Zionsville 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.

52.8% 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 33 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 66.7% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 30 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 0.25 therapist hours per resident per day in 2026Q1 — more than 34% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% 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 167 beds and averages 80.7 residents a day — about 48% occupied, or roughly 86 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 3.67 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.57 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.15 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 2.98 hrs/resident/day on weekends vs 3.95 on weekdays — 25% thinner on weekends — a notable drop. RN hours go from 0.68 to 0.29 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 46% 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 fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

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

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

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

• Potential for harm · D2026-01-28 · 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

  Based on observation, interview, and record review, the facility failed to ensure a resident had orders for a wander guard device and failed to remove the device when it was determined to be unnecessary for 1 of 1 resident reviewed for wander guards (Resident 5). Findings include:On 1/20/26 at 11:45 a.m. Resident 5 was observed as she sat on her bed in her room watching tv. On her right ankle a wander guard device was observed and appeared to be applied and functioning properly. Resident 5 indicated when she first admitted to the facility, she was very confused and needed to be in the memory care unit. After a while she was better and decided along with the care team that moving out of the locked unit and onto a unit with peers on her cognitive level was best for her social well-being. Resident 5 pointed to the wander guard and indicated she wasn't sure why she still needed that device now that she was no longer as confused as she was. She indicated the staff had told her they would be taking it off, but they had not done it yet. Resident 5 indicated it didn't upset her, but 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 · Ecited before2025-08-21 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  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 residing on the secured memory care unit, who were dependent on staff for dental care, received those services for 7 of 9 residents reviewed for Activities of Daily Living (ADL) assistance (Residents B, D, F, J, G, P, and H).Findings include:An anonymous concern during the survey indicated, a resident representative did not believe staff were brushing the residents' teeth.1. On 8/20/25 at 12:25 p.m., Resident B was observed sitting at a dining room table among her peers. The resident's natural bottom teeth were barely visible when she spoke, and unable to determine if the teeth looked recently brushed/cleaned. Resident B's clinical record was reviewed on 8/20/25 at 1:30 p.m. Diagnoses on Resident B's profile included dementia. A nursing progress note, dated 8/1/25 at 12:59 p.m., indicated Resident B was seen by the dental hygienist on 7/31/25. Continue with the current plan of care.A dentist's progress note, dated…

  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 before2025-08-21 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure all aerosol disinfectant sprays and medications were secured in the resident rooms, for 3 random observations for potential accidents (Residents H, M, and N). Findings include:On 8/20/25 at 12:48 p.m., during the initial facility tour observations included, a. Resident H, residing on the secured memory care unit, had a large can of generic disinfectant spray. The disinfectant spray was visible from the hallway door sitting on the top shelf of an open closet. The can's caution label indicated, store preferably under lock. Hazardous if absorbed through the skin or inhaled. b. Resident M, who had a roommate, had a large can of Febreze spray, an odor eliminator. The spray can was sitting on top of a dresser, visible from the hallway. The can's caution label indicated, do not spray toward face, if eye contact occurred, rinse well with water and seek medical attention as needed. c. Resident N, had a bottle of selenium sulfide lotion 2.5 %, an antifungal medicated shampoo. The bottle with the top missing 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 · D2025-08-21 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, and interview, the facility failed to maintain a clean, safe, and sanitary environment on 1 of 4 hallways (Auguste's Cottage - a secured memory care unit) observed for cleanliness. Findings include:On 8/20/25 at 12:48 p.m., during the initial facility tour observations included:a. A PTAC heating and cooling unit in the memory care unit dining room, was observed in the wall under the dining room window. The plaster board base under the PTAC unit was chipped, pealing, and white debris was observed on the floor. b. A cove base strip of trim that had been installed where the wall met the floor, was pulled from the wall, exposing chipped paint to the wall. An approximate 3 foot of cove base, still attached to the wall on one end, was observed laying on the floor near dining room tables where residents walked to be seated for meals and activities. b. An electrical outlet with a missing face plate was observed in the hallway on the front side of the nurse's desk. The exposed outlet was observed to be approximately 1 foot from the floor, and within sight and reach of…

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

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-12-09 · tag F0565 — failed to support the resident council — pattern
  Honor the resident's right to organize and participate in resident/family groups in the facility.
  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 observations, interviews, and record review, the facility failed to ensure repeated grievances brought to the attention of the facility by the resident council were responded to for 7 of 12 months of resident council reviewed. Findings include: On 12/3/24 at 1:10 p.m., the Activity Director (AD) provided the Resident Council Minutes for review. On 12/3/24 at 1:15 p.m., the Resident Council Minutes were reviewed. Repeated concerns for the previous 12 months included, but were not limited to: food temperatures, availability and/or access to adequate amounts of linens, staff attitude and/or body language, and staff use of cell phones and ear buds. 1. Cold Food: a. Concerns related to cold food were discussed during the months of: January, February, June, July, September, October (two meetings), and November. b. Responses to concerns related to food temperatures were not found for the months of: February, June, July or September. 2. Quantity/quality and/or access to/availability of linens: a. Concerns…

  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 · E2024-12-09 · tag F0623 — pattern
  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure the Ombudsman received end-of-the month hospital discharges information for 4 of 4 hospitalization discharges (Resident 14) and the Ombudsman did not receive hospitalization discharges from October 26, 2023, until October 24, 2024, for 21 of 34 residents. The deficient practice was corrected on October 24, 2024, prior to the start of the survey, and was therefore past noncompliance. Findings include: On 12/6/24 at 9:53 a.m., Resident 14's record was reviewed. He was admitted on [DATE]. His diagnoses included, but were not limited to, chronic obstructive pulmonary disease (lung disease with constriction of airways and difficulty breathing), emphysema (chronic lung disease that damages the air sacs in the lungs), and dysphagia (difficulty swallowing). He had four recent hospitalizations: from 1/30 to 2/6/24 because his nephrostomy tube (a thin tube that drains urine from the kidney to a bag outside of the body) was pulled out, from 2/29 to 3/8/24…

  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 · Past Non-Compliance
• Potential for harm · E2024-12-09 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  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 hot when served to a resident for 1 of 1 test tray temperature checked and for 7 of 12 months of resident council minutes reviewed. Findings include: On 12/3/24 at 1:15 p.m., the Resident Council Minutes were reviewed. Repeated concerns for the previous 12 months included but were not limited to: cold food temperatures for hot foods. Concerns related to cold food were discussed during the months of: January, February, June, July, September, October (two meetings) and November. Responses to the concerns related to cold food temperatures were not found for the months of: February, June, July or September. Facility responses and interventions included repeated staff in-services, repeated assurance that plate warmers were being used, and assurance that test trays would be sampled by staff members. On 12/4/24 at 12:08 p.m., a Resident Council meeting was conducted with 6 residents who regularly participated in Resident Council. The residents agreed there was still ongoing concerns and complaints…

  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 before2024-12-09 · tag F0812 — failed to store, cook, and serve food safely — pattern
  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 drinks were covered while providing lunch trays on the 200 hall for 4 of 10 resident reviewed (Resident 6, 34, 40, and 135). Findings include: On 12/2/24 at 1:01 p.m., Certified Nursing Aide (CNA) 7 was observed carrying a lunch tray to Resident 40's room, the coffee cup was uncovered. On 12/4/24 at 1:06 p.m., CNA 7 was observed carrying a lunch tray to Resident 6's room, her coffee and orange drink were uncovered. On 12/4/24 at 1:06 p.m., the Activity Director was observed carrying a lunch tray to Resident 34's room, his orange drink was uncovered. The lunch tray was carried to the Assisted Dining room. On 12/4/24 at 1:06 p.m., CNA 7 was observed carrying a lunch tray to Resident 135's room, his orange drink was uncovered. A current policy, titled, Meal Service and Distribution, dated 4/24, was provided by the Regional Nursing Consultant (RNC), on 12/3/24 at 9:15 a.m. A review of the policy indicated, .Prepared food will be transported to other areas either covered or in covered container/enclosed…

  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 · E2024-12-09 · 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 ensure staff wore personal protective equipment (PPE) appropriately for 11 of 11 observations of PPE, and failed to ensure the facility had a thorough process for contact tracing of infections for 2 of 2 months of infection tracking reviewed. B. Based on observations, interview and record review, the facility failed to ensure appropriate infection prevention procedures for laundry/linen services were followed to prevent the potential for the spread of germs and infection for 1 of 1 observation of the laundry room. This deficient practice had the potential to affect 82 of 82 residents who received laundry services from the facility. C. Based on observation, interview, and record review, the facility failed to ensure staff cleaned a blood glucose glucometer properly for 1 of 1 observation of glucometer cleaning. Findings include: A1. On 12/2/24 at 10:24 a.m., a sign was noted on Resident 4's door indicating he was on enhanced barrier…

  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 · Dcited before2024-12-09 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  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 resident received requested and desired nail trimming and shaving for 1 of 9 residents reviewed for nail trimming and shaving (Resident 135). Findings include: On 12/6/24 at 9:46 a.m., Resident 135's record was reviewed. His diagnoses included, but were not limited to, mild cognitive impairment (difficulties with thinking, learning, remembering, and making decisions), glaucoma (eye disease causes blindness), and a history of myocardial infarction (heart attack). His care plan, dated 11/25/24, indicated he required assistance and/or monitoring for morning (AM) and afternoon (PM) care, nutrition, hydration, and elimination. The goal indicated he would have his activities of daily living (ADLs) needs met. An Approach indicated his PM care included bathing, dressing, hair combing, and oral care. His care plan, dated 12/5/24, indicated he required assistance with activities of daily living (ADL)s due to history of TIA (stroke), left sided weakness, glaucoma (eye disease that causes blindness), obesity,…

  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

No federal fines in the current CMS record.

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.

This home reported $768K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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