Federal inspection record · CMS data as of October 1, 2026
Grace Village Health Care Facility
337 Grace Village Dr, Winona Lake, IN · (574) 372-6100
- CMS high-performer trophy
- Certified beds
- 71
- Residents per day
- 55
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 11, 1997
1
How this home got 5 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Indiana.
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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.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Indiana homes
Grace Village Health Care Facility carries 8 inspection points. That is fewer than 91% 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
8 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
Nutrition and Dietary2E
- E
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.
Quality of Life and Care2E
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 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.
Resident Assessment and Care Planning2D
- 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.
Resident Rights1D
- D
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.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2025-03-24
2 health deficiencies · 13 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-05-24
1 health deficiencies · 14 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2023-03-31
5 health deficiencies · 17 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 46 min of nursing staff time a day, 43 min of it from a registered nurse.
This home
4 h 46 min
Indiana average
3 h 44 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 71% of nursing staff and 58% 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 vaccine5.8 pts better | 99.5% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 98.1% | 95.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury5.8 pts worse | 9.6% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms25.5 pts better | 0.0% | 25.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.7 pts worse | 7.0% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8 pts better | 15.5% | 23.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.7 pts better | 8.0% | 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 worsened6.4 pts worse | 17.5% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.7 pts worse | 16.5% | 10.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts worse | 1.2% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts worse | 2.2% | 1.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.6 pts worse | 30.0% | 22.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.5 pts better | 2.0% | 3.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.7 pts better | 98.6% | 81.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7 pts worse | 17.9% | 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 vaccine19.3 pts better | 98.5% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.9 pts worse | 25.7% | 21.8% | 23.4% |
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Who owns and runs it
34 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 |
|---|---|---|---|
| Woodlawn Hospital | 5% Or Greater Direct Ownership Interest · Organization | 100% | 9 facilities |
| Bode, Glen | Trustee Of The SNF · Individual | 0% | 9 facilities |
| Chudzynski, Kendra | Trustee Of The SNF · Individual | 0% | 9 facilities |
| Damon, Steven | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 1 facilities |
| Grace Village Health Care Facility, Inc. | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Grace Village Health Care Facility, Inc. | Adp Of The SNF · Organization | 0% | 1 facilities |
| Hall, Glenn | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hall, John | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 18 facilities |
| Heyde, Alison | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Heyde, Alison | Trustee Of The SNF · Individual | 0% | 9 facilities |
| Johnson, Terri | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Johnson, Terri | Trustee Of The SNF · Individual | 0% | 9 facilities |
| Kimbrell, Justin | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Koontz, David | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mccollom, Mark | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 1 facilities |
| Mckinniss, Michael | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 1 facilities |
| Mellinger, Gregory | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Mellinger, Gregory | Trustee Of The SNF · Individual | 0% | 9 facilities |
| Offerle, Andrew | Operational/Managerial Control · Individual | 0% | 13 facilities |
| Offerle, Andrew | Adp Of The SNF · Individual | 0% | 13 facilities |
| Pierce, Jennifer | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 1 facilities |
| Robbins, Dale | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 1 facilities |
| Rogers, Bradley | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Rogers, Bradley | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Schwob, Mark | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Snyder, Ben | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 1 facilities |
| Stockdale, William | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 1 facilities |
| The Accounting Group LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Webb, Harry | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Webb, Harry | Trustee Of The SNF · Individual | 0% | 9 facilities |
| Weideman Ii, Roger | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 10 facilities |
| Williams, Jarod | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Williams, Jarod | Adp Of The SNF · Individual | 0% | 1 facilities |
| Woodlawn Hospital | Adp Of The SNF · Organization | 0% | 9 facilities |
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Fire safety
44 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke11F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Provide properly protected cooking facilities.
- E
Construct fire resistant interior walls.
- E
Inspect, test, and maintain automatic sprinkler systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Properly install and monitor supervisory attachments on automatic sprinkler systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Emergency Preparedness10F
- F
Conduct testing and exercise requirements.
- F
Implement emergency and standby power systems.
- F
Create arrangements with other facilities to receive patients.
- F
Establish roles under a Waiver declared by secretary.
- F
Develop Emergency Preparedness policies and procedures.
- F
Develop a communication plan.
- F
Establish emergency prep training and testing.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
Miscellaneous8F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E
Have restrictions on the use of highly flammable decorations.
- C
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- C
Have simulated fire drills held at unexpected times.
Services5F
- F
Meet other general requirements that are deficient.
- E
Have properly installed electrical wiring and gas equipment.
- E
Have properly installed electrical wiring and gas equipment.
- E
Have properly installed electrical wiring and gas equipment.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems5F
- 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
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- E
Ensure proper usage of power strips and extension cords.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Egress4E
- E
Meet other general requirements that are deficient.
- E
Have exits that are accessible at all times.
- E
Conform to length requirements for dead end corridors.
- E
Have properly located and lighted "Exit" signs.
Construction1E
- E
Meet requirements for sections of health care facilities separated by fire resistive construction.
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