Federal inspection record · CMS data as of October 1, 2026
Cedars The
14409 Sunrise Ct, Leo, IN · (260) 627-2191
- Certified beds
- 65
- Residents per day
- 39
- Ownership
- Non-Profit
- Chain
- Adams County Memorial Hospital
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 30, 2012
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Indiana.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Indiana homes
Cedars The carries 22 inspection points. That is fewer than 69% of Indiana's 504 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Indiana: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–24 pts
- 3★ 24–42 pts
- 2★ 42–72 pts
- 1★ over 72 pts
Bars show every rated home in Indiana by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
20 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care9D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Resident Rights4D
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Keep residents' personal and medical records private and confidential.
- D
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Pharmacy Service2D
- 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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Respond appropriately to all alleged violations.
Nursing and Physician Services1E
- E
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.
Resident Assessment and Care Planning1D
- D
Plan the resident's discharge to meet the resident's goals and needs.
Inspection history
2025-09-02
3 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-09-13
7 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2023-09-08
10 health deficiencies · 12 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 40 min of nursing staff time a day, 41 min of it from a registered nurse.
This home
5 h 40 min
Indiana average
3 h 44 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 53% of nursing staff and 50% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.9 pts better | 98.6% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.6 pts worse | 89.5% | 95.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2 pts worse | 5.8% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms21.5 pts better | 4.0% | 25.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.2 pts worse | 5.5% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.5 pts better | 18.0% | 23.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8 pts better | 5.7% | 13.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened16.6 pts worse | 27.7% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10 pts worse | 20.8% | 10.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts worse | 0.7% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 0.7% | 1.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.6 pts worse | 32.0% | 22.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers6.8 pts worse | 10.3% | 3.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11 pts worse | 70.9% | 81.9% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.0% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine32.8 pts worse | 46.4% | 79.2% | 80.1% |
·
Who owns and runs it
36 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Adams County Memorial Hospital | Operational/Managerial Control · Organization | 0% | 41 facilities |
| Blue Management Services LLC | Adp Of The SNF · Organization | 0% | 50 facilities |
| Borne-Bauman, Candice | Managing Control - Governing Body · Individual | 0% | 49 facilities |
| Borne-Bauman, Candice | Operational/Managerial Control · Individual | 0% | 49 facilities |
| Broguard, Duane | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Brune, Scott | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Cedar Creek Retirement Home Inc | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Cedar Creek Retirement Home Inc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Duggan, Amanda | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Duggan, Amanda | Adp Of The SNF · Individual | 0% | 2 facilities |
| First Bank Of Berne | Adp Of The SNF · Organization | 0% | 48 facilities |
| Fischer, Paul | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Flueckiger, Russell | Managing Control - Governing Body · Individual | 0% | 50 facilities |
| Flueckiger, Russell | Operational/Managerial Control · Individual | 0% | 50 facilities |
| Forvis Mazars Llp | Operational/Managerial Control · Organization | 0% | 295 facilities |
| Forvis Mazars Llp | Adp Of The SNF · Organization | 0% | 295 facilities |
| Healthcare Therapy Services Inc | Operational/Managerial Control · Organization | 0% | 17 facilities |
| Healthcare Therapy Services Inc | Adp Of The SNF · Organization | 0% | 17 facilities |
| Klopfenstein, John | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Lehman, Scott | Managing Control - Governing Body · Individual | 0% | 49 facilities |
| Lehman, Scott | Operational/Managerial Control · Individual | 0% | 49 facilities |
| Lepley, William | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Macklin, Larry | Managing Control - Governing Body · Individual | 0% | 49 facilities |
| Macklin, Larry | Operational/Managerial Control · Individual | 0% | 49 facilities |
| Mcintire, David | Managing Control - Governing Body · Individual | 0% | 49 facilities |
| Mcintire, David | Operational/Managerial Control · Individual | 0% | 49 facilities |
| Proactive Medical Review And Consultants LLC | Operational/Managerial Control · Organization | 0% | 11 facilities |
| Proactive Medical Review And Consultants LLC | Adp Of The SNF · Organization | 0% | 11 facilities |
| Schlatter, Lowell | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Schlatter, Mitch | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Schlie, Austin | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Schlie, Austin | Adp Of The SNF · Individual | 0% | 1 facilities |
| Schrenk, Steven | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Smith, Scott | Operational/Managerial Control · Individual | 0% | 54 facilities |
| Sprunger, Kyle | Operational/Managerial Control · Individual | 0% | 52 facilities |
| Yoder, Thomas | Operational/Managerial Control · Individual | 0% | 1 facilities |
·
Fire safety
24 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- F
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Have an enclosure around a vertical opening shaft.
- E
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Have properly installed hallway dispensers for alcohol-based hand rub.
- E
Install a fire alarm system that can be heard throughout the facility.
Egress5E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Have exits that are accessible at all times.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- E
Have properly located and lighted "Exit" signs.
Emergency Preparedness4F
- F
Develop Emergency Preparedness policies and procedures.
- F
Develop a communication plan.
- F
Establish emergency prep training and testing.
- F
Develop and maintain an Emergency Preparedness Program (EP).
Gas, Vacuum, and Electrical Systems3F
- F
Ensure that testing and maintenance of electrical equipment is performed.
- E
Ensure proper usage of power strips and extension cords.
- E
Ensure proper usage of power strips and extension cords.
Miscellaneous3E
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- C
Provide a written emergency evacuation plan.
- C
Have restrictions on the use of portable space heaters.
Construction2F
- E
Meet requirements for sections of health care facilities separated by fire resistive construction.
- F
Meet requirements for sections of health care facilities separated by fire resistive construction.
·
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