Find a nursing home

Home / Indiana / Carmel

Retreat at the Stratford, the

2460 Glebe St., Carmel, IN 46032 · Hamilton County · (317) 733-9560

18 certified beds, about 11 residents a day · For profit - Corporation · Medicare since 2012

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 155794 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 12, 2026, inspectors cited 1 health deficiency (the Indiana average is 7.2, the national average 9.2).

None of its 12 health citations since April 2024 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 6.50 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 1.49 of those hours.

76.5% of nursing staff left within the year CMS measured (Indiana average 45.9%).

CMS links it to Senior Living Communities, an affiliated group of 9 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 12 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
11D
0E
1F
Potential for minimal harm
0A
0B
0C
February 12, 2026Standard inspection · 1 citation
  1. 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) February 20, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure the physician was notified of daily weight gains as ordered by the physician for 1 of 1 resident reviewed for notification of change. (Resident 3)
June 2, 2025Complaint inspection · 2 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) June 16, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the interdisciplinary team (IDT) assessed to determine a resident was safe to self-administer medications for 1 of 1 resident reviewed for self-medication administration. (Resident D)
  2. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · 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, interview and record review, the facility failed to ensure residents were free from verbal abuse and intimidation for 2 of 4 residents reviewed for abuse. (Resident B and C) The deficient practice was corrected on 5/25/25, prior to the start of the survey, and therefore was past noncompliance.
March 7, 2025Standard inspection · 6 citations
  1. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 2, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure the physician was notified of the residents' advanced directives and an order was documented in the residents' medical record for 3 of 3 residents reviewed for advanced directives. (Resident 8, 63 and 68)
  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) April 2, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure person-centered comprehensive care plan interventions were developed for a resident who had a significant weight loss for 1 of 1 resident reviewed for nutrition. (Resident 6)
  3. 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) April 2, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to assess and document skin issues for 1 of 2 residents reviewed for quality of care. (Resident 5)
  4. 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) April 2, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure narcotic count sheets were signed off by the on-coming and off-going nurses to ensure an accurate reconciliation was completed for 1 of 1 narcotic book reviewed for reconciliation.
  5. 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 · Corrected (the home has a date of correction) April 2, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure medications were stored in their original packaging, failed to label an open vial with a date, and failed to monitor and document medication refrigerator temperatures for 1 of 1 medication cart and 1 of 1 medication refrigerator reviewed for medication storage.
  6. D
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 2, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a recipe was available and followed for puree foods to ensure nutritive value and flavor was conserved for 2 of 2 residents reviewed for a pureed diet. (Resident 1 and 4)
April 5, 2024Standard inspection, Complaint 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 · found on a complaint visit · Corrected (the home has a date of correction) May 15, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure food was distributed under safe sanitary conditions for 14 of 14 residents who resided in the nursing home area of the facility.
  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 · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview and record review, the facility failed to ensure ordered wound treatments were completed as ordered for 1 of 4 residents reviewed for wound treatment (Resident B).
  3. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 15, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure ongoing communication for continuation of care with the dialysis center for 1 of 1 resident reviewed for dialysis services (Resident 6)

Fire safety inspections

27 fire safety citations on file: 5 on February 12, 2026, 16 on March 7, 2025, 6 on April 5, 2024.

Every fire safety citation27 citations
  1. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · February 12, 2026 · Corrected (the home has a date of correction)
  2. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 12, 2026 · Corrected (the home has a date of correction)
  3. F
    Have simulated fire drills held at unexpected times.
    K 712 · February 12, 2026 · Corrected (the home has a date of correction)
  4. 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 12, 2026 · Corrected (the home has a date of correction)
  5. E
    Have elevators that firefighters can control in the event of a fire.
    K 531 · February 12, 2026 · Corrected (the home has a date of correction)
  6. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · March 7, 2025 · Corrected (the home has a date of correction)
  7. F
    Follow proper procedures when the fire alarm was out of service for more than 4 hours.
    K 346 · March 7, 2025 · Corrected (the home has a date of correction)
  8. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 7, 2025 · Corrected (the home has a date of correction)
  9. F
    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
    K 354 · March 7, 2025 · Corrected (the home has a date of correction)
  10. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · March 7, 2025 · Corrected (the home has a date of correction)
  11. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · March 7, 2025 · Corrected (the home has a date of correction)
  12. F
    Have elevators that firefighters can control in the event of a fire.
    K 531 · March 7, 2025 · Corrected (the home has a date of correction)
  13. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · March 7, 2025 · Corrected (the home has a date of correction)
  14. F
    Have proper medical gas storage and administration areas.
    K 923 · March 7, 2025 · Corrected (the home has a date of correction)
  15. E
    Provide properly protected cooking facilities.
    K 324 · March 7, 2025 · Corrected (the home has a date of correction)
  16. E
    Install corridor and hallway doors that block smoke.
    K 363 · March 7, 2025 · Corrected (the home has a date of correction)
  17. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · March 7, 2025 · Corrected (the home has a date of correction)
  18. E
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · March 7, 2025 · Corrected (the home has a date of correction)
  19. C
    Include a process for Emergency Preparedness collaboration.
    E 9 · March 7, 2025 · Corrected (the home has a date of correction)
  20. C
    Provide emergency officials' contact information.
    E 31 · March 7, 2025 · Corrected (the home has a date of correction)
  21. C
    Conduct testing and exercise requirements.
    E 39 · March 7, 2025 · Corrected (the home has a date of correction)
  22. F
    Implement emergency and standby power systems.
    E 41 · April 5, 2024 · Corrected (the home has a date of correction)
  23. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 5, 2024 · Corrected (the home has a date of correction)
  24. F
    Have simulated fire drills held at unexpected times.
    K 712 · April 5, 2024 · Corrected (the home has a date of correction)
  25. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · April 5, 2024 · Corrected (the home has a date of correction)
  26. D
    Install corridor and hallway doors that block smoke.
    K 363 · April 5, 2024 · Corrected (the home has a date of correction)
  27. C
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · April 5, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
March 27, 2025Payment Denial 6 days from June 27, 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)6.503.693.86
Registered nurses1.490.670.69
All nursing staff on weekends6.053.253.42
Nurse aides3.61
Licensed practical nurses1.40
Nursing staff turnover (share who left in a year)76.5%45.9%45.8%
Registered nurse turnover87.5%40.3%42.9%
Administrators who left1

CMS expects 3.63 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 6.68 on weekdays and 6.05 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 8.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 7.31 in April to June 2025 to 6.50 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20266.501.496.686.05 8.4%0 of 9011
Oct to Dec 20256.381.806.615.79 27.1%0 of 9212
Jul to Sep 20257.251.877.486.65 15.2%1 of 9210
Apr to Jun 20257.312.287.955.66 24.4%1 of 9111
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 with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
9.13.93.2
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 with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.83.64.6
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
20.522.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
11.010.812.0

Owners and operators

Legal business name: STRATFORD RETIREMENT, LLC. CMS links this home to Senior Living Communities, a group of 9 nursing homes averaging 4.3 stars overall.

NameRoleTypeShareSince
Thompson, Benjamin5% or greater direct ownership interestIndividual25%01/01/2021
Thompson, Donald5% or greater direct ownership interestIndividual50%09/17/2010
Thompson, Joshua5% or greater direct ownership interestIndividual25%01/01/2021
Maxwell Group, Inc.Operational/managerial controlOrganization10/10/2010
Miller, BradleyOperational/managerial controlIndividual02/19/2025
Solito, LeoOperational/managerial controlIndividual02/01/2024
Thompson, BenjaminOperational/managerial controlIndividual07/01/2022
Maxwell Group, Inc.Adp of the SNFOrganization02/01/2025
Miller, BradleyAdp of the SNFIndividual02/02/2026
Solito, LeoAdp of the SNFIndividual02/02/2026

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 3 problems in this area, most recently on February 12, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
  2. 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 7, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on March 7, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on March 7, 2025: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

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 Retreat at the Stratford, the's Medicare star rating?
CMS rates Retreat at the Stratford, the 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Retreat at the Stratford, the get at its last inspection?
1 health deficiency at the standard inspection on February 12, 2026. The Indiana average is 7.2.
Has Retreat at the Stratford, the been fined?
CMS lists no fines in the last three years.
Does Retreat at the Stratford, the accept Medicaid?
CMS lists it as "Medicare", so it is not certified for Medicaid.
Who owns Retreat at the Stratford, the?
CMS lists 10 owners and managers, and links the home to Senior Living Communities. Legal business name: STRATFORD RETIREMENT, LLC.

Sources

Find a nursing home Read an inspection