Paddock Springs
2695 Sheldon Street, Warsaw, IN 46582 · Kosciusko County · (574) 658-9455
60 certified beds, about 58 residents a day · For profit - Corporation · Medicare and Medicaid since 1993
CMS Care Compare ratings, data as of September 1, 2026 · CCN 155495 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 22, 2026, inspectors cited 0 health deficiencies (the Indiana average is 7.2, the national average 9.2).
Of 7 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 3.91 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.43 of those hours.
37.3% of nursing staff left within the year CMS measured (Indiana average 45.9%).
CMS links it to Trilogy Health Services, an affiliated group of 127 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.
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 7 health citations on file.
January 22, 2026Standard inspection · 0 citations
March 31, 2025Complaint inspection · 2 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and interview, the facility failed to implement timely and effective interventions to prevent abrasions due to bed placement for 1 of 4 residents reviewed for skin alterations. (Resident B)
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on record review and interview, the facility failed to identify a pressure ulcer until it was necrotic and deemed an unstageable ulcer, implement orders for treatment timely and obtain and implement timely nutritional interventions for 1 of 4 residents reviewed for pressure ulcers. (Resident B)
October 16, 2024Standard inspection · 5 citations
- G Ensure that residents are free from significant medication errors.
Inspectors wroteBased on interview and record review, the facility failed to clarify conflicting hospital discharge orders and previous medication orders for appropriate dosing of a blood pressure medication. This deficient practice resulted in a significant medication error which required hospitalization for 1 of 3 residents reviewed for hospitalization. (Resident 9)
- D 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 record review and interview, the facility failed to notify the physician of medications held for 1 of 1 resident reviewed for physician notification (Resident 4).
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on record review, observation and interview, the facility failed to ensure interventions were in place to prevent a deep tissue injury (DTI) wound after admission for 1 of 2 residents reviewed for pressure ulcers. (Resident 105)
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review and interview, the facility failed to administer a physician ordered medication for 1 of 5 residents reviewed for unnecessary medications. (Resident 12)
- D 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 followed related to lack of changing gloves and handwashing during perineal care and when administering insulin for 1 of 1 resident observed for incontinence care and 1 of 1 resident observed for insulin injection. (Resident 15)
September 22, 2023Standard inspection · 0 citations
Fire safety inspections
17 fire safety citations on file: 4 on January 22, 2026, 4 on October 16, 2024, 9 on September 22, 2023.
Every fire safety citation17 citations
- F Conduct testing and exercise requirements.
- F Implement emergency and standby power systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Ensure proper usage of power strips and extension cords.
- C Have approved installation, maintenance and testing program for fire alarm systems.
- C Have simulated fire drills held at unexpected times.
- F Establish staff and initial training requirements.
- F Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- F Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install an approved automatic sprinkler system.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Meet other general requirements.
- C Have properly installed electrical wiring and gas equipment.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Indiana | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.91 | 3.69 | 3.86 |
| Registered nurses | 0.43 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.81 | 3.25 | 3.42 |
| Nurse aides | 2.73 | ||
| Licensed practical nurses | 0.75 | ||
| Nursing staff turnover (share who left in a year) | 37.3% | 45.9% | 45.8% |
| Registered nurse turnover | 81.8% | 40.3% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.38 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 3.95 on weekdays and 3.81 on weekends, 4% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.94 in April to June 2025 to 3.91 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 | 3.91 | 0.43 | 3.95 | 3.81 | 0.0% | 2 of 90 | 58 |
| Oct to Dec 2025 | 3.94 | 0.44 | 4.05 | 3.64 | 0.0% | 3 of 92 | 57 |
| Jul to Sep 2025 | 4.05 | 0.64 | 4.17 | 3.75 | 0.0% | 0 of 92 | 56 |
| Apr to Jun 2025 | 3.94 | 0.79 | 4.13 | 3.46 | 0.0% | 0 of 91 | 57 |
| 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 | 3.4 | 11.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.7 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.2 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 5.9 | 11.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.5 | 3.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.0 | 13.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 9.2 | 22.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 4.2 | 10.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.5 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.1 | 1.4 | 1.8 |
Owners and operators
Legal business name: HANCOCK REGIONAL HOSPITAL. CMS links this home to Trilogy Health Services, a group of 127 nursing homes averaging 4.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Hancock Regional Hospital | 5% or greater direct ownership interest | Organization | 100% | 11/01/2014 |
| Bond, Maria | Managing control - governing body | Individual | 07/01/2021 | |
| Clark, Timothy | Managing control - governing body | Individual | 05/01/2015 | |
| Daugherty, Joshua | Managing control - governing body | Individual | 01/01/2020 | |
| Felker, Dean | Managing control - governing body | Individual | 05/01/2015 | |
| Joyner, Sara | Managing control - governing body | Individual | 01/01/2022 | |
| Long, Steven | Managing control - governing body | Individual | 11/14/2018 | |
| Willard, Lacey | Managing control - governing body | Individual | 07/01/2022 | |
| Wilson, Roy | Managing control - governing body | Individual | 05/01/2015 | |
| Trilogy Healthcare of Milford, LLC | Operational/managerial control | Organization | 11/01/2014 | |
| Long, Steven | Operational/managerial control | Individual | 06/13/2022 | |
| Mathew, Pekkakuzhiyil | Operational/managerial control | Individual | 04/15/2025 | |
| Nunez, Humberto | Operational/managerial control | Individual | 02/14/2024 | |
| Barney, Leigh | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 08/12/2025 | |
| Davis, David | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 08/12/2025 | |
| Bond, Maria | Trustee of the SNF | Individual | 07/01/2021 | |
| Clark, Timothy | Trustee of the SNF | Individual | 05/01/2015 | |
| Daugherty, Joshua | Trustee of the SNF | Individual | 01/01/2020 | |
| Felker, Dean | Trustee of the SNF | Individual | 05/01/2015 | |
| Joyner, Sara | Trustee of the SNF | Individual | 01/01/2022 | |
| Willard, Lacey | Trustee of the SNF | Individual | 07/01/2022 | |
| Wilson, Roy | Trustee of the SNF | Individual | 05/01/2015 | |
| American Healthcare Reit Holdings LP | Adp of the SNF | Organization | 12/01/2015 | |
| American Healthcare Reit Inc | Adp of the SNF | Organization | 10/01/2018 | |
| Continental Merger Sub LLC | Adp of the SNF | Organization | 10/01/2021 | |
| Gahc3 Trilogy Jv LLC | Adp of the SNF | Organization | 12/01/2015 | |
| Gahc4 Trilogy Jv LLC | Adp of the SNF | Organization | 10/01/2018 | |
| Paragon Outpatient Rehabilitation Services LLC | Adp of the SNF | Organization | 12/01/2015 | |
| Trilogy Healthcare Holdings Inc | Adp of the SNF | Organization | 08/12/2025 | |
| Trilogy Investors LLC | Adp of the SNF | Organization | 12/01/2015 | |
| Trilogy Management Services LLC | Adp of the SNF | Organization | 12/01/2015 | |
| Trilogy Opco LLC | Adp of the SNF | Organization | 08/12/2025 | |
| Trilogy Pro Services LLC | Adp of the SNF | Organization | 08/12/2025 | |
| Trilogy Propco II LLC | Adp of the SNF | Organization | 02/14/2019 | |
| Trilogy Property Holdings LLC | Adp of the SNF | Organization | 08/12/2025 | |
| Trilogy Real Estate Investment Trust | Adp of the SNF | Organization | 12/01/2015 | |
| Trilogy Real Estate Kosciusko LLC | Adp of the SNF | Organization | 02/14/2019 | |
| Trilogy Reit Holdings LLC | Adp of the SNF | Organization | 12/01/2015 | |
| Mathew, Pekkakuzhiyil | Adp of the SNF | Individual | 04/15/2025 | |
| Nunez, Humberto | Adp of the SNF | Individual | 02/14/2024 |
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 3 problems in this area, most recently on March 31, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on October 16, 2024: "Ensure that residents are free from significant medication errors."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on October 16, 2024: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on October 16, 2024: "Provide and implement an infection prevention and control program."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Warsaw Meadows Warsaw, 0.3 mi · 1 of 5 stars · 30 citations
- Miller's Merry Manor Warsaw, 1.4 mi · 4 of 5 stars · 19 citations
- Mason Health Care Center Warsaw, 1.6 mi · 2 of 5 stars · 32 citations
- Grace Village Health Care Facility Winona Lake, 2.9 mi · 5 of 5 stars · 8 citations
- Waters of Syracuse Skilled Nursing Facility, the Syracuse, 13.6 mi · 1 of 5 stars · 34 citations
- Timbercrest Church of the Brethren Home North Manchester, 15.6 mi · 4 of 5 stars · 11 citations
- Peabody Retirement Community North Manchester, 16.6 mi · 4 of 5 stars · 25 citations
- Miller's at Oak Pointe Columbia City, 17.3 mi · 3 of 5 stars · 5 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 Paddock Springs's Medicare star rating?
- CMS rates Paddock Springs 5 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Paddock Springs get at its last inspection?
- 0 health deficiencies at the standard inspection on January 22, 2026. The Indiana average is 7.2.
- Has Paddock Springs been fined?
- CMS lists no fines in the last three years.
- Does Paddock Springs 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 Paddock Springs?
- CMS lists 40 owners and managers, and links the home to Trilogy Health Services. Legal business name: HANCOCK REGIONAL 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.