Pineknoll Rehabilitation Centre

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.

56.7% 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 100 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 49.3% 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 75 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 0.32 therapist hours per resident per day in 2026Q1 — more than 53% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 8% 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 58 beds and averages 52.3 residents a day — about 90% occupied, or roughly 6 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.76 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.61 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.37 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 3.05 hrs/resident/day on weekends vs 4.05 on weekdays — 25% thinner on weekends — a notable drop. RN hours go from 0.75 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 29% is below the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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.

• Potential for harm · E2025-05-27 · tag F0839 — pattern
  Employ staff that are licensed, certified, or registered in accordance with state laws.
  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 a nurse, who was employed to work in the facility in the nursing department, had a valid Indiana nursing license (LPN 3). This deficient practice had the potential to impact 56 of 56 residents who resided in the facility. Finding include: Employee records were reviewed on 5/22/25. Licensed Practical Nurse (LPN) 3 was listed on the Employee Records form, which was completed by the facility. The form indicated the employee's job title as LPN. The form indicated the nurse had been employed by the facility since 6/20/24. The facility's provided a binder containing nursing licenses verification, for facility employees. The information located in the binder for LPN 3 indicated the following: The employee had a Multi-State LPN license, which was issued by Ohio Professional Licensure agency. The facility nursing schedule for 5/18/25 to 5/31/25, which was provided by the DON on 5/21/25 at 8:46 a.m., indicated LPN 3 was scheduled to work: Sunday 5/18/25- 10 a.m. to 10 p.m.,evenings 5/21/25, 5/22/25, 5/23/25, 5/26/25, 5/29/25,…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-27 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to document the transfer process and communication to the receiving health care facility for 1 of 4 residents reviewed for hospitalizations. (Resident 41) Findings include: Resident 41's clinical record was reviewed on 5/23/25 at 11:45 a.m. Diagnoses included pneumonia, unspecified organism, chronic respiratory failure with hypoxia, chronic obstructive pulmonary disease, and acute on chronic combined systolic and diastolic congestive heart failure. An admission Minimum Data Set (MDS) assessment, dated 3/16/25, indicated the resident was cognitively intact and required maximal assistance with toileting hygiene, showering, lower body dressing and applying footwear. He needed moderate assistance with upper body dressing and mobility. A progress note, dated 4/7/25 at 4:45 p.m., indicated that Resident 41 was agitated, restless, had an oxygen saturation of 97% while wearing oxygen, and had a respiratory rate of 32. The resident had wheezing and a productive cough. The physician (MD) was notified of the resident's status. The MD…

  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 · F2024-04-19 · 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 ensure food was prepared and distributed in a safe, sanitary manner. This deficient practice had the potential to impact 55 of 55 residents who received meals from the facility kitchen. Findings include: During a kitchen tour on 4/15/24 at 10: 15 a.m., accompanied by the Dietary Manger, the following concerns were observed: a. Varied sizes of empty boxes were on the floor in front of the three compartment sink. b. A 1/4 sized shallow steam table pan, in the clean storage, had a baked on brownish-black sticky residue on the pan lip and descending into the food contact area. Three pea-sized spots of dark residue were on the food contact surface. c. A 1/2 sized shallow steam table pan, in the clean storage, had a baked-on, sticky, golden brown residue around the lip and descending into the food contact sides of the pan. d. A full-size large steam table pan, in the clean storage, had chunks of food residue on the center bottom food contact surface of the pan. The lip had a dark black, sticky baked on residue.…

  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 · E2023-02-20 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY A. Based on observation, interview, and record review, the facility failed to properly prevent and/or contain COVID-19 by ensuring infection prevention and control strategies were utilized during a facility COVID-19 outbreak, including failure to follow infection control guidelines upon entering and leaving rooms under transmission-based precautions, and during medication administration. Findings include: 1. During an interview at entrance conference, on 2/14/23 at 9:41 a.m., the Administrator indicated the facility was in a COVID-19 outbreak. Thrity-three out of 50 residents were currently positive for COVID-19. Review of the Residents Positive for COVID-19 log on 2/14/23 at 10:39 a.m., indicated Resident 44 tested positive for COVID-19 on 2/12/23. During a continuous medication administration observation, on 2/16/23 at 8:35 a.m., LPN 5 performed hand hygiene and prepared Resident 36's medications. After the medications were prepared, she donned gloves to count the pills by placing the pills from one medication…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-02-20 · tag F0881 — failed to use antibiotics responsibly — pattern
  Implement a program that monitors antibiotic use.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to implement their antibiotic stewardship program for antibiotic use for 5 of 10 residents prescribed antibiotics for urinary tract infections in December 2022 and January 2023. (Residents 43, 16, 22, 27, and 253) Findings include: The facility infection surveillance records were reviewed on 2/17/23 at 10:36 a.m., and indicated the following: a. Resident 43 was prescribed amoxicillin/clavulanate potassium (antibiotic) 875 - 125 milligrams (mg) twice a day for 10 days for a suspected urinary tract infection. A urinalysis (U/A) with a culture and sensitivity (C&S) was completed. The C&S indicated no growth (no laboratory evidence of urinary tract infection). The amoxicillin/clavulanate potassium 875 - 125 mg order was not discontinued. b. Resident 16 was prescribed amoxicillin (antibiotic) 875 milligrams (mg) for a suspected urinary tract infection. A U/A was completed and lacked a C&S. c. Resident 22 was prescribed ceftriaxone (antibiotic) 1 (one) gram per injection two times and ciprofloxacin (antibiotic) 500 mg twice a day…

  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 · D2023-02-20 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the 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 interview and record review, the facility failed to ensure the resident representative was notified immediately of a fall with injury for 1 of 5 residents sampled for falls (Resident B). Findings include: Resident B's record was reviewed on 2/15/23 at 2:33 p.m. Her diagnoses included acute posthemorrhagic anemia (a condition that develops when a large amount of blood is lost quickly). Her physician's orders included apixaban (blood thinner) 2.5 milligrams (mg) twice a day. An admission Minimum Data Set Assessment (MDS) dated [DATE] indicated the resident was cognitively intact and required extensive assist of one person for walking and transfers. A nursing progress note, dated 12/27/22 at 12:10 a.m., indicated the resident was found sitting on the foot of her bed. She had blood on her, the bed, on the floor near the bedside table, and on the floor near her wheelchair. A laceration to her right outer eyebrow, a skin tear to her right wrist, and two skin tears to her right elbow were identified. 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-02-20 · 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 observation, interview, and record review, the facility failed to ensure resident fall frequency, injuries and antiplatelet/anticoagulant medications were discussed and documented prior to administration of the above mentioned medications for a resident with recent repeated falls with head injuries for 1 of 5 residents reviewed for falls. (Resident C) Findings include: During an observation on 2/14/23 at 11:30 a.m., Resident C was in her low bed ,with sutures to her right forehead near her right eyebrow. Her eyes were closed. During an observation on 2/15/23 at 9:02 a.m., the resident's eyes were open and she was assisted with her breakfast by a staff member as she remained in bed. The sutures remained in place to the resident's right forehead near her right eyebrow. Resident C's clinical record was reviewed on 2/15/23 at 4:16 p.m. Diagnoses included essential (primary) hypertension, generalized muscle weakness, osteoporosis without current pathological fracture, primary osteoarthritis unspecified site,…

  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 · D2023-02-20 · 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 observation, interview and record review, the facility failed to provide adequate supervision to prevent falls with injuries for a dependent resident for 1 of 5 residents reviewed for falls. (Resident C) Finding includes: During an observation, on 2/14/23 at 11:30 a.m., the resident was noted in her low bed with sutures to her right forehead near her right eyebrow. Her eyes were closed. During an observation, on 2/15/23 at 9:02 a.m., the resident's eyes were open and she was assisted as with her breakfast by a staff member as she remained in bed. The sutures remained in place to the resident's right forehead near her right eyebrow. Resident C's clinical record was reviewed on 2/15/23 at 4:16 p.m. Diagnoses included essential (primary) hypertension, generalized muscle weakness, osteoporosis without current pathological fracture, spinal stenosis site unspecified, unspecified severity vascular dementia without behavioral disturbance, and transient cerebral ischemic attack (TIA). Review of a Fall Risk…

  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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to HCF MANAGEMENT INDIANA — 6 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 20 rows in the source record cover these 18 parties — each is shown once here with every role it holds. Nothing is omitted.

5 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1.3M paid to related parties — landlords or management companies under common ownership — equal to about 20% 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