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Home / Indiana / Bremen

Signature Healthcare of Bremen

316 Woodies Lane, Bremen, IN 46506 · Marshall County · (574) 546-3494

73 certified beds, about 58 residents a day · Government - City/county · Medicare and Medicaid since 1992

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 155474 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 21, 2026, inspectors cited 2 health deficiencies (the Indiana average is 7.2, the national average 9.2).

Of 43 health citations since March 2024, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

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

Nurses and nurse aides worked 3.37 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.79 of those hours.

50.0% of nursing staff left within the year CMS measured (Indiana average 45.9%).

CMS links it to Signature Healthcare, an affiliated group of 67 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 43 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
39D
2E
1F
Potential for minimal harm
0A
0B
0C
May 21, 2026Standard inspection, Complaint inspection · 3 citations
  1. J
    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
    F678 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 23, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a staff nurse performed CPR correctly for 1 of 3 residents reviewed for death. (Resident B) In addition, the facility failed to ensure nursing staff who received online Cardiopulmonary Resuscitation (CPR) training completed a hands on component led by an in- person or virtual instructor for 13 of 16 nursing staff members reviewed (Registered Nurses 2, 4, 5 & 6, Licensed Practical Nurses 7, 8, 9, 10, 11, 12 & 13, the Director of Nursing and the Assistant Director of Nursing). This deficient practice resulted in a resident death for 1 of 1 resident reviewed for CPR.This immediate jeopardy began on [DATE] when RN 6 incorrectly performed CPR on Resident B by failing to ensure there was a hard surface underneath the resident prior to initiating and during continued chest compressions. [...]
  2. D
    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, isolated · Corrected (the home has a date of correction) May 23, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to update a care plan related to communication for 1 of 16 residents whose care plans were reviewed. (Resident 20)
  3. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 23, 2026
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure the head of the bed was elevated at 30 degrees or above for a resident receiving artificial feeding via tube feeding for 1 of 1 resident reviewed for tube feeding. (Resident 7)
October 10, 2025Complaint inspection · 2 citations
  1. 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) December 15, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure a care plan related to food allergies was followed for 1 of 3 residents reviewed for dietary needs. (Resident B)
  2. 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 · found on a complaint visit · Corrected (the home has a date of correction) December 15, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure physician's orders related to treatment of a pressure ulcer were followed for 1 of 3 residents reviewed for wound care, (Resident B).
February 17, 2025Standard inspection · 9 citations
  1. 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 14, 2025
    Inspectors wroteBased on observation and interview, the facility failed to follow infection control procedures during a medication pass for 2 of 4 residents observed. (Resident 8 & 20)
  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) March 14, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure food was stored, prepared and served under sanitary conditions in 1 of 1 kitchens and 2 of 2 resident nutrition pantries. This deficient practice had the potential to affect 59 of 61 residents who received meals out of the kitchen. (main kitchen, north unit nutrition pantry & south unit nutrition pantry).
  3. 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) March 14, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure an advance directive was completed upon admission for 1 of 24 residents reviewed for advance directives (Resident 63).
  4. D
    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, isolated · Corrected (the home has a date of correction) March 14, 2025
    Inspectors wroteBased on record review and interview, the facility failed to notify the ombudsman of hospital transfers for 1 of 4 residents reviewed for hospitalizations. (Resident 52)
  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) March 14, 2025
    Inspectors wroteBased on interview and record review, the facility failed to accurately complete the Minimum Data Set (MDS) assessment for 1 of 4 residents reviewed for accidents. (Resident 54)
  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) March 14, 2025
    Inspectors wroteBased on record review, interview and observation, the facility failed to develop and implement a comprehensive person-centered care plan for skin issues and abusive behaviors for 3 of 19 residents whose care plans were reviewed. (Residents 5, 38 and 52)
  7. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 14, 2025
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure residents received scheduled showers for 2 of 4 residents reviewed for activity of daily living (ADL) care. (Residents 57 & 48)
  8. 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 14, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure a resident who returned from a hospital stay was assessed for new and or existing skin issues for 1 of 2 residents reviewed for skin issues. (Resident 38)
  9. D
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    F740 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 14, 2025
    Inspectors wroteBased on observation, record review and interview, the facility failed to implement effective behavior monitoring to prevent resident to resident altercations from recurring. (Resident 52)
November 1, 2024Complaint inspection · 9 citations
  1. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 27, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure showers were provided for 8 of 17 residents reviewed for ADL's (Activities of Daily Living). (Residents H, J, L, C, N, P, M & Q)
  2. D
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    F557 · 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) November 27, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide a continent resident timely assistance for toileting that resulted in an incontinence episode for 1 of 1 residents reviewed for toileting. (Resident C)
  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 · found on a complaint visit · Corrected (the home has a date of correction) November 27, 2024
    Inspectors wroteBased on record review and interview, the facility failed to notify the physician of an elevated heart rate and seizure activity and missed medications for 2 of 7 residents reviewed for pharmaceuticals. (Resident N and E)
  4. 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) November 27, 2024
    Inspectors wroteBased on observation, record review and interview, the facility failed to develop a care plan for seizures for 1 of 8 residents reviewed for medication. (Resident E)
  5. 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 · Corrected (the home has a date of correction) November 27, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure physician ordered medications were administered for 2 of 10 residents whose medications were reviewed. (Residents J & L)
  6. 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 · found on a complaint visit · Corrected (the home has a date of correction) November 27, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure routine medications were available and dispensed according to physician's orders for 3 out of 8 residents reviewed for medication administration. (Residents M, L and C)
  7. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · 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) November 27, 2024
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure an antianxiety drug was not adiministered for an excessive duration for 1 of 8 residents reviewed for pharmaceutical services (Resident M).
  8. D
    Ensure that residents are free from significant medication errors.
    F760 · 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) November 27, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure 1 of 7 residents reviewed for medication use was free from significant medication errors related to omissions and overdosing/underdosing of antiseizure medications. (Resident E)
  9. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 27, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure urinary catheter equipment was positioned and maintained in a sanitary manner for 1 of 2 residents reviewed for catheter use. (Resident J)
October 4, 2024Complaint inspection · 5 citations
  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 · found on a complaint visit · Corrected (the home has a date of correction) October 21, 2024
    Inspectors wroteBased on record review and interview, the facility failed to notify the physician of a removal of a PICC line (a peripherally inserted central catheter is a long, thin tube that is inserted through a vein in the arm and passed through to the larger veins near the heart) and resident discharge and failed to notify the physician of low blood glucose levels for 2 of 3 residents reviewed for physician notification. (Residents B & C).
  2. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 21, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure a transfer/discharge form was provided for 1 of 3 residents reviewed for transfer and discharge. (Resident C)
  3. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 21, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure a bed hold form was provided for 1 of 3 residents reviewed transfer and discharge. (Resident C)
  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 · found on a complaint visit · Corrected (the home has a date of correction) October 21, 2024
    Inspectors wroteBased on record review and interview, the facility failed to write an order to send a resident to the emergency room or have adequate orders in place for diabetes management, for 1 of 3 residents reviewed for transfer and discharge. (Resident C)
  5. D
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    F694 · 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) October 21, 2024
    Inspectors wroteBased on record review and interview, the facility failed to provide dressing changes for a PICC (a peripherally inserted central catheter is a long, thin tube that is inserted through a vein in the arm and passed through to the larger veins near the heart) site for 1 of 3 residents reviewed. (Resident D)
June 13, 2024Complaint 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 · Corrected (the home has a date of correction) July 5, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure a resident was transferred, as ordered. (Resident C)
March 12, 2024Standard inspection · 14 citations
  1. D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 8, 2024
    Inspectors wroteBased on interview and record review, the facility failed to honor resident preferences related to bathing choices, for 1 of 3 residents reviewed for choices. (Resident 48)
  2. D
    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, isolated · Corrected (the home has a date of correction) April 8, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure a complete written notice of transfer or discharge was provided, for 2 of 3 residents reviewed for hospitalization. (Residents 23 and 49)
  3. D
    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, isolated · Corrected (the home has a date of correction) April 8, 2024
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure a written notice of the bed hold policy form was provided, for 3 of 3 residents reviewed for hospitalization. (Residents 23, 48 and 49)
  4. 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 8, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a comprehensive, person-centered care plan for activities was developed, for 1 of 3 residents reviewed for activities. (Resident 42)
  5. D
    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, isolated · Corrected (the home has a date of correction) April 8, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure care plan meetings were conducted timely, for 1 of 4 residents reviewed for care plan meetings. (Resident 35)
  6. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 8, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure ADL (activities of daily living assistance was provided, related to grooming and personal hygiene, for 2 out of 3 dependent residents reviewed for Activities of Daily Living. (Residents 22 & 35)
  7. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 8, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to provide a person-centered activity program for 1 of 3 residents reviewed for activities. (Resident 42)
  8. 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 8, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed provide transportation to essential medical appointments as scheduled for 1 of 2 residents reviewed for range of motion and failed to identify and monitor a bruising for 1 of 3 residents reviewed for non-pressure related skin conditions. (Residents 35 & 22)
  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) April 8, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a splint and brace were applied as ordered, for 1 of 2 residents reviewed for limited range of motion. (Resident 35)
  10. 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) April 8, 2024
    Inspectors wroteBased on interview and record review, the facility failed to obtain a Physician's Order for the use of a Foley (indwelling urinary catheter) catheter, for 1 of 2 residents reviewed for urinary catheters. (Resident 26)
  11. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 8, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to address a Registered Dietitian's (RD) recommendations timely, related to significant weight loss, for 1 of 3 reviewed for nutrition. (Resident 22)
  12. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 8, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure the physician responded to pharmacy recommendations timely, for 1 of 5 residents reviewed for unnecessary medication use. (Resident 2)
  13. D
    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, isolated · Corrected (the home has a date of correction) April 8, 2024
    Inspectors wroteBased on interview and record review, the facility failed to follow a Physician's Order for the use of Ativan (anti-anxiety medication), and limit an Ativan as needed (prn) order to 14 days, for 1 of 5 residents reviewed for unnecessary medications. (Resident 49)
  14. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 8, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure an anticoagulant medication was continued upon readmission after hospitalization, for 1 of 5 residents reviewed for medication use. (Resident 48).

Fire safety inspections

29 fire safety citations on file: 13 on May 21, 2026, 10 on February 17, 2025, 6 on March 12, 2024.

Every fire safety citation29 citations
  1. F
    Install proper backup exit lighting.
    K 281 · May 21, 2026 · Corrected (the home has a date of correction)
  2. F
    Meet other general requirements that are deficient.
    K 300 · May 21, 2026 · Corrected (the home has a date of correction)
  3. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 21, 2026 · Corrected (the home has a date of correction)
  4. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · May 21, 2026 · Corrected (the home has a date of correction)
  5. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · May 21, 2026 · Corrected (the home has a date of correction)
  6. E
    Implement emergency and standby power systems.
    E 41 · May 21, 2026 · Corrected (the home has a date of correction)
  7. E
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · May 21, 2026 · Corrected (the home has a date of correction)
  8. E
    Provide properly protected cooking facilities.
    K 324 · May 21, 2026 · Corrected (the home has a date of correction)
  9. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · May 21, 2026 · Corrected (the home has a date of correction)
  10. E
    Have simulated fire drills held at unexpected times.
    K 712 · May 21, 2026 · Corrected (the home has a date of correction)
  11. E
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · May 21, 2026 · Corrected (the home has a date of correction)
  12. E
    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
    K 927 · May 21, 2026 · Corrected (the home has a date of correction)
  13. C
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · May 21, 2026 · Corrected (the home has a date of correction)
  14. E
    Use approved construction type or materials.
    K 161 · February 17, 2025 · Corrected (the home has a date of correction)
  15. E
    Have properly located and lighted "Exit" signs.
    K 293 · February 17, 2025 · Corrected (the home has a date of correction)
  16. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 17, 2025 · Corrected (the home has a date of correction)
  17. E
    Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
    K 361 · February 17, 2025 · Corrected (the home has a date of correction)
  18. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · February 17, 2025 · Corrected (the home has a date of correction)
  19. D
    Install corridor and hallway doors that block smoke.
    K 363 · February 17, 2025 · Corrected (the home has a date of correction)
  20. C
    Conduct risk assessment and an All-Hazards approach.
    E 6 · February 17, 2025 · Corrected (the home has a date of correction)
  21. C
    Establish staff and initial training requirements.
    E 37 · February 17, 2025 · Corrected (the home has a date of correction)
  22. C
    Conduct testing and exercise requirements.
    E 39 · February 17, 2025 · Corrected (the home has a date of correction)
  23. C
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · February 17, 2025 · Corrected (the home has a date of correction)
  24. F
    Meet other general requirements that are deficient.
    K 300 · March 12, 2024 · Corrected (the home has a date of correction)
  25. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 12, 2024 · Corrected (the home has a date of correction)
  26. E
    Install corridor and hallway doors that block smoke.
    K 363 · March 12, 2024 · Corrected (the home has a date of correction)
  27. E
    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
    K 927 · March 12, 2024 · Corrected (the home has a date of correction)
  28. D
    Ensure proper usage of power strips and extension cords.
    K 920 · March 12, 2024 · Corrected (the home has a date of correction)
  29. C
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 12, 2024 · 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)3.373.693.86
Registered nurses0.790.670.69
All nursing staff on weekends2.943.253.42
Nurse aides2.01
Licensed practical nurses0.57
Nursing staff turnover (share who left in a year)50.0%45.9%45.8%
Registered nurse turnover27.3%40.3%42.9%
Administrators who left0

CMS expects 3.97 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 3.55 on weekdays and 2.94 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 18.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.15 in April to June 2025 to 3.37 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.370.793.552.94 18.1%0 of 9058
Oct to Dec 20253.330.693.492.92 6.6%1 of 9260
Jul to Sep 20253.370.713.552.92 1.3%0 of 9259
Apr to Jun 20253.150.813.322.74 0.0%0 of 9162
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
11.811.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.30.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.91.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.83.93.2
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
3.811.914.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.73.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
19.613.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
8.022.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
10.610.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.81.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.71.41.8

Owners and operators

Legal business name: JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL. CMS links this home to Signature Healthcare, a group of 67 nursing homes averaging 3.1 stars overall.

NameRoleTypeShareSince
Jackson County Schneck Memorial Hospital5% or greater direct ownership interestOrganization100%05/01/2014
Jackson County Schneck Memorial Hospital5% or greater indirect ownership interestOrganization100%05/01/2014
Midcap Funding IV Trust5% or greater security interestOrganization02/23/2023
Bevers, SusanManaging control - governing bodyIndividual09/01/2020
Fish, EricManaging control - governing bodyIndividual09/01/2020
Gilliland, TerrenceManaging control - governing bodyIndividual07/01/2012
Harpe, BrandonManaging control - governing bodyIndividual09/01/2020
Kleber, CourtneyManaging control - governing bodyIndividual09/01/2020
Mann, DeborahManaging control - governing bodyIndividual02/10/2014
Markel, AndrewManaging control - governing bodyIndividual09/01/2020
McCory, JackManaging control - governing bodyIndividual07/01/2012
Reedy, MatthewManaging control - governing bodyIndividual07/01/2012
Smith, RickManaging control - governing bodyIndividual07/01/2012
Storey, MarcManaging control - governing bodyIndividual01/01/2025
Asbr Holdings LLCOperational/managerial controlOrganization05/01/2018
Healthcare Services Group IncOperational/managerial controlOrganization06/01/2021
LP Bremen Management, LLCOperational/managerial controlOrganization05/01/2014
Midcap Funding IV TrustOperational/managerial controlOrganization02/23/2023
Blimling, NicoleOperational/managerial controlIndividual05/21/2024
Fish, EricOperational/managerial controlIndividual09/01/2020
Gettinger, PaulOperational/managerial controlIndividual12/31/2024
Harrison, JohnOperational/managerial controlIndividual05/01/2014
Houck, JaredOperational/managerial controlIndividual04/29/2024
Lehner, TimothyOperational/managerial controlIndividual01/01/2025
Lewis, LindaOperational/managerial controlIndividual02/19/2024
Mann, DeborahOperational/managerial controlIndividual02/10/2024
Moore, JenniferOperational/managerial controlIndividual08/12/2024
Rapp, RolandOperational/managerial controlIndividual05/01/2014
Revelette, BarbaraOperational/managerial controlIndividual01/17/2022
Smedra, IraOperational/managerial controlIndividual05/01/2014
Steier III, ElmerOperational/managerial controlIndividual05/01/2014
Stigler, CharlesOperational/managerial controlIndividual05/01/2014
Syer, CharlesOperational/managerial controlIndividual05/01/2024
Wintner, JacobOperational/managerial controlIndividual05/01/2014
Bevers, SusanTrustee of the SNFIndividual09/01/2020
Gilliland, TerrenceTrustee of the SNFIndividual07/01/2012
Harpe, BrandonTrustee of the SNFIndividual09/01/2020
Kleber, CourtneyTrustee of the SNFIndividual09/01/2020
Markel, AndrewTrustee of the SNFIndividual09/01/2020
McCory, JackTrustee of the SNFIndividual07/01/2012
Reedy, MatthewTrustee of the SNFIndividual07/01/2012
Smith, RickTrustee of the SNFIndividual07/01/2012
Storey, MarcTrustee of the SNFIndividual01/01/2025
Healthcare Services Group IncAdp of the SNFOrganization06/01/2021
Jackson County Schneck Memorial HospitalAdp of the SNFOrganization09/26/2025
LP Bremen LLCAdp of the SNFOrganization09/26/2025
LP Bremen Management, LLCAdp of the SNFOrganization05/01/2014
Shc Medical Partners LLCAdp of the SNFOrganization01/01/2017
Shc Medical Partners of Indiana, LLCAdp of the SNFOrganization03/20/2020
Signature Healthcare Clinical Consulting Services LLCAdp of the SNFOrganization05/01/2014
Signature Healthcare Consulting Services LLCAdp of the SNFOrganization05/01/2014
Stakeholder Payroll Services LLCAdp of the SNFOrganization05/01/2014
Blimling, NicoleAdp of the SNFIndividual05/21/2024
Doyle, MariaAdp of the SNFIndividual07/01/2021
Gettinger, PaulAdp of the SNFIndividual12/31/2024
Harrison, JohnAdp of the SNFIndividual05/01/2014
Houck, JaredAdp of the SNFIndividual04/29/2024
Lehner, TimothyAdp of the SNFIndividual01/01/2025
Lewis, LindaAdp of the SNFIndividual02/19/2024
Moore, JenniferAdp of the SNFIndividual08/12/2024
Revelette, BarbaraAdp of the SNFIndividual01/17/2022

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 17 problems in this area, most recently on May 21, 2026: "Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 10 problems in this area, most recently on February 17, 2025: "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."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 7 problems in this area, most recently on May 21, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 6 problems in this area, most recently on November 1, 2024: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.94 hours per resident per day, below the Indiana average of 3.25.

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Common questions

What is Signature Healthcare of Bremen's Medicare star rating?
CMS rates Signature Healthcare of Bremen 1 out of 5 stars overall, with 1 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Signature Healthcare of Bremen get at its last inspection?
2 health deficiencies at the standard inspection on May 21, 2026. The Indiana average is 7.2.
Has Signature Healthcare of Bremen been fined?
CMS lists no fines in the last three years.
Does Signature Healthcare of Bremen 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 Signature Healthcare of Bremen?
CMS lists 61 owners and managers, and links the home to Signature Healthcare. Legal business name: JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL.

Sources

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