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Beech Grove Meadows

2002 Albany St., Beech Grove, IN 46107 · Marion County · (317) 783-2911

118 certified beds, about 92 residents a day · Non profit - Corporation · Medicare and Medicaid since 1968

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 155072 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 23, 2026, inspectors cited 4 health deficiencies (the Indiana average is 7.2, the national average 9.2).

Of 13 health citations since February 2024, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $13,650 in the last three years; the largest was $13,650, and the latest is dated April 28, 2025.

Nurses and nurse aides worked 3.55 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.36 of those hours.

37.4% 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.

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 13 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
1E
1F
Potential for minimal harm
0A
0B
2C
March 27, 2026Complaint inspection · 3 citations
  1. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 31, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a dependent resident received assistance eating for 1 of 3 residents reviewed for assistance with activities of daily living (ADL). (Resident B)
  2. D
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    F805 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 31, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a dependent resident prescribed with a mechanically altered diet received ground meat for the breakfast meal for 1 of 3 residents reviewed for meal service. (Resident B)
  3. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 31, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident's meal consumption had been documented accurately for 1 of 3 residents reviewed for documentation. (Resident B)
February 23, 2026Standard inspection · 4 citations
  1. E
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 13, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure clinical information was kept confidential and located in a secure location for 13 of 93 residents who reside in the facility reviewed for confidentiality of records. (Residents 9, Resident 58, Resident 62, Resident 74, Resident 76, Resident 86, Resident 96, Resident 101, Resident 103, Resident 104, Resident 105, Resident 115, Resident 116)
  2. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 13, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a self-administration of medication assessment was completed for medications left at bedside of 1 of 32 resident rooms. (Resident 79)
  3. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 13, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure resident care plans were revised to reflect accurate code status for 2 of 22 residents reviewed for care plan accuracy. (Resident 12 and Resident 60)
  4. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 13, 2026
    Inspectors wroteBased on observation, record review, and interview, the facility failed to implement Enhanced Barrier Precaution infection control practices for 1 of 4 residents reviewed for wounds. (Resident 45).
April 28, 2025Complaint inspection · 1 citation
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide supervision to a resident that resided on the secured memory unit and had a history of exit seeking behaviors, from exiting the facility through a window in his room. The day of the elopement the resident was angry, exit seeking, trying to leave, stated he needed out of there. (Resident B) This deficient practice resulted in an Immediate Jeopardy. The Immediate Jeopardy began on, 4/15/25 at approximately 6:20 p.m., when the facility failed to provide supervision to a cognitively impaired resident, that resided on the memory care unit, to prevent an elopement. The Administrator, Director of Nursing, Assistant Director of Nursing, and the Regional Director of Nursing were notified of the Immediate Jeopardy on 4/24/25 at 2:00 p.m. [...]
March 6, 2025Complaint inspection · 1 citation
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) March 12, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure food was stored in a sanitary manner for 1 of 1 kitchen observations and 1 of 1 pantry observations. Dry food storage room and kitchen were not thoroughly cleaned and food was not labeled and dated.
January 22, 2025Standard inspection · 2 citations
  1. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 24, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure a resident was referred to the State-designated authority contractor for a Level II Preadmission Screening and Resident Review (PASRR) evaluation for a new mental illness diagnosis for 1 of 1 resident reviewed for PASRR. (Resident 65)
  2. C
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) January 24, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the area next to the trash dumpster container was free from rubbish for 2 of 2 observations.
February 26, 2024Standard inspection · 2 citations
  1. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 19, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medications were stored in accordance with accepted principles for 1 of 3 medication carts reviewed and two random observations of treatment carts. Medication and treatment carts were unlocked and insulin did not have an open date. (300 Hall Medication Cart, 300 Hall Treatment Cart)
  2. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) March 19, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the posted nurse staffing document reflected the actual hours worked for 3 of 3 observations.

Fire safety inspections

13 fire safety citations on file: 5 on February 23, 2026, 5 on January 22, 2025, 3 on February 26, 2024.

Every fire safety citation13 citations
  1. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 23, 2026 · Corrected (the home has a date of correction)
  2. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · February 23, 2026 · Corrected (the home has a date of correction)
  3. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · February 23, 2026 · Corrected (the home has a date of correction)
  4. E
    Install corridor and hallway doors that block smoke.
    K 363 · February 23, 2026 · Corrected (the home has a date of correction)
  5. E
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · February 23, 2026 · Corrected (the home has a date of correction)
  6. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · January 22, 2025 · Corrected (the home has a date of correction)
  7. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · January 22, 2025 · Corrected (the home has a date of correction)
  8. E
    Install corridor and hallway doors that block smoke.
    K 363 · January 22, 2025 · Corrected (the home has a date of correction)
  9. E
    Ensure proper usage of power strips and extension cords.
    K 920 · January 22, 2025 · Corrected (the home has a date of correction)
  10. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · January 22, 2025 · Corrected (the home has a date of correction)
  11. F
    Conduct testing and exercise requirements.
    E 39 · February 26, 2024 · Corrected (the home has a date of correction)
  12. F
    Meet other general requirements that are deficient.
    K 300 · February 26, 2024 · Corrected (the home has a date of correction)
  13. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · February 26, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
April 28, 2025Fine $13,650

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeIndianaUnited States
All nursing staff (RN, LPN and aides)3.553.693.86
Registered nurses0.360.670.69
All nursing staff on weekends3.093.253.42
Nurse aides2.21
Licensed practical nurses0.98
Nursing staff turnover (share who left in a year)37.4%45.9%45.8%
Registered nurse turnover22.2%40.3%42.9%
Administrators who left0

CMS expects 4.09 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 3.74 on weekdays and 3.09 on weekends, 17% 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 3.61 in April to June 2025 to 3.55 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.550.363.743.09 0.0%0 of 9092
Oct to Dec 20253.440.353.593.08 0.0%0 of 9290
Jul to Sep 20253.540.393.713.11 0.0%0 of 9290
Apr to Jun 20253.610.463.823.09 0.0%0 of 9192
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Indiana, Jan to Mar 20263.630.623.803.193.4%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

JobMedianMiddle halfEmployed
Indiana, all employers
CNAs (nursing assistants)$18.43$17.80 to $21.3633,640
LPNs and LVNs$31.60$29.35 to $35.3014,480
Registered nurses$40.14$37.86 to $48.2868,980
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeIndianaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
3.111.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.33.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.61.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
7.311.914.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.83.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
4.913.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
18.222.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
10.310.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.91.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.41.41.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Beech Grove Meadows's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (45.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

45.9% this home

No different from the national rate

US median of homes 51.5% · Indiana: 111 better, 7 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 105 eligible stays.

Potentially preventable readmissions

13.0% this home

No different from the national rate

US median of homes 10.7% · Indiana: 0 better, 17 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 101 eligible stays.

Infections that led to a hospital stay

11.9% this home

Worse than the national rate

US median of homes 7.1% · Indiana: 0 better, 4 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 72 eligible stays.

Self-care and mobility at discharge

66.7% this home

Median of homes: Indiana60.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 42 residents counted.

Falls with major injury

0.0% this home

Median of homes: Indiana0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 57 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Indiana1.4% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 56 residents counted.

Medication list given at discharge

92.3% this home

Median of homes: Indiana100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 26 residents counted.

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.

NameRoleTypeShareSince
Drummer, CarlCorporate directorIndividual01/01/2017
Fehribach, GregoryCorporate directorIndividual12/14/2004
Hanify, ThomasCorporate directorIndividual01/01/2022
Lazard, RobertCorporate directorIndividual01/29/2021
Mantravadi, GeetaCorporate directorIndividual07/21/2021
Mukes-Gaither, BeverlyCorporate directorIndividual01/01/2022
Payne, MonicaCorporate directorIndividual08/09/2021
Babcock, PaulCorporate officerIndividual09/30/2020
Caine, VirginiaCorporate officerIndividual01/10/1994
Harris, LisaCorporate officerIndividual12/22/2003
American Senior Communities LLCOperational/managerial controlOrganization01/01/2003
Dice, MarkOperational/managerial controlIndividual06/01/2023
Gilbert, MichelleOperational/managerial controlIndividual03/06/2019
Johnson, JeremiahOperational/managerial controlIndividual05/13/2024
Mustaklem, MarwanOperational/managerial controlIndividual12/12/2022
Van Camp, StevenOperational/managerial controlIndividual06/01/2023
American Senior Communities LLCAdp of the SNFOrganization02/23/2026
Dice, MarkAdp of the SNFIndividual06/01/2023
Johnson, JeremiahAdp of the SNFIndividual02/23/2026
Mustaklem, MarwanAdp of the SNFIndividual02/23/2026
Van Camp, StevenAdp of the SNFIndividual06/01/2023

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.

  1. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on March 27, 2026: "Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on March 27, 2026: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on March 27, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  4. 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 February 23, 2026: "Keep residents' personal and medical records private and confidential."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.09 hours per resident per day, below the Indiana average of 3.25.

Other nursing homes nearby

Indiana contacts for a concern about a nursing home

These are the official offices in Indiana. NursingHomeClear cannot take or act on complaints.

Common questions

What is Beech Grove Meadows's Medicare star rating?
CMS rates Beech Grove Meadows 4 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Beech Grove Meadows get at its last inspection?
4 health deficiencies at the standard inspection on February 23, 2026. The Indiana average is 7.2.
Has Beech Grove Meadows been fined?
Yes. CMS lists 1 fine totaling $13,650 in the last three years.
Does Beech Grove Meadows 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 Beech Grove Meadows?
CMS lists 21 owners and managers, and links the home to American Senior Communities. Legal business name: THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY.

Sources

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