Federal inspection record · CMS data as of October 1, 2026

Fairfield Heights Health & Rehabilitation

1010 Hornaday Rd, Brownsburg, IN · (317) 852-3123

  • Cited for abuse (CMS abuse icon)
  • Special Focus Facility

CMS overall rating

2 of 5

Compare with a nearby home →
Certified beds
160
Residents per day
74
Ownership
For-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
June 7, 1982

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Indiana.

  2. 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.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.

2

Where it sits among Indiana homes

Fairfield Heights Health & Rehabilitation carries 314.75 inspection points. That is fewer than 0% of Indiana's 504 rated homes.

5★4★3★2★1★05102550100200inspection points → fewer is better on the leftThis home · 314.75 pts · 1★

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

53 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 31 4 pts
E 18 8 pts
F 3 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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)

  1. J

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    January 13, 2026 · Standard inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected February 2, 2026

Everything else, by area of care

Quality of Life and Care19E
  1. E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    July 16, 2026 · Complaint · F689 · Corrected August 31, 2026

  2. E

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    July 16, 2026 · Complaint · F744 · Corrected August 31, 2026

  3. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    July 16, 2026 · Complaint · F684 · Corrected August 31, 2026

  4. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    July 16, 2026 · Complaint · F690 · Corrected August 31, 2026

  5. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    May 27, 2026 · Complaint · F684 · Corrected June 17, 2026

  6. E

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    January 13, 2026 · Standard · F744 · Corrected February 20, 2026

  7. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    January 13, 2026 · Standard · F684 · Corrected February 2, 2026

  8. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    January 13, 2026 · Standard · F686 · Corrected February 2, 2026

  9. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    January 13, 2026 · Standard · F689 · Corrected February 2, 2026

  10. D

    Provide safe, appropriate pain management for a resident who requires such services.

    January 13, 2026 · Standard · F697 · Corrected February 2, 2026

  11. E

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    April 30, 2025 · Complaint · F677 · Corrected May 14, 2025

  12. E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    April 30, 2025 · Complaint · F689 · Corrected May 14, 2025

  13. E

    Provide safe and appropriate respiratory care for a resident when needed.

    April 30, 2025 · Complaint · F695 · Corrected May 14, 2025

  14. E

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    October 28, 2024 · Standard · F744 · Corrected November 25, 2024

  15. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    October 28, 2024 · Complaint · F684 · Corrected November 25, 2024

  16. D

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    October 28, 2024 · Standard · F693 · Corrected November 25, 2024

  17. D

    Provide safe, appropriate pain management for a resident who requires such services.

    October 28, 2024 · Standard · F697 · Corrected November 25, 2024

  18. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    September 15, 2023 · Standard · F684 · Corrected October 9, 2023

  19. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    September 15, 2023 · Standard · F689 · Corrected October 9, 2023

Resident Rights7E
  1. 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.

    July 16, 2026 · Complaint · F585 · Corrected August 31, 2026

  2. D

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    July 16, 2026 · Complaint · F627 · Corrected August 31, 2026

  3. D

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    July 16, 2026 · Complaint · F628 · Corrected August 31, 2026

  4. E

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    January 13, 2026 · Standard · F550 · Corrected February 2, 2026

  5. E

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    January 13, 2026 · Standard · F565 · Corrected February 2, 2026

  6. 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.

    January 13, 2026 · Standard · F578 · Corrected February 2, 2026

  7. D

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    January 13, 2026 · Standard · F628 · Corrected February 2, 2026

Infection Control6E
  1. D

    Provide and implement an infection prevention and control program.

    May 27, 2026 · Complaint · F880 · Corrected June 17, 2026

  2. D

    Provide and implement an infection prevention and control program.

    April 1, 2026 · Complaint · F880 · Corrected April 2, 2026

  3. E

    Provide and implement an infection prevention and control program.

    September 30, 2025 · Complaint · F880 · Corrected November 13, 2025

  4. E

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    October 28, 2024 · Standard · F882 · Corrected November 25, 2024

  5. D

    Provide and implement an infection prevention and control program.

    October 28, 2024 · Standard · F880 · Corrected November 25, 2024

  6. D

    Provide and implement an infection prevention and control program.

    September 15, 2023 · Standard · F880 · Corrected October 9, 2023

Resident Assessment and Care Planning5E
  1. D

    Ensure each resident receives an accurate assessment.

    May 27, 2026 · Complaint · F641 · Corrected June 17, 2026

  2. E

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    January 13, 2026 · Standard · F656 · Corrected February 2, 2026

  3. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    January 13, 2026 · Standard · F658 · Corrected February 2, 2026

  4. D

    Ensure each resident receives an accurate assessment.

    October 28, 2024 · Standard · F641 · Corrected November 25, 2024

  5. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    October 28, 2024 · Standard · F656 · Corrected November 25, 2024

Pharmacy Service5E
  1. D

    Ensure that residents are free from significant medication errors.

    April 1, 2026 · Complaint · F760 · Corrected April 2, 2026

  2. E

    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.

    January 13, 2026 · Standard · F761 · Corrected February 2, 2026

  3. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    October 28, 2024 · Standard · F755 · Corrected November 25, 2024

  4. E

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    September 15, 2023 · Standard · F755 · Corrected October 9, 2023

  5. 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.

    September 15, 2023 · Standard · F761 · Corrected October 9, 2023

Freedom from Abuse, Neglect, and Exploitation4E
  1. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    July 16, 2026 · Complaint · F600 · Corrected June 13, 2026

  2. E

    Respond appropriately to all alleged violations.

    January 13, 2026 · Standard · F610 · Corrected February 2, 2026

  3. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    June 30, 2025 · Complaint · F600 · Corrected June 27, 2025

  4. D

    Protect each resident from the wrongful use of the resident's belongings or money.

    May 24, 2024 · Complaint · F602 · Corrected February 16, 2024

Administration3F
  1. E

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    July 16, 2026 · Complaint · F867 · Corrected August 31, 2026

  2. F

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    January 13, 2026 · Standard · F867 · Corrected February 2, 2026

  3. F

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    September 15, 2023 · Standard · F851 · Corrected October 9, 2023

Nursing and Physician Services3F
  1. E

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    May 27, 2026 · Complaint · F726 · Corrected June 17, 2026

  2. F

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    January 13, 2026 · Standard · F725 · Corrected February 2, 2026

  3. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    April 30, 2025 · Complaint · F725 · Corrected May 14, 2025

Inspection history

  1. 2026-01-13

    31 health deficiencies · 19 fire-safety deficiencies

    Top issue: Quality of Life and Care (10 deficiencies)

  2. 2024-10-28

    15 health deficiencies · 4 fire-safety deficiencies

    Top issue: Quality of Life and Care (7 deficiencies)

  3. 2023-09-15

    7 health deficiencies · 2 fire-safety deficiencies

    Top issue: Pharmacy Service (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 45 min of nursing staff time a day, 27 min of it from a registered nurse.

This home

3 h 45 min

Indiana average

3 h 44 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 54% of nursing staff and 64% 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

Fines and payment denials

$31,540 in federal fines on record over the past three years.

DatePenaltyAmount
2026-01-13Fine$31,540
2026-01-13Payment Denial · 3 day denial$0

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.1 pts better1.41.51.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts better0.61.41.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.9 pts better99.6%93.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1 pts better96.1%95.1%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts better2.9%3.8%3.2%
Percentage of long-stay residents who have depressive symptoms12.8 pts better12.7%25.5%13.5%
Percentage of long-stay residents who lose too much weight8.6 pts worse13.9%5.3%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication3.9 pts better19.6%23.5%19.5%
Percentage of long-stay residents who received an antipsychotic medication5 pts better8.7%13.7%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened6.3 pts better4.8%11.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased0.8 pts better10.0%10.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.0%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection1.1 pts better0.0%1.1%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1 pts better21.4%22.4%18.3%
Percentage of long-stay residents with pressure ulcers0.7 pts better2.8%3.5%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine14.9 pts better96.8%81.9%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit4.6 pts worse15.5%10.9%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts worse3.2%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4.9 pts better84.1%79.2%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission4.4 pts better17.4%21.8%23.4%

·

Who owns and runs it

24 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Brownsburg Care Center, LLCOperational/Managerial Control · Organization0%1 facilities
Engels, ErinCorporate Director · Individual0%44 facilities
Fenoughty, DeannaCorporate Officer · Individual0%45 facilities
Fenoughty, DeannaOperational/Managerial Control · Individual0%45 facilities
Forvis Mazars, LlpOperational/Managerial Control · Organization0%17 facilities
Forvis Mazars, LlpAdp Of The SNF · Organization0%17 facilities
Gentry, MarkCorporate Director · Individual0%45 facilities
Gibraltar Trust5% Or Greater Mortgage Interest · Organization0%29 facilities
Gurwitz, SolomonIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%43 facilities
Ltc Consulting Services LLCAdp Of The SNF · Organization0%36 facilities
Opco Ca Skilled Mgmt Inc.Operational/Managerial Control · Organization0%42 facilities
Opco In Skilled Mgmt LLCAdp Of The SNF · Organization0%2 facilities
Pease Bell Cpas LLCOperational/Managerial Control · Organization0%15 facilities
Pike, JamesAdp Of The SNF · Individual0%6 facilities
Scooper Realty, LLC5% Or Greater Mortgage Interest · Organization0%6 facilities
Sigler, MelanieOperational/Managerial Control · Individual0%2 facilities
Starkey, TylerCorporate Director · Individual0%45 facilities
Sternshein, JenniferTrustee Of The SNF · Individual0%55 facilities
Unger, JeffreyManaging Control - Governing Body · Individual0%47 facilities
Waite, JohnCorporate Director · Individual0%45 facilities
Whicker, TimothyCorporate Director · Individual0%45 facilities
Windsor Square Realty, LLC5% Or Greater Mortgage Interest · Organization0%6 facilities
Windsor Square Realty, LLCAdp Of The SNF · Organization0%6 facilities
Zimmerman, CarolineTrustee Of The SNF · Individual0%35 facilities

·

Fire safety

25 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke10F
  1. F

    Install a fire alarm system that can be heard throughout the facility.

    January 13, 2026 · K341 · Corrected February 18, 2026

  2. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    January 13, 2026 · K321 · Corrected February 18, 2026

  3. E

    Inspect, test, and maintain automatic sprinkler systems.

    January 13, 2026 · K353 · Corrected February 18, 2026

  4. E

    Install corridor and hallway doors that block smoke.

    January 13, 2026 · K363 · Corrected February 18, 2026

  5. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    January 13, 2026 · K372 · Corrected February 18, 2026

  6. E

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    January 13, 2026 · K374 · Corrected February 18, 2026

  7. E

    Provide properly protected cooking facilities.

    October 28, 2024 · K324 · Corrected December 6, 2024

  8. E

    Install corridor and hallway doors that block smoke.

    October 28, 2024 · K363 · Corrected December 6, 2024

  9. E

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    October 28, 2024 · K374 · Corrected December 6, 2024

  10. E

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    September 15, 2023 · K374 · Corrected November 10, 2023

Egress5F
  1. F

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    January 13, 2026 · K211 · Corrected February 18, 2026

  2. F

    Meet other general requirements that are deficient.

    January 13, 2026 · K300 · Corrected February 18, 2026

  3. E

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    January 13, 2026 · K222 · Corrected February 18, 2026

  4. E

    Install proper backup exit lighting.

    January 13, 2026 · K281 · Corrected March 18, 2026

  5. E

    Have properly located and lighted "Exit" signs.

    October 28, 2024 · K293 · Corrected December 6, 2024

Miscellaneous5F
  1. F

    Have simulated fire drills held at unexpected times.

    January 13, 2026 · K712 · Corrected February 18, 2026

  2. F

    Have restrictions on the use of portable space heaters.

    January 13, 2026 · K781 · Corrected February 18, 2026

  3. E

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    January 13, 2026 · K741 · Corrected February 10, 2026

  4. E

    Have restrictions on the use of highly flammable decorations.

    January 13, 2026 · K753 · Corrected February 10, 2026

  5. F

    Have simulated fire drills held at unexpected times.

    September 15, 2023 · K712 · Corrected October 31, 2023

Gas, Vacuum, and Electrical Systems3F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    January 13, 2026 · K918 · Corrected February 23, 2026

  2. E

    Ensure proper usage of power strips and extension cords.

    January 13, 2026 · K920 · Corrected February 18, 2026

  3. E

    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

    January 13, 2026 · K927 · Corrected February 18, 2026

Emergency Preparedness1F
  1. F

    Implement emergency and standby power systems.

    January 13, 2026 · E41 · Corrected February 23, 2026

Services1F
  1. F

    Have an externally vented heating system.

    January 13, 2026 · K522 · Corrected February 10, 2026

·

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