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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D34 | E30 | F12 |
| Minimal | A· | B1 | C2 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Mar 27, 2026 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Mar 27, 2026 | Health | Health Standard | 12 | Actual harm | — | Open → |
| Mar 4, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 5, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 3, 2025 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Feb 19, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Feb 14, 2025 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Feb 14, 2025 | Health | Health Complaint, Health Standard | 14 | Potential harm | — | Open → |
| Dec 6, 2024 | Fire safety | Fire Safety Complaint | 1 | Potential harm | — | Open → |
| Oct 29, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 14, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 11, 2024 | Fire safety | Fire Safety Standard | 19 | Potential harm | — | Open → |
| Jan 11, 2024 | Health | Health Standard | 14 | Potential harm | — | Open → |
| Nov 1, 2023 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Mar 27, 2026 | Civil money penalty (fine) | $61,180 | — | 155077|Fine|142317 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D34 | E30 | F12 |
| Minimal | A· | B1 | C2 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Mar 27, 2026 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected May 8, 2026 | |
| Mar 27, 2026 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 20, 2026 | |
| Mar 27, 2026 | K-0918 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates 53 facilities.
13 facilities in 1 states. CMS chain ID 204.
Chain average overall rating (CMS): 2.3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Beachway Property Holdings LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Dec 1, 2021 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Beachway Property Holdings LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Dec 1, 2021 |
| Envive Nursing Holdings, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 1, 2021 |
| Lt Care Acquisition Corp | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 1, 2021 |
| Candice Borne-Bauman | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Northwest Manor Health Care Center 6440 W 34th St, Indianapolis, IN 46224 CCN 155041 | 126 | May 13, 2026 | 411 harm | — | |
| Envive of Lawrenceburg 403 Bielby Rd, Lawrenceburg, IN 47025 CCN 155061 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Envive of Lawrenceburg 403 Bielby Rd, Lawrenceburg, IN 47025 CCN 155061 | 100 | Feb 20, 2026 | 661 harm | — | |
| Envive of Sullivan 325 W Northwood Dr, Sullivan, IN 47882 CCN 155468 | 77 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Westside Retirement Village 8616 W 10th St, Indianapolis, IN 46234 CCN 155606 | 4.2 km | 132 | Jun 25, 2026 | 1061 harm | — | |
| Westpark a Waters Community 1316 N Tibbs Ave, Indianapolis, IN 46222 CCN 155389 | 4.7 km | 89 | Oct 10, 2025 | 43 | — | |
| Washington Healthcare Center 8201 W Washington St, Indianapolis, IN 46231 CCN 155383 | 4.9 km | 94 | Aug 12, 2025 | 521 IJ | — | |
| Northwest Manor Health Care Center 6440 W 34th St, Indianapolis, IN 46224 CCN 155041 | 5.5 km | 126 | May 13, 2026 | 411 harm | — | |
| Eagle Valley Meadows 3017 Valley Farms Rd, Indianapolis, IN 46214 CCN 155291 | 5.6 km | 114 | Dec 9, 2025 | 46 | — | |
| Wellbrooke of Avon 10307 E County Rd 100 N,, Indianapolis, IN 46234 CCN 155811 | 6.1 km | 70 | Mar 13, 2026 | 20 | — | |
| Alpha Home - a Waters Community 2640 Cold Spring Rd, Indianapolis, IN 46222 CCN 155717 | 6.8 km | 86 | Apr 27, 2026 | 572 harm | $22k | |
| Brooke Knoll Village 1108 Kingwood Drive, Avon, IN 46123 CCN 155814 | 7.2 km | 117 | Apr 9, 2026 | 30 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 155077 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 155077 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety |
| F · Potential harm Widespread |
| Corrected May 20, 2026 |
| Mar 27, 2026 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 8, 2026 |
| Mar 27, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 8, 2026 |
| Mar 27, 2026 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 8, 2026 |
| Mar 27, 2026 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 8, 2026 |
| Mar 27, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 8, 2026 |
| Mar 27, 2026 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 8, 2026 |
| Mar 27, 2026 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 8, 2026 |
| Mar 27, 2026 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 8, 2026 |
| Mar 27, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 8, 2026 |
| Mar 27, 2026 | F-0693 | 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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 8, 2026 |
| Mar 27, 2026 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 8, 2026 |
| Mar 4, 2026 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Past non-compliance | Complaint |
| Sep 5, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 19, 2025 | Complaint |
| Jun 3, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jun 4, 2025 | Complaint |
| Jun 3, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Past non-compliance May 23, 2025 | Complaint |
| Feb 19, 2025 | F-0622 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 31, 2025 | Complaint |
| Feb 19, 2025 | F-0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 31, 2025 | Complaint |
| Feb 14, 2025 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 10, 2025 |
| Feb 14, 2025 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 10, 2025 |
| Feb 14, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 10, 2025 |
| Feb 14, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 10, 2025 |
| Feb 14, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 10, 2025 |
| Feb 14, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Waiver granted Oct 31, 2025 |
| Feb 14, 2025 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Oct 31, 2025 |
| Feb 14, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 31, 2025 | Complaint |
| Feb 14, 2025 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 31, 2025 |
| Feb 14, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 31, 2025 |
| Feb 14, 2025 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 31, 2025 |
| Feb 14, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 31, 2025 |
| Feb 14, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 31, 2025 |
| Feb 14, 2025 | F-0687 | Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 31, 2025 |
| Feb 14, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 31, 2025 | Complaint |
| Feb 14, 2025 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 31, 2025 |
| Feb 14, 2025 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 31, 2025 |
| Feb 14, 2025 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 31, 2025 |
| Feb 14, 2025 | F-0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Mar 31, 2025 |
| Feb 14, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 31, 2025 |
| Feb 14, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 31, 2025 |
| Feb 14, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Apr 10, 2025 |
| Dec 6, 2024 | K-0100 | Meet other general requirements. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 20, 2024 | Complaint |
| Oct 29, 2024 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Nov 19, 2024 | Complaint |
| Mar 14, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 29, 2024 | Complaint |
| Jan 11, 2024 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Mar 27, 2024 |
| Jan 11, 2024 | K-0100 | Meet other general requirements. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Waiver granted |
| Jan 11, 2024 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 12, 2024 |
| Jan 11, 2024 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 12, 2024 |
| Jan 11, 2024 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 27, 2024 |
| Jan 11, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 12, 2024 |
| Jan 11, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 27, 2024 |
| Jan 11, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 27, 2024 |
| Jan 11, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 12, 2024 |
| Jan 11, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 27, 2024 |
| Jan 11, 2024 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 27, 2024 |
| Jan 11, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 12, 2024 |
| Jan 11, 2024 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 27, 2024 |
| Jan 11, 2024 | K-0754 | Provide properly sized and located linen or trash receptacles. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 27, 2024 |
| Jan 11, 2024 | K-0791 | Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 12, 2024 |
| Jan 11, 2024 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 27, 2024 |
| Jan 11, 2024 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 12, 2024 |
| Jan 11, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 27, 2024 |
| Jan 11, 2024 | F-0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 19, 2024 |
| Jan 11, 2024 | F-0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 19, 2024 |
| Jan 11, 2024 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 19, 2024 |
| Jan 11, 2024 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 19, 2024 |
| Jan 11, 2024 | F-0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 19, 2024 |
| Jan 11, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 19, 2024 |
| Jan 11, 2024 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 19, 2024 |
| Jan 11, 2024 | F-0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Feb 19, 2024 |
| Jan 11, 2024 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 19, 2024 |
| Jan 11, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 19, 2024 |
| Jan 11, 2024 | F-0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Feb 19, 2024 |
| Jan 11, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Feb 19, 2024 |
| Jan 11, 2024 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Feb 19, 2024 |
| Jan 11, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Mar 27, 2024 |
| Jan 11, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Feb 19, 2024 |
| Nov 1, 2023 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 1, 2023 | Complaint |
| Nov 1, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 1, 2023 | Complaint |
| Nov 1, 2023 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 1, 2023 | Complaint |
| Nov 1, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Dec 1, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.31 (case-mix index 1.49).
| not provided |
| Dec 1, 2021 |
| Douglas Daudelin | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2025 |
| Russell Flueckiger | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 1, 2021 |
| Scott Lehman | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 1, 2021 |
| Larry Macklin | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 1, 2021 |
| David Mcintire | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 1, 2021 |
| Scott Smith | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 1, 2025 |
| Kyle Sprunger | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 1, 2021 |
| Jeremy Sullivan | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2022 |
| Dane Wheeler | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 1, 2021 |
| Scott Smith | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 1, 2021 |
| Kyle Sprunger | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 1, 2021 |
| Dane Wheeler | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 1, 2021 |
| Candice Borne-Bauman | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Dec 1, 2021 |
| Russell Flueckiger | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Dec 1, 2021 |
| Scott Lehman | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Dec 1, 2021 |
| Larry Macklin | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Dec 1, 2021 |
| David Mcintire | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Dec 1, 2021 |
| Nbh Bank | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Dec 1, 2021 |
| Blue Management Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2024 |
| Envive Healthcare LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2021 |
| First Bank of Berne | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 1, 2021 |
| Lt Care Acquisition Corp | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 1, 2021 |
| Douglas Daudelin | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| Jeremy Sullivan | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2022 |
| 100 |
| Feb 20, 2026 |
661 harm |
| — |
| Pilgrim Manor 222 Parkview St, Plymouth, IN 46563 CCN 155073 | 78 | Jun 1, 2026 | 492 harm | $46k |
| Woodland Manor 343 S Nappanee St, Elkhart, IN 46514 CCN 155086 | 80 | Nov 21, 2025 | 765 harm | $114k |
| Yorktown Manor 2000 S Andrews Rd, Yorktown, IN 47396 CCN 155238 | 100 | Jun 2, 2026 | 26 | — |
| Chesterton Manor 110 Beverly Dr, Chesterton, IN 46304 CCN 155246 | 100 | Mar 6, 2025 | 41 | — |
| Wedgewood Healthcare Center 101 Potters Ln, Clarksville, IN 47129 CCN 155265 | 124 | Jul 23, 2026 | 431 IJ | — |
| Indian Creek Healthcare Center 240 Beechmont Dr, Corydon, IN 47112 CCN 155312Abuse icon | 135 | Jul 19, 2026 | 21 | — |
| May 21, 2026 |
431 open |
| — |
| Envive of Berne 1065 Parkway St, Berne, IN 46711 CCN 155473 | 80 | Aug 14, 2025 | 24 | — |
| Envive of Brookville 11049 State Road 101, Brookville, IN 47012 CCN 155480 | 100 | Jul 1, 2026 | 28 | — |
| Envive of Liberty 215 West High Street, Liberty, IN 47353 CCN 155507 | 60 | Nov 6, 2025 | 303 harm | — |
| Envive of River City 909 North First Ave, Evansville, IN 47710 CCN 155520 | 71 | Aug 5, 2026 | 664 open | — |
| Envive of Huntington 850 Ash St, Huntington, IN 46750 CCN 155531 | 55 | Aug 27, 2026 | 35 | — |
| Envive of Muncie 7524 E Jackson Street, Muncie, IN 47302 CCN 155549 | 60 | Mar 31, 2026 | 37 | — |