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Arbor Trace Health & Living Community

3701 Hodgin Rd, Richmond, IN 47374 · For profit - Corporation · 101 certified beds · (765) 939-3701 Medicare & Medicaid certified

Call the home — (765) 939-3701 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Behavioral-health or dementia-care citation — no harm found (F0744)
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • a high number of inspection citations overall (18) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing rating is low (2/5)
  • about 39% 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.

5/5
CMS overall
5 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 5 of 5

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
630 E Main St · (765) 935-5390 · Call to confirm hours
Pharmacy
3601 E Main St · (765) 935-9078 · Call to confirm hours
Grocery
Kroger1.0 mi
3701 National Rd E · (765) 935-1244 · Call to confirm hours
Park
Typically dawn to dusk
Place of worship

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

Quality measures — how residents actually fare

Overall quality measures 5 of 5
Long-stay residentspeople who live here 4 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 improved from 3 to 5 stars. From monthly CMS archive snapshots.

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

Overall rating5★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased12.2%11.0%15.4%better
Long-stay residents who lose too much weight9.7%5.5%5.4%worse
Long-stay residents with a catheter left in their bladder0.0%0.4%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection1.6%1.1%2.0%better
Long-stay residents with depressive symptoms5.3%25.2%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury10.5%3.9%3.3%worse
Long-stay residents whose ability to walk worsened9.9%11.9%16.1%better
Long-stay residents on antianxiety or hypnotic medication30.1%23.5%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%95.4%95.3%typical
Long-stay residents with pressure ulcers7.0%3.6%4.7%worse
Long-stay residents with worsening bladder/bowel control22.3%23.3%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table9.2%13.6%17.1%better
Short-stay residents who newly got an antipsychotic medication0.7%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine96.2%79.0%79.4%better
Short-stay residents rehospitalized after admission15.5%22.2%22.6%better
Short-stay residents with an outpatient ER visit7.5%10.8%12.0%better
Long-stay hospitalizations per 1,000 resident days2.141.611.67worse
Long-stay outpatient ER visits per 1,000 resident days1.211.441.80better

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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

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

65.0% 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 196 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

65.0%U.S. median 51.5%
Got home and stayed home
10.4%U.S. median 10.7%
Went back to hospital
72.7%U.S. median 56.6%
Met the expected recovery
0.45U.S. median 0.31
Therapy hours / resident / day
0.27hours / resident / day
Physical therapy
0.13hours / resident / day
Occupational therapy
0.06hours / resident / day
Speech therapy

Met the expected recovery: 72.7% 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 150 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 76% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 27% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF65.0%CMS range 57.3–70.051.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.4%CMS range 7.5–13.210.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge72.7%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge66.7%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge62.0%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified99.4%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting98.4%100.0%Oct 2024–Sep 2025CMS makes no comparison for this 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 discharge98.8%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.6%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened5.7%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.1%CMS range 4.5–10.47.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.041.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.52
RN hours/ resident / day
0.75
LPN hours/ resident / day
2.03
Aide hours/ resident / day
3.30
Total nurse hours/ resident / day
0.26
RN hoursweekends
48.0%
Total nursing turnover
57.1%
RN turnover

How full it usually is: this home is certified for 101 beds and averages 96.9 residents a day — about 96% occupied, or roughly 4 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.30 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.52 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.03 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 2.78 hrs/resident/day on weekends vs 3.51 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.62 to 0.26 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 48% 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

0
deficiencies at the latest standard inspection (2025-08-07)
10
at the previous standard inspection (2024-05-15)

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

Inspection deficiencies

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

ABCDEFGHIJKL

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

18 citations, most serious first. The 10 most serious are shown; the remaining 8 are one tap away and print in full.

  • Potential for harm · Ecited before2024-05-15 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure physician notification of a 3-pound (lb.) weight gain over a 24-hour period for 1 of 1 resident reviewed for edema (Resident 9) and 1 of 1 resident reviewed for dialysis (Resident 50). The facility failed to ensure ACE wraps were applied as ordered for 1 of 3 residents reviewed for pressure ulcers. (Resident 11) The facility failed to administer creams to a skin impairment without compounding medicated creams for 1 of 3 residents reviewed for skin impairments (Resident 33). The facility failed to verify a urinalysis was reordered after the results of a probable contamination, ensure vancomycin was given as ordered, and had no verification of catheter care being provided for eight days after return from a hospitalization for 1 of 3 residents reviewed for urinary tract infection (Resident 58). Findings include: 1. The clinical record for Resident 9 was reviewed on 5/13/24 at 1:37 p.m. The diagnoses included, but were not limited to,…

    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 · D2024-05-15 · tag F0554 — isolated
    Allow residents to self-administer drugs if determined clinically appropriate.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure residents were clinically appropriate to self-administer medications for 3 of 3 residents randomly observed with medications at the bedside. (Resident 2, 9, and 22) Findings include: 1. An observation conducted of Resident 2's room, on 5/8/24 at 3:18 p.m., of a labeled bottle that contained benzocaine. Resident 2 indicated she utilized the benzocaine for her sore gums. An observation conducted of Resident 2's room, on 5/10/24 at 10:48 a.m., of a labeled bottle that contained benzocaine. There was also a bottle of nasal spray. Resident 2 indicated she took the nasal spray at night. Her jaw had been hurting for a while and the benzocaine did help. The clinical record for Resident 2 was reviewed on 5/10/24 at 12:17 p.m. The diagnoses included, but were not limited to, herpes viral encephalitis, altered mental status, and mild cognitive impairment. There were no self-administration assessments for Resident 2's utilization of benzocaine and/or the nasal spray on 5/8/24. A progress note, dated 5/9/24 at 5:08…

    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 · D2024-05-15 · tag F0561 — failed to honor residents' choices — isolated
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    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 preference for bathing frequency for 1 of 1 resident reviewed for choices. (Resident 24) Findings include: The clinical record for Resident 24 was reviewed on 5/8/24 at 12:04 p.m. Her diagnoses included, but were not limited to: dementia, mood disorder, psychotic disorder with delusions, and anxiety. She resided on a secured unit of the facility. The ADL (activities of daily living) care plan, last reviewed/revised 4/23/24, indicated Resident 24 was unable to independently perform late loss ADLs related to weakness and debility. The 10/19/22 care plan, last reviewed/revised 4/23/24, indicated Resident 24 was cognitively impaired and unable to voice preferences regarding ADLs (activities of daily living.) The goal was for her to have her needs met. An approach, with a start date of 10/19/22 and end date of 6/1/24, read, Resident unable to state bathing preference. To be offered shower, per facility shower schedule. Staff to observe for any indication that resident may prefer to have shower done at…

    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 · D2024-05-15 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and observation, the facility failed to promote a clean and homelike environment for 1 of 4 residents reviewed (Resident 37) and 2 of 5 units reviewed for a clean and homelike environment. Findings include: The clinical record for Resident 37 was reviewed on 5/14/2024 at 1:22 p.m. The medical diagnosis included dementia with behaviors. An annual minimum data set assessment, dated 1/28/2024, indicated that Resident was cognitively intact. An interview and observation on 5/8/2024 at 11:45 a.m. indicated that the baseboard strip from the door to the kitchenette cabinets was missing. Resident 37 stated that it had been missing for a while. An observation on 5/8/2024 at 12:03 p.m. indicated that along the handrails on the 300 hall, debris was noted to include general debris in the inside corners of the handrails, paper wrappers from straws, a dead insect, and a paper clip. An observation on 5/9/2024 at 10:45 a.m. indicated a thumb tack inside the handrails on the 200 hall. An observation and interview on 5/10/2024 at 2:00 p.m. indicated the general debris in the 300…

    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 before2024-05-15 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on interview and record review, the facility failed to ensure accuracy of a resident's MDS (Minimum Data Set) assessment for 1 of 1 resident reviewed for dialysis. (Resident 50) Findings include: The clinical record for Resident 50 was reviewed on 5/13/24 at 10:22 a.m. The diagnoses included, but were not limited to, end stage renal disease and dependence on renal dialysis. A dialysis care plan, dated 2/14/24, indicated Resident 50 received hemodialysis due to end stage renal disease. A physician order, dated 3/13/24, indicated Resident 50 received dialysis. A Significant Change Minimum Data Set (MDS) assessment, dated 2/16/24, indicated no dialysis being marked. An interview conducted with the Director of Nursing (DON), on 5/14/24 at 4:24 p.m., indicated the MDS Coordinator conducted the significant change MDS assessment due to Resident 50 starting dialysis. She was unsure why it was not marked on the MDS assessment.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-15 · 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

    Based on interview and record review, the facility failed to develop care plans for diabetic medications, antiplatelet medication, medication used to aid in sleep, and gastroesophageal reflux disease (GERD) medication for Resident 53, failed to implement a care planned intervention of care in pairs for Resident 53, and failed to develop a care plan for Resident 89's impaired communication. This deficient practice affected 2 of 24 residents reviewed for care planning. Findings include: 1. The clinical record for Resident 53 was reviewed on 5/14/2024 at 1:20 p.m. The medical diagnoses included diabetes, congestive heart failure, insomnia, GERD, and restless leg syndrome. A Quarterly Minimum Data Set Assessment, dated 3/5/2024, indicated that Resident 53 was cognitively intact. A care plan, dated 12/14/2023, indicated that Resident 53 was to be a care in pairs for all care provided. An interview with Resident 53 on 5/14/2024 at 11:00 a.m. indicated that since yesterday when she raised a concern with her care that they have been utilizing care in pairs with her. She stated prior to…

    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 · Dcited before2024-05-15 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure a transfer with utilization of a gait belt and the utilization of a Hoyer (mechanical lift) lift for 2 of 2 randomly observed residents (Resident 36 and Resident 71) and ensure fall interventions were in place for 2 of 7 residents reviewed for accidents (Resident 36 and Resident 62). Findings include: 1. The clinical record for Resident 62 was reviewed on 5/8/24 at 12:20 p.m. His diagnoses included, but were not limited to, dementia. An interview was conducted with Family Member 21 on 5/8/24 at 2:24 p.m. He indicated Resident 62 fell about a month ago and fractured his pelvis. He was in his room around 2:00 p.m. and tried to get up and walk. The staff had told him many times to use his walker or wheel chair. The 4/18/24 post fall assessment indicated Resident 62 had an unwitnessed fall on 4/18/24 at 2:00 p.m. He was found in a supine position, outside of the bathroom door. Prior to the fall he was sitting in his wheel chair. The 4/18/24, 2:29 p.m. nurse's note read, Resident found on floor unable to…

    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 · D2024-05-15 · tag F0756 — failed to review each resident's drug regimen — isolated
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure pharmacy recommendations were followed-up with timely for 1 of 5 residents reviewed for unnecessary medications. (Resident 22) Findings include: The clinical record for Resident 22 was reviewed on 5/13/24 at 2:17 p.m. The diagnoses included, but were not limited to, bradycardia, nasal congestion, and depressive episodes. A physician order, dated 7/13/23, was noted for Zoloft (antidepressant medication) 50 milligrams daily. A physician order, dated 2/14/24, was noted for Flonase nasal spray; 1 puff in each nostril daily as needed. The order was discontinued on 5/12/24. A pharmacy review, dated 11/16/23, indicated a gradual dose reduction (GDR) request for Resident 22's Zoloft. It was marked as agree for the Zoloft to be decreased from 50 milligrams to 25 milligrams. This recommendation was not implemented due to Resident 22 still receiving Zoloft 50 milligrams daily upon record review. A pharmacy review, dated 3/4/24, indicated the Flonase nasal spray to be scheduled for daily use. It was marked as agree to schedule…

    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 before2024-05-15 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure infection control practices were maintained during incontinence care (Resident 3), ensure personal protective equipment (PPE) was donned prior to incontinence care for a resident on enhanced barrier precautions (EBP) (Resident 3), and ensure hand hygiene in between residents during medication administration (Resident 68). Findings include: 1. An observation conducted of incontinence care for Resident 3 was conducted on 5/10/24 at 2:00 p.m. with Qualified Medication Aide (QMA) 2 and Certified Nursing Assistant (CNA) 3. CNA 3 proceeded to remove Resident 3's incontinence brief due to soilage. CNA 3 performed perineal care by utilizing disposable wipes. CNA 3 proceeded to wipe from front to back of the perineum but utilized the same soiled wipe to wipe Resident 3 twice. CNA 3 placed the soiled wipes within the soiled brief and discarded such. CNA 3 took a tube a cream and applied the cream to Resident 3's coccyx area with the same gloves that were soiled from performing incontinence care. Both CNA 3 and…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-15 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure pneumococcal immunizations were offered and/or administered for 2 of 5 residents reviewed for immunizations. (Resident 36 and Resident 11) Findings include: 1. The clinical record for Resident 36 was reviewed on 5/14/24 at 10:15 a.m. The diagnoses included, but were not limited to, Parkinson's disease, cerebral infarction, and malnutrition. An immunization record, dated 12/1/21, was provided by the Assistant Director of Nursing (ADON) on 5/14/24 at 4:15 p.m. The document indicated the following immunizations administered: Pneumovax-23 (PPSV23) administered on 11/10/1997, & Prevnar-13 (PCV13) administered on 7/11/2017. An immunization consent form, dated 9/29/22, indicated consent was given for the influenza vaccine but not to the pneumococcal vaccine. Under the refusal column there was no indication of refusal for the pneumococcal vaccine. A Quarterly Minimum Data Set (MDS) assessment, dated 3/28/24, indicated the pneumococcal vaccine was not up…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
Show the remaining 8 citations
  • Potential for harm · Dcited before2023-12-01 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure the fall policy was implemented regarding documentation of a fall event in the clinical record, conduct a fall follow up, and conduct neurological checks (neuro checks) for 1 of 3 residents reviewed for accidents. (Resident C) The deficient practice was corrected on 9/14/23, prior to the start of the survey, and was therefore past noncompliance. The facility had completed assessments of residents who had experienced a fall, education related to documentation of falls in the clinical record, conduct neurological checks, and audits related to fall events. Findings include: The clinical record for Resident C was reviewed on 12/1/23 at 2:02 p.m. The diagnoses included, but were not limited to, anxiety disorder, anemia, dementia, mild cognitive impairment, anorexia, and depression. A progress note, dated 9/14/23 at 3:24 p.m., indicated the following, .IDT [interdisciplinary team] Post Fall Assessment Fall on 09/10/23: Resident was observed on floor in room sitting on buttocks .Root cause of fall is that resident was…

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

    Quality of Life and Care Deficiencies · Past Non-Compliance
  • Potential for harm · D2023-03-08 · 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 call lights were in reach for 2 of 3 residents reviewed for accommodation of needs. (Residents 37 and 243) Findings include: 1. On 3/1/2023 at 12:32 p.m., Resident 37's call light was observed out of her reach on her bed, as she sat in a recliner at the foot of her bed, about 4 feet from the call light. Resident 37 said she doesn't know why it wasn't put where she can reach it today. During an observation, on 3/1/23 at 2:29 p.m., Resident 37's call light was lying on her bed, about 4 feet out of her reach. On 3/1/2023 at 2:31 p.m., CNA 1 was questioned about the call light, and she went in and placed Resident 37's call light where she could reach it. CNA 1 the nurses had just changed shifts, she had to assist a resident, had 2 others wanting her and she isn't on this unit very often. Resident 37's record was reviewed on 03/03/2023 at 2:07 p.m. and had diagnoses that included, but were not limited to, chronic obstructive pulmonary disease, weakness, left hand contracture, unsteady on feet, gait and…

    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 before2023-03-08 · 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 observation, interview and record review the facility failed to accurately code a Minimum Data Set (MDS) assessment for dental and status and restraint use for 3 of 32 residents reviewed for MDS assessments (Resident 55, Resident 35 and Resident 8). Findings include: 1. During an interview with Resident 55 on 3/01/2023 at 11:54 a.m., indicated she walked with a walker and did not have anything that restricted her movement. The resident indicated she was able to get out of her recliner with no difficulties. The resident indicated she had never had anything constricting her movement that she would consider a restraint. The Quarterly Minimum Data Set (MDS) assessment for Resident 55, dated 1/7/2023, indicated the resident was cognitively intact for daily decision making. The resident had a restraint of bed rails that were used daily. During an interview with the MDS Coordinator on 3/07/2023 at 12:39 p.m., indicated Resident 55 had never had a restraint and the Quarterly MDS for Resident 55, dated 1/7/23, was marked incorrectly for Restraint use. 2. During an interview and…

    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 · Dcited before2023-03-08 · 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 complete an accurate dental assessment and failed to ensure a readmission assessment was completed fully and timely for 2 of 2 residents reviewed for quality of care (Resident 35 and resident 45). Findings include: 1. During an interview and observation on 3/02/2023 at 10:53 a.m., Resident 35 was missing upper left teeth broke. The resident indicated she had not seen a dentist and her teeth were in bad shape. The resident indicated she would like to see a dentist. Review of the record of Resident 35 on 3/7/2023 at 2:15 p.m., indicated the resident's diagnoses included, but were not limited to, diabetes, asthma, pulmonary fibrosis, allergies and hypertension. The admission assessment for Resident 35, dated 9/6/2022, indicated the resident did not have any obvious or likely cavity or broken teeth. The admission Minimum Data (MDS) assessment for Resident 35, dated 9/10/2022, indicated the resident was cognitively intact for daily decision…

    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 · D2023-03-08 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review the facility failed to store oxygen nasal cannula and C- PAP mask in a bag for infection control purposes and failed to date oxygen tubing for 2 of 2 residents reviewed for respiratory care (Resident 55 and Resident 35). Findings include: 1. During an observation on 3/01/2023 at 11:55 a.m., Resident 55 Bipap mask was laying on bedside table not in a bag. Review of the record of Resident 55 on 3/7/2023 at 1:30 p.m., indicated the resident's diagnosis included, but were not limited to, congestive heart failure, allergic rhinitis, asthma, weakness, diabetes, anxiety and hypertension. The physician order for Resident 55, dated February 2023, indicated the resident was ordered Bipap/Cpap per home settings at bedtime. The plan of care for Resident 55, dated 3/2/2023, indicated the resident had asthma and required a Bipap, the resident was at risk for respiratory distress. The Quarterly Minimum Data Set (MDS) assessment for Resident 55, dated 1/7/2023, indicated the resident was cognitively intact for daily decision making. During an…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-03-08 · tag F0744 — failed to care for residents with dementia — isolated
    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 interview and record review, the facility failed to ensure individualized approaches to care for a resident with dementia by continuing with care for a resident exhibiting refusal of care for 1 of 5 residents reviewed for dementia care. (Resident 19) Findings include: The clinical record for Resident 19 was reviewed on 3/3/2023 at 2:11 p.m. The diagnoses included, but were not limited to, dementia with other behavioral disturbance, altered mental status, weakness, and pain. A Quarterly MDS (Minimum Data Set) assessment, dated 2/14/2023, indicated Resident 19 had moderate cognitive impairment. A Mini-Mental State Examination (MMSE), dated 3/1/2023, indicated Resident 19's score was documented as moderate dementia. A care plan for memory impairment, edited 2/17/2023, indicated Resident 19 had a memory problem due to short term memory loss. The approach was listed to include, but not limited to, provide cues and supervision when needed, provide verbal reminders when needed, and structure daily programs…

    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 · D2023-03-08 · tag F0791 — failed to provide routine dental services — isolated
    Provide or obtain dental services for each resident.
    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 provide routine dental services for 2 of 9 residents reviewed for dental status (Resident 7 and Resident 25). Findings include: 1. During an interview with Resident 7 on 3/01/2023 at 11:27 a.m., indicated she had not seen a dentist in a long time and would like to see a dentist. The resident indicated she had her own teeth and they were wearing out. The resident indicated she reported to nursing staff that she wanted to see a dentist. Review of the record of Resident 7 on 3/6/2023 at 12:00 p.m., indicated the resident's diagnoses included, but were not limited to, unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety, low back pain, unspecified,major depressive disorder, recurrent, moderate, generalized anxiety disorder and exudative age-related macular degeneration. The consent for ancillary services for Resident 7, dated 11/28/2017, indicated the resident had…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-03-08 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview, observations, and record review, the facility failed to utilize contact/droplet precautions for a resident on contact/droplet isolation for Covid-19 when serving a meal tray in the resident's room (Resident 59) and placing the meal tray on the floor on the ground prior to serving it to Resident 259 for consumption for 2 of 7 people reviewed for infection control. Findings include: 1. The clinical record for Resident 59 was reviewed on 3/1/2023 at 1:20 p.m. The medical diagnoses included, Covid-19 infection and heart failure. A Quarterly Minimum Data Set Assessment, dated 1/22/2023, indicated that Resident 59 was cognitively intact. A physician order, dated 2/23/2023, indicated that Resident 59 was on droplet/contact isolation with all meals, activities, therapy and services must be provided in room with isolation precautions followed. An observation on 3/1/2023 at 12:05 p.m. indicated CNA 2 going into Resident 59's room using only a standard surgical mask. She set the tray in front of Resident 59, touched the Resident's shoulder, and asked if she needed anything…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction

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

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

Fines & penalties

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 →

RatingThis homeChain avg
Overall 5 of 53.7+1.3 vs chain
Health inspection 4 of 53.3+0.7 vs chain
Staffing 2 of 52.5-0.5 vs chain
Quality measures 5 of 54.6+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 / managerTypeRoleShareSince
RIVERVIEW HOSPITALOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 12/01/2011
VIUM CAPITAL LLCOrganization5% OR GREATER MORTGAGE INTEREST; ADP OF THE SNFsince 05/01/2021
BALLA, MATTHEWIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/23/2022
CATTELL, ZACHARYIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/25/2021
FAUTH, KENDRAIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/26/2021
GORMAL, GREGGIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/01/2016
HAUG, AMYIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/04/2022
LOPOSSA, LYNNIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/17/2023
MCCLELLAND, THOMASIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/26/2021
ROSS, MICHELLEIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/11/2019
SPENCER, LEAANNIndividualMANAGING CONTROL - GOVERNING BODY; ADP OF THE SNFsince 06/18/2018
FRIEND, JAYNAIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/01/2021
HYATT, DAVIDIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 03/27/2023
CARDON AND ASSOCIATES INCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/19/2025
CARDON MANAGEMENT COMPANY LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/08/2025
MOORE OPERATING GROUP INCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 05/18/2020
BRUMMETT, ASHLYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/09/2021
HAFIDH, SAADIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/23/2023
KARNER, JIMIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/18/2012
MCINTOSH, ERICIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/31/2021
HEADLEY, KATHYIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 08/25/2025
MOORE, DANIELIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 08/25/2025
MOORE, DAVIDIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 08/25/2025
MOORE, STEPHENIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 08/25/2025
ANKURA CONSULTING GROUP LLCOrganizationADP OF THE SNFsince 06/15/2022
ARBOR TRACE H&L PROPERTY LLCOrganizationADP OF THE SNFsince 03/17/2006
BRADLEY & ASSOCIATES INCOrganizationADP OF THE SNFsince 01/01/2023
COLE MARKETING COMMUNICATIONS INCOrganizationADP OF THE SNFsince 04/01/2015
FORVIS MAZARS LLPOrganizationADP OF THE SNFsince 01/01/2021
HEALTHDRIVE PODIATRY GROUP PAOrganizationADP OF THE SNFsince 03/07/2019
HEART OF CARDON LLCOrganizationADP OF THE SNFsince 09/06/2007
JEFFREY L MORER OD PCOrganizationADP OF THE SNFsince 03/07/2019
LACY BEYL & COMPANY INCOrganizationADP OF THE SNFsince 07/15/2015
LIFESPAN THERAPY LLCOrganizationADP OF THE SNFsince 10/25/2007
MED-PASS INCORPORATEDOrganizationADP OF THE SNFsince 09/01/2020
MOBILE AUDIOLOGY ASSOCIATES PCOrganizationADP OF THE SNFsince 03/07/2019
MOSER CONSULTING INCORPORATEDOrganizationADP OF THE SNFsince 04/01/2020
PROACTIVE CLINICAL PARTNERSOrganizationADP OF THE SNFsince 01/01/2020
RESPIRATORY PARTNERS INCOrganizationADP OF THE SNFsince 11/01/2019
THIRD EYE HEALTH INCOrganizationADP OF THE SNFsince 02/04/2022
VOX GLOBAL LLCOrganizationADP OF THE SNFsince 02/28/2019
TYLER, LATEASAIndividualADP OF THE SNFsince 05/01/2021

CMS files one row per role, so the 69 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.

$15.2M
Net patient revenuemost recent cost report
+3.1%
Operating marginrevenue minus expenses
$5.8M
Related-party expense39% of expenses
Who pays — share of resident-days
Medicaid 50%Medicare 12%Other / private 38%

This home reported $5.8M paid to related parties — landlords or management companies under common ownership — equal to about 39% 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

$323per resident / day
operating cost
$9,805per month
≈ monthly operating cost
$333per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IN

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Indiana Medicaid page.

Typical monthly cost in Indiana
$8,943/mo
Nursing home (semi-private)
$10,326/mo
Nursing home (private)
$5,639/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 155481. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-08-07, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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