Harbour Manor Health & Living Community
1667 Sheridan Rd, Noblesville, IN 46060 · For profit - Individual · 129 certified beds · (317) 773-9205 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- a middle-of-the-pack inspection score (3/5)
- no federal fines or payment denials on record
- it has an abuse, neglect, or exploitation citation (F0600), cited Jan 2025
- it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607, F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- it has 1 actual-harm citation
- a high number of inspection citations overall (17) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its facility-reported quality-measure score sits well above its independent inspection score
- about 25% of its spending goes to commonly-owned related companies
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 5 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 4 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.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 4.2% | 11.0% | 15.4% | better |
| Long-stay residents who lose too much weight | 2.0% | 5.5% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.2% | 0.4% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 0.5% | 1.1% | 2.0% | better |
| Long-stay residents with depressive symptoms | 0.8% | 25.2% | 6.5% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 3.1% | 3.9% | 3.3% | typical |
| Long-stay residents whose ability to walk worsened | 5.8% | 11.9% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 18.2% | 23.5% | 18.9% | typical |
| Long-stay residents given the seasonal flu vaccine | 98.0% | 95.4% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 4.7% | 3.6% | 4.7% | typical |
| Long-stay residents with worsening bladder/bowel control | 20.8% | 23.3% | 21.2% | typical |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 11.3% | 13.6% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.7% | 1.2% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 89.7% | 79.0% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 16.7% | 22.2% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 9.6% | 10.8% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.45 | 1.61 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 1.27 | 1.44 | 1.80 | better |
‡ 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.
52.6% 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 117 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 60.6% 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 66 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 0.45 therapist hours per resident per day in 2026Q1 — more than 75% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 20% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 52.6%CMS range 45.3–60.2 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 9.5%CMS range 6.8–13.2 | 10.7% | Oct 2022–Sep 2024 | no 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 discharge | 60.6% | 56.6% | Oct 2024–Sep 2025 | CMS 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 discharge | 59.1% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 48.5% | 50.0% | Oct 2024–Sep 2025 | CMS 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 identified | 97.4% | 98.7% | Oct 2024–Sep 2025 | CMS 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 setting | not 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 discharge | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS 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 stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 0.0% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 6.9%CMS range 4.0–11.1 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.21 | 1.02 | Oct 2022–Sep 2024 | CMS 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
How full it usually is: this home is certified for 129 beds and averages 115.6 residents a day — about 90% occupied, or roughly 13 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.30 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.59 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.74 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 2.72 hrs/resident/day on weekends vs 3.53 on weekdays — 23% thinner on weekends — a notable drop. RN hours go from 0.67 to 0.37 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 41% is about the same as the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
17 citations, most serious first. The 11 most serious are shown; the remaining 6 are one tap away and print in full.
- Actual harm · G2025-01-02 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect 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 protect the resident's right to be free from staff-to-resident abuse perpetrated by RN 2 when the nurse held the hands of a cognitively impaired resident and administered medications while the resident was screaming for 1 of 3 residents reviewed for abuse. (Resident B) Using the reasonable person concept, this abuse could result in Resident B feeling dehumanized and anxious related to their hands being physically restrained and being forced to take oral medications. Findings include: Resident B's clinical record was reviewed on 1/2/25 at 9:13 a.m. Diagnoses included encephalopathy, anemia, hypertension, cerebrovascular disease, dysphagia, stage 4 chronic kidney disease, pain, and memory deficit. The most recent admission Minimum Data Set (MDS) assessment, dated 11/29/24, indicated the resident was severely cognitively impaired. An 11/30/24 at 8:20 p.m. progress note authored by RN 2 indicated, while attempting to administer medications to Resident B, the resident became combative. The note indicated RN 2 sat on the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2026-05-19 · tag F0726 — failed to have competent, trained nursing staff — patternEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to develop and implement a process to ensure the identity and competency of agency staff. This deficient practice had the potential to affect 122 of 122 residents in the facility. Findings include:During a confidential interview, on 5/18/26 at 11:43 a.m., it was indicated they were advised of a situation where CNA 8 was discovered to be working in more than one facility on the same date at the same time. They were able to contact both facilities and were provided with photographic evidence of CNA 8 and another employee, CNA 9, in different locations during this time frame. During an internal investigation, it was discovered that CNA 8 and CNA 9 had shared a staffing agency account and a banking account.A facility reported incident, provided by the Administrator on 5/18/26 at 11:45 a.m., indicated the following: On 5/8/26, a corporate payroll accounting discovered CNA 8 had worked the 2:00 p.m. - 10:00 p.m. shift on 5/3/26 at one facility through an agency contract while also working the 6:00 a.m. - 10:00 p.m. shift on 5/3/26…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-05-19 · tag F0732 — isolatedPost nurse staffing information every day.
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 post current and accurate nursing staff information daily for residents, resident representatives, and/or visitors. Findings include:During an observation, on 5/18/26 at 9:00 a.m., the facility nurse staffing, dated 5/15/26 was posted on the wall across from the receptionist desk in the front lobby. The nursing staff posting, dated 5/15/26, included the following:Census: 116 Number of Registered Nurses (RN): Day shift hours: 24.00, Evening shift hours: 12.00, and Night shift hours: 16.00.Number of Licensed Practical Nurses (LPN): Day shift hours: 48.00, Evening shift hours: 36.00, and Night shift hours: 24.00. Number of Qualified Medication Aides (QMA): Day shift hours: 8.00, Evening shift hours: 16.00, and Night shift hours: 0.00.Number of Certified Nursing Assistant (CNA): Day shift hours: 80.00, Evening shift hours: 64.00, and Night shift hours: 48.00.During an observation, on 5/18/26 at 9:34 a.m., the facility nurse staffing posting was updated. The updated staff post was dated 5/18/26 and included 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.
- Potential for harm · D2026-05-19 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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 store drugs and biologicals in a safe and secure manner for 18 of 18 residents' treatments stored in the Rehab Hall treatment cart. Findings include:During a walk-through observation, on 5/18/26 at 9:45 a.m., the medication treatment cart on the Rehab unit was unlocked and unattended.During a continuous observation on 5/18/26 from 9:45 a.m. to 9:51 a.m., the medication treatment cart remained unlocked. During this time frame, the following were observed near the unlocked and unattended medication treatment cart: a housekeeping staff member, a laundry staff member and a Certified Nursing Assistant (CNA).During a medication storage observation of the Rehab treatment cart, accompanied by LPN 5, on 5/18/26 at 9:51 a.m., following medications were observed:Two (2) tubes of zinc oxide (to protect skin) ointment,Four (4) tubes of 1% diclofenac sodium (to treat joint pain) gel,Two (2) tubes of nystatin (an antifungal) 100,000 units cream,One tube of 2% miconazole (an antifungal) cream,One bottle of 0.05% fluocinonide…
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.
- Potential for harm · D2026-02-13 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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 protect the safety of a cognitively impaired resident from potential harm by not providing supervision at an outside appointment for 1 out of 3 residents reviewed to accidents. (Resident B) Findings include:Resident B's clinical record was reviewed on 2/12/26 at 11:00 a.m. Diagnoses included fracture of unspecified part of neck of right femur post-surgical repair, symptoms and signs involving cognitive functions following other cerebrovascular disease, repeated falls, hypertension, conversion disorder with seizures or convulsions, osteoporosis, and chronic pain. Review of the most current admission MDS (Minimum Data Set) assessment, dated 1/6/26, indicated the resident had moderate cognitive impairment, used a wheelchair for mobility, was frequently incontinent of bladder, occasionally incontinent of bowel and was impaired on one side in the lower extremities.Review of the hospital discharge orders, dated 12/31/25, indicated a follow up appointment with the orthopedic surgeon on 1/12/26.Review of the clinical record…
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.
- Potential for harm · Dcited before2026-02-13 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview, the facility failed to ensure controlled substance inventory was accurately documented on individual narcotic record sheets per facility policy to mitigate risk for drug diversion for 6 of 6 residents reviewed during a medication storage observation. (Residents J, K, L, M, N, and O)Findings include:During an observation of the [NAME] 1 medication cart, accompanied by LPN 10 and LPN 11, on 2/12/26 at 1:49 p.m., LPN 11 indicated she did not document the removal of the controlled medications she administered that morning on the individual controlled medication inventory record sheets. Review of the individual narcotic sheets indicated the documentation had not been completed. LPN 11 indicated the [NAME] 1 medication cart contained medications for 18 residents, six of which received controlled medications from the cart. LPN 11 indicated she administered Resident J's pregabalin (anticonvulsant) 50 mg and hydrocodone acetaminophen (opioid pain medication) 5-325 mg the morning of 2/12/26.An observation during the interview indicated the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-12-05 · tag F0628 — isolatedProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to provide a notice of transfer/discharge and a bed hold policy notification to the resident or resident representative for 2 of 3 residents reviewed for hospitalizations. (Residents 5 and 15) Findings include:1. Resident 5's clinical record was reviewed on 12/4/24 at 9:27 a.m. Diagnoses included dysphagia following other cerebrovascular disease with a risk for malnutrition, iron deficiency anemia, other vitamin B12 deficiencies, and abdominal distention.A 8/27/25, annual Minimum Data Set (MDS) assessment indicated the resident was cognitively intact.A 4/22/25 progress note indicated Resident 5 had experienced multiple episodes of coffee ground-like emesis (vomit) and requested to be sent out to the emergency room.A 4/22/25, Resident Transfer Form observation note indicated the resident was transferred to the hospital for nausea, vomiting, and diarrhea. The observation note was unsigned.A 4/22/25, discharge MDS indicated the resident discharged with a return anticipated.The clinical record lacked documentation that 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.
- Potential for harm · D2025-12-05 · tag F0694 — isolatedProvide for the safe, appropriate administration of IV fluids for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview, the facility failed to follow professional nursing standards for PICC (Peripherally Inserted Central Catheter) line dressing changes to mitigate the risk for infection for 1 of 1 resident reviewed for IV (Intravenous) medications. (Resident 71)During an observation and interview on 12/3/25 at 10:21 a.m., Resident 71 was fully dressed seated upright in a specialty bed. There was an IV pole to the right side of the bed. Resident 71 indicated they had a PICC line and were getting IV antibiotics for a MRSA (methicillin-resistant staphylococcus aureus bacteria) infection. The staff provided the antibiotic medication on second shift around 7:00 p.m. every day. The PICC line was located on the right upper arm. The clear dressing covering the PICC line insertion site was dated 11/24/25.Resident 71's clinical record was reviewed on 12/4/25 at 11:54 a.m. Diagnoses included unspecified local infection of the skin and subcutaneous tissue, fusion of spine cervical region and thoracic regions, and weakness.Current orders included the following:…
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.
- Potential for harm · D2025-12-05 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide 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, record review, and interview, the facility failed to ensure a resident who required oxygen received services to ensure clean supplies and humidification to reduce side effects for 1 of 1 resident reviewed for oxygen. (Resident 110)Findings include:During an observation and interview on 12/1/25 at 3:30 p.m., Resident 110 was fully dressed and seated in the recliner beside the bed. He was wearing a nasal cannula. The oxygen tubing was undated. He indicated his oxygen was ordered at 3 liters per minute. On 12/2/25 at 10:36 a.m., Resident 110 was fully dressed and seated in the recliner beside the bed. He was wearing a nasal cannula. He indicated he could not recall the last time staff checked on his oxygen level or changed his tubing. He wears oxygen constantly. The oxygen concentrator was set to 5 liters per minute, and the water humidification bottle was empty. The sides and bottom of the water bottle were covered with a white discoloration resembling coarse salt. The oxygen tubing was undated.On 12/3/25 at 10:30 a.m., Resident 110 was fully dressed and seated…
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.
- Potential for harm · D2025-01-02 · tag F0607 — failed to have anti-abuse policies — isolatedDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to implement their abuse policy when a staff member (CNA 1) failed to intervene when witnessing the abuse of a cognitively impaired resident (Resident B) by a staff member (RN 2) for 1 of 3 residents reviewed for abuse. Findings include: A facility reportable indicated on 11/30/24, CNA 1 reported that RN 2 displayed poor customer service with Resident B. RN 2 was suspended pending investigation and immediately left the facility. Resident B's clinical record was reviewed on 1/2/25 at 9:13 a.m. Diagnoses included encephalopathy, anemia, hypertension, cerebrovascular disease, dysphagia, stage 4 chronic kidney disease, pain, and memory deficit. The most recent admission Minimum Data Set (MDS) assessment, dated 11/29/24, indicated the resident was severely cognitively impaired. An 11/30/24 at 8:20 p.m. progress note authored by RN 2 indicated, while attempting to administer medications to Resident B, the resident became combative. RN 2 sat on the resident's bed, held the resident's hands, and put the medication in 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.
- Potential for harm · D2025-01-02 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to follow a care plan intervention of providing care with staff pairs to protect the resident from anxiety related to allegations of inappropriate care for 1 of 3 residents reviewed for abuse. (Resident C) Findings include: During an interview on 1/2/25 at 9:35 a.m., Resident C indicated, on 12/26/24 during the night shift, CNA 3 touched him inappropriately during incontinence care. The resident reported the incident to other facility staff. Resident C's clinical record was reviewed on 1/2/25 at 9:39 a.m. Diagnoses included multiple sclerosis, pain, abdominal aortic aneurysm-without rupture, type 2 diabetes mellitus with diabetic polyneuropathy and hyperosmolarity, depressive disorder, and dysphagia following cerebral infarction. Review of the most current quarterly Minimum Data Set (MDS) assessment, dated 11/5/24, indicated the resident was cognitively intact. A current CNA Assignment Sheet, care plan dated 4/28/23, indicated an intervention for care in pairs, initiated 11/7/23 due to resident behaviors as evidenced by…
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.
Show the remaining 6 citations
- Potential for harm · Dcited before2024-10-21 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure shift to shift narcotic count reconciliation was completed for 1 of 3 medication carts reviewed for medication reconciliation. (Rehab 1 cart) Findings include: During a medication storage observation of the Rehab 1 medication cart, on 10/21/24 at 10:29 a.m., accompanied by LPN 2, the Nurse Narcotic Sign in/out Sheet was reviewed and the following dates lacked shift to shift count reconciliation numbers of controlled medications: October 17, 18, 19, and 20, 2024. During an interview, on 10/21/24 at 10:40 a.m., LPN 2 indicated staff was required to sign in and sign out with each change of the medication cart attendant. They needed to record the narcotic count when they signed the log. She indicated the log lacked the count number for October 17, 18, 19, and 20, 2024. The lack of a count number or signatures on the log was a potential opportunity for drug diversion. During an interview, on 10/21/25 at 11:13 a.m., LPN 3 indicated the narcotic sign in sheets should include signatures and count numbers of…
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.
- Potential for harm · D2024-04-24 · tag F0610 — failed to investigate and act on abuse reports — isolatedRespond appropriately to all alleged violations.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to complete an investigation of an allegation of verbal abuse for 1 of 3 residents reviewed for abuse. (Resident D) Findings include: During an interview on 4/23/24 at 10:56 a.m., Resident D indicated she had an incident while in an activities group, before a Bingo game. She was seated at a table waiting for another resident to join her and another resident entered the room. She felt the Activities Director (AD) got the idea that Resident D had rejected the resident to sit at her table. The AD began to yell loudly at her that she was not in control and how dare she turn away an old woman. Resident D indicated she was humiliated and embarrassed, and felt very hurt. She cried a lot over the next few days. She indicated the AD had not followed up with her or apologized. She felt that the AD had a bad day, and Resident D had since forgiven the AD and began to attend activities again. Nothing further had been said about the incident. The clinical record for Resident D was reviewed on 4/23/24 at 11:15 a.m. Diagnoses included major…
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.
- Potential for harm · D2024-02-16 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview the facility failed to report allegations of sexual abuse to one or more law enforcement and adult protection agencies for 1 of 1 resident reviewed for abuse. (Resident B) Findings include: Review of a State reportable, dated 2/12/24, indicated Resident B reported an allegation of staff to resident sexual abuse. Review of the facility investigation of the allegation, the investigation lacked documentation of law enforcement notification and/or adult protection agency. During an interview on 2/16/24 at 12:29 p.m., Resident B indicated during incontinent care, CNA 1 touched them inappropriately. The resident indicated they felt the interaction was sexual abuse. During an interview on 2/16/24 at 2:55 p.m., the Administrator and Director of Nursing indicated the law enforcement agency was not called due to the family's request to not call the police. During an interview on 2/16/24 at 3:00 p.m., a family member of Resident B indicated they did not request the police not to be called. During an interview on 2/16/24 at 3:06 p.m., the Corporate…
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.
- Potential for harm · D2023-10-30 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure a resident was scheduled with urology (a specialist), as ordered by the primary care provider, for 1 of 3 residents reviewed for urinary tract infections/catheter care. (Resident 98) Findings include: During an observation and interview on 10/25/23 at 10:43 a.m., Resident 98's catheter tubing and bag were observed to contain large amounts of sediment and amber colored urine. The resident indicated the appearance of the urine in the tubing was typical of what he would see at any given time. During an observation and interview on 10/26/23 at 11:14 a.m., the urinary catheter tubing continued to have sediment present. The resident indicated there was always junk in the tubing. Resident 98's clinical record was reviewed on 10/26/23 at 9:32 a.m. His diagnoses included neurogenic bladder. Current physician orders, dated 10/4/23, indicated urinary catheter care to be provided twice a day, once upon rising and again at night, and the urinary catheter and drainage bag should be changed as needed for occlusion or…
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.
- Potential for harm · Dcited before2023-10-30 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure narcotics were reconciled per facility policy for 2 of 4 medication carts reviewed for medication storage. (East 1 cart and East 2 cart) Findings include: 1. During a medication storage observation of the East 1 cart, accompanied by LPN 3 on 10/30/23 at 9:30 a.m., the Nurse Narcotic Sign In/Out Sheet record was reviewed and the following dates lacked shift to shift reconciliation of controlled medications: In October 2023- 10/3, 10/4, and 10/5 on night shift, 10/6 on all three shifts, 10/7 and 10/8 on day and evening shifts, 10/9 on all three shifts, 10/10 on day and evening shifts, 10/11 on evening shift, 10/12, 10/13, 10/14, and 10/15 on both day and evening shifts, 10/16 on all three shifts, 10/17 and 10/18 on both day and evening shifts, 10/19 on all three shifts, 10/20 and 10/21 on both day and evening shifts, 10/22 on all three shifts, 10/23 and 10/24 on both day and evening shifts, 10/27 on both day and evening shifts, and 10/29 on both day and evening shifts. In November 2023- 11/19 and 11/20…
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.
- Potential for harm · D2023-10-30 · tag F0849 — isolatedArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
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 timely communication was maintained between the facility and the hospice provider for 1 of 2 residents reviewed for hospice services. (Resident 31) Findings include: Resident 31's clinical record was reviewed on 10/26/23 at 2:05 p.m. Diagnoses included chronic obstructive pulmonary disease (COPD), pulmonary fibrosis, and vascular dementia. The resident was admitted to hospice services on 7/20/23 with a diagnoses of COPD. A current care plan, initiated 7/20/23, indicated the resident received hospice services. Interventions included coordinate plan of care with hospice to promote comfort with care. During a review of the hospice communication binder on 10/26/23 at 2:38 p.m. with LPN 5, the record lacked a completed plan of care document, CNA visit notes, social worker visit notes, and chaplain visit notes. The binder lacked a visiting schedule for staff to expect services to be provided and the hospice interdisciplinary (IDT) notes section was blank. The nursing notes section contained minimal handwritten information…
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.
“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.
- 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.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to CARDON & ASSOCIATES — 19 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 4 of 5 | 3.7 | +0.3 vs chain |
| Health inspection | 3 of 5 | 3.3 | -0.3 vs chain |
| Staffing | 3 of 5 | 2.5 | +0.5 vs chain |
| Quality measures | 5 of 5 | 4.6 | +0.4 vs chain |
The other 18 homes this chain runs (chain average 3.7★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| RIVERVIEW HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 06/01/2011 |
| LAKE CITY BANK | Organization | 5% OR GREATER SECURITY INTEREST; ADP OF THE SNF | — | since 06/30/2025 |
| ATKINSON, JACOB | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 07/01/2022 |
| BALLA, MATTHEW | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 05/23/2022 |
| CATTELL, ZACHARY | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 04/25/2022 |
| FAUTH, KENDRA | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 12/26/2021 |
| GORMAL, GREGG | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 10/01/2016 |
| HAUG, AMY | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 01/04/2012 |
| HYATT, DAVID | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL | — | since 03/27/2023 |
| LOPOSSA, LYNN | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 12/17/2023 |
| LOUIS, KRISTA ST | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 01/24/2024 |
| MCCLELLAND, THOMAS | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 12/26/2021 |
| SPENCER, LEAANN | Individual | MANAGING CONTROL - GOVERNING BODY; ADP OF THE SNF | — | since 06/18/2018 |
| TYLER, LATEASA | Individual | MANAGING CONTROL - GOVERNING BODY; ADP OF THE SNF | — | since 05/01/2021 |
| FRIEND, JAYNA | Individual | CORPORATE OFFICER; ADP OF THE SNF | — | since 06/01/2021 |
| CARDON AND ASSOCIATES INC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 06/27/2025 |
| CARDON MANAGEMENT COMPANY LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 06/27/2025 |
| MOORE OPERATING GROUP INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | since 05/18/2020 |
| HASHMI, SYED | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/16/2020 |
| KARNER, JIM | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 06/18/2012 |
| MCINTOSH, ERIC | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 10/31/2021 |
| HEADLEY, KATHY | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 08/28/2025 |
| MOORE, DANIEL | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 08/28/2025 |
| MOORE, DAVID | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 08/28/2025 |
| MOORE, STEPHEN | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 08/28/2025 |
| ANKURA CONSULTING GROUP LLC | Organization | ADP OF THE SNF | — | since 06/15/2022 |
| BRADLEY & ASSOCIATES INC | Organization | ADP OF THE SNF | — | since 01/01/2023 |
| COLE MARKETING COMMUNICATIONS INC | Organization | ADP OF THE SNF | — | since 04/01/2015 |
| FORVIS MAZARS LLP | Organization | ADP OF THE SNF | — | since 01/01/2021 |
| HARBOUR MANOR PROPERTY, LLC | Organization | ADP OF THE SNF | — | since 02/22/2007 |
| HEALTH DRIVE PODIATRY GROUP PC | Organization | ADP OF THE SNF | — | since 03/07/2019 |
| HEART OF CARDON LLC | Organization | ADP OF THE SNF | — | since 09/06/2007 |
| JEFFREY L MORER OD PC | Organization | ADP OF THE SNF | — | since 03/07/2019 |
| LACY BEYL & COMPANY INC | Organization | ADP OF THE SNF | — | since 07/15/2015 |
| LIFESPAN THERAPY LLC | Organization | ADP OF THE SNF | — | since 10/25/2007 |
| MED-PASS INCORPORATED | Organization | ADP OF THE SNF | — | since 09/01/2020 |
| MOBILE AUDIOLOGY ASSOCIATES PC | Organization | ADP OF THE SNF | — | since 03/07/2019 |
| MOSER CONSULTING INCORPORATED | Organization | ADP OF THE SNF | — | since 04/01/2020 |
| PROACTIVE CLINICAL PARTNERS | Organization | ADP OF THE SNF | — | since 01/01/2020 |
| RESPIRATORY PARTNERS INC | Organization | ADP OF THE SNF | — | since 11/01/2019 |
| THIRD EYE HEALTH INC | Organization | ADP OF THE SNF | — | since 02/04/2022 |
| VOX GLOBAL LLC | Organization | ADP OF THE SNF | — | since 02/28/2019 |
CMS files one row per role, so the 71 rows in the source record cover these 42 parties — each is shown once here with every role it holds. Nothing is omitted.
22 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $4.2M paid to related parties — landlords or management companies under common ownership — equal to about 25% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
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
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.
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 155381. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-12-05, 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.