Cumberland Trace Health & Living Community

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

67.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 229 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 60.4% 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 96 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 0.46 therapist hours per resident per day in 2026Q1 — more than 76% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 15% 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 104 beds and averages 97.1 residents a day — about 93% occupied, or roughly 7 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 3.85 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.552 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.14 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.34 hrs/resident/day on weekends vs 4.05 on weekdays — 18% thinner on weekends. RN hours go from 0.63 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 43% is about the same as the national median of 45%. 1 administrator has left in the past year.

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.

19 citations, most serious first. The 13 most serious are shown; the remaining 6 are one tap away and print in full.

• Actual harm · Gcited before2025-05-23 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to follow their policy for wound management to ensure a resident, (Resident C) received effective and appropriate treatments to prevent a non-pressure wound from becoming infected which resulted in actual harm when Resident C's wound became infected and required a hospital re-admission with a hip replacement exchange of the femoral head and liner [the plastic or metal part that sits inside the socket] for 1 of 1 residents reviewed for non-pressure wounds. Findings include: During a confidential interview, it was indicated Resident C had a total right hip replacement, but while she was home recovering, she fell and sustained a second right hip fracture and several fractures in her left foot and ankle. The new hip fracture and left foot fractures were non-operable, and she was sent to the facility for rehabilitation. The wound on her right hip from her surgery was still healing with steri-strips in place and she had not experienced any…

  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
• Actual harm · Gcited before2025-05-23 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  A. Based on observation, interview, and record review, the facility failed to prevent the potential for accidents for a resident (Resident 60) who had a history of falls with injury, by ensuring appropriate interventions were in place after she moved to a new room which resulted in actual harm, after she rolled out of bed and sustained an arm fracture for 1 of 9 residents reviewed for accidents; and failed to implement new interventions to prevent the potential for accidents for 2 of 9 residents reviewed for accidents (Residents 30 and 64). B. Based on observation, interview, and record review, the facility failed to prevent the potential for accidents when medications were found at bedside for residents without orders or assessments to self-administer their medications for 4 of 9 residents reviewed for accidents (Residents 41, 49, 22 and 2). Findings include: A1. On 5/21/25 at 9:26 a.m., Resident 60 was observed in her room. She was seated in her wheelchair, and a bandage was noted above her left eye which was bruised and had dried blood crusted around the edge of the bandage. She…

  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
• Actual harm · G2024-04-23 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure a resident (Resident 83) was treated with respect and dignity for 1 of 6 residents who attended and complained during an Indiana Health Department (IDOH) Resident Council meeting. This deficient practice resulted in psychosocial harm when the facility failed to provide interventions for her ongoing roommate concerns causing Resident 83 to be afraid to continue complaining about the situation, she began to lose sleep, had bad dreams, isolated herself in her room, became more tearful, and required an increase in her medication. (Residents 83 and 30). Findings include: On 4/15/24 at 11:28 a.m., Resident 83 was observed. She appeared to be asleep in her recliner. Her eyes were closed, and she had calm, regular respirations. She did not wake to the sound of a knock on her door. On 4/18/24 at 1:00 p.m., Resident 83's roommate, Resident 30, could be heard from several rooms down the hall as she yelled out Ow! Ow! Ow! Qualified Medication…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-05-23 · 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 and interview, the facility failed to date and label medications for 3 of 4 medication carts reviewed and 1 of 2 medication storage rooms reviewed. Findings include: 1. On 5/19/25 at 10:22 a.m., the 500-hall medication cart 1 was observed. Resident 54 had an albuterol inhaler with just his name on it. 2. On 5/19/25 at 10:30 a.m. the 500-hall medication room was observed. There was a vial of Aplisol (tuberculosis testing serum) with no date on it. It was sent from the pharmacy on 3/4/25. 3. On 5/19/25 at 10:45 a.m., the 600-hall medication cart 2 was observed. The cart had an albuterol inhaler with a spacer with no name or date on the inhaler. Resident 38 had an inhaler, albuterol, with no date to indicate when it was opened. Resident 70 had a bottle of fluticasone spray with no date to indicate when it was opened. Resident 40 had a bottle of fluticasone spray with no date to indicate when it was opened. 4. On 5/19/25 at 10:59 a.m., the 600-hall medication cart 1 was observed. Resident 16 had an albuterol inhaler with no date to indicate when it was opened.…

  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 before2025-05-23 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  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 record review and interview, the facility failed to implement an advanced directive (code status) order for 1of 1 residents reviewed for advanced directives. Findings include: On [DATE] at 9:30 a.m., Resident 205's record was reviewed. He had the following diagnoses which included but were not limited to heart failure, weakness, type 2 diabetes mellitus, and Alzheimer's disease. Resident 205's record lacked an order for an advance directive. His profile indicated he desired to have cardiopulmonary resuscitation (CPR). His care plan dated [DATE] indicated he desired to have CPR. During an interview with the Director of Nursing on [DATE] at 10:53 a.m., he indicated this was an order they missed and they would be doing a Quality Assurance Performance Improvement (QAPI) plan for missed advanced directive orders. A policy was provided by the DON on [DATE] at 1:30 p.m. It indicated, The plan of care for each resident will be consistent with his or her documented treatment preferences and/or advance directive.…

  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 before2025-05-23 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record review, the facility failed to accurately assess 2 of 29 residents (Residents 53 and 15) reviewed for accurate Minimum Data Set (MDS) assessments. Findings include: 1. Resident 53's medical record was reviewed. She was a long-term care resident whose diagnoses included but were not limited to, Alzheimer's disease, dementia, unsteadiness on feet and difficulty walking. Resident 53 had an active order, dated 2/17/23, that indicated her activity level was up as tolerated. A progress note, dated 11/10/24, indicated Resident 53 was found sitting on the floor in her bathroom. The note indicated the resident did not have any injuries or skin tears at that time. A progress note, dated 1/05/25, indicated Resident 53 was found sitting on the floor in her bedroom. The note indicated the resident complained of right foot pain. An Interdisciplinary Team (IDT) note, dated 1/6/25, indicated no injuries were noted at the time of the fall on 1/5/25. A progress note, dated 1/6/25, indicated Resident 53 complained of right pinky toe pain. A progress note,…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-23 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to implement a care plan for history of Urinary Tract Infections (UTI) for a Resident (Resident 22) and for advanced directives for a resident (Resident 216) for 2 of 29 residents reviewed for care plan implementation. Findings include: 1. On [DATE] at 1:43 p.m., Resident 22's medical record was reviewed. She was a long-term care resident whose diagnoses included but were not limited to, type 2 diabetes, and pneumonia. A progress note dated [DATE], indicated Resident 22 was tearful, agitated, and complaining of pain and burning with urination and abdominal pain. A urine dip test (a test to see if a Resident has a UTI or not) was done and was negative. A progress note, dated [DATE] at 8:41 a.m., indicated Resident 22 was complaining of lower abdominal pain that radiated to her lower back A progress note, dated [DATE] at 12:58 p.m., indicated Resident 22 was still complaining of lower back pain. At this time there was a new order to collect 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-23 · tag F0694 — isolated
  Provide 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 observations, interviews, and record review, the facility failed to ensure a Peripherally Inserted Central Catheter (PICC) line was dressed properly to prevent infection for 1 of 1 residents (Resident 22) reviewed for PICC line dressings. Findings include: On 5/19/25 at 1:50 p.m. Resident 22 was observed as she sat up in her wheelchair visiting with her family. Resident 22 was able to lift her arm and show where her PICC line was. The PICC line had a clean dry and intact dressing dated 5/13 and initialed. The dressing was a clear tegaderm (a clear sticky film often used to cover different intravenous (IV) lines) with a 2 by 2 spilt gauze (a 2 inch by 2 inch gauze pad that is split down the middle half way) underneath the tegaderm with the split laid on top of the catheter and insertion site. Th skin around the insertion site and the insertion site itself were completely covered and unable to be assessed because of the split gauze. On 5/20/25 at 2:25 p.m. Resident 22 was observed as she lay in bed resting. She was able to lift her arm and show where her PICC line was. 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 · D2024-04-23 · 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 that a call device was within reach for 1 of 1 random observation for call lights (Resident 36). Findings include: On 4/17/24 at 1:27 p.m., during a random observation in the hallway, Resident 36 was heard as she called out for help. She was observed to be upright in a wheelchair with the wheels locked and pressure-relieving boots on both feet. The bedside table was in front of her with a lunch tray which sat on top. The resident faced towards the television, away from her bed. She indicated she needed someone to get a staff member for her because she did not have her call light. The call light was out of view and out of reach on top of the bed behind her. When asked how long she had been without her call light, she indicated it had been since she had her bed bath that morning at 11:00 a.m., because they forgot to give it to her when they were done. She indicated staff had not provided her call light when they brought her lunch. On 4/19/24 at 9:50 a.m., Resident 36's record was reviewed. She had 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-04-23 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure timely assessment and treatment of a resident's new open areas on the skin for 1 of 4 residents reviewed for pressure ulcer treatments and services (Resident 93). Findings include: On 4/15/24 at 10:14 a.m., Resident 93's room was observed. A white dry-erase board was observed on top of her wheelchair, leaning against the wall, with a note from family that indicated the resident had a stage 4 (full thickness skin loss with considerable tissue loss and may have muscle, bone, tendon or joint involvement) pressure ulcer, needed to have a pillow under the side of her lower back, and needed to be rotated to opposite side every two hours. On 4/19/24 at 11:40 a.m., Resident 93's record was reviewed. As of 4/19/24, Resident 93 had a diagnoses which included, but were not limited to, stage 4 pressure ulcer, local infection of the skin, contracture (a condition of shortening and hardening of muscles, tendons, or other tissue, often leading to deformity and rigidity of joints) of the left upper arm, contracture 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-04-23 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to follow physician orders for oxygen administration and storage of oxygen equipment provided to 2 of 2 residents reviewed for oxygen administration (Residents 70 and 261). Findings include: 1. On 4/18/24 at 10:33 a.m., during an observation and interview, Resident 70. The call light was on, and the resident was observed sitting in a wheelchair next to the bed, the resident indicated she had been coughing and was short of breath. A liquid oxygen tank was on the opposite side of the bed with oxygen tubing attached to the tank and placed under the bed and attached to a nasal cannula (NC) tubing, (a medical device to provide supplemental oxygen therapy to people who have lower oxygen levels). The NC was placed in the nostrils of the resident. Observation of the oxygen tank indicated the liter flow dial was set at 0, indicating there was no oxygen flowing from the oxygen tank to the resident. The resident indicated the Certified Nurse Aide (CNA),…

  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 · E2023-02-16 · tag F0744 — failed to care for residents with dementia — pattern
  Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
  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 person-centered, individualized dementia care services were provided for a resident who desired outdoor activities which resulted in an increase of exit seeking behaviors and eventual elopement off a secured memory care unit for 1 of 6 residents reviewed for dementia care (Resident E); and the facility failed to ensure individualized dementia activities were implemented for 6 of 6 male residents who resided on the memory care unit (Resident E, 63, 13, 29, 56, and 22). Findings include: Resident E was a long-term care resident who resided on the secured memory care unit, Cherished Memories (CM). Resident E was transferred to CM after he began to have increased episodes of exit seeking and exhibited poor safety awareness and decision making when choosing to sit outside for long periods of time in hotter weather. He enjoyed time outside, and often sat outside with family members as often as possible. However, without specialized…

  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 before2023-02-16 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  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 record review and interview, the facility failed to ensure an advance directive was documented accurately in the medical record for 1 of 1 residents reviewed for advanced directives (Resident 88). Findings include: On [DATE] at 10:17 a.m., the medical record was reviewed for Resident 88. The diagnoses included but was not limited to hemiplegia and hemiparesis (paralysis on one side of the body) following cerebral infarction (stroke) affecting the right dominant side. The face sheet indicated DNI (do not intubate) for code status. The physician order, dated [DATE], indicated, Full Code. The care plan, dated [DATE], indicated, The resident has requested to have a DNR [do not resuscitate] code status. The target date was [DATE] and indicated, The resident's wishes will be honored. Resident 88 had a Physician Orders for Scope of Treatment form (POST) scanned into the electronic record. This document, dated [DATE], signed by Resident 88 and the Nurse Practitioner, on that date, indicated, Attempt…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$33,579 in federal fines across 1 penalty.

• $33,579 — penalty dated 2025-05-23

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

Part of a chain

This home belongs to 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 →

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 73 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 $4.9M paid to related parties — landlords or management companies under common ownership — equal to about 29% 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