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Home / Indiana / Jasper

Serenity Spring Senior Living at Northwood

2515 Newton St., Jasper, IN 47547 · Dubois County · (812) 482-1722

107 certified beds, about 73 residents a day · For profit - Corporation · Medicare and Medicaid since 1986

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 155282 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 13, 2025, inspectors cited 6 health deficiencies (the Indiana average is 7.2, the national average 9.2).

Of 38 health citations since February 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 3.55 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.40 of those hours.

40.0% of nursing staff left within the year CMS measured (Indiana average 45.9%).

CMS links it to Continuum Healthcare, an affiliated group of 13 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 38 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
19D
16E
0F
Potential for minimal harm
0A
0B
2C
April 7, 2026Complaint inspection · 2 citations
  1. E
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 30, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a safe, sanitary, and homelike environment in 3 of 6 unit halls and common resident spaces. The 100 unit hall temperature was 70 degrees Fahrenheit (F), the Garden Ridge unit hall was 64 degrees F, and the Cedar point unit hall was 69 degrees F. (100 unit, Garden Ridge unit, Cedar Pointe unit, Resident B, Resident D).
  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 · found on a complaint visit · Corrected (the home has a date of correction) April 30, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure care plan interventions to prevent falls were in place for 1 of 3 residents reviewed for quality of care. A resident with a history of falls did not have specific interventions to prevent further falls in place according to the plan of care. (Resident C)
June 13, 2025Standard inspection · 6 citations
  1. E
    Allow resident to participate in the development and implementation of his or her person-centered plan of care.
    F553 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 25, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure care plan conferences were held for 4 of 5 residents reviewed for unnecessary medications. (Resident 6, Resident 7, Resident 11, Resident 44)
  2. E
    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, pattern · Corrected (the home has a date of correction) July 25, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure notification to family/resident representative with a change in resident condition for 4 of 5 residents reviewed for falls. Family/resident representatives were not notified following falls. (Resident 39, Resident 43, Resident 52, Resident 56)
  3. E
    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, pattern · Corrected (the home has a date of correction) July 25, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure adequate supervision and assistive devices were provided to prevent accidents for 4 of 5 residents reviewed for falls. Complete and thorough assessments were lacking after each fall, care plans were not updated with each fall, current interventions were not in place to at times of falls and a comprehensive review of all falls was not completed. (Resident 39, Resident 43, Resident 52, Resident 56)
  4. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 25, 2025
    Inspectors wroteBased on interview and record review, the facility failed to provide a required notice to a resident being discharged from Medicare services for 1 of 3 residents reviewed. No record of a SNF-ABN (Skilled Nursing Facility-Advanced Beneficiary Notification) notice was available that indicated the resident was notified of a discharge from Medicare services with days remaining prior to the resident's discharge from the facility. (Resident 75)
  5. 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 · Corrected (the home has a date of correction) July 25, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure resident's drug regimens were free from unnecessary drugs for 2 of 5 residents reviewed for falls. A resident was given an antipsychotic without a physician's order and a gradual dose reduction (GDR) wasn't done for a resident taking an antipsychotic and antianxiety medication. (Resident 39, Resident 6)
  6. 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) July 25, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a sanitary environment to help prevent the development and transmission of communicable diseases and infections for 3 of 3 residents observed for incontinence care. Hand hygiene was not completed between glove changes, staff washed hands with less then 15 second lather, an incontinence pad was held between the bed and the staff's knees (with the inside of the incontinence pad against her scrub pants), staff left a visibly soiled incontinence pad on a resident after toileting him, and residents were not offered to wash their hands after toileting. (Resident 7, Resident 45, Resident 6)
May 22, 2024Standard inspection · 21 citations
  1. E
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 1, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure a notice of transfer or discharge was given to residents or resident representatives for 5 of 5 residents reviewed for hospitalizations. The transfer or discharge notice was not completed and clinical records lacked documentation of residents/representatives receiving a notice of transfer or discharge at the time of the hospitalizations. (Resident 38, Resident 52, Resident 46, Resident 43, Resident 15)
  2. E
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 1, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure a bed hold form and policy was given to residents or resident representatives for 5 of 5 residents reviewed for hospitalizations. The bed hold form was not completed and clinical records lacked documentation of residents/representatives receiving a bed hold form and policy at the time of the hospitalizations. (Resident 38, Resident 52, Resident 46, Resident 43)
  3. E
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 1, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure accuracy of assessments for 14 of 26 resident records reviewed during the survey. MDS (Minimum Data Set) Assessments did not accurately reflect resident status. (Resident 52, Resident 38, Resident 12, Resident 35, Resident 36, Resident 41, Resident 19, Resident 17, Resident 19, Resident 43, Resident 48, Resident 5, Resident 53)
  4. E
    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, pattern · Corrected (the home has a date of correction) July 1, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to develop a comprehensive person-centered care plan with resident specific needs for 4 of 22 residents reviewed for care plan development and implementation. Resident on hospice did not have a care plan for hospice, resident did not have a care plan for eating meals at a bedside table in the main dining room, residents that were taking an antianxiety, diuretic, and antidepressant did not have care plans for use. (Resident 19, Resident 5, Resident 48, Resident 45)
  5. E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 1, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents had care plan conferences and care plans were revised for 1 of 2 residents reviewed for accidents and 3 of 5 residents reviewed for unnecessary medications. A resident moved out of the locked dementia unit and a resident's sleep medication was changed but the care plans were not revised. Residents did not have care plan conferences timely. (Resident 38, Resident 12, Resident 5, Resident 48)
  6. E
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 1, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure residents were free from unnecessary medications for 5 of 6 residents reviewed for unnecessary medications. Resident's as needed anti-anxiety medication was ordered for greater than 14 days. A resident had a Physician's Order for an antipsychotic with an unacceptable diagnosis. (Resident 45, Resident 3, Resident 14, Resident 19, Resident 48)
  7. E
    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, pattern · Corrected (the home has a date of correction) July 1, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to maintain safe and secure storage of medications for 3 of 4 medication carts observed and 1 of 3 medication storage rooms observed. Loose pills were observed in the medication carts, and refrigerator temperature logs were not filled out completely in the medication room.
  8. 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) July 1, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure distribution and food service was provided in accordance with professional standards for food service safety for 2 of 2 meals observed, and 1 of 1 meal services observed in the kitchen. (Main Kitchen, Locked Unit Dining Room)
  9. E
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 1, 2024
    Inspectors wroteBased on interview, and record review, the facility failed to properly document influenza and pneumococcal vaccines being offered to residents for 3 of 5 residents reviewed for influenza and pneumococcal vaccination. Clinical records lacked the vaccine consent/refusal date, the reason why it was refused, and a date education was provided to the resident and/or resident representative. (Resident 19, Resident 4, Resident 36)
  10. E
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 1, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a safe, functional, sanitary, and comfortable environment for residents for 2 of 5 halls observed, and 1 of 1 common area observed. (Locked Unit, room [ROOM NUMBER] )
  11. 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) July 1, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents were treated with respect and dignity for 2 of 2 random observations. A staff member was observed standing while assisting to feed a resident, and a staff member walked away from a resident with visible urine under her chair. (Resident 27, Resident 48)
  12. 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) July 1, 2024
    Inspectors wroteBased on observation and interview the facility failed to provide services based on resident preferences for 1 of 5 residents reviewed. The facility failed to provide ice water to one resident when requested. (Resident 45)
  13. 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) July 1, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to clarify a Resident's code status for 1 of 1 residents reviewed for Advanced Directives. A Resident's current Physician Orders did not match the signed DO NOT RESUSCITATE DECLARATION AND ORDER form. A Resident had a care plan for DNR (Do Not Resuscitate) and CPR (Cardiopulmonary Resuscitation). (Resident 18)
  14. 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) July 1, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the resident right to be free of a physical restraint for 1 of 1 residents reviewed for physical restraints. A bed rail was used as a physical restraint. (Resident 12)
  15. 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 · Corrected (the home has a date of correction) July 1, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to report an allegation of abuse for 1 of 1 residents reviewed for abuse. A Certified Nurse Aide (CNA) physically removed the resident's fingers and hand from the stand aide lift. (Resident 4)
  16. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 1, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to properly investigate an allegation of abuse for 1 of 1 residents reviewed for abuse. A Certified Nurse Aide (CNA) physically removed the resident's fingers and hand from the stand aide lift. (Resident 4)
  17. 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) July 1, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure adequate supervision to prevent accidents for 2 of 2 residents reviewed for falls. Neurological checks were not completed after a fall, new interventions were not put into place after falls, and interventions on care plans were not followed for residents at risk for falls resulting in multiple falls. (Resident 38, Resident 52)
  18. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 1, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident received services and assistance to prevent and treat urinary tract infections (UTI) for 1 of 1 residents reviewed for UTIs. A resident with recurrent UTIs was not treated appropriately, and incontinence care provided lacked appropriate infection control practices to prevent infection. (Resident 36)
  19. 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) July 1, 2024
    Inspectors wrote2. On 5/15/24 at 1:58 P.M., Resident 28's oxygen filter on the side of the oxygen machine was observed to be caked with dust. Resident 28 was sitting in his recliner wearing O2 per nasal cannula at 2 lpm with gauze on the tubing to protect his ears. On 5/16/24 at 9:11 A.M., Resident 28 was observed sitting in his recliner with O2 on at 2 lpm per nasal cannula. The filter on the side of the oxygen machine remains dusty. On 5/15/24 at 2:49 P.M., Resident 28's clinical records were reviewed. Diagnosis included, but were not limited to chronic respiratory failure with hypoxia. The most current Annual MDS (Minimum Data Set) Assessment and State Optional MDS, dated [DATE], indicated Resident 28 was cognitively intact, required, extensive assistance of one for bed mobility and toilet use, limited assistance of one for transfers, and used oxygen. [...]
  20. 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) July 1, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure infection control practices were followed for 2 of 4 residents during observation of incontinence care and 1 of 3 observations of obtaining a blood sugar with a glucometer. Gloves were not changed between dirty and clean tasks during peri care and staff cleaned a glucometer for an unmeasurable amount of time. (Resident 7, Resident 11, Resident 43).
  21. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) July 1, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure posted nurse staffing sheets were posted daily during the survey for 2 of 9 days reviewed during the survey process. Post nurse staffing was not updated over the weekend. (May 18, May 19)
December 12, 2023Complaint inspection · 1 citation
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 26, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure timely reporting of an abuse allegation to facility administration and to the state agency for 1 of 2 abuse allegations reviewed. Staff filed an abuse allegation as a grievance rather than immediately notifying the DON (Director of Nursing) or facility administrator, and the allegation was not reported to the state agency within the required 2 hour time frame. (Resident D)
February 9, 2023Standard inspection · 8 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) March 24, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure each resident received adequate supervision and assistive devices to prevent accidents for 2 of 2 residents reviewed for accidents. Care plan interventions were not followed or updated after falls, and one random observation of a treatment cart containing prescription medication was observed left unlocked and unattended. This deficient practice resulted in Resident 44 having 9 falls in 11 months resulting in three fractures. (Resident 44, Resident 28, Treatment Cart)
  2. E
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 13, 2023
    Inspectors wrote4. During record review on 2/1/23 at 2:48 P.M., Resident 12 was [AGE] years old when admitted to the facility on [DATE]. Resident 12's diagnosis included, but was not limited to, schizoaffective disorder, diagnosed 3/26/21. Resident 12's most recent significant change MDS, dated [DATE], indicated Resident 12 had schizophrenia and received antipsychotics on a routine basis. Resident 12's current physician orders included, but were not limited to, Zyprexa (antipsychotic medication) 5 milligrams (mg) by mouth two times a day for a diagnosis of schizoaffective disorder. Resident 12's assessments, behavior monitoring, and documentation of diagnosis criteria for schizoaffective disorder was requested, but not received. 5. During record review on 2/3/23 at 1:59 P.M., Resident 2 was [AGE] years old when admitted to the facility on [DATE]. [...]
  3. 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 24, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to properly prevent and/or contain COVID-19 during 1 random observation of staff entering a COVID-19 positive resident room, 3 of 5 resident observed for care, and 1 of 4 residents observed for medication administration. Gloves were not changed from dirty to clean tasks, hands were not washed appropriately, staff was not appropriately wearing a face mask, staff did not sanitize hands prior to providing incontinence care, and staff did not sanitize hands prior to handling medications. (Resident B, Resident G, Resident K, Resident M, Resident J)
  4. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 24, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that appropriate treatment and services were provided to for an incontinent resident in 1 of 2 residents reviewed for UTI (urinary tract infections). A resident with a UTI was observed incontinent of urine, and was not cleaned appropriately. (Resident B)
  5. 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) April 13, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the residents received the necessary respiratory care and services in accordance with the professional standards of practice for 2 of 2 residents reviewed for respiratory care. The facility failed to follow physician oxygenation orders and have an oxygen use care plan. (Resident 29, Resident 303)
  6. D
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    F849 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 24, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure a communication process with hospice personnel was developed and implemented, including how the communication will be documented between the LTC (long term care) facility and the hospice provider, and to ensure that the needs of the resident were addressed for 1 of 1 residents reviewed for hospice. The clinical record of Resident 41 lacked documentation of ongoing communication between facility staff and hospice staff. (Resident 41)
  7. D
    Ensure staff are vaccinated for COVID-19
    F888 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 24, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure staff COVID-19 vaccination medical exemptions specified a clinically recognized contraindication for 1 of 1 staff medical exemptions reviewed. (Staff 10)
  8. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) March 24, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure completed staffing sheets were posted daily for 6 of 6 days during the survey.

Fire safety inspections

34 fire safety citations on file: 5 on June 13, 2025, 14 on May 22, 2024, 15 on February 9, 2023.

Every fire safety citation34 citations
  1. F
    Have simulated fire drills held at unexpected times.
    K 712 · June 13, 2025 · Corrected (the home has a date of correction)
  2. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · June 13, 2025 · Corrected (the home has a date of correction)
  3. E
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · June 13, 2025 · Corrected (the home has a date of correction)
  4. E
    Ensure proper usage of power strips and extension cords.
    K 920 · June 13, 2025 · Corrected (the home has a date of correction)
  5. E
    Have proper medical gas storage and administration areas.
    K 923 · June 13, 2025 · Corrected (the home has a date of correction)
  6. F
    Address patient/client population and determine types of services needed.
    E 7 · May 22, 2024 · Corrected (the home has a date of correction)
  7. F
    Establish staff and initial training requirements.
    E 37 · May 22, 2024 · Corrected (the home has a date of correction)
  8. F
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · May 22, 2024 · Corrected (the home has a date of correction)
  9. F
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · May 22, 2024 · Corrected (the home has a date of correction)
  10. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · May 22, 2024 · Corrected (the home has a date of correction)
  11. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 22, 2024 · Corrected (the home has a date of correction)
  12. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · May 22, 2024 · Corrected (the home has a date of correction)
  13. F
    Have proper medical gas storage and administration areas.
    K 923 · May 22, 2024 · Corrected (the home has a date of correction)
  14. F
    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
    K 927 · May 22, 2024 · Corrected (the home has a date of correction)
  15. 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 · May 22, 2024 · Corrected (the home has a date of correction)
  16. E
    Install an approved automatic sprinkler system.
    K 351 · May 22, 2024 · Corrected (the home has a date of correction)
  17. E
    Install corridor and hallway doors that block smoke.
    K 363 · May 22, 2024 · Corrected (the home has a date of correction)
  18. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · May 22, 2024 · Corrected (the home has a date of correction)
  19. C
    Conduct testing and exercise requirements.
    E 39 · May 22, 2024 · Corrected (the home has a date of correction)
  20. F
    Conduct risk assessment and an All-Hazards approach.
    E 6 · February 9, 2023 · Corrected (the home has a date of correction)
  21. F
    Include a process for Emergency Preparedness collaboration.
    E 9 · February 9, 2023 · Corrected (the home has a date of correction)
  22. F
    Develop a communication plan.
    E 29 · February 9, 2023 · Corrected (the home has a date of correction)
  23. F
    Establish emergency prep training and testing.
    E 36 · February 9, 2023 · Corrected (the home has a date of correction)
  24. F
    Establish staff and initial training requirements.
    E 37 · February 9, 2023 · Corrected (the home has a date of correction)
  25. F
    Conduct testing and exercise requirements.
    E 39 · February 9, 2023 · Corrected (the home has a date of correction)
  26. F
    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 9, 2023 · Corrected (the home has a date of correction)
  27. F
    Provide a written emergency evacuation plan.
    K 711 · February 9, 2023 · Corrected (the home has a date of correction)
  28. E
    Provide properly protected cooking facilities.
    K 324 · February 9, 2023 · Corrected (the home has a date of correction)
  29. E
    Ensure proper usage of power strips and extension cords.
    K 920 · February 9, 2023 · Corrected (the home has a date of correction)
  30. C
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · February 9, 2023 · Corrected (the home has a date of correction)
  31. C
    Develop Emergency Preparedness policies and procedures.
    E 13 · February 9, 2023 · Corrected (the home has a date of correction)
  32. C
    Establish procedures for tracking staff and patients during an emergency.
    E 18 · February 9, 2023 · Corrected (the home has a date of correction)
  33. C
    Establish policies and procedures for medical documentation.
    E 23 · February 9, 2023 · Corrected (the home has a date of correction)
  34. C
    Create arrangements with other facilities to receive patients.
    E 25 · February 9, 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)3.553.693.86
Registered nurses0.400.670.69
All nursing staff on weekends3.253.253.42
Nurse aides2.28
Licensed practical nurses0.87
Nursing staff turnover (share who left in a year)40.0%45.9%45.8%
Registered nurse turnover25.0%40.3%42.9%
Administrators who left3

CMS expects 3.60 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 3.67 on weekdays and 3.25 on weekends, 11% 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 3.39 in April to June 2025 to 3.55 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.550.403.673.25 0.0%0 of 9073
Oct to Dec 20253.390.383.513.07 0.0%1 of 9272
Jul to Sep 20253.440.413.603.04 0.0%0 of 9270
Apr to Jun 20253.390.473.582.92 0.1%0 of 9175
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Indiana, Jan to Mar 20263.630.623.803.193.4%0.4% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

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

Official wage estimates for Indiana

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

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

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeIndianaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
25.411.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.90.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.91.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.93.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
3.51.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
25.711.914.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.33.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
27.713.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
20.022.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
15.410.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.91.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.81.41.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Serenity Spring Senior Living at Northwood's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (49.6% 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

49.6% 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. 45 eligible stays.

Potentially preventable readmissions

10.3% 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. 60 eligible stays.

Infections that led to a hospital stay

8.8% 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. 27 eligible stays.

Self-care and mobility at discharge

23.9% 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. 46 residents counted.

Falls with major injury

1.9% 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. 54 residents counted.

New or worsened pressure ulcers

1.6% 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. 54 residents counted.

Medication list given at discharge

100.0% this home

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. 20 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: GREENE COUNTY GENERAL HOSPITAL. CMS links this home to Continuum Healthcare, a group of 13 nursing homes averaging 2.4 stars overall.

NameRoleTypeShareSince
Reetz, BrendaCorporate officerIndividual11/01/2014
Greene County General HospitalOperational/managerial controlOrganization11/01/2014
Jasper SNF Opco LLCOperational/managerial controlOrganization04/03/2024
Meadows, MichaelOperational/managerial controlIndividual05/12/2020
Meadows, MichaelAdp of the SNFIndividual05/12/2025

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 8 problems in this area, most recently on June 13, 2025: "Allow resident to participate in the development and implementation of his or her person-centered plan of care."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on June 13, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on April 7, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  4. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 5 problems in this area, most recently on June 13, 2025: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."
  5. How long has the current administrator been here?CMS counts 3 administrators 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 Serenity Spring Senior Living at Northwood's Medicare star rating?
CMS rates Serenity Spring Senior Living at Northwood 1 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Serenity Spring Senior Living at Northwood get at its last inspection?
6 health deficiencies at the standard inspection on June 13, 2025. The Indiana average is 7.2.
Has Serenity Spring Senior Living at Northwood been fined?
CMS lists no fines in the last three years.
Does Serenity Spring Senior Living at Northwood 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 Serenity Spring Senior Living at Northwood?
CMS lists 5 owners and managers, and links the home to Continuum Healthcare. Legal business name: GREENE COUNTY GENERAL HOSPITAL.

Sources

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