Find a nursing home

Home / Indiana / Liberty

Envive of Liberty

215 West High Street, Liberty, IN 47353 · Union County · (765) 458-5117

60 certified beds, about 29 residents a day · For profit - Corporation · Medicare and Medicaid since 1994

Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 155507 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on September 23, 2025, inspectors cited 1 health deficiency (the Indiana average is 7.2, the national average 9.2).

Of 15 health citations since June 2023, 3 were rated as actual harm or immediate jeopardy to residents.

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

Nurses and nurse aides worked 3.74 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.59 of those hours.

63.9% of nursing staff left within the year CMS measured (Indiana average 45.9%).

CMS links it to Envive Healthcare, an affiliated group of 13 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.

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 15 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
11D
1E
0F
Potential for minimal harm
0A
0B
0C
November 6, 2025Complaint inspection · 3 citations
  1. G
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 16, 2025
    Inspectors wroteBased on interview and record review the facility failed to complete neurological assessments after two residents fell and hit their head resulting in Resident B sustaining a subdural hematoma (collection of blood that forms between the dura mater (the outer layer of the brain's protective membranes) and the brain itself) and requiring hospitalization for 2 of 3 residents reviewed for accidents (Residents B and D).
  2. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 16, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a safe environment in the shower room (wet/slick floor) with two residents suffering a fall in the shower room (Resident B and C). This deficiency resulted in Resident B acquiring a large right acute subdural hematoma with left midline shift and uncal herniation.
  3. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 16, 2025
    Inspectors wroteBased on interview and record review the facility failed to notify a resident's physician and emergency contact/resident representative when a resident fell and hit his head for 1 of 3 residents reviewed for accidents (Resident B).
September 23, 2025Standard inspection · 1 citation
  1. 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) October 15, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain holding temperatures for pureed food for 4 of 4 residents receiving pureed foods. (Resident 10, 17, 23, and 29)
January 24, 2025Complaint inspection · 2 citations
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 14, 2025
    Inspectors wroteBased on interview and record review, the facility failed to protect the resident's right to be free from verbal abuse by a staff member for 1 of 3 residents reviewed for verbal abuse. (Resident B)
  2. 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 · found on a complaint visit · Corrected (the home has a date of correction) February 14, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure falls were investigated and documented thoroughly for 3 of 3 residents reviewed for falls. (Residents E, G and H)
July 12, 2024Standard inspection · 4 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) August 8, 2024
    Inspectors wrote1. Based on observation, interview, and record review, the facility failed to ensure staff effectively implemented fall prevention interventions while using an assistive device in the shower to prevent accidents for 1 of 3 residents reviewed for accidents. This deficient practice resulted in Resident 6 experiencing a fall that required hospitalization for the treatment of a subarachnoid hemorrhage. 2. The facility failed to ensure fall interventions were in place while utilizing an assistive device for 1 of 2 residents reviewed for positioning and mobility. (Resident 23)
  2. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 8, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to provide fresh ice water daily and failed to keep a call light and personal items within reach for 3 of 3 residents reviewed for choices (Resident 20, Resident 17 and Resident 2).
  3. 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) August 8, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to store a Bi Pap facial mask and nebulizer mouthpiece in a bag to maintain good infection control practices for 1 of 4 residents reviewed for respiratory therapy (Resident 17).
  4. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 8, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide and administer a resident's medication, as ordered, for 1 of 1 resident reviewed for antibiotic use. (Resident 18)
June 6, 2023Standard inspection · 5 citations
  1. D
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    F557 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 23, 2023
    Inspectors wroteBased on interview and record review the facility failed to provide a respectful and dignified environment during care for 1 of 2 residents reviewed for dignity (Resident B).
  2. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 23, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to keep bedroom wall in good repair, maintain and odor free environment and keep bedroom window clean and good repair for 3 of 3 residents reviewed for environment (Resident E, Resident F and Resident B).
  3. 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) June 23, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to provide a resident with oral care for 1 of 2 residents reviewed for Activities of Daily Living (ADLs). (Resident 18)
  4. 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) June 23, 2023
    Inspectors wroteBased on interview and record review the facility failed to transfer a resident in a safe manner for 1 of 4 residents reviewed for accidents (Resident B).
  5. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 23, 2023
    Inspectors wroteBased on interview, observation, and record review, the facility failed to implement nonpharmacological pain control, failed to administer as needed pain medication for verbal reports of pain, and failed to notify the physician of breakthrough pain for 1 of 2 residents reviewed for pain management. (Resident 11)

Fire safety inspections

15 fire safety citations on file: 7 on September 23, 2025, 3 on July 12, 2024, 1 on July 5, 2024, 4 on June 6, 2023.

Every fire safety citation15 citations
  1. F
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · September 23, 2025 · Corrected (the home has a date of correction)
  2. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 23, 2025 · Corrected (the home has a date of correction)
  3. F
    Have simulated fire drills held at unexpected times.
    K 712 · September 23, 2025 · Corrected (the home has a date of correction)
  4. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · September 23, 2025 · Corrected (the home has a date of correction)
  5. E
    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
    K 927 · September 23, 2025 · Corrected (the home has a date of correction)
  6. D
    Install corridor and hallway doors that block smoke.
    K 363 · September 23, 2025 · Corrected (the home has a date of correction)
  7. C
    Establish staff and initial training requirements.
    E 37 · September 23, 2025 · Corrected (the home has a date of correction)
  8. E
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · July 12, 2024 · Corrected (the home has a date of correction)
  9. E
    Install corridor and hallway doors that block smoke.
    K 363 · July 12, 2024 · Corrected (the home has a date of correction)
  10. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · July 12, 2024 · Corrected (the home has a date of correction)
  11. E
    Install an approved automatic sprinkler system.
    K 351 · July 5, 2024 · Corrected (the home has a date of correction)
  12. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 6, 2023 · Corrected (the home has a date of correction)
  13. E
    Meet other general requirements that are deficient.
    K 300 · June 6, 2023 · Corrected (the home has a date of correction)
  14. 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 · June 6, 2023 · Corrected (the home has a date of correction)
  15. E
    Ensure proper usage of power strips and extension cords.
    K 920 · June 6, 2023 · 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.

MeasureThis homeIndianaUnited States
All nursing staff (RN, LPN and aides)3.743.693.86
Registered nurses0.590.670.69
All nursing staff on weekends3.803.253.42
Nurse aides2.16
Licensed practical nurses0.98
Nursing staff turnover (share who left in a year)63.9%45.9%45.8%
Registered nurse turnover70.0%40.3%42.9%
Administrators who leftnot reported

CMS expects 5.39 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 3.72 on weekdays and 3.80 on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 19.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.52 in April to June 2025 to 3.74 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.740.593.723.80 19.4%0 of 9029
Oct to Dec 20253.600.683.723.29 17.1%1 of 9227
Jul to Sep 20253.420.953.573.04 2.8%0 of 9224
Apr to Jun 20254.521.154.773.88 6.4%0 of 9124
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Indiana, Jan to Mar 20263.630.623.803.193.4%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.

MeasureThis homeIndianaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
16.911.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.10.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.03.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
22.911.914.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.13.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
1.813.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
32.822.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
13.310.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.41.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.41.41.8

Owners and operators

Legal business name: ADAMS COUNTY MEMORIAL HOSPITAL. CMS links this home to Envive Healthcare, a group of 13 nursing homes averaging 2.3 stars overall.

NameRoleTypeShareSince
Mrt of Liberty in-SNF LLC5% or greater security interestOrganization01/01/2025
Borne-Bauman, CandiceManaging control - governing bodyIndividual01/01/2025
Flueckiger, RussellManaging control - governing bodyIndividual01/01/2025
Lehman, ScottManaging control - governing bodyIndividual01/01/2025
Macklin, LarryManaging control - governing bodyIndividual01/01/2025
McIntire, DavidManaging control - governing bodyIndividual01/01/2025
Adams County Memorial HospitalOperational/managerial controlOrganization01/01/2025
Envive of Liberty LLCOperational/managerial controlOrganization01/01/2025
Lt Care Acquisition CorpOperational/managerial controlOrganization01/01/2025
Borne-Bauman, CandiceOperational/managerial controlIndividual01/01/2025
Flueckiger, RussellOperational/managerial controlIndividual01/01/2025
Lehman, ScottOperational/managerial controlIndividual01/01/2025
Macklin, LarryOperational/managerial controlIndividual01/01/2025
Mazhar, AlizaOperational/managerial controlIndividual01/01/2025
McIntire, DavidOperational/managerial controlIndividual01/01/2025
Smith, ScottOperational/managerial controlIndividual01/01/2025
Sprunger, KyleOperational/managerial controlIndividual01/01/2025
Steele, ShawnOperational/managerial controlIndividual02/24/2025
Wheeler, DaneOperational/managerial controlIndividual01/01/2025
Blue Management Services LLCAdp of the SNFOrganization01/01/2025
Envive Healthcare LLCAdp of the SNFOrganization01/01/2025
Envive of Liberty LLCAdp of the SNFOrganization01/01/2025
First Bank of BerneAdp of the SNFOrganization01/01/2025
Mrt of Liberty in-SNF LLCAdp of the SNFOrganization01/01/2025
Proactive Clinical PartnersAdp of the SNFOrganization01/01/2025
Mazhar, AlizaAdp of the SNFIndividual01/01/2025
Steele, ShawnAdp of the SNFIndividual02/24/2025

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 8 problems in this area, most recently on November 6, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on November 6, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on September 23, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  4. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on January 24, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."

Other nursing homes nearby

Indiana contacts for a concern about a nursing home

These are the official offices in Indiana. NursingHomeClear cannot take or act on complaints.

Common questions

What is Envive of Liberty's Medicare star rating?
CMS rates Envive of Liberty 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Envive of Liberty get at its last inspection?
1 health deficiency at the standard inspection on September 23, 2025. The Indiana average is 7.2.
Has Envive of Liberty been fined?
CMS lists no fines in the last three years.
Does Envive of Liberty 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 Envive of Liberty?
CMS lists 27 owners and managers, and links the home to Envive Healthcare. Legal business name: ADAMS COUNTY MEMORIAL HOSPITAL.

Sources

Find a nursing home Read an inspection