What is Caroleton Healthcare Center's Medicare star rating?

CMS rates Caroleton Healthcare Center 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Caroleton Healthcare Center get at its last inspection?

8 health deficiencies at the standard inspection on April 24, 2026. The Indiana average is 7.2.

Has Caroleton Healthcare Center been fined?

CMS lists no fines in the last three years.

Does Caroleton Healthcare Center accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Caroleton Healthcare Center?

CMS lists 25 owners and managers, and links the home to Communicare Health. Legal business name: ADAMS COUNTY MEMORIAL HOSPITAL.

Caroleton Healthcare Center: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on April 24, 2026, inspectors cited 8 health deficiencies (the Indiana average is 7.2, the national average 9.2).

None of its 12 health citations since March 2024 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.59 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.74 of those hours.

32.1% of nursing staff left within the year CMS measured (Indiana average 45.9%).

CMS links it to Communicare Health, an affiliated group of 110 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.

403/24

004/25

804/26

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 12 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

April 24, 2026Standard inspection · 8 citations

E

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, pattern · Corrected (the home has a date of correction) May 18, 2026

Inspectors wroteBased on interview and record review, the facility failed to have complete and accurate documentation for the use of an antibiotic and failed to accurately document a resident's refusal of wearing heel boots and refusal of fingernail care for 3 of 34 residents reviewed for complete and accurate documentation (Resident 1, Resident 3 and Resident 32).
D

Ensure services provided by the nursing facility meet professional standards of quality.

F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 18, 2026

Inspectors wroteBased on observation, interview, and record review, the facility failed to follow the physician's order for the correct size indwelling catheter (a tube that is inserted into the bladder, allowing urine to drain freely) for 1 of 35 residents reviewed to receive care and services that meet professional standards (Resident 4).
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 · Corrected (the home has a date of correction) May 18, 2026

Inspectors wroteBased on observation, interview, and record review, the facility failed to assist a dependent resident with fingernail care and facial hair removal for 1 of 2 residents reviewed for Activities of Daily Living (ADL) (Resident 47).
D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 18, 2026

Inspectors wroteBased on observation, interview, and record review, the facility failed to implement tubular (tubi) compression bandage on both arms as ordered by the physician for a resident who was experiencing arm edema (swelling) for 1 of 2 residents reviewed for general skin condition (Resident 4).
D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 18, 2026

Inspectors wroteBased on interview, observation, and record review, the facility failed to implement interventions of heel boots and follow physician orders for treatment of a pressure area for 1 of 3 residents reviewed for pressure ulcers. (Resident 3)
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.

F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 18, 2026

Inspectors wroteBased on observation, interview, and record review, the facility failed to perform hand hygiene and change gloves when providing catheter (a tube that is inserted into the bladder, allowing urine to drain freely) care for 1 of 2 residents reviewed for catheter (Resident 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) May 18, 2026

Inspectors wroteBased on observation, interview, and record review, the facility failed to implement Enhanced Barrier Precautions (EBP) while providing catheter care and during a pressure ulcer treatment for 2 of 5 residents reviewed for infection control (Resident 4 and Resident 3).
C

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

F577 · Resident Rights · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) May 18, 2026

Inspectors wroteBased on observation, interview, and record review, the facility failed to post the results of the most recent survey of the facility in a place readily accessible to residents, family members, and legal representatives of residents for 46 of 46 residents in the facility. A resident council meeting was held on 4/22/26 at 9:45 a.m. The following residents were present at the meeting: Residents 17, 18, 21, 36, 37, 41, 43, and 44. During the meeting the council indicated they were unaware of the location of the most recent survey results. On 4/22/26 at 10:14 a.m., an observation of the facility survey binder was made. The binder was located in a bin attached to the wall by the entrance to the facility. There was a sign, informing survey results availability posted above the survey binder. Neither the binder nor the sign were at wheelchair level. [...]

April 3, 2025Standard inspection · 0 citations

March 1, 2024Standard inspection · 4 citations

E

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, pattern · Corrected (the home has a date of correction) March 20, 2024

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure food was kept at safe holding temperatures on the steam table, and failed to ensure dishes were stored dry for 2 of 4 observations and had the potential to affect all 47 residents in the facility.
D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 20, 2024

Inspectors wroteBased on observation, interview and record review the facility failed to implement a fall intervention of a reacher to assist the resident with picking items off the floor for a resident who had a history of falls and was at risk for falls for 1 of 2 residents reviewed for accidents (Resident 20).
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.

F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 20, 2024

Inspectors wroteBased on observations, interview, and record review, the facility failed to promote a resident's dignity by ensuring the use of a catheter drainage bag and have an order for the use of an indwelling urinary catheter for 1 of 3 residents reviewed for urinary catheters. (Resident 43)
D

Provide safe and appropriate respiratory care for a resident when needed.

F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 20, 2024

Inspectors wroteBased on observation, interview and record review the facility failed to ensure Resident 13's portable oxygen tubing and storage bag was dated for 1 of 1 resident reviewed for respiratory care (Resident 13).

Fire safety inspections

14 fire safety citations on file: 4 on April 24, 2026, 7 on April 3, 2025, 3 on March 1, 2024.

Every fire safety citation14 citations

F
Have simulated fire drills held at unexpected times.

K 712 · April 24, 2026 · Corrected (the home has a date of correction)
F
Ensure that testing and maintenance of electrical equipment is performed.

K 921 · April 24, 2026 · Corrected (the home has a date of correction)
E
Install corridor and hallway doors that block smoke.

K 363 · April 24, 2026 · Corrected (the home has a date of correction)
D
Have properly installed electrical wiring and gas equipment.

K 511 · April 24, 2026 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · April 3, 2025 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · April 3, 2025 · Corrected (the home has a date of correction)
F
Ensure that testing and maintenance of electrical equipment is performed.

K 921 · April 3, 2025 · Corrected (the home has a date of correction)
E
Keep aisles, corridors, and exits free of obstruction in case of emergency.

K 211 · April 3, 2025 · Corrected (the home has a date of correction)
E
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

K 361 · April 3, 2025 · Corrected (the home has a date of correction)
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · April 3, 2025 · Corrected (the home has a date of correction)
E
Ensure proper usage of power strips and extension cords.

K 920 · April 3, 2025 · Corrected (the home has a date of correction)
E
Keep aisles, corridors, and exits free of obstruction in case of emergency.

K 211 · March 1, 2024 · Corrected (the home has a date of correction)
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 · March 1, 2024 · Corrected (the home has a date of correction)
E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

K 741 · March 1, 2024 · Corrected (the home has a date of correction)

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)	3.59	3.69	3.86
Registered nurses	0.74	0.67	0.69
All nursing staff on weekends	3.06	3.25	3.42
Nurse aides	1.94
Licensed practical nurses	0.90
Nursing staff turnover (share who left in a year)	32.1%	45.9%	45.8%
Registered nurse turnover	30.0%	40.3%	42.9%
Administrators who left	0

CMS expects 4.07 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 3.80 on weekdays and 3.06 on weekends, 19% 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 3.51 in April to June 2025 to 3.59 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	3.59	0.74	3.80	3.06	0.0%	0 of 90	43
Oct to Dec 2025	3.48	0.68	3.63	3.09	0.0%	0 of 92	46
Jul to Sep 2025	3.50	0.64	3.68	3.05	0.0%	0 of 92	47
Apr to Jun 2025	3.51	0.61	3.67	3.11	0.0%	0 of 91	47
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Indiana, Jan to Mar 2026	3.63	0.62	3.80	3.19	3.4%	0.4% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

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

Measure	This home	Indiana	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	6.8	11.0	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.0	0.4	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	1.3	1.1	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	0.0	3.9	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.0	1.2	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	15.0	11.9	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	0.0	3.6	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	7.2	13.6	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	15.2	22.2	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	12.2	10.8	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.1	1.6	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	0.5	1.4	1.8

Owners and operators

Legal business name: ADAMS COUNTY MEMORIAL HOSPITAL. CMS links this home to Communicare Health, a group of 110 nursing homes averaging 3.2 stars overall.

Name	Role	Type	Since
Borne-Bauman, Candice	Managing control - governing body	Individual	01/01/2019
Flueckiger, Russell	Managing control - governing body	Individual	05/01/2013
Lehman, Scott	Managing control - governing body	Individual	07/14/2020
Macklin, Larry	Managing control - governing body	Individual	05/01/2013
McIntire, David	Managing control - governing body	Individual	01/01/2019
Adams County Memorial Hospital	Operational/managerial control	Organization	05/01/2013
Iowa Mgt Co LLC	Operational/managerial control	Organization	09/01/2017
Borne-Bauman, Candice	Operational/managerial control	Individual	01/01/2019
Flueckiger, Russell	Operational/managerial control	Individual	05/01/2013
James, Tonya	Operational/managerial control	Individual	08/30/2022
Lehman, Scott	Operational/managerial control	Individual	07/14/2020
Macklin, Larry	Operational/managerial control	Individual	05/01/2013
McIntire, David	Operational/managerial control	Individual	01/01/2019
Odenthal, Richard	Operational/managerial control	Individual	09/01/2017
Radadiya, Pragneshkumar	Operational/managerial control	Individual	07/12/2019
Smith, Scott	Operational/managerial control	Individual	01/01/2020
Sprunger, Kyle	Operational/managerial control	Individual	01/01/2018
Wheeler, Dane	Operational/managerial control	Individual	05/01/2013
Blue Management Services LLC	Adp of the SNF	Organization	12/01/2023
First Bank of Berne	Adp of the SNF	Organization	01/01/2020
Iowa Mgt Co LLC	Adp of the SNF	Organization	09/01/2017
Omega Healthcare Investors Inc	Adp of the SNF	Organization	09/01/2017
Omg in Mstr Lsco LLC	Adp of the SNF	Organization	07/28/2025
James, Tonya	Adp of the SNF	Individual	08/30/2022
Radadiya, Pragneshkumar	Adp of the SNF	Individual	07/28/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

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 April 24, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on April 24, 2026: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on April 24, 2026: "Provide and implement an infection prevention and control program."
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 April 24, 2026: "Allow residents to easily view the nursing home's survey results and communicate with advocate agencies."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.06 hours per resident per day, below the Indiana average of 3.25.

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Heritage House Rehabilitation & Health Care Center
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Envive of Liberty
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Ambassador Healthcare
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Brickyard Healthcare - Golden Rule Care Center
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Flatrock River Lodge
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Waters of Rushville Skilled Nursing Facility, the
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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 Caroleton Healthcare Center's Medicare star rating?: CMS rates Caroleton Healthcare Center 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Caroleton Healthcare Center get at its last inspection?: 8 health deficiencies at the standard inspection on April 24, 2026. The Indiana average is 7.2.
Has Caroleton Healthcare Center been fined?: CMS lists no fines in the last three years.
Does Caroleton Healthcare Center accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Caroleton Healthcare Center?: CMS lists 25 owners and managers, and links the home to Communicare Health. Legal business name: ADAMS COUNTY MEMORIAL 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.