Avon Health & Rehabilitation Center
4171 Forest Pointe Circle, Avon, IN 46123 · Hendricks County · (317) 745-5184
137 certified beds, about 123 residents a day · For profit - Corporation · Medicare and Medicaid since 1984
CMS high performing icon Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 155236 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 26, 2026, inspectors cited 5 health deficiencies (the Indiana average is 7.2, the national average 9.2).
None of its 14 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 3.50 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.45 of those hours.
36.8% of nursing staff left within the year CMS measured (Indiana average 45.9%).
CMS links it to Tlc Management, an affiliated group of 20 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.
411/23
501/25
502/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
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 14 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
13D
1E
0F
Potential for minimal harm
0A
0B
0C
February 26, 2026Standard inspection · 5 citations
- E 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.
Inspectors wroteBased on observations and interviews, the facility failed to ensure medications and topical gels were labeled and stored appropriately in medication carts and failed to ensure expired medications were not stored on medication carts or in the medication storage room refrigerator. This deficient practice had the potential to affect 60 of 60 residents residing on 100, 300, and 400 halls (Residents 128, 127, 74, 26, 132, 75, and 80).
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on record review and interview, the facility failed to reconcile a resident's medications upon discharge for 1 of 3 residents reviewed (Resident 125).
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on observation, interview, and record review, the facility failed to develop and provide the resident and/or family representative with a copy of the resident's baseline care plan and physician orders within 48 hours of admission for 3 of 4 resident reviewed (Residents 123, 125, and 52).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and interview, the facility failed to follow physician's orders regarding the parameters of blood pressure medications for 2 of 5 residents reviewed for unnecessary medications (Residents 7 and 9) and daily weights for 2 of 5 residents reviewed for unnecessary medications (Residents 126 and 70).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview and record review, the facility failed to ensure a Hoyer lift (mechanical lift) transfer was completed safely to prevent falls for 1 of 2 residents reviewed for accidents (Resident 4). The deficient practice was corrected by 2/13/26 prior to the start of the survey and was therefore past noncompliance.
January 28, 2025Standard inspection · 5 citations
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on record review and interviews, the facility failed to complete a new level of care Pre-admission screening and resident review (PASARR) for a resident when she had a diagnosis of psychosis added to her history for 1 of 1 resident reviewed (Resident 63).
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a comprehensive resident centered care plan related to advanced directives was revised to reflect the wants and needs of a resident for 1 of 1 resident reviewed for advanced directives. (Resident 32)
- 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 a resident (Resident 70) who required the use of a suprapubic catheter (a thin, flexible tube inserted directly into the bladder through a small incision in the lower abdomen, just above the pubic bone) received treatment and services to prevent the potential for urinary tract infections (UTI) for 1 of 3 residents reviewed for catheters.
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on observation, interview, and record review, the facility failed to adequately implement care planned interventions, provide activities, and ensure proper dementia care was provided for a resident in the memory care unit who was in isolation for flu A for 1 of 3 residents reviewed for activities on dementia care (Resident 72).
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on observation, interview, and record review, the facility failed to manage a resident's medication regimen for unnecessary medications in the absence of a specific condition or behaviors in the medical record for 1 of 3 residents reviewed (Resident 265).
November 20, 2023Standard inspection · 4 citations
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, the facility failed to accurately code the MDS (Minimum Data Set) with appropriate PASRR (Preadmission Screening and Resident Review) Level 2 information for 2 of 3 residents reviewed (Resident 17 and 68).
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident (Resident 112) was observed for adverse effects related to the use of an opiate medication, and failed to set parameters to ensure nursing staff were provided clear instructions on when to administer a medication and which medication was appropriate to address varying levels of pain for 1 of 5 residents reviewed for unnecessary medications.
- D Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the Memory Care (MC) residents received warm food during lunch services for 25 of 25 MC residents during 1 of 3 lunch observations.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff washed their hand appropriate while assisting Memory Care (MC) resident with eating for 2 of 3 lunch observations (Resident 50, 52, 60, 76, and 111).
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) | 3.50 | 3.69 | 3.86 |
| Registered nurses | 0.45 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.01 | 3.25 | 3.42 |
| Nurse aides | 2.22 | ||
| Licensed practical nurses | 0.82 | ||
| Nursing staff turnover (share who left in a year) | 36.8% | 45.9% | 45.8% |
| Registered nurse turnover | 30.0% | 40.3% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.51 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 3.69 on weekdays and 3.01 on weekends, 18% 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 3.54 in April to June 2025 to 3.50 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 | 3.50 | 0.45 | 3.69 | 3.01 | 0.0% | 0 of 90 | 123 |
| Oct to Dec 2025 | 3.56 | 0.38 | 3.70 | 3.21 | 0.2% | 0 of 92 | 123 |
| Jul to Sep 2025 | 3.66 | 0.42 | 3.78 | 3.33 | 0.9% | 0 of 92 | 119 |
| Apr to Jun 2025 | 3.54 | 0.43 | 3.71 | 3.13 | 1.5% | 0 of 91 | 121 |
| 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.
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 | 5.3 | 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 | 1.9 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.3 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.2 | 11.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.8 | 3.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.1 | 13.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 19.5 | 22.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 18.6 | 10.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.4 | 1.8 |
Owners and operators
Legal business name: RIVERVIEW HOSPITAL. CMS links this home to Tlc Management, a group of 20 nursing homes averaging 3.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Riverview Hospital | 5% or greater direct ownership interest | Organization | 100% | 08/01/2012 |
| Friend, Jayna | Corporate officer | Individual | 06/01/2021 | |
| Hyatt, David | Corporate officer | Individual | 01/28/2022 | |
| Avon Healthcare Operations Company, LLC | Operational/managerial control | Organization | 08/01/2012 | |
| Tender Loving Care Management Inc | Operational/managerial control | Organization | 08/01/2012 | |
| Gimre, Jason | Operational/managerial control | Individual | 01/01/2025 | |
| Hyatt, David | Operational/managerial control | Individual | 08/01/2012 | |
| Kalu, Chijioke | Operational/managerial control | Individual | 01/01/2025 | |
| Gibson, Cullen | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/21/2025 | |
| Ott, Connie | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/25/2025 | |
| Ott, Dwight | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/21/2025 | |
| Ott, Gary | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/25/2025 | |
| Ott, Jesse | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/21/2025 | |
| Ott, Ryan | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/21/2025 | |
| Ott Family Trust | Trustee of the SNF | Organization | 08/01/2012 | |
| Avon Healthcare Operations Company, LLC | Adp of the SNF | Organization | 07/21/2025 | |
| Avon Properties LLC | Adp of the SNF | Organization | 08/01/2012 | |
| Tender Loving Care Management Inc | Adp of the SNF | Organization | 07/21/2025 | |
| Gimre, Jason | Adp of the SNF | Individual | 01/01/2025 | |
| Kalu, Chijioke | Adp of the SNF | Individual | 01/01/2025 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on February 26, 2026: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on February 26, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on February 26, 2026: "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."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on November 20, 2023: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.01 hours per resident per day, below the Indiana average of 3.25.
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- Majestic Care of Avon Avon, 1.2 mi · 2 of 5 stars · 32 citations
- Danville Regional Rehabilitation Danville, 2.5 mi · 5 of 5 stars · 16 citations
- Countryside Meadows Avon, 3.9 mi · 3 of 5 stars · 36 citations
- Plainfield Health Care Center Plainfield, 5.7 mi · 2 of 5 stars · 58 citations
- Brooke Knoll Village Avon, 5.7 mi · 2 of 5 stars · 29 citations
- Brownsburg Meadows Brownsburg, 5.9 mi · 3 of 5 stars · 24 citations
- Brownsburg Health Care Center Brownsburg, 6.2 mi · 1 of 5 stars · 53 citations
- Wellbrooke of Avon Indianapolis, 6.4 mi · 5 of 5 stars · 17 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 Avon Health & Rehabilitation Center's Medicare star rating?
- CMS rates Avon Health & Rehabilitation Center 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Avon Health & Rehabilitation Center get at its last inspection?
- 5 health deficiencies at the standard inspection on February 26, 2026. The Indiana average is 7.2.
- Has Avon Health & Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Avon Health & Rehabilitation Center 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 Avon Health & Rehabilitation Center?
- CMS lists 20 owners and managers, and links the home to Tlc Management. Legal business name: RIVERVIEW HOSPITAL.
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.