| Woodland Manor | |
| 343 S Nappanee St, Elkhart, Indiana 46514 | |
| (574) 295-0096 | |
| Name | Woodland Manor |
|---|---|
| Location | 343 S Nappanee St, Elkhart, Indiana |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 80 |
| Occupancy Rate | 85.5% |
| Medicare ID (CCN) | 155086 |
| Legal Business Name | Adams County Memorial Hospital |
| Ownership Type | For Profit - Corporation |
| Chain | Adams County Memorial Hospital (8 nursing homes) |
| Chain Average Overall Rating | 2.9 out of 5 |
| NPI Number | 1023096138 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Adams County Memorial Hospital |
| Doing Business As | Woodland Manor |
| Address | 343 S Nappanee St, Elkhart, IN 46514 |
| Phone Number | 574-295-0096 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.53 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.31 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.08 | 0.86 |
| Nurse aide hours per resident per day | 2.14 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.13 | 3.42 |
| RN hours per resident per day on the weekend | 0.09 | 0.48 |
| Physical therapist hours per resident per day | 0.01 | 0.07 |
| Total nursing staff turnover | 69.5% | 45.8% |
| Registered nurse turnover | 75% | 42.9% |
| Number of administrators who have left the nursing home | Not available: no valid staffing data was submitted | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 2 |
| Total Amount of Fines in Dollars | $114,339 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 3 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Nov 21, 2025 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Dec 24, 2025 |
| Nov 21, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 24, 2025 |
| Nov 21, 2025 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Dec 24, 2025 |
| Nov 21, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 24, 2025 |
| Nov 21, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 24, 2025 |
| Nov 21, 2025 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Dec 24, 2025 |
| Nov 21, 2025 | Provide timely, quality laboratory services/tests to meet the needs of residents. F0770, Administration, Standard inspection | Potential for harm, isolated | Corrected by Dec 24, 2025 |
| Nov 21, 2025 | Provide or obtain dental services for each resident. F0791, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 24, 2025 |
| Nov 21, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Dec 24, 2025 |
| Sep 15, 2025 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. F0742, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Sep 26, 2025 |
| May 5, 2025 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 23, 2025 |
| May 5, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 23, 2025 |
| May 5, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 23, 2025 |
| May 5, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 23, 2025 |
| May 5, 2025 | 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. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by May 23, 2025 |
| May 5, 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by May 23, 2025 |
| May 5, 2025 | Ensure residents have reasonable access to and privacy in their use of communication methods. F0576, Resident Rights, Standard inspection | Minimal harm potential, widespread | Corrected by May 23, 2025 |
| Feb 28, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Actual harm, isolated | Corrected by Mar 21, 2025 |
| Feb 28, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Apr 28, 2025 |
| Feb 28, 2025 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Complaint inspection | Actual harm, isolated | Corrected by Mar 21, 2025 |
| Feb 28, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Mar 21, 2025 |
| Feb 28, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, isolated | Corrected by Apr 28, 2025 |
| Nov 14, 2024 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921, Environmental, Standard inspection, Complaint inspection | Potential for harm, widespread | Corrected by Dec 14, 2024 |
| Nov 14, 2024 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925, Environmental, Standard inspection, Complaint inspection | Potential for harm, widespread | Corrected by Dec 14, 2024 |
| Nov 14, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Jan 24, 2025 |
| Nov 14, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Dec 14, 2024 |
| Nov 14, 2024 | 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. F0625, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Dec 14, 2024 |
| Nov 14, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jan 24, 2025 |
| Nov 14, 2024 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Dec 14, 2024 |
| Nov 14, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Dec 14, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 37.26 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 6.98 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.78 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 2.68 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 27.8 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.53 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.89 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 42.64 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.69 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 35.47 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.21 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 70.27 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 0.43 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.69 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 23.7 | 15.38 |
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