Mason Health Care Center
900 Provident Drive, Warsaw, IN 46580 · Kosciusko County · (574) 371-2500
105 certified beds, about 83 residents a day · Non profit - Corporation · Medicare and Medicaid since 1977
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 155003 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 26, 2025, inspectors cited 10 health deficiencies (the Indiana average is 7.2, the national average 9.2).
None of its 32 health citations since September 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 3.13 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.63 of those hours.
44.3% of nursing staff left within the year CMS measured (Indiana average 45.9%).
CMS links it to Tlc Management, an affiliated group of 20 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.
909/23
212/23
608/24
103/25
106/25
1108/25
203/26
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 32 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
28D
2E
2F
Potential for minimal harm
0A
0B
0C
March 9, 2026Complaint inspection · 2 citations
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation, record review and interview, the facility failed to provide privacy during incontinence care for 3 of 4 residents observed for activities of daily living. (Residents B, C & D)
- 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 staff changed gloves between soiled incontinence care and clean incontinence care for 3 of 4 residents observed for activities of daily living. (Residents B, C & D)
August 26, 2025Standard inspection, Complaint inspection · 11 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure foods were stored, prepared and served in a sanitary manner in 1 of 1 kitchens reviewed. This deficient practice had the potential to affect 75 of 75 residents who received meals from the kitchen.
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on record review and interview, the facility failed to ensure there were appropriate medical symptoms to support the use of an antipsychotic for 1 of 5 residents reviewed for unnecessary medications. (Resident 51)
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on record review and interview, the facility failed to ensure the care plan addressed the a diabetic resident's refusal of blood glucose monitoring for 1 of 1 residents reviewed for diabetic monitoring. (Resident 8)
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on interview and record review, the facility failed to provide assistance with Activities of Daily Living (ADLs) related to showering for 1 of 2 residents reviewed for ADL care. (Resident 40)
- 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 notify the physician for significantly elevated blood glucose levels for 2 of 3 residents reviewed for blood glucose (Resident 32 & B).
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure 1 of 3 residents reviewed for hearing and/or vision needs had their audiologist recommendation followed in a timely manner. (Resident 3)
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review and interview, the facility failed to ensure the narcotic (controlled substance) inventory book was completed thoroughly and accurately on 1 of 2 medication carts. (100 hall cart)
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure medications were administered according to physician's orders and professional standards for 5 of 30 opportunities, resulting in a medication administration error rate of 16.67%. (Resident 73 and 9) During an observation, on [DATE] at 9:02 A.M., RN 2 was administrating medications to Resident 73. RN 2 indicated he had 11 pills in the medication cup. The medication administered to Resident 73's were: [...]
- 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 secure and destroy discontinued controlled medications and properly dispose of expired medications on 1 of 2 medication carts and in 1 of 1 medication storage room observed. (Medication cart 100 hallway and Medication storage room [ROOM NUMBER]-400 hallway)
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure staff followed infection control practices during a skin treatment for 1 of 1 skin treatments observed. (LPN 4)
- 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 record review and interview, the facility failed to ensure urine outputs were monitored for a resident with an indwelling catheter for 1 of 1 residents reviewed for catheters. (Resident B)
June 17, 2025Complaint inspection · 1 citation
- D Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on record review and interview, the facility failed to ensure appropriate feeding tube care was provided regarding water flushes before and after medication administration and insertion site care for 1 of 3 residents reviewed for tube feeding. (Resident F)
March 5, 2025Complaint inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview, record review and interview, the facility failed to provide scheduled pain medication in a timely manner for 1 of 3 residents reviewed for pharmaceutical services. (Resident B)
August 30, 2024Standard inspection · 6 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and record review, the facility failed to store, prepare and serve food in a sanitary manner in 1 of 1 kitchens observed and 2 of 2 nutrition pantries observed. This deficient practice had the potential to affect 72 of 72 who consumed food from the kitchen and nutrition pantries.
- 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 record review and interview, the facility failed to ensure a care plan regarding activities was revised and updated for 1 of 21 residents reviewed for care plans (Resident 6).
- D Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Inspectors wroteBased on interview, observation, and record review, the facility failed to provide appropriate communication devices for a Spanish speaking resident for 1 of 1 resident reviewed for communication. (Resident 29)
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure respiratory equipment was changed per Physician orders for 1 of 1 resident reviewed for oxygen use. (Resident 14)
- 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, record review and interview, the facility failed to ensure medication storage carts were locked when not in use; failed to store medications appropriately; failed to ensure expired medications were removed from medication carts; and failed to ensure the freezer section of a medication refrigerator was free from ice build up for 4 of 4 medication storage areas observed. (400 hall Medication Cart, 300 hall Medication Cart, 100 hall Medication Cart, and 100 hall Medication room)
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure staff used appropriate PPE (Personal Protective Equipment) when emptying a Foley catheter drainage bag for 1 of 1 resident reviewed for catheters. (Resident 14)
December 28, 2023Complaint inspection · 2 citations
- E 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 facility failed to have a process of accountability for medications awaiting final disposition for 4 of 8 residents whose medications were reviewed for disposition. (Resident H, Resident J, Resident K, and Resident L).
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on record review and interview, the facility failed to ensure through investigations were completed for misappropriation of resident property for 2 of 2 allegations of misappropriation of resident property reviewed. (Residents B & F)
September 22, 2023Standard inspection, Complaint inspection · 9 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure kitchen sanitation for 76 of 79 residents currently residing in the facility who consume food prepared in the kitchen.
- 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 dignity was maintained during the dining experience for 3 of 8 residents in the assisted dining room (Resident 27, Resident 28, and Resident 31).
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure privacy for 3 of 24 residents reviewed during random observations. (Resident 17, Resident 63, and Resident 135)
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure an allegation of abuse was reported to the State Agency and investigated for 2 of 24 residents reviewed for abuse (Resident 9, and Resident 11).
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview and record review, the facility failed to respond to a request with positioning and personal care for 1 of 7 residents reviewed for ADLs. (Resident 134)
- D Provide appropriate foot care.
Inspectors wroteBased on observation, interview and record review, the facility failed to develop and implement preventative foot care interventions to prevent toenail injury and infection for 1 or 1 residents reviewed for foot care (Resident 19).
- D Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure individualized contracture management interventions were in place for a resident with a decline in range of motion for 1 of 1 residents reviewed for range of motion (Resident 3).
- 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 ensure intravenous (IV) therapy was maintained and discontinued for 1 of 3 residents reviewed. (Resident 134)
- D Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on observation, interview and record review, the facility failed to maintain adequate staffing levels to provide assistance with repositioning and personal care needs for 2 of 3 residents reviewed (Resident A and Resident B).
Fire safety inspections
27 fire safety citations on file: 9 on August 26, 2025, 15 on August 30, 2024, 3 on September 22, 2023.
Every fire safety citation27 citations
- F Address subsistence needs for staff and patients.
- F Implement emergency and standby power systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Install an approved automatic sprinkler system.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Have properly installed electrical wiring and gas equipment.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Conduct risk assessment and an All-Hazards approach.
- F Address patient/client population and determine types of services needed.
- F Include a process for Emergency Preparedness collaboration.
- F Provide primary/alternate means for communication.
- F Conduct testing and exercise requirements.
- F Implement emergency and standby power systems.
- F Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have properly installed electrical wiring and gas equipment.
- F Have simulated fire drills held at unexpected times.
- E Provide properly protected cooking facilities.
- E Install an approved automatic sprinkler system.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Ensure proper usage of power strips and extension cords.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
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) | 3.13 | 3.69 | 3.86 |
| Registered nurses | 0.63 | 0.67 | 0.69 |
| All nursing staff on weekends | 2.59 | 3.25 | 3.42 |
| Nurse aides | 1.98 | ||
| Licensed practical nurses | 0.51 | ||
| Nursing staff turnover (share who left in a year) | 44.3% | 45.9% | 45.8% |
| Registered nurse turnover | 50.0% | 40.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.48 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 3.34 on weekdays and 2.59 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.66 in April to June 2025 to 3.13 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 | 3.13 | 0.63 | 3.34 | 2.59 | 0.7% | 0 of 90 | 83 |
| Oct to Dec 2025 | 3.24 | 0.61 | 3.39 | 2.84 | 0.9% | 0 of 92 | 80 |
| Jul to Sep 2025 | 3.47 | 0.60 | 3.68 | 2.94 | 0.8% | 0 of 92 | 76 |
| Apr to Jun 2025 | 3.66 | 0.69 | 3.86 | 3.17 | 0.5% | 0 of 91 | 71 |
| 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 | 13.3 | 11.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.2 | 1.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.8 | 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 | 13.0 | 11.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.5 | 3.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.6 | 13.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.6 | 22.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.7 | 10.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.2 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 1.4 | 1.8 |
Owners and operators
Legal business name: RIVERVIEW HOSPITAL. CMS links this home to Tlc Management, a group of 20 nursing homes averaging 3.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Riverview Hospital | 5% or greater direct ownership interest | Organization | 100% | 06/01/2012 |
| Friend, Jayna | Corporate officer | Individual | 06/03/2021 | |
| Hyatt, David | Corporate officer | Individual | 06/01/2012 | |
| Mason Healthcare Operations Company | Operational/managerial control | Organization | 06/01/2012 | |
| Tender Loving Care Management Inc | Operational/managerial control | Organization | 06/01/2012 | |
| Brooks, Rukiya | Operational/managerial control | Individual | 06/01/2012 | |
| Kaplanis, Paul | Operational/managerial control | Individual | 06/01/2012 | |
| Gibson, Cullen | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/15/2025 | |
| Ott, Dwight | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/15/2025 | |
| Ott, Gary | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/15/2025 | |
| Ott, Ryan | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/15/2025 | |
| Ott Family Trust | Trustee of the SNF | Organization | 06/01/2012 | |
| Mason Healthcare Operations Company | Adp of the SNF | Organization | 09/25/2025 | |
| Tender Loving Care Management Inc | Adp of the SNF | Organization | 06/19/2025 | |
| Warsaw Health Care Management LLC | Adp of the SNF | Organization | 06/01/2012 | |
| Brooks, Rukiya | Adp of the SNF | Individual | 06/01/2012 | |
| Kaplanis, Paul | Adp of the SNF | Individual | 06/01/2012 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 13 problems in this area, most recently on March 9, 2026: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on August 26, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on March 9, 2026: "Keep residents' personal and medical records private and confidential."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on August 26, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.59 hours per resident per day, below the Indiana average of 3.25.
Other nursing homes nearby
- Paddock Springs Warsaw, 1.6 mi · 5 of 5 stars · 7 citations
- Warsaw Meadows Warsaw, 1.8 mi · 1 of 5 stars · 30 citations
- Grace Village Health Care Facility Winona Lake, 2.1 mi · 5 of 5 stars · 8 citations
- Miller's Merry Manor Warsaw, 2.6 mi · 4 of 5 stars · 19 citations
- Waters of Syracuse Skilled Nursing Facility, the Syracuse, 12.4 mi · 1 of 5 stars · 34 citations
- Timbercrest Church of the Brethren Home North Manchester, 15.9 mi · 4 of 5 stars · 11 citations
- Miller's at Oak Pointe Columbia City, 16.1 mi · 3 of 5 stars · 5 citations
- Peabody Retirement Community North Manchester, 17 mi · 4 of 5 stars · 25 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 Mason Health Care Center's Medicare star rating?
- CMS rates Mason Health Care Center 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Mason Health Care Center get at its last inspection?
- 10 health deficiencies at the standard inspection on August 26, 2025. The Indiana average is 7.2.
- Has Mason Health Care Center been fined?
- CMS lists no fines in the last three years.
- Does Mason Health Care 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 Mason Health Care Center?
- CMS lists 17 owners and managers, and links the home to Tlc Management. Legal business name: RIVERVIEW 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.