Bethel Pointe Health and Rehab
3400 W Community Dr, Muncie, IN 47304 · Delaware County · (765) 289-2273
114 certified beds, about 105 residents a day · Non profit - Other · Medicare and Medicaid since 1994
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 155546 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 13, 2026, inspectors cited 2 health deficiencies (the Indiana average is 7.2, the national average 9.2).
Of 17 health citations since June 2024, 3 were rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.64 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.60 of those hours.
46.9% 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.
306/24
107/24
109/24
303/25
101/26
202/26
306/26
107/26
207/26
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 17 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
13D
0E
0F
Potential for minimal harm
0A
0B
1C
July 21, 2026Complaint inspection · 2 citations
- G Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteBased on interview and record review, the facility failed to ensure staff had the competencies and training to administer medication according to facility policy to prevent medications errors for 1 of 4 residents reviewed for medication administration (Resident B). This deficient practice resulted in Resident B's hospitalization in the intensive care unit for bradycardia (abnormally slow heart rate), hypotension (low blood pressure) and subsequent cardiogenic shock (heart cannot pump enough blood to meet the body's needs).
- G Ensure that residents are free from significant medication errors.
Inspectors wroteBased on interview and record review the facility failed to ensure a resident was free from a significant medication error for 1 of 1 resident reviewed for medication errors (Resident B). This deficient practice resulted in Resident B's hospitalization in the intensive care unit for bradycardia (abnormally slow heart rate), hypotension (low blood pressure) and subsequent cardiogenic shock (heart cannot pump enough blood to meet the body's needs). This deficient practice was corrected on 7/16/26, prior to the start of the survey, and was therefore past noncompliance.
July 14, 2026Complaint inspection · 1 citation
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure wound treatments were implemented and consistently completed to promote healing for 2 of 4 residents reviewed for wound care. (Resident B and Resident E) This deficient practice resulted in delayed treatment for a chronic wound to Resident B's toe that was later surgically amputated.
June 18, 2026Complaint inspection · 3 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a staff member spoke to a resident in a dignified and respectful manner for 1 of 5 residents observed during medication administration. (QMA 15 and Resident E)
- D Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure medications were administered according to facility policy to prevent medication errors and failed to ensure medications were prepared and administered according to physician orders and facility policy for oral and inhaled medications. (Residents C, B, F, and E)
- 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.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure a medication cart was not left unlocked and unattended for 2 of 5 medication administration observations (North Medication Cart) and medication was not left unattended on top of a medication cart for 2 of 5 medication administration observations. (Center Medication Cart)
February 13, 2026Standard inspection · 2 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and record review, the facility failed to obtain a physician's order for wound treatment in a timely manner and failed to implement physician's orders promptly to promote healing of a diabetic ulcer for 1 of 3 residents reviewed for skin conditions. (Resident 5)
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow enhanced barrier precautions (EBP) during high contact care activities for a resident with an indwelling medical device for 1 of 4 residents reviewed for EBP. (Resident 47)
January 22, 2026Complaint inspection · 1 citation
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on record review and interview, the facility failed to provide/offer showers according to the resident's preferences to maintain proper hygiene for 1 of 3 residents reviewed for activities of daily living. (Resident B)
March 21, 2025Standard inspection · 3 citations
- D 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.
Inspectors wroteBased on interview and record review, the facility failed to provide services for a resident with a feeding tube to prevent complications for 1 of 1 resident reviewed for tube feeding. (Resident 47)
- 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.
Inspectors wroteBased on observation and interview, the facility failed to ensure insulin (a medication to treat diabetes mellitus) vials and pens were dated when opened and disposed of when expired for 2 of 5 carts reviewed for medication storage. (East and Center hall carts)
- C Post nurse staffing information every day.
Inspectors wroteBased on observation, interview, and record review, the facility failed to post complete nurse staffing information daily for residents and visitors. This deficiency had the potential to affect 103 of 103 residents in the facility.
September 6, 2024Complaint inspection · 1 citation
- 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 complete ordered wound treatments and assessments for 2 of 3 residents reviewed for wound care. (Residents B and C)
July 12, 2024Complaint inspection · 1 citation
- 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.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure medications were stored securely and disposed of according to policy and compliance regulations. (Residents E, F, G, H, J, K, L, M, N, O, P, Q, R, S, T, and U)
June 7, 2024Standard inspection, Complaint inspection · 3 citations
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure an apical pulse was obtained prior to the administration of digoxin for 1 of 8 residents observed during medication administration (Resident 58).
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide monitoring of a pressure injury and to develop and implement interventions to promote the healing of a pressure injury for 1 of 3 residents reviewed for pressure injuries (Resident C).
- 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 an indwelling catheter and tubing was positioned properly to avoid contamination for 1 of 1 residents reviewed with urinary catheter (Resident C).
Fire safety inspections
8 fire safety citations on file: 1 on February 13, 2026, 3 on March 21, 2025, 4 on June 7, 2024.
Every fire safety citation8 citations
- E Provide properly protected cooking facilities.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- D Meet other general requirements.
- F 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.
- E Have approved installation, maintenance and testing program for fire alarm systems.
- E Install corridor and hallway doors that block smoke.
- E Ensure proper usage of power strips and extension cords.
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) | 3.64 | 3.69 | 3.86 |
| Registered nurses | 0.60 | 0.67 | 0.69 |
| All nursing staff on weekends | 2.98 | 3.25 | 3.42 |
| Nurse aides | 2.19 | ||
| Licensed practical nurses | 0.86 | ||
| Nursing staff turnover (share who left in a year) | 46.9% | 45.9% | 45.8% |
| Registered nurse turnover | 33.3% | 40.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.88 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 3.91 on weekdays and 2.98 on weekends, 24% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.61 in April to June 2025 to 3.64 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 | 3.64 | 0.60 | 3.91 | 2.98 | 1.2% | 0 of 90 | 105 |
| Oct to Dec 2025 | 3.61 | 0.53 | 3.88 | 2.91 | 1.5% | 0 of 92 | 105 |
| Jul to Sep 2025 | 3.44 | 0.53 | 3.71 | 2.76 | 1.4% | 0 of 92 | 111 |
| Apr to Jun 2025 | 3.61 | 0.66 | 3.85 | 3.01 | 1.4% | 0 of 91 | 99 |
| 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 | 11.9 | 11.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.0 | 1.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.5 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.3 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.9 | 11.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.3 | 3.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.2 | 13.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 30.4 | 22.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.8 | 10.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 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 |
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% | 04/01/2012 |
| Bowen, John | Corporate officer | Individual | 11/11/2025 | |
| Hyatt, David | Corporate officer | Individual | 04/01/2012 | |
| Renaissance Muncie Healthcare Operations Company, LLC | Operational/managerial control | Organization | 04/01/2012 | |
| Tender Loving Care Management Inc | Operational/managerial control | Organization | 04/01/2012 | |
| Friend, Jayna | Operational/managerial control | Individual | 04/01/2012 | |
| Holloway, Selina | Operational/managerial control | Individual | 04/01/2012 | |
| Hyatt, David | Operational/managerial control | Individual | 04/01/2012 | |
| Sedaghat, Vahid-David | Operational/managerial control | Individual | 04/01/2012 | |
| Gibson, Cullen | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/16/2025 | |
| Ott, Dwight | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/16/2025 | |
| Ott, Gary | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/16/2025 | |
| Ott, Ryan | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/16/2025 | |
| Dwight a. Ott and Gloria Ott | Trustee of the SNF | Organization | 04/01/2012 | |
| Muncie Health Care Management Company LLC | Adp of the SNF | Organization | 04/01/2012 | |
| Renaissance Muncie Healthcare Operations Company, LLC | Adp of the SNF | Organization | 07/16/2025 | |
| Tender Loving Care Management Inc | Adp of the SNF | Organization | 07/16/2025 | |
| Holloway, Selina | Adp of the SNF | Individual | 04/01/2012 | |
| Sedaghat, Vahid-David | Adp of the SNF | Individual | 04/01/2012 |
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 7 problems in this area, most recently on July 14, 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 4 problems in this area, most recently on July 21, 2026: "Ensure that residents are free from significant medication errors."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 3 problems in this area, most recently on July 21, 2026: "Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on June 18, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.98 hours per resident per day, below the Indiana average of 3.25.
Other nursing homes nearby
- Brickyard Healthcare - Muncie Care Center Muncie, 0.3 mi · 3 of 5 stars · 30 citations
- Morrison Woods Health Campus Muncie, 1 mi · 4 of 5 stars · 17 citations
- Westminster Village Muncie Inc Muncie, 1.5 mi · 5 of 5 stars · 11 citations
- Woodlands the Muncie, 1.7 mi · 2 of 5 stars · 27 citations
- Waters of Muncie, the Muncie, 2.1 mi · 2 of 5 stars · 31 citations
- Signature Healthcare of Muncie Muncie, 2.2 mi · 1 of 5 stars · 59 citations
- Waters Edge Village Muncie, 2.3 mi · 4 of 5 stars · 16 citations
- Brookside Care Strategies Muncie, 3.7 mi · not rated · 49 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 Bethel Pointe Health and Rehab's Medicare star rating?
- CMS rates Bethel Pointe Health and Rehab 3 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Bethel Pointe Health and Rehab get at its last inspection?
- 2 health deficiencies at the standard inspection on February 13, 2026. The Indiana average is 7.2.
- Has Bethel Pointe Health and Rehab been fined?
- CMS lists no fines in the last three years.
- Does Bethel Pointe Health and Rehab 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 Bethel Pointe Health and Rehab?
- CMS lists 19 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.