Federal inspection record · CMS data as of October 1, 2026
Evergreen Crossing And The Lofts
5404 Georgetown Road, Indianapolis, IN · (317) 291-5404
- Certified beds
- 109
- Residents per day
- 100
- Ownership
- For-Profit
- Chain
- Communicare Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 11, 2014
1
How this home got 2 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 (already 1)
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
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Indiana homes
Evergreen Crossing And The Lofts carries 84 inspection points. That is fewer than 15% 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
33 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.
Harm and immediate-jeopardy citations (1)
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Quality of Life and Care8E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- 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 enough food/fluids to maintain a resident's health.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Rights7E
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
Reasonably accommodate the needs and preferences of each resident.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning5D
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Pharmacy Service5E
- 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.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure that residents are free from significant medication errors.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- 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.
Nutrition and Dietary4F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Environmental2E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from the wrongful use of the resident's belongings or money.
Inspection history
2026-04-17
13 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2025-02-28
13 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-12-15
7 health deficiencies · 1 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 35 min of nursing staff time a day, 20 min of it from a registered nurse.
This home
3 h 35 min
Indiana average
3 h 44 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 50% of nursing staff and 79% of registered nurses left in the past year, along with 1 administrator.
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 vaccine13.2 pts worse | 80.5% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.8 pts worse | 93.3% | 95.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.6 pts better | 1.2% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.3 pts better | 23.2% | 25.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.9 pts worse | 6.2% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.7 pts better | 19.8% | 23.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.5 pts better | 8.2% | 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 worsened4.9 pts better | 6.2% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.8 pts better | 4.0% | 10.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts better | 0.0% | 1.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.4 pts worse | 25.8% | 22.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.6 pts worse | 4.1% | 3.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine45.3 pts worse | 36.6% | 81.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.5 pts better | 8.4% | 10.9% | 11.8% |
| 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 vaccine19.2 pts worse | 60.0% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3 pts worse | 24.8% | 21.8% | 23.4% |
·
Who owns and runs it
18 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 |
|---|---|---|---|
| Hancock Regional Hospital | 5% Or Greater Direct Ownership Interest · Organization | 100% | 27 facilities |
| Bond, Maria | Trustee Of The SNF · Individual | 0% | 27 facilities |
| Clark, Timothy | Trustee Of The SNF · Individual | 0% | 27 facilities |
| Daugherty, Joshua | Trustee Of The SNF · Individual | 0% | 27 facilities |
| Felker, Dean | Trustee Of The SNF · Individual | 0% | 27 facilities |
| Georgetown Mgt Co LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Georgetown Mgt Co LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Joyner, Sara | Trustee Of The SNF · Individual | 0% | 27 facilities |
| Long, Steven | Operational/Managerial Control · Individual | 0% | 27 facilities |
| Mustaklem, Marwan | Operational/Managerial Control · Individual | 0% | 19 facilities |
| Mustaklem, Marwan | Adp Of The SNF · Individual | 0% | 19 facilities |
| Odenthal, Richard | Operational/Managerial Control · Individual | 0% | 73 facilities |
| Omega Healthcare Investors Inc | Adp Of The SNF · Organization | 0% | 33 facilities |
| Omg In Mstr Lsco LLC | Adp Of The SNF · Organization | 0% | 18 facilities |
| Spall, Amanda | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Spall, Amanda | Adp Of The SNF · Individual | 0% | 1 facilities |
| Willard, Lacey | Trustee Of The SNF · Individual | 0% | 27 facilities |
| Wilson, Roy | Trustee Of The SNF · Individual | 0% | 27 facilities |
·
Fire safety
16 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Provide properly protected cooking facilities.
- E
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems4F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Emergency Preparedness2F
- F
Conduct testing and exercise requirements.
- F
Implement emergency and standby power systems.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- E
Provide properly sized and located linen or trash receptacles.
Services2F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E
Have properly installed electrical wiring and gas equipment.
Egress1F
- F
Install emergency lighting that can last at least 1 1/2 hours.
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Northwest Manor Health Care Center
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