118 Medical Dr, Carmel, IN 46032 · Hamilton County · (317) 844-4211
188 certified beds, about 139 residents a day · Government - County · Medicare and Medicaid since 1978
CMS Care Compare ratings, data as of September 1, 2026 · CCN 155181 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on September 25, 2025, inspectors cited 8 health deficiencies (the Indiana average is 7.2, the national average 9.2).
Of 30 health citations since October 2023, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $14,015 in the last three years; the largest was $14,015, and the latest is dated November 13, 2025.
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 0.47 of those hours.
69.8% of nursing staff left within the year CMS measured (Indiana average 45.9%).
CMS links it to Cardon & Associates, an affiliated group of 19 nursing homes.
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 30 health citations on file.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident received supervision during incontinence care to prevent the resident from being rolled off the bed onto the floor for 1 of 3 residents reviewed for accidents. (Resident B) This deficient practice resulted in Resident B being hospitalized with an eight-millimeter frontal subdural hematoma.
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 7) This deficient practice resulted in Resident 7 being hospitalized for toxic metabolic encephalopathy due to a high dose of medication and her end stage renal disease.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure narcotic reconciliation was documented as completed, medications were available without interruptions in administration, and to ensure accurate administration documentation and destruction by obtaining two nurse's signatures for 3 of 3 medication carts (500 Unit, 700-1 Unit, 800 Unit) and 2 of 2 residents (Resident 138 and 55) reviewed for pharmacy services.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure medications were dated when opened, were stored in the original pharmacy packaging, and a medication administration record matched the pharmacy label for a narcotic pain medication for 3 of 5 medication carts (500 Unit, 300 Unit and 700 Unit), 1 of 3 medication storage refrigerators (300 Unit), and 1 of 1 resident (Resident 55) reviewed for drug labeling and storage.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the interdisciplinary team (IDT) determined self-administration of medications was clinically appropriate and notation of the determinations were documented in the resident's medical record and care plan for 1 of 1 resident reviewed for self-administration of nebulizer treatments. (Resident 113)
Inspectors wroteBased on interview and record review, the facility failed to ensure blood pressure medications were held according to the physician's orders for 2 of 3 residents reviewed for quality of care. (Resident 13 and 96)
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure oxygen and nebulizer tubing lines were dated and a physician order was in place for the use of oxygen for 3 of 5 residents reviewed for respiratory care. (Resident 12, 113 and 138)
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure an active physician's order for hemodialysis and monitoring before and after dialysis was obtained for 1 of 1 resident reviewed for dialysis. (Resident 7)
Inspectors wroteBased on interview and record review, the facility failed to ensure the diagnosis used supported the adequate indications for use of the medication for 2 of 6 residents reviewed for unnecessary medications. (Resident 3 and 11)
Inspectors wroteBased on interview and record review, the facility failed to ensure a staff member followed the policy and procedure when administering narcotics for 2 of 2 residents reviewed for pharmaceutical services. (Resident F and G)
Inspectors wroteBased on interview and record review, the facility failed to ensure staff followed physician's orders to hold medications, administer as needed (prn) medications according to the parameters, obtain daily weights, and failed to communicate with a urologist and a hospice provider for 5 of 5 residents reviewed for quality of care. (Residents G, H, F, 33 and 105)
Inspectors wroteBased on interview and record review, the facility failed to ensure mail was delivered unopened for 1 of 1 resident reviewed for resident rights. (Resident 135)
Inspectors wroteBased on interview and record review, the facility failed to ensure pre-admission screening and resident reviews (PASARR) were accurate and updated for 2 of 3 residents reviewed for PASARR. (Residents 87 and D)
Inspectors wroteBased on interview and record review, the facility failed to ensure a comprehensive person-centered care plan was developed for a resident diagnosed and treated for insomnia for 1 of 31 residents reviewed for comprehensive person-centered care plans. (Resident F)
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a resident did not have smoking articles in their room for 1 of 7 residents reviewed for accident hazards. (Resident 241)
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the correct amount of oxygen was administered as ordered by the physician for 2 of 3 residents reviewed for respiratory care. (Resident 10 and 37)
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the on-coming and off-going staff signed the narcotic count books each shift for 2 of 3 medication carts reviewed for drug reconciliation. (700-unit and 400-unit)
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure medications and supplements were labeled and dated, expired medications were removed from the cart and medications were stored safe and secured away from residents for 3 of 3 units and 2 of 2 residents reviewed for medication storage. (500-unit, 800-unit, 700-unit, Resident 80 and Resident 45)
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a resident received dental services to repair or replace partial dentures for 1 of 1 resident reviewed for dental services. (Resident 122)
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure food was served at a safe and appetizing temperature for 1 of 1 room tray tested for food temperatures. (200 hall)
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a safe, functional, sanitary, and comfortable environment was provided for 5 of 142 rooms reviewed for environment. (Rooms 314, 401, 428, 527, 719)
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the interdisciplinary team determined a resident was clinically appropriate to self-administer medications for 1 of 1 resident randomly observed for self-administration of medications. (Resident 2)
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure infection control practices were maintained when a staff member failed to remove medication from the packaging in a sanitary manner for 1 of 5 residents reviewed for medication administration. (Resident 3)
Inspectors wroteBased on interview and record review the facility failed to ensure code status was clearly indicated for 1 of 26 residents reviewed. (Resident 81).
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure privacy was maintained for 3 of 11 residents reviewed (Resident 8, Resident 43, and Resident 64).
Inspectors wroteBased on interview and record review the facility failed to ensure the right to file a grievance without interference was maintained for 2 of 9 residents reviewed (Resident 36 and Resident 97).
Inspectors wroteBased on observation, interview, and record review the facility failed to follow physician orders for 2 of 6 residents reviewed. (Resident 4 and Resident 98)
Inspectors wroteBased on record review, and interview, the facility failed to ensure weights weekly as ordered were obtained for 1 of 3 residents reviewed. (Resident 40).
Inspectors wroteBased on Observation, interview, and record review the facility failed to ensure consistent midline intravenous (IV) care for 1 of 1 resident reviewed with parenteral fluids. (Resident 40).
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure pain interventions were initiated consistently for 2 of 6 residents reviewed. (Resident 238 and Resident 4)
17 fire safety citations on file: 8 on September 25, 2025, 4 on November 4, 2024, 5 on October 27, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| November 13, 2025 | Fine | $14,015 |
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) | 3.64 | 3.69 | 3.86 |
| Registered nurses | 0.47 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.15 | 3.25 | 3.42 |
| Nurse aides | 2.01 | ||
| Licensed practical nurses | 1.16 | ||
| Nursing staff turnover (share who left in a year) | 69.8% | 45.9% | 45.8% |
| Registered nurse turnover | 60.7% | 40.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.72 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 3.84 on weekdays and 3.15 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.49 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 | 0.47 | 3.84 | 3.15 | 3.6% | 0 of 90 | 139 |
| Oct to Dec 2025 | 3.58 | 0.57 | 3.71 | 3.25 | 8.0% | 0 of 92 | 138 |
| Jul to Sep 2025 | 3.56 | 0.59 | 3.74 | 3.12 | 9.4% | 0 of 92 | 131 |
| Apr to Jun 2025 | 3.49 | 0.56 | 3.66 | 3.07 | 14.3% | 0 of 91 | 131 |
| 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 | 14.0 | 11.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.6 | 1.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.1 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.8 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.3 | 11.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.1 | 3.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.1 | 13.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 29.0 | 22.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.6 | 10.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.4 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Carmel Health & Living Community's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (50.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
50.9% 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. 93 eligible stays.
11.4% 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. 106 eligible stays.
9.9% this home
No different from 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. 81 eligible stays.
62.7% 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. 59 residents counted.
1.3% 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. 79 residents counted.
3.3% 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. 79 residents counted.
100.0% 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. 33 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.
Legal business name: RIVERVIEW HOSPITAL. CMS links this home to Cardon & Associates, a group of 19 nursing homes averaging 3.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Riverview Hospital | 5% or greater direct ownership interest | Organization | 100% | 01/01/2011 |
| Orix Real Estate Capital LLC | 5% or greater security interest | Organization | 06/28/2012 | |
| Balla, Matthew | Managing control - governing body | Individual | 05/23/2022 | |
| Cattell, Zachary | Managing control - governing body | Individual | 04/25/2022 | |
| Fauth, Kendra | Managing control - governing body | Individual | 12/26/2021 | |
| Gormal, Gregg | Managing control - governing body | Individual | 10/01/2016 | |
| Haug, Amy | Managing control - governing body | Individual | 01/04/2022 | |
| Holliday, Alyssa | Managing control - governing body | Individual | 03/15/2022 | |
| Hyatt, David | Managing control - governing body | Individual | 03/27/2023 | |
| Lopossa, Lynn | Managing control - governing body | Individual | 12/17/2023 | |
| McClelland, Thomas | Managing control - governing body | Individual | 12/26/2021 | |
| Spencer, Leaann | Managing control - governing body | Individual | 06/18/2018 | |
| Friend, Jayna | Corporate officer | Individual | 06/01/2021 | |
| Cardon and Associates Inc | Operational/managerial control | Organization | 08/23/2013 | |
| Cardon Management Company LLC | Operational/managerial control | Organization | 12/01/2011 | |
| Moore Operating Group Inc | Operational/managerial control | Organization | 05/18/2020 | |
| Balla, Matthew | Operational/managerial control | Individual | 05/23/2022 | |
| Cattell, Zachary | Operational/managerial control | Individual | 04/25/2022 | |
| Fauth, Kendra | Operational/managerial control | Individual | 12/26/2021 | |
| Friend, Jayna | Operational/managerial control | Individual | 06/01/2021 | |
| Gormal, Gregg | Operational/managerial control | Individual | 10/01/2016 | |
| Haug, Amy | Operational/managerial control | Individual | 01/04/2022 | |
| Holliday, Alyssa | Operational/managerial control | Individual | 03/15/2022 | |
| Hyatt, David | Operational/managerial control | Individual | 03/27/2023 | |
| Karner, Jim | Operational/managerial control | Individual | 06/18/2012 | |
| Lopossa, Lynn | Operational/managerial control | Individual | 12/17/2023 | |
| McClelland, Thomas | Operational/managerial control | Individual | 12/26/2021 | |
| McIntosh, Eric | Operational/managerial control | Individual | 10/31/2021 | |
| Mtafu, Anke | Operational/managerial control | Individual | 08/07/2023 | |
| Paracha, Ibrar | Operational/managerial control | Individual | 03/15/2021 | |
| Headley, Kathy | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 08/25/2025 | |
| Moore, Daniel | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 08/25/2025 | |
| Moore, David | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 08/25/2025 | |
| Moore, Stephen | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 08/25/2025 | |
| Ankura Consulting Group LLC | Adp of the SNF | Organization | 06/15/2022 | |
| Bradley & Associates Inc | Adp of the SNF | Organization | 01/01/2023 | |
| Cardon and Associates Inc | Adp of the SNF | Organization | 06/10/2025 | |
| Cardon Management Company LLC | Adp of the SNF | Organization | 06/10/2025 | |
| Carmel H&l Property LLC | Adp of the SNF | Organization | 12/01/2011 | |
| Cole Marketing Communications Inc | Adp of the SNF | Organization | 04/01/2015 | |
| Forvis Mazars LLP | Adp of the SNF | Organization | 01/01/2021 | |
| Healthdrive Podiatry Group Pa | Adp of the SNF | Organization | 03/07/2019 | |
| Heart of Cardon LLC | Adp of the SNF | Organization | 09/06/2007 | |
| Isd Renal Inc | Adp of the SNF | Organization | 07/16/2021 | |
| Jeffrey L Morer Od PC | Adp of the SNF | Organization | 03/07/2019 | |
| Lacy Beyl & Company Inc | Adp of the SNF | Organization | 07/15/2015 | |
| Lifespan Therapy LLC | Adp of the SNF | Organization | 10/25/2007 | |
| Med-Pass Incorporated | Adp of the SNF | Organization | 09/01/2020 | |
| Mobile Audiology Associates PC | Adp of the SNF | Organization | 03/07/2019 | |
| Moser Consulting Incorporated | Adp of the SNF | Organization | 04/01/2020 | |
| Orix Real Estate Capital LLC | Adp of the SNF | Organization | 06/11/2025 | |
| Proactive Clinical Partners | Adp of the SNF | Organization | 01/01/2020 | |
| Respiratory Partners Inc | Adp of the SNF | Organization | 11/01/2019 | |
| Restup, LLC | Adp of the SNF | Organization | 06/29/2022 | |
| Third Eye Health Inc | Adp of the SNF | Organization | 02/04/2022 | |
| Vohra Wound Physicians of the West PC | Adp of the SNF | Organization | 09/01/2021 | |
| Vox Global LLC | Adp of the SNF | Organization | 02/28/2019 | |
| Balla, Matthew | Adp of the SNF | Individual | 05/23/2022 | |
| Brackman, Kathryn | Adp of the SNF | Individual | 08/01/2020 | |
| Cattell, Zachary | Adp of the SNF | Individual | 04/25/2022 | |
| Fauth, Kendra | Adp of the SNF | Individual | 12/26/2021 | |
| Friend, Jayna | Adp of the SNF | Individual | 06/03/2021 | |
| Gormal, Gregg | Adp of the SNF | Individual | 10/01/2016 | |
| Haug, Amy | Adp of the SNF | Individual | 01/04/2022 | |
| Holliday, Alyssa | Adp of the SNF | Individual | 03/15/2022 | |
| Karner, Jim | Adp of the SNF | Individual | 06/18/2012 | |
| Lopossa, Lynn | Adp of the SNF | Individual | 12/17/2023 | |
| McClelland, Thomas | Adp of the SNF | Individual | 12/26/2021 | |
| McIntosh, Eric | Adp of the SNF | Individual | 10/31/2021 | |
| Mtafu, Anke | Adp of the SNF | Individual | 08/07/2023 | |
| Paracha, Ibrar | Adp of the SNF | Individual | 03/15/2021 | |
| Spencer, Leaann | Adp of the SNF | Individual | 06/18/2018 |
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.
These are the official offices in Indiana. NursingHomeClear cannot take or act on complaints.