Danville Regional Rehabilitation
255 Meadow Dr, Danville, IN 46122 · Hendricks County · (317) 745-5451
110 certified beds, about 106 residents a day · Government - County · Medicare and Medicaid since 1972
CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 155132 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 23, 2025, inspectors cited 4 health deficiencies (the Indiana average is 7.2, the national average 9.2).
None of its 16 health citations since February 2023 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 3.58 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.57 of those hours.
24.7% of nursing staff left within the year CMS measured (Indiana average 45.9%).
CMS links it to American Senior Communities, an affiliated group of 90 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
1002/23
205/24
406/25
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 16 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
12D
4E
0F
Potential for minimal harm
0A
0B
0C
June 23, 2025Standard inspection · 4 citations
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident, (Resident 94) had the right to formulate an advanced directive for 1 of 2 residents reviewed for advance directives.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observations, record reviews, and interviews, the facility failed to accurately code the Minimum Data Set (MDS) for a suprapubic catheter (a hollow tube inserted through the abdomen into the bladder to drain urine, typically used when a urethral catheter is not feasible or desirable) and an coded an anticoagulant medication when the resident did not received an anticoagulant medication for 2 of 7 resident reviewed (Residents 39 and 13).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to prevent the potential for accidents with ongoing safety monitoring and assessments for a resident (Resident 62) who required the use of a seat belt in his wheelchair for 1 of 1 resident reviewed for the use of a seat belt.
- 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 and interviews, the facility failed to store topical creams from medications, keep the medication cart clean, failed to remove expired insulin from use, and failed to date insulin and eye drops for 2 of 4 medications carts observed.
May 3, 2024Standard inspection · 2 citations
- 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 a urinary catheter bag and catheter tubing did not touch the floor resulting in a urinary tract infection (UTI) for 1 of 2 residents observed for catheter acquired urinary tract infection (cauti) (Resident 81), and failed to ensure residents had diagnoses to support the insertion of urinary Foley catheters for 2 of 2 residents reviewed for urinary catheters (Resident 81 and 155).
- 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 1 of 4 treatment carts remained locked and medication remained inaccessible to residents and visitors (Residents 345, 11, 79, and 63).
February 28, 2023Standard inspection · 10 citations
- E Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, interview, and record review, the facility failed to accurately code the Minimum Data Set (MDS) for 4 of 6 residents reviewed for MDS accuracy (Residents 34, 40, 69 and 102).
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to prevent the potential for accidents by maintaining safe hot water temperatures in the secured memory care unit. This deficient practice had the potential to effect 26 of 26 residents who resided on the memory care unit (Residents 24, 53, 54, 88, and 59).
- E 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 urinary catheter bags were kept off the floor for 2 of 4 residents reviewed for urinary catheters (Resident 18 and 41).
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, interview, and record review, the facility failed to ensure infection control procedures were followed by staff in the main dining room while assisting residents with eating for 5 of 5 randomly observed residents during a dining services observation, (Residents 9, 159, 163, 305, and one unidentified resident).
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on record review and interview, the facility failed to ensure a new resident had a baseline care plan initiated to identify problems related to pain and insomnia (Resident 204) for 1 of 22 residents reviewed for care planning.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident had a new and/or revised comprehensive care plan to address a new diagnosis for 1 of 22 residents reviewed for care planning (Resident 59), and failed to revise a resident's care plan to include fall interventions for 1 of 22 residents reviewed for care planning (Resident 95).
- D Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to properly place and change a gauze/transparent dressing for a PICC line (peripherally inserted central catheter) for 1 of 1 resident reviewed for a vascular access device (Resident 154).
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview, and record review, the failed to ensure a resident with difficulty sleeping due to acute and chronic pain received medications, prescribed by the physician, to control pain and aid in ability to sleep, when they did not follow up after admission to obtain written prescriptions for the pharmacy to provide the prescribed medications (Resident 204) for 1 of 1 residents reviewed for pain.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure an approved psychiatric diagnosis was included in a resident's (Resident 82) comprehensive medical record for the use and indication of antipsychotic medications and failed to ensure ongoing monitoring for improving/worsening symptoms were documented to justify the medications continued use for 1 of 5 resident reviewed for unnecessary medications.
- 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 medications were properly secured, and also failed to waste or destroy unused medications, according to federal guidelines, when a nurse threw medications into the trash can and then poured medication down a sink drain for 3 of 5 random medication administration observations.
Fire safety inspections
4 fire safety citations on file: 1 on June 23, 2025, 1 on May 3, 2024, 2 on February 28, 2023.
Every fire safety citation4 citations
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- B Ensure proper usage of power strips and extension cords.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E Install emergency lighting that can last at least 1 1/2 hours.
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) | 3.58 | 3.69 | 3.86 |
| Registered nurses | 0.57 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.01 | 3.25 | 3.42 |
| Nurse aides | 2.13 | ||
| Licensed practical nurses | 0.88 | ||
| Nursing staff turnover (share who left in a year) | 24.7% | 45.9% | 45.8% |
| Registered nurse turnover | 28.6% | 40.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.04 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 3.81 on weekdays and 3.01 on weekends, 21% 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 3.63 in April to June 2025 to 3.58 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 | 3.58 | 0.57 | 3.81 | 3.01 | 0.0% | 0 of 90 | 106 |
| Oct to Dec 2025 | 3.48 | 0.53 | 3.68 | 2.95 | 0.0% | 0 of 92 | 108 |
| Jul to Sep 2025 | 3.51 | 0.47 | 3.74 | 2.91 | 0.0% | 0 of 92 | 107 |
| Apr to Jun 2025 | 3.63 | 0.48 | 3.86 | 3.07 | 0.0% | 2 of 91 | 102 |
| 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 | 6.6 | 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 | 0.7 | 1.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.9 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.7 | 11.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.4 | 3.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 4.3 | 13.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 19.8 | 22.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.4 | 10.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.1 | 1.4 | 1.8 |
Owners and operators
Legal business name: THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY. CMS links this home to American Senior Communities, a group of 90 nursing homes averaging 3.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Chies, Steven | Managing control - governing body | Individual | 03/17/2016 | |
| Jackson, Blake | Managing control - governing body | Individual | 07/01/2015 | |
| Jackson, Ethan | Managing control - governing body | Individual | 07/01/2015 | |
| Jackson, Mark | Managing control - governing body | Individual | 07/01/2015 | |
| Jackson, Michael | Managing control - governing body | Individual | 05/14/2024 | |
| Jackson, Wessley | Managing control - governing body | Individual | 07/01/2015 | |
| Justice, David | Managing control - governing body | Individual | 07/01/2015 | |
| Kelsey, Donna | Managing control - governing body | Individual | 07/18/2024 | |
| Stitle, Stephen | Managing control - governing body | Individual | 03/16/2016 | |
| Wright, Theressa | Managing control - governing body | Individual | 05/21/2021 | |
| Drummer, Carl | Corporate director | Individual | 01/01/2017 | |
| Fehribach, Gregory | Corporate director | Individual | 12/24/2004 | |
| Hanify, Thomas | Corporate director | Individual | 01/01/2022 | |
| Lazard, Robert | Corporate director | Individual | 01/29/2021 | |
| Mantravadi, Geeta | Corporate director | Individual | 07/21/2021 | |
| Mukes-Gaither, Beverly | Corporate director | Individual | 01/01/2022 | |
| Payne, Monica | Corporate director | Individual | 08/09/2021 | |
| Babcock, Paul | Corporate officer | Individual | 09/30/2020 | |
| Caine, Virginia | Corporate officer | Individual | 01/10/1994 | |
| Harris, Lisa | Corporate officer | Individual | 12/22/2003 | |
| American Senior Communities LLC | Operational/managerial control | Organization | 07/01/2015 | |
| Berry, Jenna | Operational/managerial control | Individual | 08/22/2022 | |
| Cline, Jonathon | Operational/managerial control | Individual | 04/01/2019 | |
| Dice, Mark | Operational/managerial control | Individual | 06/01/2023 | |
| Matthias, Stephanie | Operational/managerial control | Individual | 09/24/2021 | |
| Shane, Andrew | Operational/managerial control | Individual | 02/01/2023 | |
| Van Camp, Steven | Operational/managerial control | Individual | 06/01/2023 | |
| American Senior Communities LLC | Adp of the SNF | Organization | 07/01/2015 | |
| Berry, Jenna | Adp of the SNF | Individual | 03/30/2026 | |
| Cline, Jonathon | Adp of the SNF | Individual | 03/30/2026 | |
| Dice, Mark | Adp of the SNF | Individual | 06/01/2023 | |
| Shane, Andrew | Adp of the SNF | Individual | 02/01/2023 | |
| Van Camp, Steven | Adp of the SNF | Individual | 06/01/2023 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on June 23, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on June 23, 2025: "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."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on June 23, 2025: "Ensure each resident receives an accurate assessment."
- 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 23, 2025: "Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.01 hours per resident per day, below the Indiana average of 3.25.
Other nursing homes nearby
- Avon Health & Rehabilitation Center Avon, 2.5 mi · 5 of 5 stars · 14 citations
- Majestic Care of Avon Avon, 3.6 mi · 2 of 5 stars · 32 citations
- Countryside Meadows Avon, 6.4 mi · 3 of 5 stars · 36 citations
- Brownsburg Meadows Brownsburg, 7.2 mi · 3 of 5 stars · 24 citations
- Brownsburg Health Care Center Brownsburg, 7.8 mi · 1 of 5 stars · 53 citations
- Plainfield Health Care Center Plainfield, 7.8 mi · 2 of 5 stars · 58 citations
- Brooke Knoll Village Avon, 8.1 mi · 2 of 5 stars · 29 citations
- Cumberland Trace Health & Living Community Plainfield, 8.5 mi · 3 of 5 stars · 19 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 Danville Regional Rehabilitation's Medicare star rating?
- CMS rates Danville Regional Rehabilitation 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 Danville Regional Rehabilitation get at its last inspection?
- 4 health deficiencies at the standard inspection on June 23, 2025. The Indiana average is 7.2.
- Has Danville Regional Rehabilitation been fined?
- CMS lists no fines in the last three years.
- Does Danville Regional Rehabilitation 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 Danville Regional Rehabilitation?
- CMS lists 33 owners and managers, and links the home to American Senior Communities. Legal business name: THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY.
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.