Middletown Nursing and Rehabilitation Center
131 S 10th St., Middletown, IN 47356 · Henry County · (765) 354-2223
45 certified beds, about 17 residents a day · For profit - Corporation · Medicare and Medicaid since 1993
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 155486 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on November 24, 2025, inspectors cited 4 health deficiencies (the Indiana average is 7.2, the national average 9.2).
None of its 9 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 4.01 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.98 of those hours.
26.3% 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.
209/23
211/24
411/25
102/26
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 9 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
1E
3F
Potential for minimal harm
0A
0B
0C
February 3, 2026Complaint inspection · 1 citation
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident's rights were honored related to being spoken to in a rude manner and being called a derogatory term in the presence of other staff members in a manner that was loud enough to be heard by others for 1 of 3 residents reviewed for Resident Rights. (Resident C)
November 24, 2025Standard inspection · 4 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 and interviews, the facility failed to store, prepare, and distribute foods under safe sanitary conditions regarding the removal of dented cans of food and the cleaning of the stove hood. This deficiency had the potential to impact 14 of 14 residents residing in the facility.
- E Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation and interview, the facility failed to provide residents with dignified dining for 3 of 8 people reviewed for dining. (Residents 3, 4, and 11).
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure that residents prescribed antipsychotic medications received appropriate gradual dose reduction (GDR) attempts and failed to provide documented clinical justification for the continued use of the antipsychotic medications for 2 of 5 residents reviewed for unnecessary medications. (Resident 3 and Resident 9)
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on record review and interview, the facility failed to ensure residents were offered up to date information on current vaccinations available for 2 of 5 residents reviewed for immunizations. (Resident 4 and Resident 6)
November 26, 2024Standard inspection · 2 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 maintain the stove hood in a cleanly manner. This had the potential to affect 12 of 12 residents in the facility.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the use of enhanced barrier precautions (EBP) for 3 of 3 residents reviewed for EBP (Resident 3, Resident 11, and Resident 2), and failed to ensure a feeding tube piston syringe was dated for 1 of 1 resident reviewed for enteral feeding management (Resident 11). 1. The clinical record for Resident 3 was reviewed on 11/25/2024 at 11:30 a.m. The medical diagnoses included chronic kidney disease. A Quarterly Minimum Data Set Assessment, dated 11/13/2024, indicated Resident 3 had an indwelling urinary catheter. A physician order, dated 5/16/2024, indicated Resident 3 utilized an indwelling urinary catheter. A urinary care plan, last revised 11/15/2024, indicated Resident 3 utilized an indwelling urinary catheter. The care plan did not indicate the use of EBP. [...]
September 22, 2023Standard inspection · 2 citations
- F Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteBased on interview and record review, the facility failed to report required nursing staffing data to the payroll based journal (PBJ) for April 1-June 30, 2023, for 1 of 1 Quarter reviewed on Certification and Survey Provider Enhanced Reporting (CASPER).
- 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 interview, and record review, the facility failed to develop or update care plans for the use of Prolia, new skin impairments, a bolster mattress and antidepressant for Resident 9. This affected 3 of 11 residents reviewed for care plan development. (Residents 2, 4, and 9)
Fire safety inspections
25 fire safety citations on file: 5 on November 24, 2025, 11 on November 26, 2024, 9 on September 22, 2023.
Every fire safety citation25 citations
- F Conduct risk assessment and an All-Hazards approach.
- F Use approved construction type or materials.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Provide properly protected cooking facilities.
- F Conduct testing and exercise requirements.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Meet other general requirements that are deficient.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Use approved construction type or materials.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Have properly installed electrical wiring and gas equipment.
- C Have simulated fire drills held at unexpected times.
- F Implement emergency and standby power systems.
- F Have simulated fire drills held at unexpected times.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Have generator or other power source capable of supplying service within 10 seconds.
- 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.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
- E Install corridor and hallway doors that block smoke.
- 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) | 4.01 | 3.69 | 3.86 |
| Registered nurses | 0.98 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.89 | 3.25 | 3.42 |
| Nurse aides | 2.18 | ||
| Licensed practical nurses | 0.85 | ||
| Nursing staff turnover (share who left in a year) | 26.3% | 45.9% | 45.8% |
| Registered nurse turnover | not reported | 40.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.54 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 4.06 on weekdays and 3.89 on weekends, 4% 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 4.67 in April to June 2025 to 4.01 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 | 4.01 | 0.98 | 4.06 | 3.89 | 0.0% | 0 of 90 | 17 |
| Oct to Dec 2025 | 4.50 | 1.15 | 4.60 | 4.24 | 0.0% | 0 of 92 | 15 |
| Jul to Sep 2025 | 3.98 | 0.96 | 4.11 | 3.66 | 0.0% | 0 of 92 | 16 |
| Apr to Jun 2025 | 4.67 | 1.06 | 4.80 | 4.32 | 0.0% | 0 of 91 | 15 |
| 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 | 40.7 | 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 | 9.8 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 5.0 | 1.2 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.7 | 3.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.0 | 13.6 | 15.4 |
Owners and operators
Legal business name: MOORE HEALTHCARE ENTERPRISES INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Moore Healthcare Enterprises Inc | 5% or greater direct ownership interest | Organization | 06/01/2013 | |
| Moore, Kimberly | 5% or greater direct ownership interest | Individual | 06/01/2013 | |
| Case, Janet | W-2 managing employee | Individual | 06/01/2013 | |
| Moore, Kimberly | Corporate officer | Individual | 06/01/2013 | |
| Moore Healthcare Enterprises Inc | Operational/managerial control | Organization | 06/01/2013 | |
| Moore, Jerrod | Operational/managerial control | Individual | 06/20/2018 |
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 residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on February 3, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on November 24, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on November 24, 2025: "Develop and implement policies and procedures for flu and pneumonia vaccinations."
- 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 November 24, 2025: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."
Other nursing homes nearby
- Waters of Middletown Skilled Nursing Facility, the Middletown, 0.7 mi · 4 of 5 stars · 18 citations
- Waters of Chesterfield Skilled Nursing Facility Chesterfield, 5 mi · 4 of 5 stars · 14 citations
- Envive of Anderson Anderson, 7.6 mi · 2 of 5 stars · 18 citations
- Countryside Manor Health & Living Community Anderson, 7.8 mi · 5 of 5 stars · 14 citations
- Bethany Pointe Health Campus Anderson, 8 mi · 4 of 5 stars · 13 citations
- Yorktown Manor Yorktown, 9.1 mi · 4 of 5 stars · 15 citations
- Beaumont Rehabilitation and Healthcare Center Anderson, 9.5 mi · 2 of 5 stars · 41 citations
- Edgewater Woods Anderson, 9.6 mi · 4 of 5 stars · 14 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 Middletown Nursing and Rehabilitation Center's Medicare star rating?
- CMS rates Middletown Nursing and Rehabilitation Center 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Middletown Nursing and Rehabilitation Center get at its last inspection?
- 4 health deficiencies at the standard inspection on November 24, 2025. The Indiana average is 7.2.
- Has Middletown Nursing and Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Middletown Nursing and Rehabilitation 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 Middletown Nursing and Rehabilitation Center?
- CMS lists 6 owners and managers. Legal business name: MOORE HEALTHCARE ENTERPRISES INC.
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.