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St. Augustine Home for the Aged

2345 W 86th St., Indianapolis, IN 46260 · Marion County · (317) 415-5767

23 certified beds, about 11 residents a day · Non profit - Corporation · Medicare and Medicaid since 2015

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 155825 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 2, 2025, inspectors cited 3 health deficiencies (the Indiana average is 7.2, the national average 9.2).

None of its 13 health citations since July 2023 was rated as actual harm or immediate jeopardy.

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

Nurses and nurse aides worked 9.62 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 2.79 of those hours.

16.7% of nursing staff left within the year CMS measured (Indiana average 45.9%).

CMS links it to Little Sisters of the Poor, an affiliated group of 4 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 13 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
13D
0E
0F
Potential for minimal harm
0A
0B
0C
July 2, 2025Standard inspection · 3 citations
  1. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 1, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure a new Preadmission Screening and Resident Review (PASARR) was completed after an increase of an antipsychotic medication secondary to continued and increased behaviors for 1 of 1 resident reviewed for PASARR. (Resident 2)
  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 · Corrected (the home has a date of correction) August 1, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure a medication was held according to the physician's order for 1 of 1 resident reviewed for quality of care. (Resident 8)
  3. 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) August 1, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure medications were dated after the medication was opened, expired blood glucose control solution was disposed of, and chemicals were properly stored for 1 of 1 medication cart and 1 of 1 medication storage room reviewed for medication storage.
January 13, 2025Complaint inspection · 1 citation
  1. 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 protect the resident's right to be free from physical abuse by a CNA for 1 of 2 residents reviewed for abuse. (Resident B) The deficient practice was corrected on 9/25/24, prior to the start of the survey, and was therefore past noncompliance.
September 20, 2024Standard inspection · 5 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) October 21, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure a resident's code status was obtained and accurately documented in the clinical record for 1 of 1 resident reviewed for advanced directives. (Resident 171)
  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 · Corrected (the home has a date of correction) October 21, 2024
    Inspectors wrote3. The clinical record for Resident 11 was reviewed on 9/17/24 at 2:41 p.m. The diagnoses included, but were not limited to, unspecified dementia, hyperlipidemia, age related osteoporosis, and unspecified atherosclerosis of native arteries of bilateral legs. A physician's order, with a start date of 7/1/24, indicated if a gain or loss of 4 pounds since the last weight, then weigh 4 days consecutively and notify provider if the gain or loss was valid. A vitals log indicated the following weights: On 7/1/2024, the weight was 157.0 pounds. On 8/1/2024, the weight was 156.7 pounds. On 9/1/2024, the weight was 161.5 pounds. On 9/1/24, the resident gained 4.8 pounds compared to the last weight. There was no documentation in the record to indicate the resident had been weighed for 4 days after the weight gain or notification to the provider of the gain had occurred. [...]
  3. 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) October 21, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure urinary output was monitored as ordered by the physician for 1 of 1 resident reviewed for catheter care. (Resident 18)
  4. 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) October 21, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure oxygen tubing was dated for the day it was changed for 3 of 3 residents reviewed for respiratory care. (Residents 18, 12 and 10)
  5. 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) October 21, 2024
    Inspectors wroteBased on interview and record review, the facility failed to monitor the use of antibiotics including the use of standardized tools for the appropriateness of antibiotics prescribed for 1 of 5 residents reviewed for unnecessary medications. (Resident 11)
July 11, 2023Standard inspection · 4 citations
  1. 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) August 10, 2023
    Inspectors wroteBased on interview and record review, the facility failed to thoroughly investigate an allegation and immediately take action to prevent further abuse or mistreatment from occurring while the investigation was in progress for 1 of 1 resident reviewed regarding abuse or mistreatment. (Resident 10)
  2. D
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 10, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure a significant change Minimum Data Set (MDS) assessment was completed for a resident with a fall resulting in injury, left sided weakness, and increased behavioral issues for 1 of 3 residents reviewed for MDS assessments. (Resident 7)
  3. D
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 10, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure a Registered Nurse was in the facility for 8 hours during a 24-hour period for 9 days of the first quarter of 2023 reviewed for sufficient staffing. (2/4, 2/5, 2/18, 2/19, 2/25, 2/26 and 3/5, 3/11, 3/19)
  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) August 10, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure medications were disposed of according to regulations and standards of practice for 1 of 5 residents reviewed for medication observation. (Resident 21)

Fire safety inspections

10 fire safety citations on file: 2 on July 2, 2025, 4 on September 20, 2024, 4 on July 11, 2023.

Every fire safety citation10 citations
  1. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 2, 2025 · Corrected (the home has a date of correction)
  2. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · July 2, 2025 · Corrected (the home has a date of correction)
  3. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · September 20, 2024 · Corrected (the home has a date of correction)
  4. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · September 20, 2024 · Corrected (the home has a date of correction)
  5. E
    Have corridors or aisles that are unobstructed and are at least 8 feet in width.
    K 232 · September 20, 2024 · Corrected (the home has a date of correction)
  6. E
    Provide properly sized and located linen or trash receptacles.
    K 754 · September 20, 2024 · Corrected (the home has a date of correction)
  7. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 11, 2023 · Corrected (the home has a date of correction)
  8. F
    Have simulated fire drills held at unexpected times.
    K 712 · July 11, 2023 · Corrected (the home has a date of correction)
  9. E
    Install corridor and hallway doors that block smoke.
    K 363 · July 11, 2023 · Corrected (the home has a date of correction)
  10. E
    Ensure proper usage of power strips and extension cords.
    K 920 · July 11, 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)9.623.693.86
Registered nurses2.790.670.69
All nursing staff on weekends7.903.253.42
Nurse aides5.89
Licensed practical nurses0.95
Nursing staff turnover (share who left in a year)16.7%45.9%45.8%
Registered nurse turnover0.0%40.3%42.9%
Administrators who left0

CMS expects 5.17 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 April to June 2025, nursing staff hours per resident were 8.09 on weekdays and 6.59 on weekends, 19% lower on weekends (nationally, weekends ran 16% lower). Contract or agency staff worked 2.9% of nursing hours, against 6.0% nationally.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Apr to Jun 20257.662.008.096.59 2.9%0 of 9116
United States, Apr to Jun 20253.780.623.963.336.0%0.5% of days
Indiana, Apr to Jun 20253.670.613.863.203.7%0.2% 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
14.311.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.90.40.8
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
0.03.93.2
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.53.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
10.013.615.4

Owners and operators

Legal business name: LITTLE SISTERS OF THE POOR OF INDIANAPOLIS, INC.. CMS links this home to Little Sisters of the Poor, a group of 4 nursing homes averaging 5 stars overall.

NameRoleTypeShareSince
Lynch, MargaretCorporate officerIndividual07/01/2021
McCanless, ClaireCorporate officerIndividual06/14/2024
Romano, BettyCorporate officerIndividual06/14/2024
Lynch, MargaretOperational/managerial controlIndividual07/01/2021
McCanless, ClaireOperational/managerial controlIndividual06/14/2024
Romano, BettyOperational/managerial controlIndividual06/14/2024

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on July 2, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on July 2, 2025: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on July 2, 2025: "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."
  4. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on January 13, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."

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 St. Augustine Home for the Aged's Medicare star rating?
CMS rates St. Augustine Home for the Aged 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did St. Augustine Home for the Aged get at its last inspection?
3 health deficiencies at the standard inspection on July 2, 2025. The Indiana average is 7.2.
Has St. Augustine Home for the Aged been fined?
CMS lists no fines in the last three years.
Does St. Augustine Home for the Aged 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 St. Augustine Home for the Aged?
CMS lists 6 owners and managers, and links the home to Little Sisters of the Poor. Legal business name: LITTLE SISTERS OF THE POOR OF INDIANAPOLIS, INC..

Sources

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