its facility-reported quality-measure rating is low (2/5)

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

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

1/5
CMS overall
1 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 1 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 2 of 5

Worth a closer look. This home's staffing rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the staffing score rests on the facility's own payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1705 Barfield Ln · (317) 554-2843 · Call to confirm hours
Pharmacy
6290 N College Ave · (317) 251-4145 · Call to confirm hours
Grocery
7408 Country Brook Dr
Park
6442 Park Central Way · (317) 251-0860 · 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 2 of 5
Long-stay residentspeople who live here 2 of 5
Short-stay residentsrehab / post-hospital 3 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 1 stars. From monthly CMS archive snapshots.

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

Overall rating1★
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 increased31.5%11.0%15.4%worse
Long-stay residents who lose too much weight6.5%5.5%5.4%worse
Long-stay residents with a catheter left in their bladder0.8%0.4%0.9%worse than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection1.3%1.1%2.0%better
Long-stay residents with depressive symptoms2.0%25.2%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury3.1%3.9%3.3%typical
Long-stay residents whose ability to walk worsened28.2%11.9%16.1%worse
Long-stay residents on antianxiety or hypnotic medication19.4%23.5%18.9%typical
Long-stay residents given the seasonal flu vaccine97.9%95.4%95.3%typical
Long-stay residents with pressure ulcers6.3%3.6%4.7%worse
Long-stay residents with worsening bladder/bowel control31.3%23.3%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table20.1%13.6%17.1%worse
Short-stay residents who newly got an antipsychotic medication0.5%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine81.2%79.0%79.4%typical
Short-stay residents rehospitalized after admission34.2%22.2%22.6%worse
Short-stay residents with an outpatient ER visit16.3%10.8%12.0%worse
Long-stay hospitalizations per 1,000 resident days1.731.611.67typical
Long-stay outpatient ER visits per 1,000 resident days1.271.441.80better

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.

56.9% 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 173 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

56.9%U.S. median 51.5%
Got home and stayed home
11.8%U.S. median 10.7%
Went back to hospital
59.6%U.S. median 56.6%
Met the expected recovery
0.21U.S. median 0.31
Therapy hours / resident / day
0.09hours / resident / day
Physical therapy
0.09hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Met the expected recovery: 59.6% 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 47 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 0.21 therapist hours per resident per day in 2026Q1 — more than 25% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% 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 SNF56.9%CMS range 49.8–65.251.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.8%CMS range 8.9–15.910.7%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 discharge59.6%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 discharge38.3%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 discharge38.3%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 identified82.8%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge88.5%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened1.7%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.7%CMS range 4.3–10.47.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.991.02Oct 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

0.67
RN hours/ resident / day
0.99
LPN hours/ resident / day
3.14
Aide hours/ resident / day
4.80
Total nurse hours/ resident / day
0.31
RN hoursweekends
Total nursing turnover
RN turnover

How full it usually is: this home is certified for 155 beds and averages 128.4 residents a day — about 83% occupied, or roughly 27 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.80 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.67 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.14 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.48 hrs/resident/day on weekends vs 4.93 on weekdays — 9% thinner on weekends. RN hours go from 0.82 to 0.31 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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

Inspection trend

4
deficiencies at the latest standard inspection (2026-04-20)
8
at the previous standard inspection (2025-03-26)

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.

34 citations, most serious first. The 13 most serious are shown; the remaining 21 are one tap away and print in full.

  • Immediate jeopardy · Jcited before2025-12-30 · 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 ensure a resident with a diagnosis of dementia who resided on a secured locked unit and at risk of elopement did not exit the facility unsupervised for 1 of 3 residents reviewed for accidents. (Resident B) Resident B wandered approximately 0.4 miles away from the facility and had crossed a two-lane road.The immediate jeopardy began, on 12/23/25, when Resident B exited the facility unsupervised and without the staff's knowledge while wearing a wanderguard device (a wearable device used to alert staff when a resident approached restrictive areas/doors). The resident exited the secured locked unit through an unlocked stairway door, went down the stairwell to the first floor, and exited the facility through an unlocked but alarmed door. Facility staff reset the door alarm without being able to determine the cause of the alarm. Resident B was found walking down the road in the grass by Certified Nursing Assistant (CNA) 2. The Director of Nursing (DON) was notified of the immediate jeopardy on 12/29/25 at 2:27p.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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Immediate jeopardy · Jcited before2024-12-27 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to protect the resident's right to be free from sexual abuse by a staff member for 1 of 1 resident reviewed for abuse. (Resident B) Resident B was sexually assaulted by a contracted housekeeping staff member. The immediate jeopardy began on 12/21/24, when Housekeeper 2 was observed to be laying on top of Resident B. Housekeeper 2's pants were down, and his private parts were exposed. Resident B's gown was pulled up, her brief was open, and her private area was exposed. The Interim Executive Director (ED) and Interim Director of Nursing were notified of the immediate jeopardy on 12/26/24 at 2:42 p.m. The Immediate Jeopardy was removed, and the deficient practice corrected on 12/22/24, prior to the start of the survey and was therefore Past Noncompliance. Finding includes: An Indiana Department of Health intake form indicated, on 12/21/24, a staff member walked into a resident's room and witnessed a housekeeping employee on top of a resident in the dementia…

    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 · Past Non-Compliance
  • Actual harm · Gcited before2024-03-06 · 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 observation, interview, and record review, the facility failed to ensure services were provided to effectively administer back blows for a choking resident in accordance with treatment guidelines established by the facility and failed to ensure the plan of care was effectively revised with accurate care information (Resident S). This deficient practice resulted in Resident S experiencing a choking episode with a change in the level of consciousness which required emergent treatment. The facility also failed to ensure residents maintained upright positioning while sitting in chairs (Resident V and F), to ensure the physician was notified for blood sugars above specified parameters and to ensure weights were completed daily (Resident 99) for 4 of 4 residents reviewed for quality of care. Findings include: 1. A Facility Reported Incident (FRI) report, dated 1/4/24 at 12:40 p.m., indicated Resident S was in the dining room eating lunch when the nursing staff observed the resident choking on her food and her color was changing. The resident was not able to cough or clear 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 · E2026-04-20 · tag F0641 — pattern
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure Minimum Date Set (MDS) assessments were accurately coded for 5 of 7 residents reviewed for resident assessments. (Resident 6, 8, 22, 46, and 105)Findings include:1. The clinical record for Resident 6 was reviewed on 4/20/26 at 9:00 a.m. The diagnoses included, but were not limited to muscle weakness, abnormalities of gait and mobility, and falls.A nursing progress note, dated 3/27/26, indicated Resident 6 had a fall in her room, sustained a hematoma to her forehead, and was sent to the emergency room for evaluation.A MDS assessment, dated 3/29/26, indicated Resident 6 had no falls with an injury since admission.During an interview, on 4/17/26 at 3:04 p.m., the MDS coordinator indicated Resident 6's MDS assessment was on 3/29/26 and should have been marked for a fall with injury.2. The clinical record for Resident 8 was reviewed on 4/17/26 at 3:33 p.m. The diagnoses included, but were not limited to, partial intestinal obstruction, congestive heart failure, and hypoglycemia.A MDS assessment, dated 3/25/26, indicated…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2026-04-20 · tag F0684 — failed to provide proper treatment and quality of care — pattern
    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 interview and record review, the facility failed to ensure physician's orders were followed, medications were administered according to the ordered parameters, and a daily weight was obtained for 4 of 4 residents reviewed for quality of care. (Resident 130, 16, 108 and 14)Findings Include: 1. The clinical record for Resident 130 was reviewed on 4/15/26 at 3:04 p.m. The diagnoses included, but were not limited to, congestive heart failure (CHF), acute osteomyelitis (a serious bone infection) of the right ankle and foot, cognitive communication deficit, hypertension, and malignant neoplasm of the prostate. A care plan, dated 1/21/26, indicated Resident 130 had a diagnosis of congestive heart failure. Interventions included, but were not limited to, monitoring the resident's weight daily. A physician's order, dated 4/10/26, indicated to obtain a daily weight and to notify the physician if the weight was greater than 3 pounds in 24 hours or greater than 5 pounds in 1 week. The Medication Administration Record (MAR) indicated a daily weight for Resident 130 was not obtained on…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-04-20 · 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 ensure a call light was in reach for 1 of 1 resident reviewed for accommodation of needs. (Resident 11) Findings include:During an observation, on 4/15/26 at 9:45 a.m., Resident 11 was sitting in his room in a Broda chair. His call light was coiled up on his night stand out of the resident's reach.During an observation, on 4/17/26, the resident was lying in his bed with the call light on the ground under the bed.The clinical record for Resident 11 was reviewed on 4/17/26 at 3:21 p.m. The diagnoses included, but were not limited to, Parkinson's disease, dislocation of the T3/T4 thoracic vertebra, and history of falling.A care plan, dated 7/8/24, indicated Resident 11 was at risk of falls. Interventions included, but were not limited to, be sure the resident's call light was within reach, and the resident needed a safe environment with a reachable call light.During an interview, on 4/17/26 at 3:21 p.m., CAN 10 indicated the call light was under the resident's bed and it should not be out of reach.During 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-04-20 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review, the facility failed to ensure medication was labeled with an open date in 3 of 5 medication carts reviewed for medication storage. (1B [NAME] Medication Cart, 2B East Medication Cart and 1A East Medication Cart)Findings include:1. During an observation, on 4/17/26 at 3:03 p.m. with Licensed Practical Nurse (LPN) 3, the 1B [NAME] medication cart had the following:a. One opened bottle of loperamide hydrochloride (a medication used to treat loose stools) 2 milligrams (mg) was not labeled with an open date and had another resident's name label on the bottle.b. One opened bottle of alendronate (a medication used to treat osteoporosis) 70 mg was not labeled with an open date.During an interview, on 4/17/26 at 3:09 p.m., LPN 3 indicated the other resident's label should not have been on the medication and medication should have been labeled with an open date.2. During an observation, on 4/20/26 at 8:34 a.m. with LPN 4, the 2B East medication cart had the following:a. One opened bottle of liquid morphine (a narcotic medication used to treat…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-12-22 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure a dependent resident was free from neglect and was provided incontinence care during an eight-hour shift for 1 of 3 residents reviewed for neglect. (Resident E) The deficient practice was corrected on 6/26/25, prior to the start of the survey, and was therefore past noncompliance.Findings include:During an interview, on 12/19/25 at 2:06 p.m., Resident E's daughter indicated she went to visit her mother on 6/2/25 at approximately 6:00 p.m. Upon entering Resident E's room, Resident E was sitting in her recliner covered with a blanket. She noted a strong odor of stale urine and feces and requested CNA 3 take her mother to the restroom. She asked CNA 3 why her mother had not been changed and provided incontinence care. CNA 3 indicated during shift report CNA 2 indicated she had just changed and provided incontinence care to Resident E. Resident E's daughter indicated when CNA 3 and another staff member stood Resident E up with the stand-up lift, Resident E's pants as well as her recliner was completely saturated with…

    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 · Past Non-Compliance
  • Potential for harm · Dcited before2025-12-22 · tag F0602 — failed to protect residents from theft of their belongings — isolated
    Protect each resident from the wrongful use of the resident's belongings or money.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure narcotic medications were free from theft of an employee for 1 of 3 residents reviewed for misappropriation of property. (Resident C) The deficient practice was corrected on 12/17/25, prior to the start of the survey, and was therefore past noncompliance.Findings include:In a signed facility statement, dated 11/22/25, LPN 1 indicated about 2 weeks ago, Resident C had requested a Norco. According to the narcotic count sheet, it was too early for her to have one. The previous nurse (RN 6) had signed out Norco for Resident C twice that day and it had not been 6 hours since the last dose. Resident C indicated she had not received any Norco that day or any other day. She had only taken narcotic pain medications in the evening before bed to help her rest. RN 6 consistently signed out Norco one tablet at around 8:00 a.m., and 1:00 p.m. LPN 1 called the evening supervisor and let her know everything.In a signed facility statement, dated 11/22/25, LPN 4 indicated LPN 1 reported a discrepancy between Resident C's narcotic…

    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 · Past Non-Compliance
  • Potential for harm · E2025-03-26 · tag F0625 — pattern
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure residents and/or residents' representatives were provided a notice of the facility bed hold policy at the time of transfer, or in cases of emergency transfer, within 24 hours for 5 of 6 residents reviewed for transfer and discharge. (Resident 80, 9, 66, 108 and 138) Findings include: 1. The clinical record for Resident 80 was reviewed on 3/24/25 at 10:52 a.m. The diagnoses included, but were not limited to, diabetes, bipolar disorder, anxiety, borderline personality disorder, seizures, transient ischemic attack, and cerebrovascular accident. A nursing progress note, dated 8/14/24 at 11:00 a.m., indicated the resident was sent to the hospital for a psychiatric evaluation. A social service progress note, dated 8/14/24 at 1:23 p.m., indicated Resident 80 had an active plan to harm himself. The crisis center was contacted, and the resident was willing to go for a psychiatric stay. There was no documentation in the clinical record to indicate the resident or resident's representative was provided with notice of the…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-03-26 · 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

    Based on observation, interview and record review, the facility failed to ensure residents had self-medication administration assessments completed by the interdisciplinary team for 2 of 2 residents reviewed for self-medication administration. (Resident 73 and 77) Findings include: 1. During an observation, on 3/20/25 at 12:21 p.m., Resident 73 had Afrin nasal spray (a decongestant) on her bedside table. The clinical record for Resident 73 was reviewed on 3/20/25 at 12:47 p.m. The diagnoses included, but were not limited to, unspecified edema, bilateral cataract, and hypertension. The clinical record did not contain a self-administration evaluation completed by the interdisciplinary team for the resident to self-administer medications or keep them in her room. 2. During an observation, on 3/20/25 at 12:34 p.m., Resident 77 had lubricant eye drops and diclofenac/lidocaine cream (anti-inflammatory cream) on her bedside table. During an observation, on 3/24/25 at 10:22 a.m., Resident 77 had lubricant eye drops on her bedside table. The clinical record for Resident 77 was reviewed on…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-03-26 · tag F0623 — isolated
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure the ombudsman and resident, or resident's representative was notified in writing of the reason for the resident's transfer and discharge to the hospital for 2 of 6 residents reviewed for transfer and discharge. (Resident 80 and 9) Findings include: 1. The clinical record for Resident 80 was reviewed on 3/24/25 at 10:52 a.m. The diagnoses included, but were not limited to, diabetes, bipolar disorder, anxiety, borderline personality disorder, seizures, transient ischemic attack, and cerebrovascular accident. A nursing progress note, dated 8/14/24 at 11:00 a.m., indicated the resident was sent to the hospital for a psychiatric evaluation. A social service progress note, dated 8/14/24 at 1:23 p.m., indicated Resident 80 had an active plan to harm himself. The crisis center was contacted, and the resident was willing to go for a psychiatric stay. There was no documentation found in the resident's clinical record to indicate the resident and resident's representative were given information in writing regarding the reason…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-03-26 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review, the facility failed to ensure staff dressed a resident in a manner to avoid allowing her breast to be exposed and to provide incontinence care in a timely manner for 1 of 1 dependent resident reviewed for activities of daily living (ADL) care. (Resident 28) Findings include: The clinical record for Resident 28 was reviewed on 3/24/25 at 11:29 p.m. The diagnoses included, but were not limited to, dementia and depression. A care plan, dated as revised on 6/20/24, indicated Resident 28 was dependent on staff for activities of daily living. Interventions included, but were not limited to, assistance by 1 staff for personal hygiene and dressing, and assistance by 2 staff for toileting. A quarterly Minimum Data Set (MDS) assessment, dated 2/10/25, indicated Resident 28 was severely cognitively impaired. 1. During an observation, on 3/20/25 at 2:25 p.m., Resident 28 was sitting in the lounge across from the nurse's station with another resident. Resident 28's shirt was pulled up and her left breast was exposed. The Director of Nursing…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 21 citations
  • Potential for harm · Dcited before2025-03-26 · 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 ensure a dependent resident was evaluated prior to being transferred with a sit-to-stand mechanical lift to ensure a safe transfer for 1 of 3 residents reviewed for accidents hazards. (Resident 28) Findings include: During an observation, on 3/20/25 at 12:10 p.m., Resident 28 was sitting in the lounge across from the nurse's station. A strong bowel movement and urine odor came from the resident. Unit Manager 10 walked by the resident and was informed of the resident condition. The resident was taken to her room for care. During an observation, on 3/20/25 at 12:30 p.m., Unit Manager 10 informed CNA 8 she would help transfer the resident into bed. CNA 8 left the room and returned with a sit-to-stand mechanical lift. Unit Manager 10 put the sling strap for the sit-to-stand lift behind the resident's back and attached it to the lift. CNA 8 instructed Resident 28 to hold on to the handlebars on the top of the lift. The resident was yelling at the staff and refused to hold onto the handlebars. Unit Manager 10…

    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 · D2025-03-26 · tag F0756 — failed to review each resident's drug regimen — isolated
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure residents medications were reviewed monthly by the pharmacist for 3 of 5 residents reviewed for unnecessary medications. (Resident 55, 91 and 92) Findings include: 1. The clinical record for Resident 55 was reviewed on 3/24/25 at 11:49 a.m. The diagnoses included, but were not limited to, Alzheimer's disease, psychotic disorder with delusions, peripheral vascular disease, severe kidney disease, diabetes mellitus with diabetic polyneuropathy, depression, anxiety disorder, and hypertension. The physician's orders indicated Resident 55 received lorazepam (an anti-anxiety medication), sertraline (an antidepressant medication), and Zyprexa (an antipsychotic medication). The clinical record included pharmacy reviews for Resident 55's medications on 3/24, 4/24, 5/24, 6/24, 8/24, 9/24, 10/24, 11/24, 12/24, 1/25, 2/25, and 3/25. There were no pharmacist reviews for July of 2024 between the dates of 6/18/24 and 8/9/24. During an interview, on 3/25/25 at 1:35 p.m., the Director of Nursing (DON) indicated the facility had…

    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 · D2025-03-26 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure an as needed (PRN) psychotropic medication was limited to 14 days and an Abnormal Involuntary Movement Scale (AIMS) assessment was completed for a resident taking a psychotropic medication for 2 of 5 residents reviewed for unnecessary medications. (Residents 137 and 91) Findings include: 1. The clinical record for Resident 137 was reviewed on 3/24/25 at 10:08 a.m. The diagnoses included, but were not limited to, anxiety disorder, depression, and major depressive disorder. A physician's order, with a start date of 2/27/25, indicated to give lorazepam (an anti-anxiety medication) 0.5 milligrams (mg) every 8 hours as needed with an indefinite stop date. The medication order had gone past the 14 days without changes or a physician's rationale for extending the medication. During an interview, on 3/24/25 at 11:09 a.m., Unit Manager (UM) 6 indicated there was no stop date on the lorazepam order. 2. The clinical record for Resident 91 was reviewed on 3/25/25 at 3:18 p.m. The diagnoses included, but were not…

    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 · D2025-03-26 · tag F0804 — failed to serve food at safe, palatable temperature — isolated
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    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 was alerted and awakened when her meal delivery occurred so the meal could be consumed at an appetizing temperature for 1 of 1 resident reviewed for room trays. (Resident 34) Findings include: During an interview, on 3/21/25 at 9:12 a.m., Resident 34 indicated her meals were served cold. During an observation, on 3/25/25 at 1:39 p.m., Resident 34's lunch, which included grilled cheese and tomato soup, had been delivered and was sitting on her bedside table. The surveyor knocked on Resident 34's door and asked permission to enter. Resident 34 was asleep but woke up and gave the surveyor permission to enter. Resident 34 indicated she was unaware her lunch had been delivered and indicated the staff did not always wake her up when they delivered her meals. During an observation, on 3/26/25 at 9:12 a.m., Resident 34 was asleep in her recliner. Her breakfast, which included, two eggs prepared over easy, oatmeal, and French toast, had been delivered and was sitting on her bedside table. The surveyor…

    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 · D2025-01-22 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure residents were treated with respect and dignity for 2 of 12 residents reviewed for resident rights. (Resident J and K). The deficient practice was corrected on 11/5/24, prior to the start of the survey, and was therefore past noncompliance. Findings include: A document, titled Indiana State Department of Health Survey Report System, dated 11/4/24, indicated Resident J had indicated CNA 1 was rough with her when she got her up on 10/31/24 at 9:01 a.m. A facility resident questionnaire document indicated on 10/31/24 at 9:01 a.m., Resident J indicated CNA 1 was grouchy with her. CNA 1 told the resident to do this, do that. Resident J indicated she hurt my feelings. A facility written statement, dated 10/31/24, indicated a telephone interview was conducted with CNA 1. CNA 1 indicated she was not mean, hateful or rough with the resident when she provided care for her. The CNA was suspended pending an investigation. A facility written statement, dated 10/31/24, signed by LPN 2 indicated CNA 1 was asked to get Resident J…

    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 · Past Non-Compliance
  • Potential for harm · Dcited before2025-01-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure two staff members completed a Hoyer lift transfer to prevent an accident for 1 of 3 residents reviewed for accidents. (Resident J) The deficient practice was corrected on 11/11/24, prior to the start of the survey, and was therefore past noncompliance. Findings include: A facility typed statement, dated 11/11/24, indicated the Director of Nursing (DON) spoke to CNA 9 regarding transferring Resident J with a Hoyer Lift (mechanical lift machine) without using a second person for the transfer. CNA 9 indicated she knew she was supposed to use a second person to transfer residents with the Hoyer lift. Because of the education CNA 9 had received related to transfers of residents with a Hoyer lift and choosing not to wait for a second person to transfer Resident J, CNA 9 was terminated from the facility. The clinical record for Resident J was reviewed on 1/21/25 at 12:43 p.m. The diagnoses included, but were not limited to, major depressive disorder, pain, anxiety disorder, frontotemporal neurocognitive disorder, moderate…

    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 · Past Non-Compliance
  • Potential for harm · D2025-01-22 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure a staff member followed the policy and procedure when administering narcotics to 2 of 7 residents reviewed for pharmaceutical services. (Residents C, D and H) The deficient practice was corrected on 10/15/24, prior to the start of the survey, and was therefore past noncompliance. Findings include: A document, titled Intake Information, dated 10/14/24 at 2:36 p.m., indicated several residents reported they did not receive their medications from the evening before, on 10/13/24, from RN 10. The agency nurse, RN 10, was placed on the do not return to the facility list. The following Electronic Medication Administration Record (EMAR) did not have the narcotic medication documented for the dates and times the narcotic count sheet indicated the medication was administered: 1. The clinical record for Resident C was reviewed on 1/22/25 at 2:30 p.m. The diagnoses included, but were not limited to, anxiety disorder, hypertension, and vitamin deficiency. Resident C's physician's orders included, but were not limited to, the…

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

    Pharmacy Service Deficiencies · Past Non-Compliance
  • Potential for harm · Dcited before2024-10-11 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure a resident was free from physical abuse related to a staff member who grabbed a resident with dementia, who was residing on the memory care unit, by his ears and pulled him out of another resident's room for 1 of 4 residents reviewed for abuse. (Resident D) The deficient practice was corrected on 9/23/24, prior to the start of the survey, and was therefore past noncompliance. Finding includes: A document, titled Indiana State Department of Health Survey Report System report, indicated on 9/19/24 at 7:30 p.m., CNA 1 was observed by CNA 2 pulling' on Resident D's ears. CNA 2 intervened to protect the resident. The type of injury was the top of the resident's ears had redness. CNA 1's employment from the facility was terminated. The clinical record for Resident D was reviewed on 10/11/24 at 12:45 p.m. The diagnoses included, but were not limited to, dementia, chronic obstructive pulmonary disease, anemia, and peripheral vascular disease. A nursing progress note, dated 9/19/24 at 10:05 p.m., indicated the resident'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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
  • Potential for harm · Dcited before2024-10-11 · tag F0602 — failed to protect residents from theft of their belongings — isolated
    Protect each resident from the wrongful use of the resident's belongings or money.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure residents' personal property and credit card was kept safe and secure during their admission for 2 of 3 residents reviewed for misappropriation of property. (Residents E and F) The deficient practice was corrected on 8/23/24, prior to the start of the survey, and was therefore past noncompliance. Findings include: 1. A document, titled Indiana State Department of Health Survey Report System, indicated Resident E's daughter was visiting the resident yesterday (8/20/24). She went to get his airpods and realized they were missing from his room. She did not report them missing until 8/21/24. The police were notified, and an investigation was started. The daughter was able to ping the airpods to an address. The facility looked through all their employee records to identify which employees lived at that address. They identified the address matched CNA 5. CNA 5 denied having the airpods or having any information about the whereabouts of the airpods. Due to the airpods pinging to her exact address and the airpods had not…

    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 · Past Non-Compliance
  • Potential for harm · D2024-10-11 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure a resident's medication list was kept private during her admission for 1 of 5 residents reviewed for resident-identifiable information. (Resident C) The deficient practice was corrected on 9/30/24, prior to the start of the survey, and was therefore past noncompliance. Finding includes: A document, titled Intake Information, dated 9/17/24, indicated Resident C's medication information sent to the hospital was incorrect. The hospital used the medication list for Resident C, and it caused a major delay of the correct medications being given. The error was caught and reported to the facility. During an interview, on 10/10/24 at 3:30 p.m., the Director of Nursing (DON) indicated LPN 8 and LPN 9 were getting Resident C ready to be transferred to an appointment. They were both printing off the paperwork to send with the resident. LPN 8 printed off Resident C's face sheet and placed it in the envelope. LPN 9 printed off the medication list for Resident N and handed it to LPN 8, who placed it in the envelope without looking…

    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 · Past Non-Compliance
  • Potential for harm · E2024-03-06 · tag F0679 — failed to provide activities — pattern
    Provide activities to meet all resident's needs.
    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 there was an ongoing program of cognitively stimulating activities for residents diagnosed with dementia for 4 of 9 residents reviewed for activities. (Resident I, F, U and V) Findings include: 1. During an observation, on 2/27/24 at 2:44 p.m., Resident I was wandering in the hallway. During an observation, on 2/28/24 at 11:23 a.m., Resident I was wandering in the hallway. During an observation, on 2/28/24 at 3:44 p.m., the resident was sitting in a recliner in the hallway, music was playing in the room next to the hallway and the resident was rocking her body back and forth. During an observation, on 2/29/24 at 12:06 p.m., the resident was sitting up in a chair in the dining room and waiting for her food and drink. During an observation, on 3/1/24 at 11:18 a.m., the resident was sitting up in the common area with a female staff and other residents. The staff was hitting a purple balloon back and forth at the residents. During 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-03-06 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review, the facility failed to ensure medications were stored according to the pharmacy directions, were labeled and dated, and schedule II medication cards were not compromised for 4 of 5 carts reviewed for medication storage. (2A east, 2A west, 2B east and 2B west) Findings include: 1. During a medication cart observation on 2A east, on 3/1/24 at 9:40 a.m., there were 6 loose pills in the first drawer and 5 loose pills in the second drawer. 2a. During a medication cart observation on 2A west, on 3/1/24 at 9:37 a.m., with LPN 11, there was a brown plastic bag with an unopened bottle of Latanoprost Ophthalmic Solutions 0.005% eyedrops. A blue sticker on the plastic bag indicated the eyedrops should have been stored in the refrigerator until it was opened. There were 3 loose pills in the top drawer and 2 loose pills in the second drawer. 2b. The narcotic drawer contained the following: a. A medication card containing Norco 5-325 mg (milligram) tablets with one slot (slot 9) not sealed and containing a tablet. b. A medication card containing…

    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 · E2024-03-06 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review, the facility failed to ensure infection control practices were in place for residents with transmission based precautions (TBP), to ensure staff performed hand hygiene, disinfected equipment, and used the appropriate personal protective equipment (PPE), to ensure infection control policies were reviewed and updated annually, and to ensure indwelling urinary catheter bags were not contaminated for 4 of 7 residents reviewed for infection control. (Resident Q, 14, 106 and 96) Findings include: 1. During an observation, on 2/28/24 at 10:53 a.m., Licensed Practical Nurse (LPN) 2 and Certified Nursing Aide (CNA) 3 entered the room of Resident Q to transfer her from the wheelchair to the bed. No hand hygiene was observed, and gowns were not put on as they entered the room. LPN 2 exited the room pushing the mechanical lift with her gloves in her hand and did not perform hand hygiene. There were no disinfecting wipes seen on the machine or in the room. LPN 2 passed the lift to LPN 1 to use in the next resident's room. Neither staff member…

    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 before2024-03-06 · 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

    Based on observation, interview and record review, the facility failed to ensure a resident had a self-medication administration assessment and to ensure medications were not left unattended in a resident's room for 1 of 3 residents reviewed for medication administration. (Resident 99) Finding includes: During an observation, on 2/28/24 at 10:00 a.m., Resident 99 had a box of Refresh Tears Ophthalmic Solution eye drops (for dry eyes) and 16 pills spread out on his bedside table. The resident indicated he was missing 2 pills. During an observation, on 2/28/24 at 10:09 a.m., RN 14 entered the resident's room. Resident 99 informed the nurse he was missing two pills. The nurse indicated the pills were there and the resident asked the nurse to show him the pills. RN 14 could not show him the two pills and left the room leaving the pills and eye drops on the bedside table. During an observation, on 2/28/24 at 10:12 a.m., RN 14 entered the resident's room carrying a medication cup. The nurse informed the resident she had his metformin (a blood pressure medication) and did not have his…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-06 · tag F0642 — isolated
    Ensure a qualified health professional conducts resident assessments.
    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 resident with a PASARR (Preadmission Screening and Resident Review) level II was recorded on the Minimum Data Set (MDS) assessment for 2 of 3 residents reviewed for PASARR Minimum Data Set assessments. (Resident 105 and 58) Findings include: 1. The clinical record for Resident 105 was reviewed on 3/6/24 at 2:26 p.m. The diagnoses included, but were not limited to, bipolar disorder, major depressive disorder, and generalized anxiety disorder. A notice of PASARR Level II outcome, dated 1/3/22, indicated the determination was long term approval without specialized services. A notice of PASARR Level II outcome, dated 11/2/23, indicated the resident review was because of a change in mental health medications. The determination was long term approval without specialized services. An MDS assessment, dated 9/13/23, indicated the resident did not have a PASARR level II.2. The clinical record for Resident 58 was reviewed on 2/29/24 at 9:40 a.m. The diagnoses included, but were not limited to, schizoaffective disorder…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-06 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    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 develop and implement resident specific interventions to address the identified limitations in the ability to effectively communicate requests and needs, to listen to others, and to participate in social conversation for 1 of 3 residents reviewed for activities of daily living (ADL) care related to communication. (Resident K) Finding includes: During an observation, on 2/27/24 at 4:05 p.m., Resident K walked up to Certified Nursing Aide (CNA) 5 and spoke in another language. CNA 5 laughed at the resident and did not try to find out what the resident wanted. The resident walked away. CNA 5 indicated the resident spoke Russian. The CNA did not try to use any type of translation service. During an observation, on 3/4/24 at 3:51 p.m., Resident K was sitting up in the common area with other residents. The television was on and in English. A staff member had offered water to the other residents but did not offer Resident K any water. During 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-03-06 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review, the facility failed to develop and implement resident specific interventions to ensure a cognitively impaired resident with a past history of elderly abuse received the necessary services to meet her grooming, bathing, and clothing needs for 1 of 2 residents reviewed for activities of daily living (ADL) care. (Resident T) Finding includes: During an interview, on 3/5/24 at 5:16 p.m., the Social Services Director indicated Resident T was considered an elder abuse patient and was very private with showering. The resident would clean herself up at the sink. During an observation, on 2/27/24 at 1:38 p.m., Resident T had facial hair above her top lip which looked like a mustache. Her longer than shoulder length hair was not combed and was oily and dirty. She had on a gray zip up sweatshirt and gray pants with a white stripe down the side. During an observation, on 2/29/24 at 11:40 a.m., the resident was sitting up in a regular chair in the common area. She had on a gray zip up sweatshirt and gray pants with a right stripe going down 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 · Dcited before2024-03-06 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to determine the root cause and implement new interventions for falls for 1 of 8 residents reviewed for accidents. (Resident R) Finding includes: During an interview, on 2/29/24 at 9:29 a.m., Resident R's family member indicated the resident had several falls. The resident complained of weakness in both her arms and legs. The clinical record for Resident R was reviewed on 2/29/24 at 10:07 a.m. The diagnoses included, but were not limited to, vascular dementia with unspecified severity with agitation, insomnia, anxiety, and depression. A nursing progress note, dated 9/30/23 at 1:46 p.m., indicated the resident was found sitting on the floor in front of her bed. There was no documentation the Interdisciplinary Team (IDT) had reviewed the root cause or implemented a new intervention for the fall. A progress note, dated 9/30/23 at 11:22 p.m., indicated the resident was found on the bathroom floor. There was no documentation the IDT had reviewed the root cause or implemented a new intervention for the fall. A progress note, dated…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-06 · 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 label the oxygen tubing and to administer the correct liters of oxygen flow for 2 of 4 residents reviewed for respiratory care. (Resident 117 and 3) Findings include: 1. During an observation, on 2/27/24 at 12:55 p.m., Resident 117 was wearing an unlabeled nasal cannula tubing connected to a portable oxygen container. The humidity bottle for his oxygen condenser was also not dated. During an observation, on 2/28/24 at 10:13 a.m., Resident 117 was in bed with no oxygen being administered. The nasal cannula tubing and the humidity bottle were not labeled with the date it was last changed. During an observation, on 2/29/24 at 11:24 a.m., Resident 117 was asleep in bed. 1.5 liters of oxygen was being administered through a nasal cannula. During an observation, on 3/1/24 at 2:16 p.m., Resident 117 was asleep in bed. 1.5 liters of oxygen was being administered through a nasal cannula. During an observation, on 3/4/24 at 11:22 a.m., Resident 117 was wearing 2 liters of oxygen through an unlabeled nasal cannula tubing…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-06 · tag F0812 — failed to store, cook, and serve food safely — isolated
    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 keep stored food items covered in 1 of 1 cold storage room reviewed for safe and sanitary conditions in the kitchen. (cold storage room) Finding includes: During an initial kitchen tour, on 2/27/24 at 12:13 p.m., the cold storage room was reviewed. There was raw chicken observed which was sitting open to air and uncovered. During an interview, on 2/27/24 at 12:14 p.m., Dietary Manager 25 indicated the chicken should not be open to air. A current policy, titled FOOD STORAGE FOOD SAFETY & INFECTION CONTROL 6.024, dated 9/7/22 and received from the Dietary Manager on 3/6/24 at 4:08 p.m., indicated .All raw and prepared foods are to be covered, labeled, and dated when stored. Partially used food items in opened cans must be transferred to an appropriate storage container, covered, labeled, and dated A policy, titled Storage Standards, received from Dietary Manager 25 on 3/6/24 at 4:08 p.m., indicated .Ensure refrigerated and frozen TCS foods are properly stored .keep all items covered and loosely cover cooling…

    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 · D2023-10-12 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure residents were free of significant medication errors for 3 of 6 residents reviewed for medication administration. (Residents B, C and D) Findings include: 1. The record for Resident B was reviewed on 10/12/23 at 2:10 p.m. Diagnoses included, but were not limited to, vascular dementia, type 2 diabetes, and hypertension. A physician's order, with a start date of 12/3/22, indicated to give Humalog (also known as Lispro insulin) per sliding scale. A physician's order, with a start date of 2/18/23, indicated to give Lantus 6 units at bedtime every day. A nurses' note, dated 9/4/23 at 10:14 p.m., indicated the resident was given the wrong insulin at the beginning of the shift. The physician was contacted, and an order was given to hold the Lantus insulin that evening, to give 10 units of Humalog insulin, and to recheck the blood sugar in one hour. A facility document, titled HOOVERWOOD IN-SERVICE, was provided by the Director of Nursing on 10/12/23 at 4:45 p.m. The form indicated the subject was insulin and an education…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$41,064 in federal fines across 3 penalties.

  • $15,940 — penalty dated 2025-12-30
  • $16,300 — penalty dated 2024-12-27
  • $8,824 — penalty dated 2024-03-06

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

Who owns this facility

Owner / managerTypeRoleShareSince
HANCOCK REGIONAL HOSPITALOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 05/10/2013
BOND, MARIAIndividualMANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNFsince 07/01/2021
CLARK, TIMOTHYIndividualMANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNFsince 05/01/2015
DAUGHERTY, JOSHUAIndividualMANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNFsince 01/01/2020
FELKER, DEANIndividualMANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNFsince 05/01/2015
JOYNER, SARAIndividualMANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNFsince 01/01/2022
LONG, STEVENIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROLsince 06/13/2022
WILLARD, LACEYIndividualMANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNFsince 07/01/2022
WILSON, ROYIndividualMANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNFsince 05/01/2015
INDIANAPOLIS JEWISH HOME, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/10/2013
NEXDINE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/31/2023
ABRAMS TOBE, LESLIEIndividualOPERATIONAL/MANAGERIAL CONTROLsince 06/01/2023
AVGERINOS, CARRIEIndividualOPERATIONAL/MANAGERIAL CONTROLsince 06/01/2018
BERNADAC, MIRANDAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 06/01/2016
FIRESTONE, MURRAYIndividualOPERATIONAL/MANAGERIAL CONTROLsince 05/10/2013
GIRSON, AARONIndividualOPERATIONAL/MANAGERIAL CONTROLsince 06/01/2021
GOLDSTEIN, MARCIAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 06/01/2016
KAHN, SHELLEYIndividualOPERATIONAL/MANAGERIAL CONTROLsince 06/01/2016
KOPLOW, CYNTHIAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2025
KORIN, MICHELLEIndividualOPERATIONAL/MANAGERIAL CONTROLsince 06/01/2021
LUTZ, DIANEIndividualOPERATIONAL/MANAGERIAL CONTROLsince 06/01/2022
MAURER, JANIEIndividualOPERATIONAL/MANAGERIAL CONTROLsince 05/10/2013
NEWCOMER, ROBERTIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/11/2024
SIGMAN, MARKIndividualOPERATIONAL/MANAGERIAL CONTROLsince 06/01/2021
WILLIAMS, JENNIFERIndividualOPERATIONAL/MANAGERIAL CONTROLsince 05/10/2013
YATES, PATRICEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2025
YOSHA, CYNTHIAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 06/01/2023
ADVANCED MICRO-ELECTRONICS LLCOrganizationADP OF THE SNFsince 01/01/2020
HEALTHPRO HERITAGE LLCOrganizationADP OF THE SNFsince 12/01/2021
PLANTE & MORAN PLLCOrganizationADP OF THE SNFsince 08/14/2024

CMS files one row per role, so the 42 rows in the source record cover these 30 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.

$20.2M
Net patient revenuemost recent cost report
-12.8%
Operating marginrevenue minus expenses
$1.9M
Related-party expense8% of expenses
Who pays — share of resident-days
Medicaid 57%Medicare 9%Other / private 34%

This home reported $1.9M 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

$434per resident / day
operating cost
$13,179per month
≈ monthly operating cost
$384per 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 155001. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-20, 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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