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Mitchell Manor

24 Teke Burton Dr, Mitchell, IN 47446 · Lawrence County · (812) 849-2221

120 certified beds, about 74 residents a day · Non profit - Corporation · Medicare and Medicaid since 1988

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 155324 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 1, 2026, inspectors cited 3 health deficiencies (the Indiana average is 7.2, the national average 9.2).

None of its 18 health citations since March 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 3.35 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.84 of those hours.

64.5% of nursing staff left within the year CMS measured (Indiana average 45.9%).

CMS links it to Life Care Centers of America, an affiliated group of 194 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 18 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
11D
6E
0F
Potential for minimal harm
0A
0B
1C
July 15, 2026Complaint inspection · 1 citation
  1. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 3, 2026
    Inspectors wroteBased on interview and record review, the facility failed to revise the care plan with new interventions after a fall for 1 of 3 residents reviewed for falls. (Resident B)
May 1, 2026Standard inspection, Complaint inspection · 3 citations
  1. E
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 18, 2026
    Inspectors wroteBased on observation and interview, the facility failed to provide a safe and sanitary environment for 1 of 4 hallways for 5 of 5 days during the survey. Strong urine odors were present. (Hallway B)
  2. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 18, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure the accuracy of the Minimum Data Set (MDS) assessment for 2 of 24 reviewed for MDS accuracy. PASSAR screenings and antidepressant medications were coded inaccurately. (Resident 64, Resident 9) 1. On 4/30/26 at 11:15 a.m., Resident 64's clinical record was reviewed. The diagnoses included, but were not limited to, anxiety and bipolar disorder. A Preadmission Screening and Resident Review (PASARR), dated 5/8/23, indicated Resident 64 had Level II screening. An annual MDS assessment, dated 1/30/26, indicated Resident B was not currently considered by the State to have a Level II PASARR screening. 2. [...]
  3. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 18, 2026
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a comprehensive plan of care was created for a resident who was a smoker, to ensure appropriate supervision and interventions were in place to prevent the potential for accidents for 1 of 4 residents reviewed for accidents. (Resident 55)
December 18, 2025Complaint inspection · 3 citations
  1. E
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on record review and interview, the facility failed to protect the residents right to be free from misappropriation of resident property for 7 out of 7 residents reviewed. The residents had money withdrawn from their accounts and placed in multiple other resident accounts. (Resident D, Resident E, Resident F, Resident G, Resident H, Resident J, and Resident K)
  2. 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 · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observation, interview, and record review, the facility failed to protect the residents right to be free from verbal abuse by a staff member for 1 of 3 residents reviewed for abuse. (Resident B, LPN 1)
  3. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · 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) January 7, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident with a weight loss was monitored for 1 of 3 residents reviewed for nutrition. (Resident C)
August 18, 2025Complaint inspection · 1 citation
  1. 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) August 19, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure a resident was supervised while riding on the facility transportation van during a scheduled doctor's appointment for 1 of 3 residents reviewed for accidents. (Resident B)
February 28, 2025Standard inspection · 4 citations
  1. E
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 19, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the carpets were not worn and free of stains for 63 of 63 residents residing in the facility and failed to ensure a homelike environment for 2 of 16 residents reviewed for environment. (Hallway A, Hallway B, Hallway C, Hallway D, Resident 33 and Resident 16)
  2. D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 19, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure the Discharge MDS (Minimum Data Set) assessment was completed within allotted timeframe for 1 of 4 residents reviewed for resident assessment. (Resident 48)
  3. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 19, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure an accurate assessment of active diagnoses for 2 of 4 residents reviewed for resident assessment. (Resident 20, Resident 57)
  4. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 19, 2025
    Inspectors wroteBased on interview and record review, the facility failed to develop a care plan for a resident's preference for 2 of 2 residents reviewed for choices. (Resident 24, Resident 49)
March 25, 2024Standard inspection · 6 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) April 18, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to label the Over the Counter (OTC) medications with resident's name for 2 of 2 medications cart observed. (B Wing Back Hall, B Wing Front Hall)
  2. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 18, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure food was served in a palatable and attractive manner for 1 of 1 test tray obtained from a hall cart. (Resident 43, Resident 5, Resident 23, Resident 13, Resident 14, Resident 33, Resident 44, Resident 35, Resident 30, Resident 24, Resident 7, Resident 25)
  3. E
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 18, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a homelike environment free of damage and disrepair for of 7 of 9 residents reviewed for environmental concerns (Resident 19, Resident 23, Resident 14, Resident 33, Resident 28, Resident 36, and Resident 43).
  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) April 18, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure accurate reconciliation and accounting for narcotic medications was implemented for 1 of 1 residents reviewed. (Resident 13)
  5. 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) April 18, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a urinary drainage bag and tubing was positioned off the floor for 1 of 1 residents reviewed for urinary catheter. (Resident 52)
  6. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) April 18, 2024
    Inspectors wroteBased on observation and interview, the facility failed to ensure the staff posting information sheets were posted in a prominent place readily accessible to residents and visitors, presented in a clear and readable format, and included actual hours worked for 4 of 4 staff posting sheets reviewed.

Fire safety inspections

24 fire safety citations on file: 18 on May 1, 2026, 3 on February 28, 2025, 3 on March 25, 2024.

Every fire safety citation24 citations
  1. F
    Have simulated fire drills held at unexpected times.
    K 712 · May 1, 2026 · Corrected (the home has a date of correction)
  2. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · May 1, 2026 · Corrected (the home has a date of correction)
  3. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · May 1, 2026 · Corrected (the home has a date of correction)
  4. F
    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
    K 927 · May 1, 2026 · Corrected (the home has a date of correction)
  5. 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 · May 1, 2026 · Corrected (the home has a date of correction)
  6. E
    Have exits that are accessible at all times.
    K 271 · May 1, 2026 · Corrected (the home has a date of correction)
  7. E
    Have properly located and lighted "Exit" signs.
    K 293 · May 1, 2026 · Corrected (the home has a date of correction)
  8. E
    Meet other general requirements that are deficient.
    K 300 · May 1, 2026 · Corrected (the home has a date of correction)
  9. 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 · May 1, 2026 · Corrected (the home has a date of correction)
  10. E
    Provide properly protected cooking facilities.
    K 324 · May 1, 2026 · Corrected (the home has a date of correction)
  11. E
    Install an approved automatic sprinkler system.
    K 351 · May 1, 2026 · Corrected (the home has a date of correction)
  12. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 1, 2026 · Corrected (the home has a date of correction)
  13. E
    Install corridor and hallway doors that block smoke.
    K 363 · May 1, 2026 · Corrected (the home has a date of correction)
  14. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · May 1, 2026 · Corrected (the home has a date of correction)
  15. E
    Have proper medical gas storage and administration areas.
    K 923 · May 1, 2026 · Corrected (the home has a date of correction)
  16. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · May 1, 2026 · Corrected (the home has a date of correction)
  17. C
    Implement emergency and standby power systems.
    E 41 · May 1, 2026 · Corrected (the home has a date of correction)
  18. C
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · May 1, 2026 · Corrected (the home has a date of correction)
  19. E
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · February 28, 2025 · Corrected (the home has a date of correction)
  20. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · February 28, 2025 · Corrected (the home has a date of correction)
  21. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · February 28, 2025 · Corrected (the home has a date of correction)
  22. 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 · March 25, 2024 · Corrected (the home has a date of correction)
  23. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 25, 2024 · Corrected (the home has a date of correction)
  24. C
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · March 25, 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)3.353.693.86
Registered nurses0.840.670.69
All nursing staff on weekends2.843.253.42
Nurse aides1.74
Licensed practical nurses0.77
Nursing staff turnover (share who left in a year)64.5%45.9%45.8%
Registered nurse turnover68.4%40.3%42.9%
Administrators who left0

CMS expects 3.40 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 3.56 on weekdays and 2.84 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 24.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.36 in April to June 2025 to 3.35 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.350.843.562.84 24.7%0 of 9074
Oct to Dec 20253.020.793.162.67 25.4%0 of 9271
Jul to Sep 20253.680.993.843.28 24.7%0 of 9267
Apr to Jun 20253.360.913.542.93 22.4%0 of 9161
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
8.911.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.20.40.8
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
1.33.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
3.51.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
6.511.914.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.13.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
20.313.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
20.022.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
21.510.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.31.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.41.41.8

Owners and operators

Legal business name: HENDRICKS COUNTY HOSPITAL. CMS links this home to Life Care Centers of America, a group of 194 nursing homes averaging 3.4 stars overall.

NameRoleTypeShareSince
Engels, ErinManaging control - governing bodyIndividual08/01/2018
Gentry, MarkManaging control - governing bodyIndividual01/12/2022
Starkey, TylerManaging control - governing bodyIndividual08/01/2020
Waite, JohnManaging control - governing bodyIndividual08/01/2020
Whicker, TimothyManaging control - governing bodyIndividual01/12/2022
Fenoughty, DeannaCorporate officerIndividual07/10/2023
Life Care Centers of America, Inc.Operational/managerial controlOrganization08/01/2018
Mitchell Medical Investors, LLCOperational/managerial controlOrganization08/01/2018
Fenoughty, DeannaOperational/managerial controlIndividual07/10/2023
Fletcher, ToddOperational/managerial controlIndividual08/01/2018
Henry, TerryOperational/managerial controlIndividual08/01/2018
Hignite, KatherineOperational/managerial controlIndividual08/01/2018
Lay, LisaOperational/managerial controlIndividual08/01/2018
Preston, AubreyOperational/managerial controlIndividual08/01/2018
Preston, ForrestOperational/managerial controlIndividual08/01/2018
Radadiya, PragneshkumarOperational/managerial controlIndividual06/15/2019
Swanker, RichardOperational/managerial controlIndividual08/01/2018
Thurmond, JoanOperational/managerial controlIndividual08/01/2018
Ziegler, JamesOperational/managerial controlIndividual08/01/2018
Engels, ErinTrustee of the SNFIndividual08/01/2018
Gentry, MarkTrustee of the SNFIndividual01/12/2022
Starkey, TylerTrustee of the SNFIndividual08/01/2020
Waite, JohnTrustee of the SNFIndividual08/01/2020
Whicker, TimothyTrustee of the SNFIndividual01/12/2022
Hendricks County HospitalAdp of the SNFOrganization02/25/2025
Life Care Centers of America, Inc.Adp of the SNFOrganization03/14/2025
Mitchell Medical Investors, LLCAdp of the SNFOrganization08/01/2018
Hignite, KatherineAdp of the SNFIndividual08/01/2018
Preston, ForrestAdp of the SNFIndividual08/01/2018
Radadiya, PragneshkumarAdp of the SNFIndividual06/15/2019

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. When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on July 15, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  2. Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 3 problems in this area, most recently on May 1, 2026: "Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on December 18, 2025: "Protect each resident from the wrongful use of the resident's belongings or money."
  4. 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 December 18, 2025: "Provide enough food/fluids to maintain a resident's health."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.84 hours per resident per day, below the Indiana average of 3.25.

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 Mitchell Manor's Medicare star rating?
CMS rates Mitchell Manor 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Mitchell Manor get at its last inspection?
3 health deficiencies at the standard inspection on May 1, 2026. The Indiana average is 7.2.
Has Mitchell Manor been fined?
CMS lists no fines in the last three years.
Does Mitchell Manor 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 Mitchell Manor?
CMS lists 30 owners and managers, and links the home to Life Care Centers of America. Legal business name: HENDRICKS COUNTY HOSPITAL.

Sources

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