Markle Health & Rehabilitation
170 N Tracy St., Markle, IN 46770 · Wells County · (260) 758-2131
86 certified beds, about 76 residents a day · Non profit - Corporation · Medicare and Medicaid since 2000
CMS Care Compare ratings, data as of September 1, 2026 · CCN 155673 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 5, 2025, inspectors cited 0 health deficiencies (the Indiana average is 7.2, the national average 9.2).
None of its 4 health citations since July 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 3.30 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.52 of those hours.
40.0% 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.
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 4 health citations on file.
November 20, 2025Complaint inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and interview, the facility failed to ensure physician orders were followed, related to the timely administration of prescribed medications to resident. For 1 of 3 residents reviewed. (Resident K)
June 5, 2025Standard inspection · 0 citations
August 9, 2024Standard inspection · 2 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure residents were treated with respect for 1 of 1 residents reviewed. (Resident 30)
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure infection control practices were maintained during medication administration for 3 of 5 administration attempts observed.
July 27, 2023Standard inspection · 1 citation
- D Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure care of communication deficit for 1 of 1 residents reviewed. (Resident 176)
Fire safety inspections
10 fire safety citations on file: 2 on June 5, 2025, 8 on July 27, 2023.
Every fire safety citation10 citations
- E Have horizontal exits used in accordance with safety requirements.
- E Have properly installed electrical wiring and gas equipment.
- F Install an approved automatic sprinkler system.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Have exits that are accessible at all times.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Provide properly protected cooking facilities.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- C Establish roles under a Waiver declared by secretary.
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) | 3.30 | 3.69 | 3.86 |
| Registered nurses | 0.52 | 0.67 | 0.69 |
| All nursing staff on weekends | 2.74 | 3.25 | 3.42 |
| Nurse aides | 2.18 | ||
| Licensed practical nurses | 0.60 | ||
| Nursing staff turnover (share who left in a year) | 40.0% | 45.9% | 45.8% |
| Registered nurse turnover | 0.0% | 40.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.77 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 3.53 on weekdays and 2.74 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.45 in April to June 2025 to 3.30 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 | 3.30 | 0.52 | 3.53 | 2.74 | 0.8% | 0 of 90 | 76 |
| Oct to Dec 2025 | 3.35 | 0.53 | 3.58 | 2.78 | 5.0% | 0 of 92 | 72 |
| Jul to Sep 2025 | 3.46 | 0.37 | 3.70 | 2.85 | 8.0% | 0 of 92 | 68 |
| Apr to Jun 2025 | 3.45 | 0.42 | 3.67 | 2.89 | 7.3% | 0 of 91 | 68 |
| 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 | 1.9 | 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 | 0.0 | 1.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.6 | 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 | 1.4 | 11.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.7 | 3.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.4 | 13.6 | 15.4 |
Owners and operators
Legal business name: HENRY COUNTY MEMORIAL HOSPITAL. CMS links this home to American Senior Communities, a group of 90 nursing homes averaging 3.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Henry County Memorial Hospital | 5% or greater direct ownership interest | Organization | 100% | 02/01/2022 |
| Chies, Steven | Managing control - governing body | Individual | 02/01/2022 | |
| Dynes, Sheldon | Managing control - governing body | Individual | 01/01/2013 | |
| Jackson, Blake | Managing control - governing body | Individual | 02/01/2022 | |
| Jackson, Ethan | Managing control - governing body | Individual | 02/01/2022 | |
| Jackson, Mark | Managing control - governing body | Individual | 02/01/2022 | |
| Jackson, Michael | Managing control - governing body | Individual | 05/14/2024 | |
| Jackson, Wessley | Managing control - governing body | Individual | 02/01/2022 | |
| Justice, David | Managing control - governing body | Individual | 02/01/2022 | |
| Kelsey, Donna | Managing control - governing body | Individual | 07/18/2024 | |
| Pidgeon, John | Managing control - governing body | Individual | 01/01/2013 | |
| Shore, Marion | Managing control - governing body | Individual | 01/01/2013 | |
| Stitle, Stephen | Managing control - governing body | Individual | 02/01/2022 | |
| Ware, Deborah | Managing control - governing body | Individual | 08/27/2021 | |
| Wright, Theressa | Managing control - governing body | Individual | 02/01/2022 | |
| Ring, Brian | Corporate officer | Individual | 02/01/2022 | |
| American Senior Communities LLC | Operational/managerial control | Organization | 02/01/2022 | |
| Dice, Mark | Operational/managerial control | Individual | 06/01/2023 | |
| Foster, Brittney | Operational/managerial control | Individual | 07/01/2024 | |
| Moore, Nicole | Operational/managerial control | Individual | 06/05/2023 | |
| Ring, Brian | Operational/managerial control | Individual | 02/01/2022 | |
| Shane, Andrew | Operational/managerial control | Individual | 02/01/2023 | |
| Van Camp, Steven | Operational/managerial control | Individual | 06/01/2023 | |
| Williams, Lloyd | Operational/managerial control | Individual | 02/01/2022 | |
| Dynes, Sheldon | Trustee of the SNF | Individual | 01/01/2013 | |
| Pidgeon, John | Trustee of the SNF | Individual | 01/01/2013 | |
| Shore, Marion | Trustee of the SNF | Individual | 01/01/2013 | |
| Ware, Deborah | Trustee of the SNF | Individual | 08/27/2021 | |
| American Senior Communities LLC | Adp of the SNF | Organization | 03/24/2025 | |
| Henry County Memorial Hospital | Adp of the SNF | Organization | 05/07/2025 | |
| Dice, Mark | Adp of the SNF | Individual | 06/01/2023 | |
| Moore, Nicole | Adp of the SNF | Individual | 03/25/2025 | |
| Shane, Andrew | Adp of the SNF | Individual | 06/01/2023 | |
| Van Camp, Steven | Adp of the SNF | Individual | 06/01/2023 | |
| Williams, Lloyd | Adp of the SNF | Individual | 03/24/2025 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on November 20, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- 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 August 9, 2024: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- 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 August 9, 2024: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.74 hours per resident per day, below the Indiana average of 3.25.
Other nursing homes nearby
- River Terrace Health Care Center Bluffton, 7.8 mi · 5 of 5 stars · 5 citations
- Ossian Health Care and Rehabilitation Center Ossian, 9.6 mi · 5 of 5 stars · 6 citations
- Waters of Huntington Skilled Nursing Facility, the Huntington, 9.7 mi · 2 of 5 stars · 27 citations
- Hickory Creek at Huntington Huntington, 9.7 mi · 5 of 5 stars · 7 citations
- Envive of Huntington Huntington, 9.9 mi · 2 of 5 stars · 19 citations
- Christian Care Retirement Community Bluffton, 10.3 mi · 5 of 5 stars · 5 citations
- Heritage Pointe of Warren Warren, 10.8 mi · 4 of 5 stars · 11 citations
- Heritage Pointe of Huntington Huntington, 11 mi · 2 of 5 stars · 16 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 Markle Health & Rehabilitation's Medicare star rating?
- CMS rates Markle Health & Rehabilitation 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Markle Health & Rehabilitation get at its last inspection?
- 0 health deficiencies at the standard inspection on June 5, 2025. The Indiana average is 7.2.
- Has Markle Health & Rehabilitation been fined?
- CMS lists no fines in the last three years.
- Does Markle Health & 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 Markle Health & Rehabilitation?
- CMS lists 35 owners and managers, and links the home to American Senior Communities. Legal business name: HENRY 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.