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Lutheran Life Villages

351 N Allen Chapel Rd, Kendallville, IN 46755 · Noble County · (260) 347-2256

99 certified beds, about 81 residents a day · Government - County · Medicare and Medicaid since 2005

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 155744 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 3, 2026, inspectors cited 2 health deficiencies (the Indiana average is 7.2, the national average 9.2).

None of its 5 health citations since February 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 3.71 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.86 of those hours.

40.3% of nursing staff left within the year CMS measured (Indiana average 45.9%).

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 5 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
0E
0F
Potential for minimal harm
0A
0B
0C
March 3, 2026Standard inspection · 2 citations
  1. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 17, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medications were secured for 1 of 12 residents observed (Resident 48).
  2. 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) March 17, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure hand hygiene procedures were maintained during direct resident care for 1 of 2 residents reviewed (Resident 36).
February 18, 2025Standard inspection · 1 citation
  1. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 26, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure privacy of medical records for 2 of 8 residents reviewed (Resident 50, and Resident 123).
February 27, 2024Standard inspection · 2 citations
  1. D
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 8, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to recognize and identify triggers for a resident with a history of trauma for 1 of 6 residents reviewed. (Resident 5)
  2. 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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 8, 2024
    Inspectors wroteBased on interview and record review the facility failed to ensure behaviors were documented prior to the administration of an as needed medication for 1 of 5 residents reviewed (Resident 31).

Fire safety inspections

2 fire safety citations on file: 2 on February 27, 2024.

Every fire safety citation2 citations
  1. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · February 27, 2024 · Corrected (the home has a date of correction)
  2. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 27, 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.

MeasureThis homeIndianaUnited States
All nursing staff (RN, LPN and aides)3.713.693.86
Registered nurses0.860.670.69
All nursing staff on weekends3.413.253.42
Nurse aides2.53
Licensed practical nurses0.32
Nursing staff turnover (share who left in a year)40.3%45.9%45.8%
Registered nurse turnover16.7%40.3%42.9%
Administrators who left0

CMS expects 3.41 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 3.84 on weekdays and 3.41 on weekends, 11% 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 3.65 in April to June 2025 to 3.71 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.710.863.843.41 0.0%0 of 9081
Oct to Dec 20253.560.873.713.17 0.0%0 of 9279
Jul to Sep 20253.330.723.443.05 0.0%0 of 9279
Apr to Jun 20253.650.673.773.37 0.0%0 of 9175
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
21.811.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
3.41.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.03.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
9.71.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
16.811.914.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
0.03.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
8.313.615.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.81.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.71.41.8

Owners and operators

Legal business name: ADAMS COUNTY MEMORIAL HOSPITAL.

NameRoleTypeShareSince
Borne-Bauman, CandiceManaging control - governing bodyIndividual01/01/2019
Flueckiger, RussellManaging control - governing bodyIndividual07/01/2012
Lehman, ScottManaging control - governing bodyIndividual07/14/2020
Macklin, LarryManaging control - governing bodyIndividual07/01/2012
McIntire, DavidManaging control - governing bodyIndividual01/01/2019
Adams County Memorial HospitalOperational/managerial controlOrganization07/01/2012
Forvis Mazars LLPOperational/managerial controlOrganization06/01/2023
Healthcare Therapy Services IncOperational/managerial controlOrganization07/01/2012
Lutheran Homes, Inc.Operational/managerial controlOrganization07/01/2012
Adair, HeidiOperational/managerial controlIndividual03/01/2020
Bleke, RonOperational/managerial controlIndividual03/01/2022
Bohnke, BryanOperational/managerial controlIndividual03/01/2023
Borne-Bauman, CandiceOperational/managerial controlIndividual01/01/2019
Fenstermaker, SadieOperational/managerial controlIndividual02/28/2017
Fink, JaneOperational/managerial controlIndividual03/01/2022
Flueckiger, RussellOperational/managerial controlIndividual07/01/2012
Gotsch, DebbieOperational/managerial controlIndividual03/01/2019
Grote, RandyOperational/managerial controlIndividual03/01/2016
Hanke, ChrisOperational/managerial controlIndividual03/01/2018
Kiefer, AlexanderOperational/managerial controlIndividual07/01/2015
Lehman, ScottOperational/managerial controlIndividual07/14/2020
Linnemeier, CraigOperational/managerial controlIndividual03/01/2016
Macklin, LarryOperational/managerial controlIndividual07/01/2012
McIntire, DavidOperational/managerial controlIndividual01/01/2019
Messmann, GregOperational/managerial controlIndividual03/01/2021
Neary, TriciaOperational/managerial controlIndividual07/01/2023
Nehring, EmilyOperational/managerial controlIndividual03/01/2024
Park, AlisonOperational/managerial controlIndividual03/01/2018
Rush, KevinOperational/managerial controlIndividual03/01/2024
Smith, ScottOperational/managerial controlIndividual01/01/2020
Sprunger, KyleOperational/managerial controlIndividual01/01/2018
Teska, LowellOperational/managerial controlIndividual03/01/2020
Trent, TomOperational/managerial controlIndividual03/01/2022
Walda, ChrisOperational/managerial controlIndividual03/01/2025
Warrener, GeraldOperational/managerial controlIndividual07/01/2012
Wheeler, DaneOperational/managerial controlIndividual07/01/2012
Blue Management Services LLCAdp of the SNFOrganization01/01/2024
First Bank of BerneAdp of the SNFOrganization01/01/2020
Forvis Mazars LLPAdp of the SNFOrganization06/01/2023
Healthcare Therapy Services IncAdp of the SNFOrganization07/01/2012
Lutheran Homes, Inc.Adp of the SNFOrganization07/01/2012
Omnicare LLCAdp of the SNFOrganization07/19/2017
Fenstermaker, SadieAdp of the SNFIndividual02/28/2017
Kiefer, AlexanderAdp of the SNFIndividual07/01/2015
Neary, TriciaAdp of the SNFIndividual07/01/2023
Warrener, GeraldAdp of the SNFIndividual07/01/2012

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 are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on March 3, 2026: "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."
  2. 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 March 3, 2026: "Provide and implement an infection prevention and control program."
  3. 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 February 18, 2025: "Keep residents' personal and medical records private and confidential."
  4. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on February 27, 2024: "Provide care or services that was trauma informed and/or culturally competent."

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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.

Common questions

What is Lutheran Life Villages's Medicare star rating?
CMS rates Lutheran Life Villages 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Lutheran Life Villages get at its last inspection?
2 health deficiencies at the standard inspection on March 3, 2026. The Indiana average is 7.2.
Has Lutheran Life Villages been fined?
CMS lists no fines in the last three years.
Does Lutheran Life Villages 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 Lutheran Life Villages?
CMS lists 46 owners and managers. Legal business name: ADAMS COUNTY MEMORIAL HOSPITAL.

Sources

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