Avalon Village
200 Kingston Cir, Ligonier, IN 46767 · Noble County · (260) 894-7131
67 certified beds, about 61 residents a day · For profit - Corporation · Medicare and Medicaid since 1986
CMS Care Compare ratings, data as of September 1, 2026 · CCN 155286 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 14, 2025, inspectors cited 0 health deficiencies (the Indiana average is 7.2, the national average 9.2).
None of its 12 health citations since November 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.15 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.55 of those hours.
33.9% of nursing staff left within the year CMS measured (Indiana average 45.9%).
CMS links it to American Senior Communities, an affiliated group of 90 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 12 health citations on file.
February 25, 2026Complaint inspection · 1 citation
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on interview and record review, the facility failed to ensure medical records were complete and accurately reflected the resident's clinical status for 1 of 3 residents reviewed (Resident E).
August 14, 2025Standard inspection · 0 citations
November 6, 2024Standard inspection · 4 citations
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure nephrostomy care was provided for 2 of 2 residents reviewed (Resident 5 and Resident 41).
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure medication disposition guidelines were followed for 1 of 5 residents reviewed (Resident 11).
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a wound assessment was accurately recorded for 1 of 11 residents reviewed (Resident 15).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure infection control practices were implemented regarding hair restraint during wound care for of 1 of 11 residents reviewed (Resident 15).
July 11, 2024Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure fall interventions were followed for 1 of 3 residents reviewed for accidents (Resident J).
November 16, 2023Standard inspection · 6 citations
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure an adaptive call light was available and within reach for 1 of 15 residents reviewed (Resident 30).
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure self-determination of visitors for 2 of 15 residents reviewed (Resident 30 and Resident 35).
- D Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure direct care staff was made aware of the identified triggers for a resident with a history of trauma for 1 of 2 residents reviewed. (Resident 48)
- D Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure behavioral care plan interventions were followed for 1 of 5 residents reviewed. (Resident 35)
- D Provide medically-related social services to help each resident achieve the highest possible quality of life.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure resident specific, non-pharmacological interventions were attempted for 1 of 2 residents reviewed. (Resident 48)
- D Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a clean call light and a clean urinal were provided to 2 of 15 residents reviewed (Resident 1, and Resident 30).
Fire safety inspections
20 fire safety citations on file: 12 on August 14, 2025, 4 on November 6, 2024, 4 on November 16, 2023.
Every fire safety citation20 citations
- F Meet other general requirements that are deficient.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Install corridor and hallway doors that block smoke.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure proper usage of power strips and extension cords.
- F Ensure that testing and maintenance of electrical equipment is performed.
- F Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
- E Install a fire alarm system that can be heard throughout the facility.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Have properly installed electrical wiring and gas equipment.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Provide properly protected cooking facilities.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Use approved construction type or materials.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install corridor and hallway doors that block smoke.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Indiana | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.15 | 3.69 | 3.86 |
| Registered nurses | 0.55 | 0.67 | 0.69 |
| All nursing staff on weekends | 2.53 | 3.25 | 3.42 |
| Nurse aides | 2.01 | ||
| Licensed practical nurses | 0.60 | ||
| Nursing staff turnover (share who left in a year) | 33.9% | 45.9% | 45.8% |
| Registered nurse turnover | 44.4% | 40.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.60 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.40 on weekdays and 2.53 on weekends, 26% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.30 in April to June 2025 to 3.15 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.15 | 0.55 | 3.40 | 2.53 | 0.0% | 0 of 90 | 61 |
| Oct to Dec 2025 | 3.14 | 0.55 | 3.38 | 2.52 | 0.0% | 0 of 92 | 58 |
| Jul to Sep 2025 | 3.30 | 0.58 | 3.53 | 2.70 | 0.0% | 0 of 92 | 56 |
| Apr to Jun 2025 | 3.30 | 0.57 | 3.51 | 2.75 | 0.0% | 0 of 91 | 58 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Indiana, Jan to Mar 2026 | 3.63 | 0.62 | 3.80 | 3.19 | 3.4% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Indiana
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Indiana, all employers | |||
| CNAs (nursing assistants) | $18.43 | $17.80 to $21.36 | 33,640 |
| LPNs and LVNs | $31.60 | $29.35 to $35.30 | 14,480 |
| Registered nurses | $40.14 | $37.86 to $48.28 | 68,980 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Indiana | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 5.4 | 11.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.5 | 1.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.5 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.9 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.9 | 11.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.7 | 3.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 6.3 | 13.6 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.4 | 1.8 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for Avalon Village's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Owners and operators
Legal business name: THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY. CMS links this home to American Senior Communities, a group of 90 nursing homes averaging 3.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Horn, Brenda | Corporate director | Individual | 12/01/2023 | |
| Babcock, Paul | Corporate officer | Individual | 09/30/2020 | |
| American Senior Communities LLC | Operational/managerial control | Organization | 01/01/2012 | |
| Dice, Mark | Operational/managerial control | Individual | 06/01/2023 | |
| Gross, Mary | Operational/managerial control | Individual | 05/22/2021 | |
| Pechin, Thomas | Operational/managerial control | Individual | 10/01/2018 | |
| Slone, Jessica | Operational/managerial control | Individual | 09/25/2017 | |
| Van Camp, Steven | Operational/managerial control | Individual | 06/01/2023 | |
| American Senior Communities LLC | Adp of the SNF | Organization | 02/10/2026 | |
| Dice, Mark | Adp of the SNF | Individual | 06/01/2023 | |
| Pechin, Thomas | Adp of the SNF | Individual | 02/10/2026 | |
| Slone, Jessica | Adp of the SNF | Individual | 02/10/2026 | |
| Van Camp, Steven | Adp of the SNF | Individual | 06/01/2023 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on November 6, 2024: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on February 25, 2026: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on November 16, 2023: "Reasonably accommodate the needs and preferences of each resident."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on November 6, 2024: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.53 hours per resident per day, below the Indiana average of 3.25.
Other nursing homes nearby
- Waters of Syracuse Skilled Nursing Facility, the Syracuse, 7.6 mi · 1 of 5 stars · 34 citations
- Waterford Crossing Goshen, 11.9 mi · 5 of 5 stars · 12 citations
- Majestic Care of Goshen Goshen, 12 mi · 1 of 5 stars · 84 citations
- Greencroft Healthcare Goshen, 12.6 mi · 2 of 5 stars · 38 citations
- Restoracy of Goshen, the Goshen, 14.7 mi · 4 of 5 stars · 29 citations
- Waters of Lagrange Skilled Nursing Facility, the Lagrange, 16.2 mi · 2 of 5 stars · 35 citations
- Orchard Pointe Health Campus Kendallville, 16.4 mi · 4 of 5 stars · 12 citations
- Life Care Center of Lagrange Lagrange, 16.6 mi · 5 of 5 stars · 9 citations
Indiana contacts for a concern about a nursing home
These are the official offices in Indiana. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Indiana Department of Health, Division of Long-Term Care, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Indiana Long-Term Care Ombudsman Program, 800-622-4484. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Indiana Department of Health, Nursing Home Report Cards, where Indiana publishes its own records on licensed homes.
Common questions
- What is Avalon Village's Medicare star rating?
- CMS rates Avalon Village 5 out of 5 stars overall, with 5 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Avalon Village get at its last inspection?
- 0 health deficiencies at the standard inspection on August 14, 2025. The Indiana average is 7.2.
- Has Avalon Village been fined?
- CMS lists no fines in the last three years.
- Does Avalon Village accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Avalon Village?
- CMS lists 13 owners and managers, and links the home to American Senior Communities. Legal business name: THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.