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Pineknoll Rehabilitation Centre

160 N Middle School Rd, Winchester, IN 47394 · Randolph County · (765) 584-5084

58 certified beds, about 52 residents a day · Non profit - Corporation · Medicare and Medicaid since 1994

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 155527 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 27, 2025, inspectors cited 2 health deficiencies (the Indiana average is 7.2, the national average 9.2).

None of its 8 health citations since February 2023 was rated as actual harm or immediate jeopardy.

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

Nurses and nurse aides worked 3.76 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.61 of those hours.

28.8% of nursing staff left within the year CMS measured (Indiana average 45.9%).

CMS links it to Hcf Management Indiana, an affiliated group of 6 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 8 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
4D
3E
1F
Potential for minimal harm
0A
0B
0C
May 27, 2025Standard inspection · 2 citations
  1. E
    Employ staff that are licensed, certified, or registered in accordance with state laws.
    F839 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure a nurse, who was employed to work in the facility in the nursing department, had a valid Indiana nursing license (LPN 3). This deficient practice had the potential to impact 56 of 56 residents who resided in the facility.
  2. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on record review and interview, the facility failed to document the transfer process and communication to the receiving health care facility for 1 of 4 residents reviewed for hospitalizations. (Resident 41)
April 19, 2024Standard inspection · 1 citation
  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) July 4, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure food was prepared and distributed in a safe, sanitary manner. This deficient practice had the potential to impact 55 of 55 residents who received meals from the facility kitchen.
February 20, 2023Standard inspection · 5 citations
  1. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 13, 2023
    Inspectors wroteA. Based on observation, interview, and record review, the facility failed to properly prevent and/or contain COVID-19 by ensuring infection prevention and control strategies were utilized during a facility COVID-19 outbreak, including failure to follow infection control guidelines upon entering and leaving rooms under transmission-based precautions, and during medication administration.
  2. E
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 13, 2023
    Inspectors wroteBased on interview and record review, the facility failed to implement their antibiotic stewardship program for antibiotic use for 5 of 10 residents prescribed antibiotics for urinary tract infections in December 2022 and January 2023. (Residents 43, 16, 22, 27, and 253)
  3. 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 13, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure the resident representative was notified immediately of a fall with injury for 1 of 5 residents sampled for falls (Resident B).
  4. 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) March 13, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure resident fall frequency, injuries and antiplatelet/anticoagulant medications were discussed and documented prior to administration of the above mentioned medications for a resident with recent repeated falls with head injuries for 1 of 5 residents reviewed for falls. (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 · Corrected (the home has a date of correction) March 13, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide adequate supervision to prevent falls with injuries for a dependent resident for 1 of 5 residents reviewed for falls. (Resident C)

Fire safety inspections

9 fire safety citations on file: 4 on May 27, 2025, 2 on April 19, 2024, 3 on February 20, 2023.

Every fire safety citation9 citations
  1. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 27, 2025 · Corrected (the home has a date of correction)
  2. E
    Meet other general requirements.
    K 100 · May 27, 2025 · Corrected (the home has a date of correction)
  3. E
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · May 27, 2025 · Corrected (the home has a date of correction)
  4. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · May 27, 2025 · Corrected (the home has a date of correction)
  5. E
    Install proper backup exit lighting.
    K 281 · April 19, 2024 · Corrected (the home has a date of correction)
  6. C
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · April 19, 2024 · Corrected (the home has a date of correction)
  7. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · February 20, 2023 · Corrected (the home has a date of correction)
  8. E
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · February 20, 2023 · Corrected (the home has a date of correction)
  9. E
    Have an externally vented heating system.
    K 522 · February 20, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeIndianaUnited States
All nursing staff (RN, LPN and aides)3.763.693.86
Registered nurses0.610.670.69
All nursing staff on weekends3.053.253.42
Nurse aides2.37
Licensed practical nurses0.78
Nursing staff turnover (share who left in a year)28.8%45.9%45.8%
Registered nurse turnover22.2%40.3%42.9%
Administrators who left2

CMS expects 4.07 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 4.05 on weekdays and 3.05 on weekends, 25% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.02 in April to June 2025 to 3.76 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.760.614.053.05 0.9%0 of 9052
Oct to Dec 20253.740.624.043.00 1.1%3 of 9253
Jul to Sep 20253.880.694.252.91 1.0%0 of 9255
Apr to Jun 20254.020.644.393.09 2.4%0 of 9154
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. If you work here, your report helps start one.

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.

Work here? Share your pay anonymously

For Pineknoll Rehabilitation Centre. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

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
20.011.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
3.51.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.13.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.41.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
28.611.914.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.73.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
2.613.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
28.522.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
4.910.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.81.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.21.41.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Pineknoll Rehabilitation Centre's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (56.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

56.7% this home

No different from the national rate

US median of homes 51.5% · Indiana: 111 better, 7 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 100 eligible stays.

Potentially preventable readmissions

11.5% this home

No different from the national rate

US median of homes 10.7% · Indiana: 0 better, 17 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 110 eligible stays.

Infections that led to a hospital stay

6.1% this home

No different from the national rate

US median of homes 7.1% · Indiana: 0 better, 4 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 64 eligible stays.

Self-care and mobility at discharge

49.3% this home

Median of homes: Indiana60.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 75 residents counted.

Falls with major injury

0.0% this home

Median of homes: Indiana0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 97 residents counted.

New or worsened pressure ulcers

5.4% this home

Median of homes: Indiana1.4% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 97 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Indiana100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 10 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: WITHAM MEMORIAL HOSPITAL. CMS links this home to Hcf Management Indiana, a group of 6 nursing homes averaging 3.7 stars overall.

NameRoleTypeShareSince
Witham Memorial Hospital5% or greater direct ownership interestOrganization100%12/01/2011
Bayston, BrettCorporate directorIndividual01/01/2023
Brand, JohnCorporate directorIndividual11/01/2016
Castetter, AndreaCorporate directorIndividual01/01/2023
Hawkins, ClaudeCorporate directorIndividual11/01/2016
Hornbecker, MichaelCorporate directorIndividual01/01/2024
Reagan, JulieCorporate directorIndividual09/25/2024
Braverman, KellyCorporate officerIndividual12/01/2021
Sellers, DanielCorporate officerIndividual06/20/2024
Magnolia Health Management Xxv, LLCOperational/managerial controlOrganization11/01/2011
Reed, StuartOperational/managerial controlIndividual11/01/2011
Thorn, RosalindOperational/managerial controlIndividual10/28/2025
Watkins, KennethOperational/managerial controlIndividual10/28/2025
Reed, MichaelIndividual is an owner, partner or trustee of any ADP of the SNFIndividual12/09/2025
Magnolia Health Systems 56, LLCAdp of the SNFOrganization11/13/2025
Magnolia Health Systems IncAdp of the SNFOrganization11/01/2011
Sabra Health Care Limited PartnershipAdp of the SNFOrganization11/01/2011
Thorn, RosalindAdp of the SNFIndividual12/12/2025
Ward, JonathanAdp of the SNFIndividual11/01/2011
Watkins, KennethAdp of the SNFIndividual10/28/2025

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 residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on May 27, 2025: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on February 20, 2023: "Provide and implement an infection prevention and control program."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on February 20, 2023: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  4. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on May 27, 2025: "Employ staff that are licensed, certified, or registered in accordance with state laws."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.05 hours per resident per day, below the Indiana average of 3.25.
  6. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

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Indiana contacts for a concern about a nursing home

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Common questions

What is Pineknoll Rehabilitation Centre's Medicare star rating?
CMS rates Pineknoll Rehabilitation Centre 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Pineknoll Rehabilitation Centre get at its last inspection?
2 health deficiencies at the standard inspection on May 27, 2025. The Indiana average is 7.2.
Has Pineknoll Rehabilitation Centre been fined?
CMS lists no fines in the last three years.
Does Pineknoll Rehabilitation Centre 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 Pineknoll Rehabilitation Centre?
CMS lists 20 owners and managers, and links the home to Hcf Management Indiana. Legal business name: WITHAM MEMORIAL HOSPITAL.

Sources

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