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Home / Indiana / Demotte

Oak Grove Christian Retirement Village

221 W Division St., Demotte, IN 46310 · Jasper County · (219) 987-7005

73 certified beds, about 61 residents a day · Non profit - Corporation · Medicare and Medicaid since 1999

Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 155667 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on September 22, 2025, inspectors cited 12 health deficiencies (the Indiana average is 7.2, the national average 9.2).

Of 55 health citations since September 2023, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.34 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.

48.8% of nursing staff left within the year CMS measured (Indiana average 45.9%).

CMS links it to Greencroft Communities, an affiliated group of 5 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 55 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
49D
1E
3F
Potential for minimal harm
0A
0B
1C
April 14, 2026Complaint inspection · 4 citations
  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 · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on record review and interview, the facility failed to ensure a care planned intervention for bed mobility was followed related to lack of adequate staff supervision during care which resulted in a fall from the bed, for 1 of 4 residents reviewed for accidents. (Resident C)The deficient practice was corrected on 4/3/26, prior to the start of the survey, and was therefore past noncompliance. The facility identified the concern on 3/23/26, completed a house wide education to the nursing department and agency staff who provided care to utilize and follow the Care Plan/Kardex (information for caring for the resident) for all residents. Audits were completed to ensure the Care Plans/Kardexs were all correct and updated for resident care. Eight facility staff and agency staff were interviewed and indicated the Kardex was used as a reference for completion of resident care.
  2. D
    Provide medically-related social services to help each resident achieve the highest possible quality of life.
    F745 · 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) May 20, 2026
    Inspectors wroteBased on record review and interview, the facility failed to ensure a resident was provided with medically-related social services related to follow up care for an allegation of abuse for 1 of 3 residents reviewed for abuse. (Resident D)
  3. D
    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
    F773 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 20, 2026
    Inspectors wroteBased on record review and interview, the facility failed to ensure laboratory (lab) services were only completed when ordered by a Physician/Nurse Practitioner (NP), related to a urinalysis (UA) completed on a resident without a Physician's Order, for 1 of 1 resident reviewed for lab tests. (Resident B)
  4. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · 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) May 20, 2026
    Inspectors wroteBased on record review and interview, the facility failed to ensure a resident's record was complete and accurate related to documentation of an allegation of abuse for 1 of 3 residents reviewed for abuse. (Resident D)
February 5, 2026Complaint inspection · 2 citations
  1. D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 23, 2026
    Inspectors wroteBased on record review and interview, the facility failed to ensure a resident's representative was informed when a resident had a change in condition and required an order for breathing treatment medication for 1 of 3 residents reviewed for change in condition. (Resident B)
  2. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · 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) February 23, 2026
    Inspectors wroteBased on record review and interview, the facility failed to ensure a resident received the necessary care and treatment related to completing a respiratory assessment when a resident had a change of condition and completing pre-and-post assessments with breathing treatment medication for 1 of 3 residents reviewed for change of condition. (Resident B)
September 22, 2025Standard inspection · 12 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 31, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to serve food under sanitary conditions related to dishes stored upright above and below the steam table, on a cart across from the 3-compartment sink and transporting uncovered food on room trays down the hallway. This had the potential to affect all 62 residents who received food from the Kitchen and 6 residents who received room trays on Oak Branch 2 unit. (Kitchen, Oak Branch 2)
  2. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 31, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents were assessed for self-administration of medications and had a physician's order to self-administer medications, for 2 of 2 residents reviewed for self-administration of medication. (Residents 14 and 65)
  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) October 31, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure the Minimum Data Set (MDS) comprehensive assessments were accurately completed related to antiplatelet and antianxiety medications for 1 of 16 MDS assessments reviewed. (Resident 6)
  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) October 31, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure a comprehensive care plan was developed and in place for residents with significant weight loss, diuretics, and opioid medications for 2 of 16 care plans reviewed. (Resident 6 and 44)
  5. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 31, 2025
    Inspectors wroteBased on record review and interview, the facility failed to provide twice weekly showers/bathing for a resident who was dependent on staff for activities of daily living (ADLs) for 1 of 1 resident reviewed for ADLs. (Resident 3)During an interview on 9/15/25 at 10:53 a.m., Resident 3 indicated he was not receiving showers as he should. Resident 3's record was reviewed on 9/18/25 at 11:52 a.m. Diagnoses included, but were not limited to, hemiplegia and hemiparesis (paralysis and weakness) following a stroke affecting the left non-dominant side. The Quarterly Minimum Data Set (MDS) assessment, dated 6/30/25, indicated the resident was cognitively intact. The resident required maximal assistance for showering/bathing. The Resident Preferences document, dated 5/13/25, indicated the resident preferred a shower on Monday and Thursday evenings. [...]
  6. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 31, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure signs and symptoms of constipation were addressed for 1 of 1 resident reviewed for constipation, skin treatments were completed as ordered and compression stockings were applied as ordered for 2 of 3 residents reviewed for non-pressure related skin conditions. (Residents 10, 16, and 13)
  7. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 31, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents with pressure ulcers received the necessary treatment and services to promote healing related to a physician's order for wound care not followed during a wound care observation for 1 of 4 residents reviewed for pressure ulcers. (Resident 44)
  8. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 31, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a resident who required nebulizer breathing treatments was assessed prior to, during, and/or after the treatment for effectiveness of the treatment for 1 of 1 resident reviewed for respiratory care. (Resident 14)
  9. D
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
    F744 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 31, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents with dementia received appropriate treatment and services related to lack of care planning with individualized interventions and activity assessments not completed for 2 of 3 residents reviewed for dementia care. (Residents 7 and 16)
  10. 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) October 31, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure infection control guidelines were in place and implemented related to lack of hand hygiene with glove changes during wound care and improper personal protective equipment (PPE) worn in an Enhanced Barrier Precaution (EBP) room while accessing a peripheral intravenous central catheter (PICC) line. (Residents 44 and 1)
  11. D
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 31, 2025
    Inspectors wroteBased on record review and interview, the facility failed to promote antibiotic stewardship by ensuring the appropriate use of antibiotic therapy to reduce antibiotic resistance related to antibiotics started without indication for use for 2 of 2 residents reviewed for urinary tract infections. (Resident 44 and 3)
  12. 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) October 31, 2025
    Inspectors wroteBased on observation and interview, the facility failed to post in a timely manner the daily staffing sheet which indicated how many staff were working in the facility and the facility census. This had the potential to affect the 62 residents who resided in the facility.
August 13, 2025Complaint inspection · 3 citations
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · 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) September 11, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure medications were administered as ordered for 1 of 3 residents reviewed for medication administration. (Resident C)
  2. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · 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) September 11, 2025
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure residents received the necessary care and treatment related to oxygen administration, lack of respiratory assessments, and oxygen saturation monitoring for 2 of 4 residents reviewed for respiratory care. (Residents B and D)
  3. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · 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) September 11, 2025
    Inspectors wroteBased on record review and interview, the facility failed to maintain clinical records that were complete and accurately documented related to documentation of medications and oxygen administered for 2 of 4 residents reviewed for medications and oxygen. (Residents B and C)
May 7, 2025Complaint inspection · 2 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 10, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a resident received proper assistance to prevent accidents, related to a CNA (Agency CNA 1) transferring a dependent resident (Resident B) from the bed to a chair without following the plan of care, causing pain and fractures to the resident's right leg and left ribs. The facility also failed to ensure Resident D, who was a high risk for falls and had a history of falls, was adequately supervised to prevent a fall which resulted in a head laceration requiring staples for healing for 2 of 3 residents reviewed for accidents/supervision.
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · 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) June 10, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure a resident who received new diagnoses of a fractured right tibia and multiple fractured ribs from a facility incident was assessed thoroughly and frequently upon returning from the emergency room for 1 of 3 residents reviewed for quality of care. (Resident B)
October 22, 2024Standard inspection, Complaint inspection · 12 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 22, 2024
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure a sanitary kitchen related to dishwasher temperatures not reaching the required temperature and lack of temperature monitoring for a high temperature dish machine. This had the potential to affect all 52 residents who received meals from the Main Kitchen.
  2. E
    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, pattern · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on record review and interview, the facility failed to establish and/or maintain a system that accounted for, periodically reconciled, and ensured the disposition of all controlled drugs, related to inaccurate documentation of narcotic medications for 1 of 3 residents reviewed for narcotics. (Resident 211) This had the potential to affect all residents who received narcotic medications. The deficient practice was corrected by 9/26/24, prior to the start of the survey, and was therefore past noncompliance. The facility thoroughly investigated the narcotic documentation irregularities and possible staff involvement, notified the appropriate entities, re-educated current staff on misappropriation and narcotic documentation, and implemented audits for narcotic documentation accuracy.
  3. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 22, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure a resident and/or their Responsible Party were notified in writing related to a transfer to the hospital for 1 of 2 residents reviewed for hospitalization. (Resident 15)
  4. D
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 22, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure a resident and/or their Responsible Party were sent the facility's bed hold and reserve bed payment policy before and upon transfer to the hospital for 1 of 2 residents reviewed for hospitalization. (Resident 15)
  5. 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 · Corrected (the home has a date of correction) November 22, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure care plans were reviewed and revised to include changes related to IV (intravenous) fluids for 1 of 22 resident care plans reviewed. (Resident D)
  6. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 22, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure parameters were in place for Physician notification related to weight monitoring for a resident with three times a week weights for 1 of 1 resident reviewed for edema. (Resident 15)
  7. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 22, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a resident with pressure ulcers received the treatment and services necessary to promote healing related to updating and following Physician's Orders for wound care for 1 of 3 residents reviewed for pressure ulcers (Resident 20).
  8. 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.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 22, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure an indwelling Foley (urinary) catheter collection bag for a resident with a history of infection was covered and not hanging off the top of a garbage can for 1 of 1 residents reviewed for urinary catheters. (Resident C)
  9. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · 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) November 22, 2024
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure residents received the necessary care and treatment related to respiratory equipment not changed as ordered and incorrect flow rate of oxygen (O2) administered for 3 of 4 residents reviewed for respiratory care. (Residents B, C, and D)
  10. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 5, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure each resident's medication regimen was managed and monitored to promote or maintain the resident's highest practicable mental, physical, and psychosocial well-being related to lack of non-pharmacological interventions used prior to giving anti-anxiety medication and lack of monitoring for side effects of an antidepressant for 2 of 5 residents reviewed for unnecessary medications. (Residents 37 and 48)
  11. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 22, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure clinical records were complete and accurately documented related to the lack of a resident's name on a self-medication administration assessment for 1 of 5 residents reviewed for unnecessary medications. (Resident 23)
  12. 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) December 19, 2024
    Inspectors wroteBased on observation and interview, the facility failed to ensure infection control guidelines were in place and implemented related to hand hygiene and glove use during a wound treatment for 1 of 1 treatments observed. (Wound Care Nurse and Resident 20)
July 24, 2024Complaint inspection · 1 citation
  1. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · 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 16, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure medical records were complete and accurately documented, related to oxygen administration and saturation levels, for 2 of 3 residents reviewed for oxygen. (Residents B and C).
May 14, 2024Complaint inspection · 2 citations
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 30, 2024
    Inspectors wroteBased on record review and interview, the facility failed to report an allegation of abuse/neglect to the Administrator of the facility, for 1 of 1 resident with an allegation of abuse/neglect voiced by a family member. (Resident B)
  2. 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) May 30, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure adequate supervision was provided and care plan interventions were followed to prevent a fall (Resident D) and spillage of hot coffee on the skin (Resident C), for 2 of 3 residents reviewed for accidents and supervision.
April 17, 2024Complaint inspection · 1 citation
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · 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) May 10, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure a resident received the necessary treatment and services related to the lack of a thorough and timely assessment completed after a resident had fallen for 1 of 3 residents reviewed for falls. (Resident B)
November 20, 2023Standard inspection · 13 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 12, 2024
    Inspectors wroteBased on observation and interview, the facility failed to ensure a sanitary kitchen related to built up burnt food debris and grease in 2 ovens for 1 of 1 kitchens observed (Main Kitchen). This had the potential to affect 54 residents who received food from the kitchen.
  2. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 12, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a resident's dignity was maintained related to an uncovered urinary catheter bag for 1 of 1 residents reviewed for dignity. (Resident 21)
  3. D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 12, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a resident's preference was honored related to not receiving a beverage of choice per her request for 1 of 2 residents reviewed for choices. (Resident 1)
  4. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 12, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure a resident and/or their Responsible Party were notified in writing related to a transfer to the hospital for 2 of 3 residents reviewed for hospitalization. (Residents 48 and 55)
  5. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 12, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure a baseline care plan was developed and implemented within 48 hours of admission for 1 of 18 residents reviewed for care plans. (Resident 48)
  6. 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) January 12, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to develop and implement a care plan for a resident with denture problems for 1 of 20 resident care plans reviewed. (Resident 1)
  7. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 12, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure the necessary care and services were provided to a dependent resident related to assistance with dentures daily for 1 of 3 residents reviewed for activities of daily living. (Resident 1)
  8. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 12, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure a resident received the necessary treatment and services related to the lack of a thorough assessment completed after a fall for 1 of 1 residents reviewed for falls. (Resident 32)
  9. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 12, 2024
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure a resident received the proper care and treatment for respiratory services related to an empty oxygen humidifier bottle and oxygen tubing not changed as ordered for 1 of 1 residents reviewed for respiratory care. (Resident 20)
  10. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 12, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure each resident's medication regimen was managed and monitored to promote or maintain the resident's highest practicable mental, physical, and psychosocial well-being related not following up on pharmacy recommendations in a timely manner for 1 of 5 residents reviewed for unnecessary medications. (Resident 48)
  11. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 12, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure each resident's medication regimen was managed and monitored to promote or maintain the resident's highest practicable mental, physical, and psychosocial well-being related to not monitoring the pulse prior to medication administration with ordered parameters for 1 of 5 residents reviewed for unnecessary medications. (Resident 24)
  12. D
    Employ staff that are licensed, certified, or registered in accordance with state laws.
    F839 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 12, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure a staff member who worked in the facility as a Registered Nurse had an active license. This had the potential to affect all 54 residents who resided in the facility.
  13. 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) January 12, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure infection control guidelines were in place and implemented related to a lancet disposed of improperly for a random observation during a blood sugar check. (Resident 107)
September 26, 2023Complaint inspection · 3 citations
  1. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 31, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to determine self-administration of medications was appropriate for residents, related to medications left with the residents for self administration and no assessment to indicate the residents were appropriate for self administration of medications, for 3 of 3 residents observed with medications left on the table and in the room for administration. (Residents F, C, and E)
  2. D
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    F806 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 31, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure dietary preferences were followed, related to not providing items listed on the individual meal card for 1 of 3 residents reviewed for food preferences. (Resident B)
  3. D
    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
    F808 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 31, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents were served therapeutic diets as ordered by the Physician, related to dietary and extra protein supplements, for 2 of 3 residents observed for therapeutic diets. (Residents C and D)

Fines and payment denials

DatePenaltyAmount or length
May 7, 2025Payment Denial 11 days from May 30, 2025

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.

MeasureThis homeIndianaUnited States
All nursing staff (RN, LPN and aides)4.343.693.86
Registered nurses0.490.670.69
All nursing staff on weekends3.993.253.42
Nurse aides2.52
Licensed practical nurses1.33
Nursing staff turnover (share who left in a year)48.8%45.9%45.8%
Registered nurse turnover57.1%40.3%42.9%
Administrators who left0

CMS expects 3.83 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 4.48 on weekdays and 3.99 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 15.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.32 in April to June 2025 to 4.34 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.340.494.483.99 15.7%0 of 9061
Oct to Dec 20254.180.644.273.94 20.1%0 of 9258
Jul to Sep 20254.190.644.313.88 23.1%0 of 9263
Apr to Jun 20254.320.904.473.96 21.2%0 of 9156
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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Indiana

JobMedianMiddle halfEmployed
Indiana, all employers
CNAs (nursing assistants)$18.43$17.80 to $21.3633,640
LPNs and LVNs$31.60$29.35 to $35.3014,480
Registered nurses$40.14$37.86 to $48.2868,980
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

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
23.111.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.10.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.11.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.73.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.81.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
32.211.914.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.63.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
8.813.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
31.022.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
6.510.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.01.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.41.41.8

Owners and operators

Legal business name: WOODLAWN HOSPITAL. CMS links this home to Greencroft Communities, a group of 5 nursing homes averaging 2.6 stars overall.

NameRoleTypeShareSince
Woodlawn Hospital5% or greater direct ownership interestOrganization100%01/01/2016
Woodlawn Hospital5% or greater indirect ownership interestOrganization100%01/01/2016
Bode, GlenManaging control - governing bodyIndividual12/09/2022
Chudzynski, KendraManaging control - governing bodyIndividual10/15/2024
Heyde, AlisonManaging control - governing bodyIndividual09/01/2019
Johnson, TerriManaging control - governing bodyIndividual06/13/2022
Mellinger, GregoryManaging control - governing bodyIndividual06/13/2022
Miller, BrandonManaging control - governing bodyIndividual04/07/2025
Rogers, BradleyManaging control - governing bodyIndividual06/26/2026
Webb, HarryManaging control - governing bodyIndividual10/15/2023
Oakgrove Christian Retirement VillageOperational/managerial controlOrganization01/01/2016
Bierma, SharonOperational/managerial controlIndividual01/01/2023
Davis, HughOperational/managerial controlIndividual02/05/2024
Devries, GerritOperational/managerial controlIndividual01/01/2021
Hamstra, DonnaOperational/managerial controlIndividual01/01/2019
Hoekstra, DonOperational/managerial controlIndividual01/01/2018
Ingram, BethOperational/managerial controlIndividual05/13/2024
Kooy, RandyOperational/managerial controlIndividual01/01/2024
McKim, DarlaOperational/managerial controlIndividual01/01/2023
Olinski, LyndaOperational/managerial controlIndividual04/08/2020
Ouwenga, LarryOperational/managerial controlIndividual01/01/2021
Patel, ChiragOperational/managerial controlIndividual01/01/2020
Rogers, BradleyOperational/managerial controlIndividual06/26/2026
Vankepel, KarlOperational/managerial controlIndividual01/01/2019
Bode, GlenTrustee of the SNFIndividual12/09/2022
Chudzynski, KendraTrustee of the SNFIndividual10/15/2024
Heyde, AlisonTrustee of the SNFIndividual09/09/2019
Johnson, TerriTrustee of the SNFIndividual06/13/2022
Mellinger, GregoryTrustee of the SNFIndividual06/13/2022
Miller, BrandonTrustee of the SNFIndividual04/07/2025
Webb, HarryTrustee of the SNFIndividual10/15/2023
Oakgrove Christian Retirement VillageAdp of the SNFOrganization01/01/2016
Woodlawn HospitalAdp of the SNFOrganization11/17/2025
Bierma, SharonAdp of the SNFIndividual01/01/2023
Davis, HughAdp of the SNFIndividual02/05/2024
Devries, GerritAdp of the SNFIndividual01/01/2021
Hamstra, DonnaAdp of the SNFIndividual01/01/2019
Hoekstra, DonAdp of the SNFIndividual01/01/2018
Ingram, BethAdp of the SNFIndividual05/13/2024
Kooy, RandyAdp of the SNFIndividual01/01/2024
McKim, DarlaAdp of the SNFIndividual01/01/2023
Olinski, LyndaAdp of the SNFIndividual04/08/2020
Ouwenga, LarryAdp of the SNFIndividual01/01/2021
Patel, ChiragAdp of the SNFIndividual01/01/2020
Vankepel, KarlAdp of the SNFIndividual01/01/2019

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. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 21 problems in this area, most recently on April 14, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 9 problems in this area, most recently on April 14, 2026: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 8 problems in this area, most recently on February 5, 2026: "Ensure that residents are fully informed and understand their health status, care and treatments."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 5 problems in this area, most recently on September 22, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."

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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 Oak Grove Christian Retirement Village's Medicare star rating?
CMS rates Oak Grove Christian Retirement Village 1 out of 5 stars overall, with 1 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Oak Grove Christian Retirement Village get at its last inspection?
12 health deficiencies at the standard inspection on September 22, 2025. The Indiana average is 7.2.
Has Oak Grove Christian Retirement Village been fined?
CMS lists no fines in the last three years.
Does Oak Grove Christian Retirement Village 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 Oak Grove Christian Retirement Village?
CMS lists 45 owners and managers, and links the home to Greencroft Communities. Legal business name: WOODLAWN HOSPITAL.

Sources

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