4600 E Jackson St., Muncie, IN 47303 · Delaware County · (765) 282-1416
104 certified beds, about 75 residents a day · For profit - Corporation · Medicare and Medicaid since 1989
CMS Care Compare ratings, data as of September 1, 2026 · CCN 155400 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on January 9, 2026, inspectors cited 15 health deficiencies (the Indiana average is 7.2, the national average 9.2).
Of 57 health citations since September 2023, 3 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.27 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.43 of those hours.
98.7% of nursing staff left within the year CMS measured (Indiana average 45.9%).
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.
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 57 health citations on file.
Inspectors wroteBased on interview and record review, the facility failed to ensure actions were taken to prevent further abuse, when a staff member left a resident with the alleged perpetrator after witnessing an alleged act of resident to resident abuse (Residents B and C) and failed to complete a thorough investigation according to the facility's policy following an allegation of resident to resident sexual abuse for 1 of 2 incidents reviewed for abuse. (Residents B and C)
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a physical assessment was completed for a resident following an allegation of resident to resident sexual abuse for 1 of 4 residents reviewed for abuse. (Resident B)
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents were free from involuntary seclusion when two units were locked and secured (200 and 300 halls) without authorization from the State Agency (Indiana Department of Health) and failed to identify individual needs for specialized programming requiring a secured unit for 4 of 4 residents reviewed for involuntary seclusion. (Residents C, D, G, and J)
Inspectors wroteBased on interview and record review, the facility failed to protect a resident's right to be free from verbal abuse from a staff member in the form of threats of physical violence for 1 of 4 residents reviewed for abuse. (Resident C)
Inspectors wroteBased on observation, intervew, and record review, the facility failed to ensure menus were followed in order to ensure accurate portion size for entrees served. This deficient practice had the potential to impact 81 of 81 residents, who recieved meals prepared by the facility.
Inspectors wroteBased on interview and record review, the facility failed to provide a surety bond which covered the total amount of resident funds. This deficient practice had the potential to impact 71 of 71 residents who had their funds managed by the facility.
Inspectors wroteBased on observation and interview, the facility failed to ensure medications were stored securely without loose pills for 2 of 4 medication carts reviewed. (100 East and 100 West)
Inspectors wroteBased on interview and record review, the facility failed to provide notice of a roommate change to the resident prior to receiving a new roommate for 1 of 3 residents reviewed for resident rights. (Resident B)
Inspectors wroteBased on record review and interview, the facility failed to provide the appropriate Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage (SNF ABN) for residents discharged from Medicare A skilled services for 2 of 2 residents reviewed for Beneficiary Notifications. (Residents 3 and 43)
Inspectors wroteBased on record review and interview, the facility failed to prevent resident-to-resident abuse from a resident known to have a history of a resident-to-resident altercation and anger outbursts (Resident B) to a cognitively dependent resident for 1 of 3 residents reviewed for abuse. (Resident 76)
Inspectors wroteBased on record review, interview, and observation, the facility failed to ensure residents were free of chemical restraints related to the use of antipsychotic medications without diagnoses for use, identified targeted behaviors for use, documented displayed targeted behaviors, and/or a care plan to address targeted behaviors for 3 of 5 residents reviewed for unnecessary medications. (Residents 5, 6 and 7)
Inspectors wroteBased on record review and interview, the facility failed to complete a thorough investigation of and maintain record of the investigation of resident-to-resident abuse for 2 of 3 residents reviewed for abuse. (Resident B and Resident 76)
Inspectors wroteBased on interview and record review, the facility failed to provide residents and/or their representatives with written notice of transfer/discharge and bed hold policy for 3 of 4 residents reviewed for hospitalizations. (Residents 2, 56, and 43)
Inspectors wroteBased on record review and interview, the facility failed to ensure timely completion of a required Level 2 Preadmission Screening and Resident Review (PASARR) assessment for 1 of 2 residents reviewed for PASARR. (Resident 8 )
Inspectors wroteBased on interview and record review, the facility failed to invite the resident representative to the resident's care plan meeting, offering them the opportunity to engage/contribute to the resident's admission care plan meeting for 1 of 2 residents reviewed for care planning. (Resident 11)
Inspectors wroteBased on observation, record review, and interview, the facility failed to provide necessary services for a resident related to humidification for high-flow rate oxygen for 1 of 2 residents reviewed for oxygen administration. (Resident 56)
Inspectors wroteBased on record review and interview, the facility failed to develop and implement approaches to maintain a Quality Assurance and Performance Improvement (QAPI) program to prevent repeat deficiencies regarding Drug Labeling/Storage.
Inspectors wroteBased on observation, record review, and interview, the facility failed to implement the appropriate infection control precautions related to transmission based precautions per the Centers for Disease Control and Prevention (CDC) guidelines for 1 of 2 residents reviewed for infection control. (Resident 43)
Inspectors wroteBased on record review and interview, the facility failed to offer and administer appropriate Pneumococcal vaccinations per the Center for Disease and Control (CDC) guidance for 3 of 5 residents reviewed for infection control. (Residents 56, 61, and 8)
Inspectors wroteBased on interview and record review, the facility failed to prevent resident to resident sexual abuse of two cognitively impaired residents (Residents F and B) by Resident C, who was cognitively intact with intellectual disabilities, for 2 of 5 residents reviewed for abuse. Resident F was found sitting on Resident C's bed while Resident C had his pants down while seated on the bed, exposing his erect penis and Resident F was observed with saliva on his face and mouth. Later the same day, Resident B was found in his bed with feces and blood on his shirt and incontinence brief, with his brief disheveled, and Resident C was in the same room performing self-gratification of his rectum, with feces and blood on his hands. Resident B indicated to police that Resident C had manipulated his own penis while doing the same to Resident B's penis. [...]
Inspectors wroteBased on interview and record review, the facility failed to report an allegation of resident-to-resident sexual abuse immediately to the Administrator to facilitate protection from further abuse when a cognitively impaired resident (Resident F) was found on the bed of another resident (Resident C) who was exposing his erect penis and Resident F was observed with saliva over his face and mouth for 2 of 5 residents reviewed for abuse (Residents F and B). The facility failed to report the allegation to the State Agency once the Administrator was made aware of the allegations. The facility also failed to accurately report an additional allegation of resident-to-resident sexual abuse later the same day when Resident B was found with feces and blood on his shirt and brief while Resident C was in the same room performing self-gratification of his rectum. [...]
Inspectors wroteBased on interview and record review, the facility failed to initiate investigative protocols and protective interventions for allegations of resident-to-resident sexual abuse for 2 of 5 residents reviewed for abuse (Residents F and B) by Resident C when Resident F was found on the bed of Resident C, who was exposing his erect penis while Resident F was observed with saliva over his face and mouth and when Resident B was found with feces and blood on his shirt and brief while Resident C was in the same room performing self-gratification of his rectum later the same day. Resident B indicated to police that Resident C had manipulated his own penis while doing the same to Resident B's penis. [...]
Inspectors wroteBased on record review and interview, the facility failed to complete an in-depth preadmission assessment in order to develop a resident specific behavior management plan to mitigate risks related to behavior expressions (Resident B, C, E, and F) resulting in injury requiring medical treatment of a bite injury. (Resident B)
Inspectors wroteBased on record review and interview, the facility failed to implement their facility abuse prevention program policy when staff members failed to report an incident of staff to resident verbal abuse, which delayed the initiation of the facility investigation and reporting to the appropriate agencies, for 1 of 4 residents reviewed for abuse. (QMA 1, Resident D, and LPN 2)
Inspectors wroteBased on interviews and record review, the facility failed to protect a resident's right to be free from verbal abuse by staff for 1 of 3 residents reviewed for abuse. (QMA 1, Resident D)
Inspectors wroteBased on interview and record review, the facility failed to implement their policy regarding abuse investigation when they failed to provide assessment for psychosocial harm for vulnerable, cognitively impaired residents following an allegation of staff to resident verbal abuse. This deficient practice had the potential to effect 3 of 17 residents living in on the unit where the abuse was alleged. Residents E, F, and G)
Inspectors wroteBased on observation and interview, the facility failed to provide and maintain dated storage bags for oxygen administration equipment to be stored in a clean manner for 3 of 3 residents observed for oxygen administration. (Residents J, K, & L)
Inspectors wroteBased on observation and interview, the facility failed to maintain a clean, orderly shower room for resident use for 1 of 4 shower rooms observed for cleanliness. (100 East hall)
Inspectors wroteBased on interview and record review, the facility failed to provide evening snacks for 1 of 4 residents reviewed for nutrition (Resident 35) and for 7 of 7 residents in resident group interview with the resident council.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide dementia services related to intrusive wandering for 1 of 1 residents reviewed for a unit relocation due to wandering. (Resident 33)
Inspectors wroteBased on observation and interview, the facility failed to label medications with resident identifying information in 1 of 3 medication carts (East 100 Unit Cart) and 1 of 2 medication storage rooms (200 Unit Storage Room) reviewed for medication storage. This had the potential to affect 19 residents who received medications from the 100 East Cart and 5 residents whose diabetic medications were stored in the 200 Medication Storage Room.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident with a dairy allergy was not served food containing dairy for 1 of 1 resident reviewed for food allergies. ( Resident 72)
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure food was served in a manner to prevent possible food contamination. This deficient practice had the potential to impact 69 residents, who ate meals prepared in the facility kitchen.
Inspectors wroteBased on interview and record review, the facility failed to ensure physician and nurse practitioner notes were documented and signed at the time of the visit for 6 of 6 residents reviewed for physician's services (Residents B, C, D, E, F, and G).
Inspectors wroteBased on interview and record review, the facility failed to ensure physician's visits occurred at the regulatory required frequency and nurse practitioner visits alternated with a physician for required visits for 6 of 6 residents reviewed for physician's services (Residents B, C, D, E, F, and G).
Inspectors wroteBased on interview and record review, the facility failed thoroughly investigate the an allegation of physical abuse of a cognitively impaired resident by a staff member for 1 of 5 residents reviewed for abuse. (CNA 1 and Resident F)
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents had privacy while using the facility telephone. (Swan Unit)
Inspectors wroteA. Based on observation, interview and record review, the facility failed to ensure to physician's orders were initiated and implemented for blood glucose monitoring for a resident receiving insulin for 1 of 3 residents reviewed for hospitalizations. (Resident H) B. Based on observation, interview, and record review, the facility failed to monitor resident's bowel movements for 4 of 5 resident's reviewed for bowel management. (Resident B, Resident E, Resident F and Resident H)
Inspectors wroteBased on record review and interview, the facility failed to ensure a psychoactive medication was not administered to manage behavioral expressions without an order from medical provider . (Resident B)
Inspectors wroteBased on observation, interview, and record review, the facility failed to identify resident behavioral health needs and failed to develop individualized care plans to address resident behavioral safety for 3 of 3 residents reviewed for resident behavioral health needs (Residents B, C, and D).
Inspectors wroteBased on interview and record review, the facility failed to provide transfer and/or discharge information for continuity of care to outside providers for 4 of 5 residents reviewed for hospitalizations and discharge. (Residents 1, 14, 62, and 70)
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a self-administration assessment was completed for 1 of 1 residents reviewed for self-administration. (Resident 13)
Inspectors wroteBased on interview and record review, the facility failed to honor a resident preference or obtain authorization from the resident's guardian to be transferred to the emergency room for further evaluation and treatment for 1 of 3 residents reviewed for choices. (Resident 1)
Inspectors wroteBased on observation, record review, and interview, the facility failed to develop and implement individualized interventions for a cognitvely impaired resident with intrusive wandering behaviors for 1 of 4 residents reviewed for dementia care. (Resident 37)
Inspectors wroteBased on observation, interview, and record review, the facility failed to complete gradual dose reductions or provide rationale when not completed for 1 of 5 residents reviewed for unnecessary medications. (Resident 15)
Inspectors wroteA. Based on observation and interview, the facility failed to store drugs and biologicals in a safe and secure manner for 17 of 17 residents' treatments stored in the 100 Hall medication cart. B. Based on observation and interview, the facility failed to ensure insulin pens were labeled and dated when opened for 2 of 5 medication carts reviewed for medication storage. (100 east cart and Swan cart) C. Based on observation and interview, the facility failed to ensure expired immunizations were removed from the medication refrigerator in the medication storage room for 1 of 2 medication storage rooms reviewed. (100 Hall medication room)
Inspectors wroteBased on interview and record review, the facility failed to implement transmission based precautions (TBP) for a resident with COVID-19 prior to a hospitalization and upon return to the facility through recovery of illness for 1 of 6 residents reviewed for infection control and prevention. (Resident 1)
Inspectors wroteBased on interview and record review, the facility failed to prevent the theft of resident's property by a staff member (QMA 14) for 1 of 5 residents reviewed for abuse. (Resident C)
Inspectors wroteBased on interview and record review, the facility failed to report the misappropriation/theft of resident's property by a staff member (QMA 14) to the State Agency and law enforcement in the required time frame for 1 of 5 residents reviewed for abuse. (Resident C)
Inspectors wroteBased on interview and record review, the facility failed thoroughly investigate the misappropriation of resident's property by a staff member (QMA 14) for 1 of 5 residents reviewed for abuse. (Resident C)
Inspectors wroteBased on interview and record review, the facility failed to accurately report the RN coverage hours for 12 of 21 days triggered on a Payroll Based Journal Report for Fiscal Year 2023 Quarter 3.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a nurse's authorization was obtained prior to the administration of as needed (PRN) medication by a Qualified Medication Aide for 2 of 3 QMAs observed during a medication pass. (QMA 4 and QMA 12)
Inspectors wroteBased on interview and record review, the facility failed to ensure RN services were provided for at least 8 consecutive hours, 7 days a week.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident's physician was notified for a resident who was sent to the hospital for 1 of 3 residents reviewed for hospital transfers (Resident C) and failed to notify residents' emergency contacts when the resident was sent to the hospital for 2 of 3 residents reviewed for emergency contact notification (Resident C and Resident B).
Inspectors wroteBased on interviews and record review, the facility failed to report accurate information regarding allegations of abuse for 1 of 3 allegations of abuse reviewed (Resident B and Resident E).
Inspectors wroteBased on interview and record review, the facility failed to thoroughly investigate allegations of abuse for 1 of 3 allegations of abuse reviewed (CNA 16 and Resident F).
Inspectors wroteBased on observation, interview and record review, the facility failed to provide adequate supervision to prevent falls for residents' who were at a high risk for falls (Resident D and Resident K) for 2 of 3 residents reviewed for falls.
21 fire safety citations on file: 7 on January 9, 2026, 5 on December 17, 2024, 9 on January 30, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| December 12, 2025 | Payment Denial | 54 days from December 12, 2025 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 4.27 | 3.69 | 3.86 |
| Registered nurses | 0.43 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.96 | 3.25 | 3.42 |
| Nurse aides | 3.14 | ||
| Licensed practical nurses | 0.70 | ||
| Nursing staff turnover (share who left in a year) | 98.7% | 45.9% | 45.8% |
| Registered nurse turnover | 100.0% | 40.3% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.89 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 4.40 on weekdays and 3.96 on weekends, 10% 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 3.93 in April to June 2025 to 4.27 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 | 4.27 | 0.43 | 4.40 | 3.96 | 0.0% | 0 of 90 | 75 |
| Oct to Dec 2025 | 3.27 | 0.34 | 3.39 | 2.97 | 0.0% | 2 of 92 | 79 |
| Jul to Sep 2025 | 3.93 | 0.36 | 4.10 | 3.50 | 0.0% | 0 of 92 | 76 |
| Apr to Jun 2025 | 3.93 | 0.30 | 4.10 | 3.49 | 0.3% | 3 of 91 | 73 |
| 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
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. If you work here, your report helps start one.
| 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.
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 | 28.1 | 11.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.8 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.5 | 1.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.4 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 12.8 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 24.4 | 11.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.4 | 3.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 55.1 | 13.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 38.7 | 22.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.3 | 10.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.8 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.4 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Cardinal Care Strategies's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 14 eligible stays.
11.6% 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. 45 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 24 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 17 residents counted.
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. 23 residents counted.
7.1% 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. 23 residents counted.
Not reported
CMS note: Newly certified nursing home with less than 12-15 months of data available or the nursing opened less than 6 months ago, and there were no data to submit or claims for this measure.
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.
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.
Legal business name: PULASKI MEMORIAL HOSPITAL.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Pulaski Memorial Hospital | 5% or greater direct ownership interest | Organization | 100% | 06/27/2021 |
| Young, Cathy | Contracted managing employee | Individual | 06/27/2021 | |
| Barry, Thomas | Corporate officer | Individual | 06/27/2021 | |
| Malott, Gregg | Corporate officer | Individual | 06/27/2021 |
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.
Chosen from this home's own inspection record.
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