Manderley Health Care Center

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

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

Quality measures — how residents actually fare

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

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

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

55.6% 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 49 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.25 therapist hours per resident per day in 2026Q1 — more than 35% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 19% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 71 beds and averages 52.9 residents a day — about 75% occupied, or roughly 18 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 3.07 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.88 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.08 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 2.71 hrs/resident/day on weekends vs 3.22 on weekdays — 16% thinner on weekends. RN hours go from 0.99 to 0.61 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 34% is below the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

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

• Potential for harm · Ecited before2026-01-28 · 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 record review, and interview, the facility failed to follow physician's orders related to cardiac medication hold parameters, obtaining vital signs and weights, and notifying the physician of weight changes for 3 of 17 residents reviewed for Quality of Care. (Residents 3, 40 and 14)Findings include: 1.Resident 3's clinical record was reviewed on 01/21/2026 at 2:34 P.M. A Quarterly Minimum Data Set (MDS) assessment, dated 12/31/2025, indicated the resident was cognitively intact. The resident's diagnoses included, but were not limited to, dementia (decline in mental abilities), anxiety, depression, bipolar disorder (a chronic mental illness characterized by extreme mood swings), and orthostatic hypotension(sustained increase in blood pressure after standing). A Pharmacy Consultant Note To Attending Physician/Prescriber, dated 07/02/2025, indicated the resident had an order for Midodrine 2.5 milligrams (mg) three times a day. The resident's blood pressures were being recorded twice a day, and some Systolic Blood Pressures (SBP) (top number) were measuring 130 or higher.…

  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 before2026-01-28 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to maintain the kitchen in a sanitary manner for 2 of 3 kitchen observations and unmarked random food containers in the resident snack refrigerator for 1 of 1 resident snack refrigerators observed. Findings include: During the initial kitchen tour with the Dietary Manager (DM), on 01/20/2026 at 10:33 A.M., the following was observed: -a large, enclosed meal tray cart had a tray on top with a toaster sitting on the tray. The tray was heavily littered with breadcrumbs. An unlabeled respiratory medication inhaler was sitting on top of the cart within an inch of a bottle of seasoning spices, -The walk-in freezer had two frozen bottles of water, one was a green two-liter bottle, one was a clear old juice bottle, both were stained brown. The DM indicated they regularly used the bottles to cool down the pitchers of prepared iced tea, -An open rack of dishes consisting of small bowls and plates was littered with crumbs, the DM indicated they were clean dishes, -One large trash can that sat at the end of a food prep…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-28 · tag F0770 — failed to provide lab services — isolated
  Provide timely, quality laboratory services/tests to meet the needs of residents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to obtain a resident's ordered blood tests for 1 of 5 residents reviewed for laboratory services. (Resident 9)Findings include:Resident 9's clinical record was reviewed on 01/21/2026 at 2:49 P.M. A Quarterly Minimum Data Set (MDS) assessment, dated 01/06/2026, indicated the resident was moderately cognitively impaired. The resident's diagnoses included, but were not limited to, anemia (deficiency of health red blood cells), hypertension (high blood pressure), hypothyroidism (under active thyroid), and seizure disorder (neurological condition characterized by recurrent unprovoked seizures). The resident's current medication orders included, but were not limited to, the following:- An open-ended physician's order, with a start date of 07/10/2025, for Synthroid, 25 Micrograms daily for hypothyroidism.- An open-ended physician's order, with a start date of 07/10/2025, for Depakote Sprinkles capsules, 500 milligrams twice a day for a seizure disorder.The resident's current physician's orders included an open-ended order, with a…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-07-21 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to follow appropriate food handling guidelines related to food storage, open dating, and protecting food and drinks from gnats. This deficient practice had the potential to affect 47 of 48 residents receiving food and drink items from the kitchen. Findings include: 1.a. During an observation, on 07/21/25 at 8:07 A.M., of the facilities kitchen refrigerators, freezers, and dry food storage the following was observed: - a raw premade frozen hamburger patty was lying on the floor of the freezer in the back left corner of the kitchens walk in freezer, - Two popsicles were lying on the floor under the shelves in the walk-in freezer, - An undated, half full, opened half gallon of nectar thick orange juice was in the refrigerator, - An undated, three fourths full, opened half gallon of nectar thick cranberry juice was in the refrigerator, and - Three unopened salt packets, lying on the floor, in the center walkway of the floor into the dry food storage area. During an interview and observation, on 07/21/25 at 8:25 A.M., Kitchen Staff…

  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 · F2025-07-21 · tag F0925 — failed to control pests — widespread
  Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  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 effective pest control program was maintained and the facility was free of gnats. This deficient practice had the potential to affect 47 of 48 residents residing in the facility. Findings include:During an observation and interview, on 07/21/25 at 8:07 A.M., in the kitchen there were multiple gnats observed flying in the air near the dry food storage area. Upon entering the dry storage room, the number of gnats increased. Five gnats landed on an unopened bag of cereal on a shelf at eye level. Three gnats landed on an unopened can of cheese approximately four feet off the ground on a metal shelf. A blue light was in the dry food storage area, plugged into the wall inside the doorway. The device was approximately two inches wide by five inches long. It had a plastic cover housing the blue light and a tacky substance strip on the inside covered in an abundance of dead gnats. Kitchen Staff 3 indicated the gnats had been an ongoing problem for months within the kitchen. A company came in to clean 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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-31 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to treat a resident in a dignified manner during a meal service for 1 of 2 dining observations. (Resident 15) Findings include: Meal service was observed in the Main Dining Room on 01/27/25 at 12:01 P.M. At 12:10 P.M., Certified Nurse Aide (CNA) 6 stood upright next to Resident 15's wheelchair, to the resident's left side, with the resident's head at chest height to the CNA. The CNA was saying the resident's name over and over again, to get her attention, as she spooned food into the resident's mouth. Several empty chairs were observed in the dining room. Another staff member was sitting down in a chair, at the same table, assisting another resident with their meal. CNA 6 continued to stand over Resident 15 while she assisted the resident with her meal until 12:36 P.M. The clinical record for Resident 15 was reviewed on 01/28/25 at 1:29 P.M. A Quarterly Minimum Data Set (MDS) assessment, dated 01/15/25, indicated the resident was moderately cognitively impaired. The resident's 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-01-31 · tag F0583 — failed to protect personal privacy — isolated
  Keep residents' personal and medical records private and confidential.
  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 maintain resident records in a private manner related to information visible on a computer screen and on top of a medication cart for 2 of 6 random observations. (100 and 300 Hall Medication Carts) Findings include: 1. During a continuous observation on 01/27/25 from 2:17 P.M. to 2:39 P.M., the 100 Hall Medication Cart was left unattended. Resident 249's information was visible on the screen, - On 01/27/25 at 2:17 P.M., two Certified Nurse Aides (CNA) walked by the medication cart. - On 01/27/25 at 2:23 P.M., The computer screen on the medication cart remained unattended. - On 01/27/25 at 2:25 P.M., two CNAs walked by the medication cart. - On 01/27/25 at 2:28 P.M., a CNA walked by the medication cart. - On 01/27/25 at 2:31 P.M., RN 3 walked to the medication cart, made some notes on a piece of paper, and walked back to the nurse's station without closing the computer screen. - On 01/27/25 at 2:33 P.M., a Laundry Aide walked by the medication cart. - On 01/27/25 at 2:38 P.M., two CNAs and a Laundry Aide…

  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 before2025-01-31 · 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

  2. The clinical record for Resident 24 was reviewed on 01/28/25 at 10:05 A.M. A Quarterly MDS assessment, dated 12/10/24, indicated the resident was cognitively intact. The resident's diagnoses included, but were not limited to, hip and knee replacement, hypertension, anxiety, depression, and chronic pain syndrome. A physician's order, dated 09/06/24 through 01/23/25, indicated the resident was to take Midodrine 10 mg, three times a day for low blood pressure. The staff were to hold the medication when the resident's systolic blood pressure (top) number was greater than 110 or the diastolic blood pressure (bottom number) was greater than 70. A current open-ended physician's order, with a start date of 01/23/25, indicated the resident was to take Midodrine 10 mg, with meals for low blood pressure. The staff were to hold the medication when the resident's systolic blood pressure number was greater than 110 or the diastolic blood pressure was greater than 70. The current November and December 2024 and January 2025 EMAR indicated the resident had received the Midodrine when the…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-31 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to treat a Urinary Tract Infection (UTI) in a timely manner for 1 of 2 residents reviewed for UTIs. (Resident 1) Findings include: The clinical record for Resident 1 was reviewed on 01/28/25 at 2:10 P.M. An admission Minimum Data Set assessment, dated 11/07/24, indicated the resident was severely cognitively impaired. The resident's diagnoses included, but were not limited to, Parkinson's disease, dementia, aortic valve disorder, urinary retention, and hypertension. A Nursing Note, dated 11/02/24 (Saturday) at 11:51 P.M., indicated new physician's orders were received to obtain a Urinalysis and Culture and Sensitivity (UA/CS). A Nursing Note, dated 11/03/24 (Sunday) at 8:38 A.M., indicated the resident denied pain or discomfort but experienced frequent incontinent episodes and frequent feelings of needing to void. The resident's urine had a strong odor. The laboratory (lab) report for the urinalysis indicated the resident's urine was collected on 11/06/24 (Wednesday) and the results were reported on 11/08/24 (Friday). The…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-31 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to store medications appropriately for 1 of 2 medication carts reviewed. (100-Hall Medication Cart) Findings include: During a continuous observation on 01/27/25 from 2:17 P.M. to 2:39 P.M., the 100-Hall Medication Cart was unlocked and left unattended, - On 01/27/25 at 2:17 P.M., two Certified Nurse Aides (CNA) walked by the medication cart, - On 01/27/25 at 2:23 P.M., The medication cart remained unlocked and unattended, - On 01/27/25 at 2:25 P.M., two CNAs walked by the medication cart, - On 01/27/25 at 2:28 P.M., a CNA walked by the medication cart, - On 01/27/25 at 2:31 P.M., RN 3 walked to the medication cart, made some notes on a piece of paper, and walked back to the nurse's station without locking the medication cart, - On 01/27/25 at 2:33 P.M., a Laundry Aide walked by the medication cart, and - On 01/27/25 at 2:38 P.M., two CNAs and a Laundry Aide walked by the medication cart. During an observation and interview on 01/27/25 at 2:39 P.M., RN 3 approached the medication cart and indicated the Qualified Medication Aide…

  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.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to ADAMS COUNTY MEMORIAL HOSPITAL — 8 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 →

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

CMS files one row per role, so the 34 rows in the source record cover these 24 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

10 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 $756K paid to related parties — landlords or management companies under common ownership — equal to about 14% 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