Northern Lakes Nursing and Rehabilitation Center
516 N Williams St., Angola, IN 46703 · Steuben County · (260) 665-9467
99 certified beds, about 83 residents a day · Government - Hospital district · Medicare and Medicaid since 1992
Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 155449 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 4, 2025, inspectors cited 4 health deficiencies (the Indiana average is 7.2, the national average 9.2).
Of 12 health citations since December 2023, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 1 fine totaling $174,525 in the last three years; the largest was $174,525, and the latest is dated September 17, 2025.
Nurses and nurse aides worked 3.39 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.60 of those hours.
38.1% 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.
212/23
412/24
209/25
412/25
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 12 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
9D
1E
0F
Potential for minimal harm
0A
0B
0C
December 4, 2025Standard inspection · 4 citations
- E 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 observed for 7 of 24 residents reviewed (Resident 61, Resident 30, Resident 9, Resident 70, Resident 40, Resident 1, and Resident 86).
- 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 provided with timely meal service for residents seated together for 2 of 8 residents reviewed (Resident 30 and Resident 70).
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on interview and record review, the facility failed to ensure continuous and consistent communication with the dialysis center for 1 of 1 resident reviewed (Resident 6).
- D Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a safe and homelike environment for 7 of 7 residents reviewed residing in rooms 17, 19, 20, and 21.
September 17, 2025Complaint inspection · 2 citations
- J Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interview and record review, the facility failed to ensure the physician was immediately notified when 1 of 3 residents reviewed had a significant change in physical condition (Resident K). This resulted in Resident K's death. The Immediate Jeopardy began on [DATE] at 8:51 p.m. when Resident K complained of radiating pain to his left arm, shoulder, and chest. The facility failed to notify the physician of the change, and Resident K was observed to be deceased the following morning. The Administrator and Director of Nursing (DON) were notified of the Immediate Jeopardy on [DATE] at 12:45 PM. [...]
- J Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident's complaint of shoulder with radiating chest pain, increased heart rate and shortness of breath (SOB) was re-assessed after initial assessment and treatments given were not monitored for effectiveness for 1 of 3 residents reviewed for quality of care. Resident K was found deceased the following morning. The Immediate Jeopardy began on [DATE] at 8:51 p.m. when Resident K complained of radiating pain to his left arm, shoulder, and chest. The facility failed to assess and monitor his condition, and he was observed to be deceased the following morning. The Administrator and Director of Nursing (DON) were notified of the Immediate Jeopardy on [DATE] at 12:45 PM. [...]
December 10, 2024Standard inspection, Complaint inspection · 4 citations
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure privacy of protected health information for 1 of 24 residents reviewed (Resident 44).
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interview and record review the facility failed to ensure residents were free from verbal abuse for 3 of 5 residents reviewed (Resident 15, Resident 18, Resident 44).
- 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 orders were entered and followed for 1 of 3 residents reviewed (Resident 15). During an interview on 12/5/24 at 11:34 AM, Resident 15 indicated she had a history of a stroke with left side affected. Resident 15 indicated she was discharged from therapy and recommended to use a splint for her left hand. Resident 15 indicated the staff no longer placed the splint on her hand. During an observation on 12/5/24 at 11:34 AM, Resident 15 did not have a splint on her left hand. During an observation on 12/5/24 at 1:30 PM, a palmor hand splint was in a bag by Resident 15's bed. An upside-down paper indicated Resident to wear splint daily/nightly, remove for AM/PM and reapply after care. The paper indicated recommendations provided by Occupational Therapist. [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a blood sugar meter (glucometer) was properly disinfected between each resident use for 2 of 2 residents reviewed (Resident 59 and Resident 26).
December 11, 2023Standard inspection · 2 citations
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on record review and interview the facility failed to ensure non-pharmacologic interventions were implemented and documented for 1 of 3 residents reviewed. (Resident 228).
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on interview, and record review the facility failed to ensure dementia care interventions were updated and accurate for 1 of 5 residents reviewed (Resident 4).
Fire safety inspections
6 fire safety citations on file: 3 on December 4, 2025, 3 on December 10, 2024.
Every fire safety citation6 citations
- C Implement emergency and standby power systems.
- C Inspect, test, and maintain automatic sprinkler systems.
- C 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 Have restrictions on the use of portable space heaters.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| September 17, 2025 | Fine | $174,525 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.39 | 3.69 | 3.86 |
| Registered nurses | 0.60 | 0.67 | 0.69 |
| All nursing staff on weekends | 2.96 | 3.25 | 3.42 |
| Nurse aides | 2.21 | ||
| Licensed practical nurses | 0.57 | ||
| Nursing staff turnover (share who left in a year) | 38.1% | 45.9% | 45.8% |
| Registered nurse turnover | 27.3% | 40.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.42 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 3.57 on weekdays and 2.96 on weekends, 17% 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 3.46 in April to June 2025 to 3.39 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 | 3.39 | 0.60 | 3.57 | 2.96 | 0.0% | 0 of 90 | 83 |
| Oct to Dec 2025 | 3.41 | 0.53 | 3.58 | 3.00 | 0.3% | 0 of 92 | 84 |
| Jul to Sep 2025 | 3.46 | 0.46 | 3.69 | 2.88 | 0.2% | 0 of 92 | 88 |
| Apr to Jun 2025 | 3.46 | 0.51 | 3.67 | 2.93 | 0.1% | 0 of 91 | 86 |
| 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 | 24.4 | 11.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.8 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.5 | 1.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.7 | 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 | 17.7 | 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 | 16.4 | 13.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 13.7 | 22.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.2 | 10.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.4 | 1.8 |
Owners and operators
Legal business name: PULASKI MEMORIAL HOSPITAL.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Crover, Donna | W-2 managing employee | Individual | 05/27/2005 | |
| Smallman, Dee Anna | W-2 managing employee | Individual | 11/20/2000 | |
| Malott, Gregg | Corporate director | Individual | 10/01/2015 | |
| Angola Healthcare LLC | Operational/managerial control | Organization | 10/01/2015 | |
| Pulaski Memorial Hospital | Operational/managerial control | Organization | 10/01/2015 | |
| Malott, Gregg | Operational/managerial control | Individual | 10/01/2015 |
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 5 problems in this area, most recently on December 4, 2025: "Provide safe, appropriate dialysis care/services for a resident who requires such services."
- 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 December 4, 2025: "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 2 problems in this area, most recently on December 4, 2025: "Provide and implement an infection prevention and control program."
- Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on December 4, 2025: "Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.96 hours per resident per day, below the Indiana average of 3.25.
Other nursing homes nearby
- Lakeland Rehab and Healthcare Center Angola, 0 mi · 2 of 5 stars · 14 citations
- Pines of Dekalb, the Butler, 15.5 mi · 5 of 5 stars · 7 citations
- Betz Nursing Home Auburn, 17.6 mi · 5 of 5 stars · 4 citations
- Lutheran Life Villages Kendallville, 18 mi · 5 of 5 stars · 5 citations
- Park View Care Center Edgerton, 18.3 mi · 5 of 5 stars · 17 citations
- Kendallville Manor Kendallville, 18.4 mi · 5 of 5 stars · 7 citations
- Auburn Village Auburn, 18.6 mi · 3 of 5 stars · 12 citations
- Maple Lawn Medical Care Facility Coldwater, 20.1 mi · 5 of 5 stars · 20 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 Northern Lakes Nursing and Rehabilitation Center's Medicare star rating?
- CMS rates Northern Lakes Nursing and Rehabilitation Center 1 out of 5 stars overall, with 1 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Northern Lakes Nursing and Rehabilitation Center get at its last inspection?
- 4 health deficiencies at the standard inspection on December 4, 2025. The Indiana average is 7.2.
- Has Northern Lakes Nursing and Rehabilitation Center been fined?
- Yes. CMS lists 1 fine totaling $174,525 in the last three years.
- Does Northern Lakes 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 Northern Lakes Nursing and Rehabilitation Center?
- CMS lists 6 owners and managers. Legal business name: PULASKI 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.