Warsaw Meadows

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.

Therapy staffing: this home’s payroll records show 0.22 therapist hours per resident per day in 2026Q1 — more than 27% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 25% 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 80 beds and averages 61.4 residents a day — about 77% occupied, or roughly 19 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 3.35 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.49 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.38 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.21 hrs/resident/day on weekends vs 3.40 on weekdays — 6% thinner on weekends. RN hours go from 0.52 to 0.41 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 55% is about the same as the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

29 citations, most serious first. The 14 most serious are shown; the remaining 15 are one tap away and print in full.

• Actual harm · Gcited before2025-10-01 · 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, record review and interview, the facility failed to prevent physical and emotional abuse for 2 of 3 residents reviewed for abuse prevention. (Residents C & D) This deficient practice resulted in 1 of 3 residents sustaining extensive bruising (Resident C) and 2 of 3 residents experiencing mental anguish and fear. (Residents C & D)Findings include:1.A record review for Resident B was completed on 9/29/2025 at 10: 46 A.M. Diagnoses included, but were not limited to: schizophrenia, alcohol abuse, epilepsy, drug induced dyskinesia, major depressive disorder and mood disorder.A Quarterly MDS assessment, dated 9/29/2025, indicted Resident B was cognitively intact, transferred independently, received antipsychotic, antidepressant and anticonvulsant medication, had exhibited behaviors of physical behavioral symptoms for 1-3 days during the assessment period and verbal behavioral symptoms for 1-3 days of the assessment look back period. The current care plans for Resident B, revised on 5/30/2025, included the following plan: Resident is at risk for exhibiting behaviors…

  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
• Actual harm · Gcited before2025-07-23 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation and interview, the facility failed to ensure cleaning chemicals were stored securely on the memory care unit. This failure resulted in a resident with Alzheimer's Disease and dementia that accessed an unlocked water conditioner closet, handling and ingesting drain cleaner. The resident suffered pain, nausea, vomiting and required emergency room services, that included undergoing anesthesia for a gastro-intestinal (GI) endoscopy procedure to evaluate for damages. This affected 1 of 3 residents reviewed for accidents, (Resident B). The deficient practice was corrected on 7/11/25, prior to the start of the survey, and was therefore past noncompliance.Finding includes: Review of a facility reported incident, #633, submitted to the Indiana State Department of Health on 7/10/25, indicated on 7/10/25 at 1:30 A.M., Resident B was found vomiting in the Memory Care hallway and the vomit allegedly had a smell of bleach. The resident was then assisted to his room by staff and no distress…

  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 · Gcited before2024-08-13 · 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 record review and interview, the facility failed to implement effective interventions to prevent physical and verbal Resident to Resident abuse from recurring. This deficient practice resulted in Resident B exhibiting physically abusive behaviors which caused harm to 3 of 3 residents reviewed for abuse. (Residents C, D, & E) Findings included: 1. On 8/13/2024 at 1:37 P.M., a review of a facility reported incident 8/13/2024 at 1:37 P.M., indicated the following: Incident date: 5/29/2024 at 6:30 P.M. Residents involved: Resident C with the diagnoses of dementia with mood disorder, depression and anxiety. Resident B with the diagnoses of Alzheimer's disease, psychotic disorder with delusions, depression and dementia with agitation. Description added: Staff alleged Resident B made contact with Resident C's shoulders and left forearm while ambulating in the Memory Care hallway. Action taken: Residents were immediately separated. Resident B was placed on 1:1 staff supervision. Nurse completed a skin assessment, no findings. Type of injury: Added 5/29/2024- Discolored areas noted…

  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
• Actual harm · G2023-10-13 · 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 record review and interviews, the facility failed to establish a discharge plan and to ensure documentation was accurate and allowed at least 30 days prior to the transfer for a facility initiated transfer and failed to allow a resident to remain the building when the resident verbalized opposition to the transfer for 1 of 3 discharged records reviewed. (Resident B) This deficient practice resulted in the resident inflicting self harm due to the impending transfer. Finding includes: The record for Resident B was reviewed on 10/13/2023 at 9:45 A.M. Resident B was admitted to the facility on [DATE] with diagnoses including, but not limited to: type 1 diabetes mellitus with ketoacidosis with coma, open wound of the lower left leg with subsequent encounter, Crohn's disease of the large intestine without complications, hyperlipidemia, calculus of lower urinary tract, muscle weakness, unsteadiness on feet and pain. An admission assessment, completed on 8/10/2023, indicated the resident was admitted for long…

  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 before2025-12-31 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review, the facility failed to implement their policy to report an allegation of verbal abuse in a timely manner for 1 of 3 residents reviewed for abuse, (Resident B). Finding includes:On 12/30/25 at 11:43 A.M., Resident B's clinical record was reviewed. Resident B was admitted to the facility on [DATE] with diagnoses that included but were not limited to dementia, anxiety, depression, benign brain tumor, age-related debility, low back pain, cognitive communication deficit, orthostatic hypotension, insomnia, muscle weakness. Review of a facility reported incident, Incident Number 652, indicated on 12/10/25 at 2:01 P.M., staff reported that Certified Nursing Assistant (CNA) 4, was overheard using profanity to tell Resident B to shut up while in the hallway of the Memory Care Unit. On 12/10/25 an investigation was initiated, and CNA 4 was removed from the schedule pending an investigation. A follow-up dated 12/15/25 indicated Resident B did not recall the event and the staff member…

  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 · Fcited before2025-09-08 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to store and serve food in a sanitary manner, related to undated foods, expired foods and thumbing of the plates for 1 of 1 kitchen and 2 of 2 nutritional pantries. This deficient practice had the potential to affect 63 of 63 residents who receive meals from the kitchen. Findings include: 1. During the initial tour of the kitchen, on 9/2/2025 at 9:48 A.M., with the Dietary Manager the following was observed: - in the stand up freezer 2 bags of frozen pancakes with no use by date During an interview, on 9/2/2025 at 9:53 A.M., the Dietary Manager Indicated there should have been a use by date on the pancakes. 2. During a follow up tour of the kitchen, on 9/03/2025 at 10:27 A.M., [NAME] 13 placed an opened container of pureed chicon on the counter top and placed a bucket of sanitizing liquid right next to the open container of chicken. During an interview, on 9/4/2025 at 11:20 A.M., the Dietary Manager indicated food items should not be near the sanitizing water bucket. 3. During an observation, on 9/04/2025 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-09-08 · tag F0656 — failed to write and follow a full care plan — pattern
  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 record review and interview, the facility failed to develop a person centered care plan for (Post Traumatic Stress Disorder) PTSD and failed to develop a care plan after a hospitalization with a new initiation of an anticoagulant medication and a diagnosis of severe anemia for 2 of 21 residents reviewed for care plans. (Resident 15 and 6)Findings include: 1. The record for Resident 15 was reviewed on 9/4/2025 at 9:53 A.M. Diagnoses included but were not limited to cancer, non-Alzheimer's dementia, anxiety, depression, psychotic disorder, bipolar, schizophrenia and PTSD (post-traumatic stress disorder). An admission MDS (Minimum Data Set) assessment, dated 6/2/2025, indicated the resident had the ability to express ideas and wants, experienced delusions and received antipsychotic, antidepressant, anticonvulsant, and opioid medications. Current Physician ordered medications included the following: Prazosin 2 mg capsule at bedtime for PTSD. A current Care Plan, initiated on 5/28/2025, indicated Resident 15 had a psychosocial well-being problem related to a history of personal…

  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 · Ecited before2025-09-08 · tag F0657 — failed to keep the care plan current — pattern
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review and interview, the facility failed to ensure residents were invited to care plan meetings and meetings were held timely for 5 of 21 residents reviewed for care plans. (Residents 15, 21, 17, 4 & 30)Findings include: 1.During an interview, on 9/2/2025 at 10:54 A.M., Resident 15 indicated she had never been to one (care plan meeting). The record for Resident 15 was reviewed on 9/4/2025 at 9:48 A.M. Diagnoses included, but were not limited to bipolar, Schizophrenia, anxiety, PTSD, (post traumatic stress disorder), cancer, insomnia and delusions. A Quarterly MDS (Minimum Data Set) assessment, dated 9/4/2025, indicated Resident 15 had clear speech, make herself understood and understood others. A Multidisciplinary Care Conference Note, dated 5/22/2025, indicated a care conference was held on 5/23/2025 at 9:00 A.M. Attendance at the meeting was documented as an LPN, a QMA and the resident's guardian via phone. The form lacked the documentation indicating the resident had been invited or was in attendance for the care meeting. A Multidisciplinary Care…

  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 · E2025-09-08 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review and interview, the facility failed to follow a physician's order for a hypotensive medication, failed to administer bowel protocols for constipation, failed to follow physician's orders for insulin administration and failed to assess and document a skin issue for 4 of 18 residents reviewed for care needs. (Residents 5, 3, 7 & 18)Findings include:1.A record review for Resident 5 was completed, on 9/3/2025 at 2:01 P.M. Diagnoses included, but were not limited to: atrial fibrillation, hypotension and coronary artery disease. An Annual Minimum Data Set (MDS) assessment, dated 7/2/2025, indicated Resident 5 was cognitively intact. A Physician's Order, dated 4/3/2025, indicated the resident was to receive Midodrine 10 milligrams by mouth three times a day for hypotension. In addition there was an order to hold the Midodrine for a systolic blood pressure greater than 110 mmHg (millimeters of mercury). The August 2025 Medication Administration Record indicated the following blood pressure readings with the administration of Midodrine: -8/1/2025 8:00 P.M.…

  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 · D2025-09-08 · tag F0552 — isolated
  Ensure that residents are fully informed and understand their health status, care and treatments.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure a consent for psychotropic medication use was obtained timely for 1 of 5 residents reviewed for psychotropic medications. (Resident 15)Finding includes: The record for Resident 15 was reviewed on 9/4/2025 at 9:48 A.M. Diagnoses included but were not limited to: bipolar, Schizophrenia, anxiety, PTSD (post traumatic stress disorder), insomnia, non Alzheimer's dementia and delusions. The current Physician's Orders for medications included the following:-Trazadone 50 mg (milligram) at bed time ordered on 5/21/2025 for insomnia.-Lamotrigine 200 mg twice a day ordered on 5/21/2025 for Bipolar disease.-Lexapro 10 mg every day ordered on 5/22/2025 for depression.-Clonazepam 1 mg three times a day ordered on 6/4/2025 for anxiety.-Risperdal 0.5 mg at bed time ordered on 6/4/2025 for schizophrenia. A Psychoactive Medication therapy informed consent form, dated 6/17/2025, indicated the POA (power of attorney)/guardian had given a verbal consent on 6/17/2025 for the use of the above medications. The consent was obtained after…

  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 before2025-09-08 · 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 interview, observation and record review, the facility failed to report an allegation of abuse for 1 of 2 residents reviewed for abuse. (Resident 18)Finding includes:During an interview, on 9/4/2025 at 1:55 P.M., CNA 8 indicated when she had came into work one morning about 2 months ago, the night aide, CNA 17, had given her report and said that Resident 18 had been up between 2-3:00 A.M., and she had had to redirect him back to his room. CNA 8 indicated then the night nurse had shown her a picture of Resident 18 with scratches all over his face. The night nurse indicated she had seen the resident and the night aide, CNA 17, fighting each other. CNA 8 indicated the previous Social Service/Unit Director (SSD) had came into work and had seen Resident 18 and asked, staff what had happened to him. CNA 8 indicated she told the former SSD that she was going to text the Administrator (regarding the scratches on Resident 18 and the night nurse's report about a fight between CNA 17 and Resident 18) but the SSD indicated she had already texted him. CNA 8 indicated when she came 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-08 · 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

  Based on interview, observation and record review, the facility failed to fully investigate an allegation of abuse for 1 of 2 residents reviewed for abuse. (Resident 18)Finding includes:During an interview, on 9/4/2025 at 1:55 P.M., CNA 8 indicated when she had came into work one morning about 2 months ago, the night aide, CNA 17, had given her report and said that Resident 18 had been up between 2-3:00 A.M., and she had had to redirect him back to his room. CNA 8 indicated then the night nurse had shown her a picture of Resident 18 with scratches all over his face. The night nurse indicated she had seen the resident and the night aide, CNA 17, fighting each other. CNA 8 indicated the previous Social Service/Unit Director (SSD) had came into work and had seen Resident 18 and asked, staff what had happened to him. CNA 8 indicated she told the former SSD that she was going to text the Administrator (regarding the scratches on Resident 18 and the night nurse's report about a fight between CNA 17 and Resident 18) but the SSD indicated she had already texted him. CNA 8 indicated when she…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-09-08 · 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 and record review, the facility failed to ensure physician orders for elopement risk were in place for 1 of 2 residents reviewed for elopement. (Resident 65)Finding includes:A record review for Resident 65 was completed, on 9/4/2025 at10:56 A.M. Diagnoses included, but were not limited to: altered mental status, visual hallucinations and disorientation.An admission Minimum Data Set (MDs) assessment, dated 7/3/2025, indicated Resident 65 had severe cognitive impairment.During an observation, on 9/3/2025 at 10:24 A.M., Resident 65 was observed seated in the common area parallel to the front exit door. A Wanderguard (electronic device that magnetically locks doors if a resident wearing the device comes in close proximity of the door) device was not observed on the resident. During an observation, on 9/4/2025 at 10:55 A.M., Resident 65 was observed seated in the common area parallel to the front exit door. A Wanderguard device was not observed on either wrist or ankle.During an observation, on 9/5/2025 at 11:46 A.M., Resident 65 was observed walking on a hallway 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-08 · tag F0699 — isolated
  Provide care or services that was trauma informed and/or culturally competent.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure a resident survivor of PTSD (Post Traumatic Stress Disorder) received culturally competent trauma informed care to reduce triggers for behaviors and reduce emotional distress for 1 of 1 residents reviewed for PTSD (Resident 15) The record for Resident 15 was reviewed on 9/4/2025 at 9:53 A.M. Diagnoses included but were not limited to cancer, non-Alzheimer's dementia, anxiety, depression, psychotic disorder, bipolar, schizophrenia and PTSD (post-traumatic stress disorder).An admission MDS (Minimum Data Set) assessment, dated 6/2/2025, indicated Resident 15 had delusions and received the following medications: antipsychotic, antidepressant, anticonvulsant, and opioids. A Nurse's Progress Note, dated 6/23/2025 at 5:40 P.M., indicated Resident 15 had received a call from her mother earlier in the afternoon and had been moody and tearful ever since she had received the call. Her behaviors were escalating towards dinner time. When her food tray arrived, the resident went into her room, got her walker and proceeded to walk…

  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

“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

$105,073 in federal fines across 1 penalty. 3 Medicare payment denials on record.

• $105,073 — penalty dated 2024-08-13
• Medicare payment denial — starting 2025-10-22 for 27 days
• Medicare payment denial — starting 2024-09-12 for 1 days
• Medicare payment denial — starting 2023-11-10 for 36 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 IDE MANAGEMENT GROUP — 10 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 34 rows in the source record cover these 26 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

13 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.

About 92% 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 $981K paid to related parties — landlords or management companies under common ownership — equal to about 15% 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