Find a nursing home

Home / Indiana / Gas City

Twin City Health Care

627 E North H Street, Gas City, IN 46933 · Grant County · (765) 674-8516

75 certified beds, about 38 residents a day · Government - County · Medicare and Medicaid since 1984

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 155232 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 14, 2025, inspectors cited 2 health deficiencies (the Indiana average is 7.2, the national average 9.2).

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

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

Nurses and nurse aides worked 3.57 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.52 of those hours.

40.5% of nursing staff left within the year CMS measured (Indiana average 45.9%).

CMS links it to Hcf Management Indiana, an affiliated group of 6 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
2E
0F
Potential for minimal harm
0A
0B
1C
August 14, 2025Standard inspection · 2 citations
  1. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 5, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure residents or their representatives were provided with bed hold policies prior to hospitalization for 3 of 4 residents reviewed for hospitalization. (Residents 11, 19, and 25)
  2. 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) September 5, 2025
    Inspectors wroteBased on observation and interview, the facility failed to appropriately date opened insulin pens for 2 of 4 medication carts observed for medication storage. (A Unit cart and C Unit cart) This had the potential to affect 6 of 6 residents who received insulin from A Unit and C Unit carts.
September 17, 2024Standard inspection · 2 citations
  1. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 1, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to properly prevent and/or contain COVID-19 by not wearing appropriate personal protective equipment (PPE) in areas requiring transmission-based precautions (TBP) during random observations on the 100 and 200 halls.
  2. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 1, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medications given by gastrostomy tube (G-tube) were administered according to physician's orders and facility policy for 1 of 7 residents observed for medication administration, resulting in an 8.89 % medication error rate. (Resident 31)
September 25, 2023Standard inspection · 4 citations
  1. E
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 26, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a medication (insulin) was administered according to professional standards for 5 of 41 residents (Residents 8, 9, 22, 11, and 19), resulting in a medication administration error rate of 12.2%.
  2. 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) September 26, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure a resident's code status was correctly listed and readily available in the resident's electronic medical record (EMR) for 1 of 16 residents reviewed for advance directives (Resident 83).
  3. 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) September 26, 2023
    Inspectors wroteBased on interview and record review, the facility failed to report an allegation of abuse to the State Agency for 1 of 1 resident-to-resident altercations reviewed for abuse (Resident 9 and 26).
  4. C
    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
    F577 · Resident Rights · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) September 26, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the results report from the last annual Indiana Department of Health (IDOH) survey were posted at an accessible height and in a readily accessible location for 2 of 2 residents interviewed in a group setting (Residents 4 and 5). This deficient practice had the potential to impact 34 of 34 residents/or representatives for those residents who resided in the facility.

Fire safety inspections

4 fire safety citations on file: 3 on September 17, 2024, 1 on September 25, 2023.

Every fire safety citation4 citations
  1. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · September 17, 2024 · Corrected (the home has a date of correction)
  2. E
    Have properly located and lighted "Exit" signs.
    K 293 · September 17, 2024 · Corrected (the home has a date of correction)
  3. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · September 17, 2024 · Corrected (the home has a date of correction)
  4. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · September 25, 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)3.573.693.86
Registered nurses0.520.670.69
All nursing staff on weekends3.283.253.42
Nurse aides2.13
Licensed practical nurses0.92
Nursing staff turnover (share who left in a year)40.5%45.9%45.8%
Registered nurse turnovernot reported40.3%42.9%
Administrators who left0

CMS expects 4.58 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 3.68 on weekdays and 3.28 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.72 in April to June 2025 to 3.57 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.570.523.683.28 3.9%0 of 9038
Oct to Dec 20253.690.423.893.18 5.4%5 of 9239
Jul to Sep 20253.710.483.953.09 3.8%8 of 9237
Apr to Jun 20253.720.583.883.33 2.5%0 of 9137
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Indiana, Jan to Mar 20263.630.623.803.193.4%0.4% of days

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

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Indiana

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

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

Work here? Share your pay anonymously

For Twin City Health Care. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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

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

How staff pay reports work · CNA pay by state

Quality measures

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

MeasureThis homeIndianaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
15.211.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.81.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.13.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.31.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
19.811.914.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.93.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
12.513.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
10.322.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
9.310.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.21.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.11.41.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Twin City Health Care's Medicare short-stay residents. How to read these, and what Medicare pays for.

Went home or back to the community

Not reported

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

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. 23 eligible stays.

Potentially preventable readmissions

10.7% 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. 33 eligible stays.

Infections that led to a hospital stay

Not reported

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

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. 24 eligible stays.

Self-care and mobility at discharge

62.1% 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. 29 residents counted.

Falls with major injury

0.0% this home

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

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 33 residents counted.

New or worsened pressure ulcers

0.0% 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. 33 residents counted.

Medication list given at discharge

Not reported

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

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

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 8 residents counted.

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

Owners and operators

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

NameRoleTypeShareSince
Witham Memorial Hospital5% or greater direct ownership interestOrganization100%11/01/2011
Bayston, BrettCorporate directorIndividual01/01/2023
Brand, JohnCorporate directorIndividual01/01/2015
Castetter, AndreaCorporate directorIndividual01/01/2023
Hawkins, ClaudeCorporate directorIndividual09/01/2013
Hornbecker, MichaelCorporate directorIndividual01/01/2024
Reagan, JulieCorporate directorIndividual09/25/2024
Braverman, KellyCorporate officerIndividual12/01/2021
Sellers, DanielCorporate officerIndividual06/20/2024
Magnolia Health Management VIIOperational/managerial controlOrganization11/01/2011
Offerle, AndrewOperational/managerial controlIndividual10/29/2025
Reed, StuartOperational/managerial controlIndividual11/01/2011
Sanders, JessicaOperational/managerial controlIndividual10/29/2025
Reed, MichaelIndividual is an owner, partner or trustee of any ADP of the SNFIndividual11/13/2025
Magnolia Health Systems 59, LLCAdp of the SNFOrganization11/13/2025
Magnolia Health Systems IncAdp of the SNFOrganization11/01/2011
Sabra Health Care Limited PartnershipAdp of the SNFOrganization11/01/2011
Offerle, AndrewAdp of the SNFIndividual10/29/2025
Sanders, JessicaAdp of the SNFIndividual10/29/2025
Ward, JonathanAdp of the SNFIndividual11/01/2011

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

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on August 14, 2025: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on August 14, 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."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on September 17, 2024: "Provide and implement an infection prevention and control program."
  4. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on September 25, 2023: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."

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 Twin City Health Care's Medicare star rating?
CMS rates Twin City Health Care 5 out of 5 stars overall, with 5 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Twin City Health Care get at its last inspection?
2 health deficiencies at the standard inspection on August 14, 2025. The Indiana average is 7.2.
Has Twin City Health Care been fined?
CMS lists no fines in the last three years.
Does Twin City Health Care 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 Twin City Health Care?
CMS lists 20 owners and managers, and links the home to Hcf Management Indiana. Legal business name: WITHAM MEMORIAL HOSPITAL.

Sources

Find a nursing home Read an inspection