University Nursing Center

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.

42.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 42 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.22 therapist hours per resident per day in 2026Q1 — more than 28% of the 13,892 homes that report any therapy hours at all.

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

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

Staffing

How full it usually is: this home is certified for 75 beds and averages 59.5 residents a day — about 79% occupied, or roughly 16 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.28 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.42 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.85 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 2.92 hrs/resident/day on weekends vs 3.42 on weekdays — 15% thinner on weekends. RN hours go from 0.48 to 0.27 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 65% is well above the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

30 citations, most serious first. The 14 most serious are shown; the remaining 16 are one tap away and print in full.

• Immediate jeopardy · Jcited before2025-10-10 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to protect the resident's right to be free from sexual abuse by another resident for 1 of 3 residents reviewed for abuse. (Residents B and C) Staff did not develop and implement immediate interventions to mitigate risk for recurrence when a cognitively impaired male resident was observed touching a cognitively impaired female resident's buttock. This failure resulted in the residents being observed within two hours following the event on the male resident's bed, with the male resident's hand in the female resident's genital area while she was unclothed from the waist down. Using the reasonable person concept, due to the female resident's impaired cognition and based on interview with the female resident's representative, the female resident would have been distressed and experienced severe psychosocial harm, dehumanization, and humiliation as a result of the sexual abuse by the male resident. The immediate jeopardy began on 10/3/25 when the facility failed to protect the resident's right to be free from sexual…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Actual harm · Gcited before2026-02-20 · 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 interview and record review, the facility failed to reassess and monitor a resident after a change in condition due to possible aspiration (liquid entering airway) for 1 of 3 residents reviewed for aspiration. (Resident B) This deficient practice resulted in the resident being admitted to the hospital with pneumonia following a subsequent aspiration event.Findings include:An anonymous report submitted to Indiana Department of Health, on 2/16/26 at 12:00 p.m., indicated Resident B choked on his food and clearly aspirated but wasn't sent out to be evaluated. He aspirated again and had to be sent out to the emergency room (ER) for evaluation and was diagnosed with aspiration pneumonia.Resident B's clinical record was reviewed on 2/18/26 at 10:20 a.m. Diagnosis included pneumonia, other disorders of lung and dysphasia (trouble swallowing).Current orders included a one-time chest x-ray (start date 2/12/26), diet orders: no added salt, soft bite- sized. Special instructions: ground meat per request. May have…

  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 · G2025-02-25 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to implement skin assessments to identify pressure injury, failed to obtain orders for a medical device that increased the risk of skin impairment, and failed to develop and implement interventions to prevent pressure injury for 1 of 3 residents reviewed for pressure injury. (Resident B) This deficient practice resulted in Resident B developing an unstageable pressure injury to the right knee requiring hospitalization and eventual amputation of the lower leg. The deficient practice was corrected on February 10, 2025, prior to the start of the survey, and was therefore past noncompliance. Findings include: Resident B's closed clinical record was reviewed on 2/25/25 at 1:26 p.m. Diagnoses included fracture of neck of right femur, subsequent encounter for closed fracture with routine healing, acute posthemorrhagic anemia, and dementia with other behavioral disturbance. The resident admitted to the facility on [DATE] following surgical repair of the right…

  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
• Actual harm · G2023-09-28 · tag F0622 — isolated
  Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
  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 a resident was free from involuntary transfers without identified necessity for 1 of 1 resident reviewed for involuntary transfers (Resident C). This deficient practice resulted in emotional distress to the resident requiring an extra dose of psychoactive medication, the resident experiencing a stressful life change, the resident being moved to a facility not of the family's choosing, and the resident now residing in a facility a greater distance for the family to drive to for visit. Findings include: The current CMS 672 Census and Condition Detail report, provided by the RN Consultant on [DATE] at 2:00 p.m., indicated the following regarding mental status for the current resident population: 34 of the current 67 residents had depression, 25 of the current 67 residents had a psychiatric diagnoses, 42 of the current 67 residents had a diagnoses of dementia or a related disorder. During an interview on [DATE] at 12:27 p.m., Resident C's family…

  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 · D2026-03-24 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure a nurse obtained a physician's order prior to inserting and anchoring a urinary catheter for 1 of 3 residents reviewed for hospitalizations. (Resident B)Findings include:During an interview on 3/23/26 at 3:20 p.m., Resident B indicated he was in the hospital a couple weeks ago, he did not remember what his symptoms were at the time, but the symptoms came on suddenly. He felt that the facility acted promptly and he had no concerns. During an interview on 3/24/26 at 8:50 a.m. RN 19 indicated he arrived at work on 3/1/26 at 6:00 p.m. but did not take over the hall until 10:00 p.m. During report, he was told that Resident B's had blood in his urine that started earlier and LPN 13 had catheterized him. RN 19 checked on Resident B and noted the resident had an anchored urinary catheter and was not actively bleeding and there was no blood in the urinary drainage bag. Lab staff arrived at approximately 4:00 a.m. RN 19 obtained the urine sample and deflated the balloon, and removed the catheter because it 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 · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-03 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to protect the resident's (Resident B) right to be free from verbal abuse by CNA 6 for 1 of 3 residents reviewed for abuse. Findings include:During a random observation in the dementia unit dining room on 2/2/26 at 12:10 p.m., CNA 6 was heard yelling If you give me four seconds I will come and get you! at Resident G. During an observation in the dementia unit dining room, with LPN 16 and the assistant to the facility's nurse practitioner present, on 2/2/26 at 12:14 p.m., Resident F repeatedly said I want to lay down. Will you help me? CNA 6 was heard yelling at Resident F, stating If you are going to lay down, then stay down. I can't help you every four seconds. I am not going to give you ice cream, and I am not going to give you cookies. You are going to eat your food!During an interview on 2/2/26 12:17 p.m., CNA 6 indicated she was not yelling at Resident F, she had to talk over her because she did not hear her. She didn't consider her behavior to be…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-10-10 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to timely report alleged sexual abuse between cognitively impaired residents (Resident B and Resident C) to the administrator, Indiana Department of Health (IDOH), and the appropriate agencies for 1 of 3 residents reviewed for resident abuse. (Resident B)Findings include: A facility reported incident, submitted to the Indiana State Department of Health and dated 10/4/25 at 9:45 p.m., indicated an incident occurred on 10/3/25 at 8:15 p.m. The reported incident indicated the following: A female resident, who resided in the memory care unit, wandered into a male resident room. The male resident was fully clothed. There was potential for inappropriate touch. The residents were immediately separated. Full body assessments were completed for both residents with no concerns noted. Fifteen-minute checks implemented. The residents' physician and families were notified. The reported incident contained a follow-up, dated 10/9/25, and indicated the local Police Department was contacted with no concerns noted. A police report, provided by…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-10-10 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  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 conduct a timely and thorough investigation of resident-to-resident sexual abuse and failed to implement immediate interventions to prevent further potential abuse while the investigation was in progress for 1 of 3 residents reviewed for abuse. (Resident B) Finding includes:A facility reported incident, dated 10/4/25 at 9:45 p.m., submitted to the Indiana State Department of Health indicated an incident occurred on 10/3/25 at 8:15 p.m. The reported incident indicated the following: A female resident, who resided in the memory care unit, wandered into a male resident room. The male resident was fully clothed. There was potential for inappropriate touch. The residents were immediately separated. Full body assessments were completed for both residents with no concerns noted. Fifteen-minute checks implemented. The residents' physicians and families were notified. The reported incident contained a follow-up, dated 10/9/25, and indicated the following: 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-09 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure staff treated a physically dependent resident with respect and dignity when the resident requested assistance for 1 of 1 residents reviewed for dignity. (Resident 40)Findings include:On 9/3/25 at 11:43 a.m., Resident 40 was resting in bed with her eyes closed. The room lights were off. On 9/9/25 at 1:40 p.m., the resident was seated in a wheelchair, wearing a knitted cap on her head. Resident 40's clinical record was reviewed on 9/9/25 at 12:49 p.m. Diagnoses included epilepsy, muscle weakness, visual loss in both eyes and need for assistance with personal care.A 7/16/25, annual, Minimum Data Set (MDS) assessment indicated Resident 40 was mildly cognitively impaired. Resident 40's vision was highly impaired where she could follow objects but object identification was in question.During an interview, on 9/9/25 at 9:20 a.m., LPN 7 indicated, on 9/8/25, Resident 40 was upset that her headband was not covering the bald spot on her scalp and wanted a hat. CNA 8 stated to Resident 40 that she was already…

  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 before2025-09-09 · 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 provide reasonable accommodations for a resident with physical limitations by ensuring the resident's call light was within reach for 1 of 1 residents reviewed for resident rights. (Resident 2)Findings include:Resident 2's clinical record was reviewed on 9/5/35 at 10:22 a.m. Diagnoses included hypertensive heart disease with heart failure, anemia, asthma, age-related osteoporosis, macular degeneration, overactive ladder, cognitive communication deficit, and unsteadiness on feet.Current physician's orders included activity level - up with mechanical lift and two person assist, wheelchair for mobility on unit, bunny boots to be worn in bed at all times and heels to be floated every shift, document in milliliters (mL) all fluids taken with medications every shift, offer additional 240 mL fluids every shift, and head of bed elevated while in bed to alleviate shortness of breath while lying flat related to diagnosis of asthma.A significant change Minimum Data Set (MDS) assessment, dated 8/8/25, indicated Resident…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-09 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  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 residents prescribed antipsychotic medications received appropriate Gradual Dose Reductions (GDR) or had individualized indication for continued use of antipsychotic medication for 1 of 5 residents reviewed for unnecessary medications. (Resident 10)Findings include:Resident 10's clinical record was reviewed on [DATE] at 2:48 p.m. Diagnoses included Alzheimer's disease, neurocognitive disorder with Lewy body dementia (a progressive degenerative brain disorder), chronic diastolic heart failure, anxiety disorder, major depressive disorder, and senile degeneration of the brain. Current physician's orders included venlafaxine extended release 150 milligrams (mg) once a day for depression, hydrocodone-acetaminophen 5-325 every eight hours for pain, quetiapine (antipsychotic) 75 mg three times a day, trazodone 25 mg at bedtime for insomnia, and alprazolam 0.5 mg three times a day for anxiety.A quarterly Minimum Data Set (MDS) assessment,…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-09 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure a dependent resident had access to drinking water or other fluids for 1 of 1 residents reviewed for hydration. (Resident 2)Findings include:During an observation on 9/3/25 at 11:29 a.m., Resident 2 was seated in her wheelchair with a blanket over her legs. Across the room, near the other bed, there were two bedside tables. One had a bottle of syrup and a cup of water lying on it. During an observation on 9/4/25 at 9:59 a.m., the resident was asleep in bed. A bedside table, approximately three to four feet from her bed, contained an empty cup of water and a fork. The resident's call light was on the floor behind her bed and a clear plastic cup was lying on the left side of her bed, upside down on the floor.Resident 2's clinical record was reviewed on 9/5/35 at 10:22 a.m. Diagnoses included hypertensive heart disease with heart failure, anemia, asthma, age-related osteoporosis, macular degeneration, overactive ladder, cognitive communication deficit, and unsteadiness on feet.Current physician's orders…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-09 · 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

  A. Based on observation, interview, and record review, the facility failed to follow physician orders to change, label and date oxygen supplies for 1 of 2 residents reviewed for respiratory services. (Resident 17)B. Based on observation, interview, and record review, the facility failed to implement physician orders for oxygen administration for 1 of 2 residents reviewed for respiratory services. (Resident 47)Findings include:A1. During an observation, on 9/4/25 at 10:21 a.m., Resident 17's portable oxygen tank and oxygen tubing bag hung on the back of a wheelchair in the memory care commons area. The oxygen tubing bag was labeled with Resident 17's name, room number, had instructions that indicated portable, and was dated 8/18/25. The portable oxygen tubing was not dated. An oxygen concentrator sat behind a recliner where Resident 17 was sitting in, in the memory care commons area. The oxygen tubing bag hung on the back of the concentrator. The oxygen tubing bag was labeled with Resident 17's name, room number, and instructions that indicated oxygen, and was dated 8/18/25. The…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-09 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to dispose of unlabeled and unused medications for 2 of 2 medication carts reviewed for medication storage and labeling. (100 Hall Medication Cart and Memory Care Unit Medication Cart) Findings include:1. During a medication storage observation of the Memory Care Unit Medication Cart, accompanied by LPN 16, on [DATE] at 9:50 a.m., a loose pill was found on the bottom of the second drawer. The pill was blue with marking of G on the pill.A small white oblong pill with the markings of K 31 was found on the bottom of the third drawer.During the observation, LPN 16 indicated the loose pills needed to be destroyed in the drug destruction solution.2. During a medication storage observation of the 100 Hall Medication Cart, accompanied by the Assistant Director of Nursing (ADON) on [DATE] at 11:20 a.m., an insulin pen for Resident 42 was undated with an open date. Four loose pills were found on the bottom of the second drawer, toward the back of the cart. The first…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$74,585 in federal fines across 2 penalties. 1 Medicare payment denial on record.

• $51,660 — penalty dated 2026-02-20
• $22,925 — penalty dated 2025-10-10
• Medicare payment denial — starting 2025-12-09 for 3 days

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 AMERICAN SENIOR COMMUNITIES — 90 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

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

1 organizational owner 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.

About 81% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $863K paid to related parties — landlords or management companies under common ownership — equal to about 12% 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