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University Heights Health and Living Community

1380 E County Line Rd S, Indianapolis, IN 46227 · Marion County · (317) 885-7050

176 certified beds, about 125 residents a day · Government - County · Medicare and Medicaid since 1989

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 155327 · See it on Medicare.gov · Compare with other homes

The record in brief

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

None of its 15 health citations since December 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 3.35 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.50 of those hours.

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

CMS links it to Cardon & Associates, an affiliated group of 19 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 15 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
2E
0F
Potential for minimal harm
0A
0B
0C
May 12, 2026Standard inspection · 1 citation
  1. D
    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, isolated · Corrected (the home has a date of correction) May 25, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure follow-up for physician orders and instructions for care were obtained for a new positioning device (splint) following an off-site medical appointment for 1 of 1 resident reviewed for splints. (Resident 98)
June 6, 2025Standard 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 · Corrected (the home has a date of correction) July 2, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to develop a person-centered comprehensive care plan for a resident's refusal of care for 1 of 3 residents reviewed for skin breakdown. (Resident 100)
  2. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 2, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the clinical record documentation was accurate for a resident at risk for skin breakdown who was prescribed heel protection for 1 of 3 residents reviewed for skin breakdown. (Resident 100)
November 7, 2024Complaint inspection · 2 citations
  1. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 25, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure controlled medications were reconciled accurately for 4 of 8 medication carts. (200 Hall Medication Cart, 100 Hall Medication Cart, 400 Hall Medication Cart, 700/800 Hall Medication Cart)
  2. 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 25, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure personal protective equipment (PPE) was used during a dressing change for a resident with an open wound on enhanced barrier precautions (EBP) for 1 of 1 residents observed for wound care. (Resident B)
August 27, 2024Standard inspection · 6 citations
  1. E
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 18, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure self-medication administration assessments were completed for 4 of 4 residents observed with medications at bedside. (Resident 53, Resident 1, Resident 105, Resident 39) Findings Include: 1. On 8/20/24 at 10:32 a.m., observed Resident 53 was sitting up in bed; no staff were observed to be in the room or in hallway. Resident 53 had an overbed table with the following observed to be sitting on top of the table; one clear plastic medication cup containing two small white tablets and one and a half large tablets. On 8/21/24 at 8:33 a.m., Resident 53 was observed sitting up in bed eating. A small plastic medication cup was observed sitting on the overbed table containing three small white tablets, two large white tablets broken in half, one orange tablet, and one peach colored tablet. [...]
  2. D
    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
    F559 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 18, 2024
    Inspectors wroteBased on interview and record review, the facility failed to provide a written notice to a resident prior to getting a new roommate. (Resident 25)
  3. 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) September 18, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure a resident was referred to the State-designated authority contractor for a Level II Screening (PASARR) for a new mental illness diagnosis evaluation for 1 of 1 residents reviewed. (Resident 53)
  4. 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) September 18, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to provide ADL's (Activities of Daily Living) for a dependent resident for 1 of 2 residents reviewed. A resident with facial hair was not assisted with shaving. (Resident 62)
  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 · Corrected (the home has a date of correction) September 18, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident diagnosed with edema and congestive heart failure received services and treatments for 1 of 1 resident reviewed for lower extremity edema. The facility failed to ensure daily weights, monitoring for side effects of edema, and that daily compression stockings were in place. (Resident 39)
  6. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 18, 2024
    Inspectors wroteBased on interview and record review, the facility failed to follow the current vaccine administration guidelines for the pneumococcal vaccine for 1 of 8 residents reviewed for vaccination records. The CDC (Centers for Disease Control and Prevention) recommended pneumococcal vaccine series was not given for one resident. (Resident 27)
May 23, 2024Complaint 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) June 10, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a comprehensive person-centered care plan was developed for a resident who required a hand brace for 1 of 6 residents reviewed for care plans. (Resident C)
  2. 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 · found on a complaint visit · Corrected (the home has a date of correction) June 10, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a knee brace was applied to a resident while in bed for 1 of 3 residents reviewed for range of motion. (Resident C)
December 5, 2023Complaint inspection · 2 citations
  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 · Corrected (the home has a date of correction) December 23, 2023
    Inspectors wroteBased on interview and record review, the facility failed to protect a resident's right to be free from verbal abuse by a staff member for 1 of 3 residents reviewed for abuse. A CNA (Certified Nursing Aide) yelled, cursed, and threatened a resident. (Resident C, CNA 1)
  2. D
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · 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 18, 2023
    Inspectors wroteBased on interview and record review, the facility failed to protect a resident's right to be free from misappropriation of property for 1 of 3 residents reviewed for abuse. A resident's oxycodone (prescription narcotic controlled substance for pain) 30 mg (milligrams) was replaced by a different medication and could not be accounted for. (Resident B)

Fire safety inspections

22 fire safety citations on file: 2 on May 12, 2026, 7 on June 6, 2025, 13 on August 27, 2024.

Every fire safety citation22 citations
  1. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 12, 2026 · Corrected (the home has a date of correction)
  2. E
    Meet other general requirements that are deficient.
    K 300 · May 12, 2026 · Corrected (the home has a date of correction)
  3. F
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · June 6, 2025 · Corrected (the home has a date of correction)
  4. F
    Have a battery powered remote alarm panel in a location accessible by operating personnel.
    K 916 · June 6, 2025 · Corrected (the home has a date of correction)
  5. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · June 6, 2025 · Corrected (the home has a date of correction)
  6. E
    Meet other general requirements.
    K 100 · June 6, 2025 · Corrected (the home has a date of correction)
  7. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · June 6, 2025 · Corrected (the home has a date of correction)
  8. E
    Ensure proper usage of power strips and extension cords.
    K 920 · June 6, 2025 · Corrected (the home has a date of correction)
  9. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · June 6, 2025 · Corrected (the home has a date of correction)
  10. F
    Conduct testing and exercise requirements.
    E 39 · August 27, 2024 · Corrected (the home has a date of correction)
  11. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · August 27, 2024 · Corrected (the home has a date of correction)
  12. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · August 27, 2024 · Corrected (the home has a date of correction)
  13. 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 · August 27, 2024 · Corrected (the home has a date of correction)
  14. E
    Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
    K 361 · August 27, 2024 · Corrected (the home has a date of correction)
  15. E
    Install corridor and hallway doors that block smoke.
    K 363 · August 27, 2024 · Corrected (the home has a date of correction)
  16. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · August 27, 2024 · Corrected (the home has a date of correction)
  17. E
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · August 27, 2024 · Corrected (the home has a date of correction)
  18. E
    Ensure proper usage of power strips and extension cords.
    K 920 · August 27, 2024 · Corrected (the home has a date of correction)
  19. D
    Provide properly protected cooking facilities.
    K 324 · August 27, 2024 · Corrected (the home has a date of correction)
  20. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · August 27, 2024 · Corrected (the home has a date of correction)
  21. C
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · August 27, 2024 · Corrected (the home has a date of correction)
  22. C
    Have simulated fire drills held at unexpected times.
    K 712 · August 27, 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)3.353.693.86
Registered nurses0.500.670.69
All nursing staff on weekends2.913.253.42
Nurse aides2.11
Licensed practical nurses0.73
Nursing staff turnover (share who left in a year)50.0%45.9%45.8%
Registered nurse turnover37.5%40.3%42.9%
Administrators who left0

CMS expects 4.05 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 3.52 on weekdays and 2.91 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.44 in April to June 2025 to 3.35 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.350.503.522.91 1.5%0 of 90125
Oct to Dec 20253.340.633.502.92 2.2%0 of 92120
Jul to Sep 20253.420.633.573.05 4.0%0 of 92123
Apr to Jun 20253.440.623.632.98 3.4%0 of 91125
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
7.011.013.9
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
0.01.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.53.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.61.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
1.911.914.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.63.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
7.513.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.822.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
10.610.812.0

Owners and operators

Legal business name: RIVERVIEW HOSPITAL. CMS links this home to Cardon & Associates, a group of 19 nursing homes averaging 3.7 stars overall.

NameRoleTypeShareSince
Riverview Hospital5% or greater direct ownership interestOrganization100%12/01/2011
German American Bank5% or greater security interestOrganization04/29/2024
Balla, MatthewManaging control - governing bodyIndividual05/23/2022
Cattell, ZacharyManaging control - governing bodyIndividual04/25/2022
Fauth, KendraManaging control - governing bodyIndividual12/26/2021
Girdler, JenniferManaging control - governing bodyIndividual04/28/2020
Gormal, GreggManaging control - governing bodyIndividual10/01/2016
Grzych, BenjyManaging control - governing bodyIndividual11/11/2019
Hashmi, SyedManaging control - governing bodyIndividual08/15/2022
Haug, AmyManaging control - governing bodyIndividual01/04/2022
Hyatt, DavidManaging control - governing bodyIndividual03/27/2023
Ingram, StephanieManaging control - governing bodyIndividual09/01/2021
Lopossa, LynnManaging control - governing bodyIndividual12/17/2023
McClarnon, DanielleManaging control - governing bodyIndividual05/01/2024
McClelland, ThomasManaging control - governing bodyIndividual12/26/2021
Spencer, LeaannManaging control - governing bodyIndividual06/18/2018
Friend, JaynaCorporate officerIndividual06/01/2021
Cardon and Associates IncOperational/managerial controlOrganization08/23/2013
Cardon Management Company LLCOperational/managerial controlOrganization12/01/2011
Moore Operating Group IncOperational/managerial controlOrganization05/18/2020
Balla, MatthewOperational/managerial controlIndividual05/23/2022
Cattell, ZacharyOperational/managerial controlIndividual04/25/2022
Fauth, KendraOperational/managerial controlIndividual12/26/2021
Friend, JaynaOperational/managerial controlIndividual06/01/2021
Girdler, JenniferOperational/managerial controlIndividual04/28/2020
Gormal, GreggOperational/managerial controlIndividual10/01/2016
Grzych, BenjyOperational/managerial controlIndividual11/11/2019
Hashmi, SyedOperational/managerial controlIndividual08/15/2022
Haug, AmyOperational/managerial controlIndividual01/04/2022
Hyatt, DavidOperational/managerial controlIndividual03/27/2023
Ingram, StephanieOperational/managerial controlIndividual09/01/2021
Lopossa, LynnOperational/managerial controlIndividual12/17/2023
McClelland, ThomasOperational/managerial controlIndividual12/26/2021
McIntosh, EricOperational/managerial controlIndividual10/31/2021
Headley, KathyIndividual is an owner, partner or trustee of any ADP of the SNFIndividual09/05/2025
Moore, DanielIndividual is an owner, partner or trustee of any ADP of the SNFIndividual09/05/2025
Moore, DavidIndividual is an owner, partner or trustee of any ADP of the SNFIndividual09/05/2025
Moore, StephenIndividual is an owner, partner or trustee of any ADP of the SNFIndividual09/05/2025
Ankura Consulting Group LLCAdp of the SNFOrganization06/15/2022
Bradley & Associates IncAdp of the SNFOrganization01/01/2023
Cardon and Associates IncAdp of the SNFOrganization06/24/2025
Cardon Management Company LLCAdp of the SNFOrganization06/18/2025
Cole Marketing Communications IncAdp of the SNFOrganization04/01/2015
Forvis Mazars LLPAdp of the SNFOrganization01/01/2021
German American BankAdp of the SNFOrganization06/25/2025
Healthdrive Podiatry Group PaAdp of the SNFOrganization03/07/2019
Heart of Cardon LLCAdp of the SNFOrganization09/06/2007
Jeffrey L Morer Od PCAdp of the SNFOrganization03/07/2019
Lacy Beyl & Company IncAdp of the SNFOrganization10/01/2017
Lifespan Therapy LLCAdp of the SNFOrganization10/25/2007
Med-Pass IncorporatedAdp of the SNFOrganization10/01/2017
Mobile Audiology Associates PCAdp of the SNFOrganization03/07/2019
Moser Consulting IncorporatedAdp of the SNFOrganization04/01/2020
Proactive Clinical PartnersAdp of the SNFOrganization01/01/2020
Respiratory Partners IncAdp of the SNFOrganization11/01/2019
Third Eye Health IncAdp of the SNFOrganization02/04/2022
Uh, LLCAdp of the SNFOrganization06/28/2001
Vohra Wound Physicians of the West PCAdp of the SNFOrganization04/01/2022
Vox Global LLCAdp of the SNFOrganization02/02/2019
Balla, MatthewAdp of the SNFIndividual05/23/2022
Cattell, ZacharyAdp of the SNFIndividual04/25/2022
Fauth, KendraAdp of the SNFIndividual12/26/2021
Friend, JaynaAdp of the SNFIndividual06/01/2021
Girdler, JenniferAdp of the SNFIndividual04/28/2020
Gormal, GreggAdp of the SNFIndividual10/01/2016
Grzych, BenjyAdp of the SNFIndividual11/11/2019
Hashmi, SyedAdp of the SNFIndividual08/15/2022
Haug, AmyAdp of the SNFIndividual01/04/2022
Ingram, StephanieAdp of the SNFIndividual09/01/2021
Lopossa, LynnAdp of the SNFIndividual12/17/2023
McClarnon, DanielleAdp of the SNFIndividual05/01/2024
McClelland, ThomasAdp of the SNFIndividual12/26/2021
McIntosh, EricAdp of the SNFIndividual10/31/2021
Spencer, LeaannAdp of the SNFIndividual06/18/2018

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. When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on May 12, 2026: "Ensure services provided by the nursing facility meet professional standards of quality."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on August 27, 2024: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on November 7, 2024: "Provide and implement an infection prevention and control program."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on August 27, 2024: "Allow residents to self-administer drugs if determined clinically appropriate."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.91 hours per resident per day, below the Indiana average of 3.25.

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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 University Heights Health and Living Community's Medicare star rating?
CMS rates University Heights Health and Living Community 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did University Heights Health and Living Community get at its last inspection?
1 health deficiency at the standard inspection on May 12, 2026. The Indiana average is 7.2.
Has University Heights Health and Living Community been fined?
CMS lists no fines in the last three years.
Does University Heights Health and Living Community 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 University Heights Health and Living Community?
CMS lists 74 owners and managers, and links the home to Cardon & Associates. Legal business name: RIVERVIEW HOSPITAL.

Sources

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