Hendricks Community Hospital

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 0.14 therapist hours per resident per day in 2026Q1 — more than 11% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 0% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 48 beds and averages 45.6 residents a day — about 95% occupied, or roughly 2 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.53 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.70 is at or above 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 2.92 hrs/resident/day on weekends vs 3.78 on weekdays — 23% thinner on weekends — a notable drop. RN hours go from 0.88 to 0.23 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 57% is well above the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

26 citations, most serious first. The 10 most serious are shown; the remaining 16 are one tap away and print in full.

• Potential for harm · E2026-06-25 · 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

  Based on interview and document review, the facility failed to ensure the Resident Council's concerns during 3 of 3 months of minutes reviewed (March, April, and May 2026) were addressed with potential or actual resolution and/or responses brought back to the resident council for discussion and documented in the Resident Council minutes. Findings include: Resident council meeting was held on 6/24/26 at 2:35 p.m., with R4, R10, R22, and R34. During the meeting the residents identified they had concerns regarding the menu options and the tenderness of the meat served, especially the roast beef. They expressed having difficulty chewing the meat that was served and said they had requested other items be added to the menu, such as chili. They have requested the dietary manager (DM) attend resident council so they could express their concerns directly, however, she had not attended. They stated they have no way to know if the DM knew what their concerns were. They identified no staff had communicated with them what was going to be done to address their concerns. These requests had been…

  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 no plan of correction
• Potential for harm · Ecited before2026-06-25 · tag F0868 — pattern
  Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
  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 document review, the facility failed to ensure the medical director (MD-A) attended QAPI meetings for 4 of 4 quarters. Findings include: Review of the QAPI meeting minutes submitted for the months of June, August, Sept and [DATE], and Jan and April 2026, identified the facilities quarters were Quarter 1: July-Sept, Quarter 2: Oct-Dec, Quarter 3: Jan-March, and Quarter 4: April-June. Of the months submitted, in:June 2025: MD-A is listed on the attendance sheet, but he had not signed off as having attended the meeting.The remaining months of August, September and October 2025, and January and April 2026, MD-A's name was not on sign in sheet and there was no evidence to support he attended at least quarterly as required. Interview on 6/25/26 at 1:11 p.m., with the director of nursing (DON) identified she had overseen QAPI since January 2026. In review and discussion of the above meeting minutes/agendas, she agreed MD-A was not in attendance at any of their QAPI meetings. The DON agreed 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.

  Administration Deficiencies · Deficient, Provider has no plan of correction
• Potential for harm · D2026-06-25 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to determine whether a resident was safe to self-administer 2 nebulized medications for 1 of 1 resident (R6) who received 2 medications administered by nebulizer. Findings include: Observation on 6/25/26 at 8:41 a.m. as licensed practical nurse (LPN)-A administered R6's two ordered nebulized medications identified LPN-A assembled the nebulizer mask, tubing, and medication cup, emptied the single dose vial of Arformoterol Tartrate (a long-acting bronchodilator prescribed for the long-term twice daily maintenance treatment of airflow blockage), 15micrograms (mcg)/2mililiters (ml) into the nebulizer medication cup, attached the medication to the mask and positioned the mask on R6's face. He turned on the nebulizer and left the room while R6 received her medication dose. Prior to leaving the room, LPN-A informed R6 he would return in 10 minutes to give the 2nd medication. R6 was on her back in bed with the head of her bed elevated and did not reply as LPN-A…

  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 no plan of correction
• Potential for harm · D2026-06-25 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and document review, the facility failed to ensure a timely review with a rationale for a as needed (PRN) psychoactive medication was completed for 1 of 7 sampled residents (R10). Additionally, the facility failed to ensure target symptoms/behaviors were identified for an antidepressant medication to ensure monitoring for effectiveness for 1 of 7 sampled residents (R3). Findings include: R10's 5/13/26, accepted quarterly Minimum Data Set (MDS) assessment identified R10's cognition was intact. R10 had diagnoses of heart failure, high blood pressure, renal insufficiency (kidney disfunction), and seizure disorder. There were no identified diagnoses of anxiety. R10's 3/27/26, physician's Comfort Kit order identified lorazepam (antianxiety medication) 0.5 milligrams (mg) orally every 4 hours PRN for anxiety. If anxiety not improved in 1/2 hour, staff may repeat one time. R10's 6/24/26, printed Medication Administration Record (MAR) identified an order for lorazepam 0.5 mg every 4 hours PRN, comfort measures only with no end date identified. Interview on 6/24/26 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has no plan of correction
• Potential for harm · D2026-06-25 · 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 interview and document review the facility failed to notify the ombudsman of a discharge for 1 of 2 sampled residents (R52). Findings include: R52's 4/22/26, accepted discharge Minimum Data Set (MDS) assessment identified R52 had been discharged to home/community with return not anticipated. R52's 4/16/26, discharge summary identified that R52 had discharge with home health services following completing therapy services. Interview on 6/25/26 at 3:30 p.m., with registered nurse (RN)-A and social service designee (SSD) both identified the facility only notified the ombudsman when there was an emergency discharge to the hospital or a resident leaves the facility against medical advice. The SSD reported the facility did not notify the ombudsman of any planned discharges and confirmed the ombudsman was not notified for R52's discharge back to the community. Interview on 6/25/26 at 4:17 p.m., with director of nursing (DON) identified she was unaware that the facility had not been notifying the ombudsman about all discharges. She confirmed the facility had a policy and it…

  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 no plan of correction
• Potential for harm · Dcited before2026-06-25 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and document review, the facility failed to develop and implement a comprehensive person-centered care plan for 1 of 5 sampled residents (R3) with a diagnosis of depression.Findings include: R3's admission record identified she admitted to the facility in February of 2024. R3's 5/13/26, accepted comprehensive Minimum Data Set (MDS) assessment identified R3 cognition was intact. R3 had diagnoses of anemia, atrial fibrillation, coronary artery disease, renal insufficiency, arthritis, thyroid disorder, and depression. R3's current physician order identified Celexa 20 milligrams (mg) every day. Review of R3's medical record identified that the Celexa was last increased on 1/8/26 from 10 mg to 20 mg. R3's undated, care plan identified although there was a section on R3's psychosocial well-being with a goal to demonstrate her ability to cope with her hospitalization/illness, there was no mention of R3 having existing depression or taking an antidepressant medication with any identified target symptoms/behaviors that may increase with end of life, or for monitoring for…

  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 no plan of correction
• Potential for harm · D2026-06-25 · tag F0657 — failed to keep the care plan current — isolated
  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 and document review, the facility failed to revise the care plan for 1 of 13 sampled residents (R10) with a diagnosis of end stage kidney disease. Findings include: R10's 5/13/26, accepted quarterly Minimum Data Set (MDS) assessment identified R10's cognition was intact. R10 had diagnoses of heart failure, high blood pressure, renal insufficiency (kidney dysfunction), chronic kidney disease, and end stage renal disease. R10's 5/20/26, physician visit note identified consideration for palliative/hospice care had been previously discussed. R10 was interested in this when the time comes for her kidneys. She anticipated that her nephrologist would inform her of that. R10's 6/11/26, nephrology visit note identified chronic kidney disease, stage 4 with bilateral hydronephrosis (enlarged kidney affecting the body's ability to excrete urine), pyuria (pus in urine), and hematuria (blood in urine). Different forms of renal replacement therapy were discussed, and it was noted R10 had declined dialysis. R10's current, undated care plan identified staff were to watch for signs…

  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 no plan of correction
• Potential for harm · D2026-06-25 · tag F0693 — failed to provide proper feeding-tube care — isolated
  Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and document review, the facility failed to ensure staff followed the facility policy to appropriately verify gastrostomy (G) tube placement prior to feedings and medication administration for 1 of 1 resident (R6) reviewed with a feeding tube.Findings include: R6's 5/24/26 accepted quarterly Minimum Data Set (MDS) assessment identified she had moderate cognitive impairment, required staff assistance for all activities of daily living (ADLS), had impairment of upper and lower extremities, and used a wheelchair for mobility. She had a feeding tube in place and received 51% or more of her total calories through the feeding tube. Average fluid intake was 501cc or more per day via the feeding tube. R6 received crushed medication via the feeding tube including an antidepressant, diuretic, opioid, blood pressure, medication for acid reflux, nausea and antiplatelet medications. R6 was admitted in February 2026, with diagnoses of oropharyngeal dysphagia (difficulty initiating a swallow from the mouth into the throat, feeding by G-tube, severe physical…

  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 no plan of correction
• Potential for harm · Dcited before2026-06-25 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and document review the facility failed to ensure 1 of 1 resident (R48) discontinued controlled narcotic medication was not stored with in-use medications in 1 of 2 medication carts.Findings include: Observation and physician order review on 6/24/26 at 2:30 p.m. with licensed practical nurse (LPN)-B and trained medication aide (TMA)-A as they performed the shift change narcotic count in 1 of 2 medication carts identified there was 1 blister pack card containing 30 Lorazepam 0.5milligram (mg) tablets with the printed pharmacy label identifying it had been dispensed on 6/2/26 for R48. The physician order recorded in the electronic medical record identified the order for Lorazepam 0.5mg by mouth (PO) every (Q) 6 hours (H) as needed (PRN) with a start date of 6/2/26 and the medication was discontinued on 6/16/26. Interview on 6/24/26 at 2:40 p.m. with LPN-B and TMA-A identified the card containing R48's Lorazepam had remained in the in-use narcotic box located on the medication cart co-mingled with other in-use medications and noted it should have been…

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

  Pharmacy Service Deficiencies · Deficient, Provider has no plan of correction
• Potential for harm · Fcited before2025-04-30 · tag F0727 — failed to provide required RN coverage — widespread
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility's request for a waiver was accepted and approved by the State Agency following the survey dated 7/17/23. The tag was re-issued however, NO plan of correction was required. This will remain in effect until such time as the registered nurse (RN) coverage can be filled and the facility achieves compliance. F727: CFR 483.35 (b)(1), RN coverage 8 consecutive hours a day, 7 days a week. Findings include: Review of the facility nursing staff schedules for February 2025, March 2025 and April 2025 identified in: 1) March 2025, No 8-hour consecutive RN coverage for 2 of 31 days: 3/8 and 3/9/2025. 2) April 2025, No 8-hour consecutive RN coverage for 1 of 30 days: for 4/12/2025. Interview on 4/30/25, 2:30 p.m. with the director of nursing (DON) reported the scheduler attempted to fill open shifts and notified management of call-ins or unfilled shifts. The DON reported there was a registered nurse on call, and she could be assigned to cover the open shift also if needed, or the nurse managers could pick up and work the open hours. The facility continues to struggle with hiring 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.

  Nursing and Physician Services Deficiencies · Waiver has been granted

“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.

Who owns this facility

CMS files one row per role, so the 23 rows in the source record cover these 11 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.

What families pay in MN