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Pilgrim Manor

222 Parkview St., Plymouth, IN 46563 · Marshall County · (574) 936-9943

78 certified beds, about 65 residents a day · Government - County · Medicare and Medicaid since 1968

Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 155073 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 13, 2026, inspectors cited 11 health deficiencies (the Indiana average is 7.2, the national average 9.2).

Of 33 health citations since December 2023, 2 were rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $45,580 in the last three years; the largest was $45,580, and the latest is dated February 13, 2026.

Nurses and nurse aides worked 3.43 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.62 of those hours.

39.1% 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.

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 33 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
25D
3E
3F
Potential for minimal harm
0A
0B
0C
June 1, 2026Complaint inspection · 2 citations
  1. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · 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) June 10, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to identify targeted behaviors and individualize interventions to clinically support the use of an antipsychotic and anti-depressant medications for 1 of 2 residents reviewed for chemical restraints (Resident E).
  2. 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 · found on a complaint visit · Corrected (the home has a date of correction) June 10, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to assess for the continued use of an indwelling urinary catheter, failed to monitor for UTI's, and failed to assess and monitor a resident's ability to urinate following removal of a urinary catheter for 1 of 1 residents reviewed (Resident E).
April 16, 2026Complaint 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 · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observation, record review and interview, the facility failed to implement preventative measures for 1 of 3 residents at risk for elopement which resulted in a resident elopement. (Resident B)
February 13, 2026Standard inspection · 11 citations
  1. G
    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
    F691 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) March 19, 2026
    Inspectors wroteBased on interview, observation and record review, the facility failed to assess, notify the family and provider and document the change in the medical record after a resident developed blood in her colostomy (an opening in the abdominal wall, connecting the colon to the outside of the body to divert waste and gas) bag for 1 of 1 residents reviewed for colostomy care. This deficient practice resulted in a delay of treatment for a gastrointestinal bleed (GI) and anemia (low hemoglobin) and unexpected hospitalization. (Resident J)
  2. 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) March 13, 2026
    Inspectors wroteBased on observation and interview, the facility failed to prepare and serve food under sanitary conditions related to staff hygiene in the kitchen and food temperature of hall trays for 1 of 1 kitchen areas observed. This issue had the potential to affect 62 of 62 residents who resided in the facility and received food from this dietary area.
  3. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 19, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to follow infection control practices related to hand hygiene procedures and wound care procedures for 1 of 1 resident reviewed for pressure ulcers. (Resident 34) In addition, the facility failed to track and complete infection surveillance during a COVID (Coronavirus) outbreak.
  4. E
    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, pattern · Corrected (the home has a date of correction) March 19, 2026
    Inspectors wroteBased on record review and interview, the facility failed to obtain informed consent for psychotropic medication administration for 5 of 5 residents reviewed for unnecessary medications. (Res 5, 57, B, H & J)
  5. 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 · Corrected (the home has a date of correction) March 13, 2026
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure 2 of 2 nursing staff (LPN 2 and LPN 3) followed standard pharmacy procedure to ensure accuracy related to documenting medication administration and administering preset medications for 1 of 1 residents observed for dignity. (Resident L)
  6. 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) March 13, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a resident was treated with dignity and respect regarding her concerns with medication administration for 1 of 1 resident reviewed for resident rights. (Resident L)
  7. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 19, 2026
    Inspectors wroteBased on interview and record review, the facility failed to consult the physician prior to administration of antihypertensives as instructed in emergency room discharge instructions for 1 of 2 residents reviewed for hospitalizations. (Resident H) This deficient practice resulted in medical-induced hypotension (unwanted low blood pressure caused by medications) and contributed to hospital readmission. In addition the facility failed to notify the physician regarding vital signs outside ordered parameters for blood pressures and blood sugars for 1 of 5 residents reviewed for unnecessary medications. (Resident H)
  8. D
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 13, 2026
    Inspectors wroteBased on observation, record review and interview, the facility failed to provide timely assessments related to safe and appropriate use of a bed alarm and failed to document resident/family education and consent for a bed alarm for 1 of 2 residents reviewed for restraints. (Resident 30)
  9. 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.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 13, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure hand splints to prevent bilateral hand contractures was implemented for 1 of 3 residents reviewed for range of motion. (Resident D) The clinical record for Resident D was reviewed on 2/13/2026 at 10:55 A.M. Diagnosis included, but were not limited to, rheumatoid arthritis and contracture of left and right hand. An Occupational Therapy notes, dated 8/15/2025 through 9/22/2025, provided by the Physical Therapy Director, on 02/13/2026 at 1:40 P.M., indicated current hand splints were appropriate and fit properly and should be continued to be worn at night. A second note, dated 10/08/2025, indicated the resident splints were in good functional order and appropriate for the resident to use. There was no order for the splints in the nursing charting and no documentation that nursing management staff made aware of order. [...]
  10. 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) March 13, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure a the infection control program regarding stewardship of antibiotics was promoted regarding the use of an antibiotic without adequate assessment completed for use for 1 of 1 resident reviewed for antibiotics. (Resident 2)
  11. D
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 13, 2026
    Inspectors wroteBased on observation and interview, the facility failed to ensure the walk-in freezer equipment was in working order for 1 of 1 kitchen reviewed. This deficient practice had the potential to affect 62 of 62 residents who received meals from the kitchen.
November 27, 2024Standard inspection, Complaint inspection · 11 citations
  1. G
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 27, 2024
    Inspectors wroteBased on record review and interview, the facility failed to follow bowel movement protocols. This resulted in the resident obtaining an ileus (a painful obstruction of the ileum or other part of the intestine) for 1 of 3 residents reviewed for quality of care. (Resident K)
  2. E
    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, pattern · Corrected (the home has a date of correction) December 27, 2024
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure food was stored and prepared in a sanitary manner for 1 of 1 kitchens observed. This deficient practice had the potential to affect 71 of 73 residents who consumed food from the kitchen.
  3. 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) December 27, 2024
    Inspectors wroteBased on interview and record review, the facility failed to allow residents to exercise their rights when choosing where to eat for 3 of 3 resident reviewed for resident rights. (Resident C, D and N)
  4. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 27, 2024
    Inspectors wroteBased on record review and interview, the facility failed to provide quarterly statements for 2 of 2 residents reviewed for personal funds. (Residents 5 & E)
  5. 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) December 27, 2024
    Inspectors wroteBased on interview and record review, the facility failed to complete a self administration of medication assessment timely for 1 of 1 resident reviewed for self administration of medications. (Resident N)
  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) December 27, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure a comprehensive plan of care was created for a resident with medical conditions of antiplatelet use, seizure disorder, gastroesophageal reflux disease (GERD) and glaucoma (Resident 39), a resident with splints to the wrist and fifth finger (Resident 22), and a resident with a pacemaker (Resident 29) for 3 of 19 residents reviewed for comprehensive care plans.
  7. 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 · Corrected (the home has a date of correction) December 27, 2024
    Inspectors wroteBased on record review and interview, the facility failed to prevent a burn for 1 of 1 resident reviewed for accident hazards. (Resident M)
  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) December 27, 2024
    Inspectors wroteBased on observation, record review and interview the facility failed to ensure nebulizer equipment and nasal cannula tubing were stored and dated properly (Resident 16), failed to ensure nasal cannula tubing was changed per physician orders and oxygen concentrator filters were cleaned as needed (Resident 16) and failed to provide oxygen hydration equipment (Resident F) for 3 of 3 residents reviewed for respiratory therapy.
  9. 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) January 4, 2025
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure physician ordered medications were given and available for 1 of 9 residents whose medications were reviewed. In addition, the facility failed to ensure narcotics were counted and documented every shift for 1 of 4 narcotic count logbooks reviewed. (Residents K and North narcotic count sheets)
  10. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 4, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure medications were stored appropriately and medication carts were free of loose pills for 2 of 2 medication carts observed. (400 hall medication cart and 100 hall medication cart)
  11. 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 27, 2024
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure enhanced barrier precautions were in place for 1 of 1 residents observed during wound care. (Resident 60) and failed to store catheter tubing and drainage bags appropriately for 1 of 2 residents reviewed for catheters (Resident F).
August 28, 2024Complaint inspection · 5 citations
  1. D
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · 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) September 21, 2024
    Inspectors wroteBased on interviews and record review, the facility failed to ensure 1 of 1 residents reviewed for restraints were free from physical restraints, (Resident C).
  2. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · 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) September 21, 2024
    Inspectors wroteBased on interviews, record review, and facility policy review, the facility failed to ensure their abuse policy was implemented when staff failed to report an allegation of abuse regarding an alleged use of a physical restraint, to the State Agency, for 1 of 3 residents reviewed for abuse, (Resident C).
  3. 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) September 21, 2024
    Inspectors wroteBased on interviews and record review, the facility failed to report to the State Agency an allegation of abuse for 1 of 3 resident's reviewed for abuse, (Residents C).
  4. D
    Respond appropriately to all alleged violations.
    F610 · 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) September 21, 2024
    Inspectors wroteBased interviews, and record review, the facility failed to ensure a thorough investigation was completed for an allegation of abuse for 1 of 3 residents reviewed for abuse, (Resident C).
  5. 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) September 21, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to monitor the temperatures of coffee and hot water before serving the fluids to residents and failed to assess a resident for hot fluid safety for 1 of 3 residents reviewed for accidents. (Resident B) This deficient practice resulted in a resident spilling hot liquid onto her lap and sustaining ;second degree burns on her legs. (Resident B)
December 22, 2023Standard inspection · 3 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 15, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store and serve food under sanitary conditions related to open and undated dry goods in 1 of 1 kitchen and touching the eating surface of salad bowls with bare hands in 2 of 2 dining halls observed. This had the potential to affect all 57 residents who resided in the facility and received food from these dietary areas.
  2. 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 15, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to develop a care plan for a resident with aspiration/choking risk and a resident with a pressure ulcer for 2 of 19 residents reviewed for comprehensive care plans. (Residents 42 & 154)
  3. 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) January 15, 2024
    Inspectors wroteBased on record review and interview, the facility failed to prevent the development of a pressure ulcer from a medical device for 1 of 3 residents reviewed for pressure ulcers. (Resident 20)

Fire safety inspections

16 fire safety citations on file: 9 on February 13, 2026, 3 on November 27, 2024, 2 on January 22, 2024, 2 on December 22, 2023.

Every fire safety citation16 citations
  1. F
    Implement emergency and standby power systems.
    E 41 · February 13, 2026 · Corrected (the home has a date of correction)
  2. F
    Install an approved automatic sprinkler system.
    K 351 · February 13, 2026 · Corrected (the home has a date of correction)
  3. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 13, 2026 · Corrected (the home has a date of correction)
  4. F
    Have simulated fire drills held at unexpected times.
    K 712 · February 13, 2026 · Corrected (the home has a date of correction)
  5. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · February 13, 2026 · Corrected (the home has a date of correction)
  6. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · February 13, 2026 · Corrected (the home has a date of correction)
  7. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · February 13, 2026 · Corrected (the home has a date of correction)
  8. F
    Have proper medical gas storage and administration areas.
    K 923 · February 13, 2026 · Corrected (the home has a date of correction)
  9. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · February 13, 2026 · Corrected (the home has a date of correction)
  10. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · November 27, 2024 · Corrected (the home has a date of correction)
  11. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · November 27, 2024 · Corrected (the home has a date of correction)
  12. E
    Provide properly protected cooking facilities.
    K 324 · November 27, 2024 · Corrected (the home has a date of correction)
  13. F
    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
    K 354 · January 22, 2024 · Corrected (the home has a date of correction)
  14. F
    Provide a written emergency evacuation plan.
    K 711 · January 22, 2024 · Corrected (the home has a date of correction)
  15. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 22, 2023 · Corrected (the home has a date of correction)
  16. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · December 22, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
February 13, 2026Fine $45,580

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)3.433.693.86
Registered nurses0.620.670.69
All nursing staff on weekends3.083.253.42
Nurse aides2.29
Licensed practical nurses0.52
Nursing staff turnover (share who left in a year)39.1%45.9%45.8%
Registered nurse turnover42.9%40.3%42.9%
Administrators who left0

CMS expects 4.46 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 3.58 on weekdays and 3.08 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.32 in April to June 2025 to 3.43 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.430.623.583.08 3.5%0 of 9065
Oct to Dec 20253.510.713.663.15 2.7%0 of 9264
Jul to Sep 20253.250.653.402.89 0.5%0 of 9265
Apr to Jun 20253.320.693.453.01 0.1%0 of 9165
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
18.911.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.40.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
8.91.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.43.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
22.111.914.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.73.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
8.113.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
18.822.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
2.910.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.41.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.51.41.8

Owners and operators

Legal business name: ADAMS COUNTY MEMORIAL HOSPITAL.

NameRoleTypeShareSince
Nbh Bank5% or greater mortgage interestOrganization07/01/2024
Borne-Bauman, CandiceManaging control - governing bodyIndividual07/01/2024
Flueckiger, RussellManaging control - governing bodyIndividual07/01/2024
Lehman, ScottManaging control - governing bodyIndividual07/01/2024
Macklin, LarryManaging control - governing bodyIndividual07/01/2024
McIntire, DavidManaging control - governing bodyIndividual07/01/2024
Adams County Memorial HospitalOperational/managerial controlOrganization01/01/2025
Pilgrim Manor OperationsOperational/managerial controlOrganization01/01/2025
Borne-Bauman, CandiceOperational/managerial controlIndividual07/01/2024
Combs, JamesOperational/managerial controlIndividual10/10/2024
Flueckiger, RussellOperational/managerial controlIndividual07/01/2024
Holm, ByronOperational/managerial controlIndividual07/01/2024
Lehman, ScottOperational/managerial controlIndividual07/01/2024
Macklin, LarryOperational/managerial controlIndividual07/01/2024
McIntire, DavidOperational/managerial controlIndividual07/01/2024
Smith, ScottOperational/managerial controlIndividual07/01/2024
Sprunger, KyleOperational/managerial controlIndividual07/01/2024
Wheeler, DaneOperational/managerial controlIndividual07/01/2024
Greatorex, TinaIndividual is an owner, partner or trustee of any ADP of the SNFIndividual08/06/2025
Schiowitz, MarcIndividual is an owner, partner or trustee of any ADP of the SNFIndividual08/06/2025
Sebbag, GabrielIndividual is an owner, partner or trustee of any ADP of the SNFIndividual08/06/2025
222 Parkview Propco LLCAdp of the SNFOrganization07/01/2024
Advanced Care Consultants LLCAdp of the SNFOrganization07/01/2024
Blue Management Services LLCAdp of the SNFOrganization07/01/2024
Clinical Consulting Services LLCAdp of the SNFOrganization07/01/2024
First Bank of BerneAdp of the SNFOrganization07/01/2024
Pilgrim Manor OperationsAdp of the SNFOrganization01/01/2025
Summation Financial Services LLCAdp of the SNFOrganization07/01/2024
Combs, JamesAdp of the SNFIndividual10/10/2024
Holm, ByronAdp of the SNFIndividual07/01/2024

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 9 problems in this area, most recently on June 1, 2026: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections."
  2. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 6 problems in this area, most recently on June 1, 2026: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on February 13, 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 3 problems in this area, most recently on February 13, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.08 hours per resident per day, below the Indiana average of 3.25.

Other nursing homes nearby

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Common questions

What is Pilgrim Manor's Medicare star rating?
CMS rates Pilgrim Manor 2 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Pilgrim Manor get at its last inspection?
11 health deficiencies at the standard inspection on February 13, 2026. The Indiana average is 7.2.
Has Pilgrim Manor been fined?
Yes. CMS lists 1 fine totaling $45,580 in the last three years.
Does Pilgrim 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 Pilgrim Manor?
CMS lists 30 owners and managers. Legal business name: ADAMS COUNTY MEMORIAL HOSPITAL.

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