New Carlisle, IN

Hamilton Grove

4-star overall rating with 3-star inspections with $15,593 in total fines with 6 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

31869 Chicago Trail, New Carlisle, IN

(574) 654-2200

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Greencroft Communities

Operator or chain grouping

Approved since

2000-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.70

Registered nurse staffing

LPN hours / resident day

0.71

Licensed practical nurse staffing

Aide hours / resident day

2.61

Nurse aide staffing

Weekend hours

3.63

Weekend nurse staffing

RN turnover

57%

Annual RN turnover

Total nurse turnover

69%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.8	1.6 0.8 pts better	1.9 1.1 pts better	Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days	0.7	1.5 0.8 pts better	1.8 1.1 pts better	Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	90.9%	93.6% 2.7 pts worse	93.4% 2.5 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	89.8%	95.4% 5.6 pts worse	95.5% 5.7 pts worse	Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury	6.3%	3.8% 2.5 pts worse	3.3% 3 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms	2.4%	24.6% 22.2 pts better	11.4% 9 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight	4.8%	5.6% 0.8 pts better	5.4% 0.6 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	17.6%	23.5% 5.9 pts better	19.6% 2 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication	19.0%	14.8% 4.2 pts worse	16.7% 2.3 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened	34.8%	13.3% 21.5 pts worse	16.3% 18.5 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	37.1%	11.7% 25.4 pts worse	14.9% 22.2 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.4% 0.4 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection	1.8%	1.2% 0.6 pts worse	1.7% 0.1 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	35.3%	24.2% 11.1 pts worse	19.8% 15.5 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	3.4%	4.1% 0.7 pts better	5.1% 1.7 pts better	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	67.9%	81.6% 13.7 pts worse	81.7% 13.8 pts worse	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit	5.2%	10.5% 5.3 pts better	12.0% 6.8 pts better	Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication	6.7%	1.3% 5.4 pts worse	1.6% 5.1 pts worse	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were rehospitalized after a nursing home admission	10.1%	22.4% 12.3 pts better	23.9% 13.8 pts better	Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-08 · Fire 2025-05-08

6 health deficiencies

Top issue: Resident Rights (2 deficiencies)

10 fire-safety deficiencies

Top issue: Emergency Preparedness (4 deficiencies)

Cycle 2 Health 2024-05-06 · Fire 2024-05-06

10 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-04-04 · Fire 2023-04-04

12 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

17 fire-safety deficiencies

Top issue: Emergency Preparedness (7 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-08

E22 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for sheltering.

Corrected 2025-07-15

F · Potential for more than minimal harm 2025-05-08

E25 · Emergency Preparedness Deficiencies

Fire Safety

Create arrangements with other facilities to receive patients.

Corrected 2025-07-15

F · Potential for more than minimal harm 2025-05-08

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2025-07-15

F · Potential for more than minimal harm 2025-05-08

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-07-15

F · Potential for more than minimal harm 2025-05-08

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-07-15

F · Potential for more than minimal harm 2025-05-08

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-07-15

F · Potential for more than minimal harm 2025-05-08

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-07-15

F · Potential for more than minimal harm 2025-05-08

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-07-15

E · Potential for more than minimal harm 2025-05-08

K341 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-07-15

E · Potential for more than minimal harm 2025-05-08

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-07-15

F · Potential for more than minimal harm 2024-05-06

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-06-14

E · Potential for more than minimal harm 2024-05-06

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2024-06-14

E · Potential for more than minimal harm 2024-05-06

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-06-15

E · Potential for more than minimal harm 2024-05-06

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-06-14

L · Immediate jeopardy 2023-04-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-07-24

F · Potential for more than minimal harm 2023-04-04

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2023-07-24

F · Potential for more than minimal harm 2023-04-04

E18 · Emergency Preparedness Deficiencies

Fire Safety

Establish procedures for tracking staff and patients during an emergency.

Corrected 2023-07-24

F · Potential for more than minimal harm 2023-04-04

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-07-24

F · Potential for more than minimal harm 2023-04-04

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2023-07-24

F · Potential for more than minimal harm 2023-04-04

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2023-07-24

F · Potential for more than minimal harm 2023-04-04

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-07-24

F · Potential for more than minimal harm 2023-04-04

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-07-24

E · Potential for more than minimal harm 2023-04-04

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2023-07-24

E · Potential for more than minimal harm 2023-04-04

K321 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-07-24

E · Potential for more than minimal harm 2023-04-04

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-08-11

E · Potential for more than minimal harm 2023-04-04

K754 · Miscellaneous Deficiencies

Fire Safety

Provide properly sized and located linen or trash receptacles.

Corrected 2023-07-24

E · Potential for more than minimal harm 2023-04-04

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2023-07-24

D · Potential for more than minimal harm 2023-04-04

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-07-24

C · Minimal harm 2023-04-04

E24 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for volunteers.

Corrected 2023-07-24

C · Minimal harm 2023-04-04

E32 · Emergency Preparedness Deficiencies

Fire Safety

Provide primary/alternate means for communication.

Corrected 2023-07-24

C · Minimal harm 2023-04-04

E35 · Emergency Preparedness Deficiencies

Fire Safety

Provide family notifications of emergency plan.

Corrected 2023-07-24

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-03

F628 · Resident Rights Deficiencies

Health

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

Corrected 2026-01-16

D · Potential for more than minimal harm 2025-12-03

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2026-01-16

D · Potential for more than minimal harm 2025-05-08

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-06-27

D · Potential for more than minimal harm 2025-05-08

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-06-27

D · Potential for more than minimal harm 2025-05-08

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-06-27

D · Potential for more than minimal harm 2025-05-08

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-06-27

D · Potential for more than minimal harm 2024-10-22

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2024-11-21

G · Actual harm 2024-07-03

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-08-09

E · Potential for more than minimal harm 2024-05-06

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-05-06

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-05-06

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-06-21

D · Potential for more than minimal harm 2024-05-06

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-05-06

F744 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-05-06

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-05-06

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-05-06

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-02-14

F690 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-22

F · Potential for more than minimal harm 2023-04-04

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2023-06-06

F · Potential for more than minimal harm 2023-04-04

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-06-06

E · Potential for more than minimal harm 2023-04-04

F585 · Resident Rights Deficiencies

Health

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.

Corrected 2023-06-06

E · Potential for more than minimal harm 2023-04-04

F761 · Pharmacy Service Deficiencies

Health

Corrected 2023-06-06

D · Potential for more than minimal harm 2023-04-04

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-06-06

D · Potential for more than minimal harm 2023-04-04

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-06-06

D · Potential for more than minimal harm 2023-04-04

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-06-06

D · Potential for more than minimal harm 2023-04-04

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2023-06-06

D · Potential for more than minimal harm 2023-04-04

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-06-06

D · Potential for more than minimal harm 2023-04-04

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-06-06

D · Potential for more than minimal harm 2023-04-04

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-06-06

Penalties and ownership

What sits behind the stars

$0 2024-07-03

Payment Denial

Payment Denial · denial start 2024-08-02 · 7 days

7 day denial

$15,593 2023-04-26

Fine

Fine · fine $15,593

Fine

$0 2023-04-26

Payment Denial

Payment Denial · denial start 2023-05-13 · 90 days

90 day denial

Ownership

Woodlawn Hospital

5% Or Greater Direct Ownership Interest · Organization

100% 9 facilities 2015-11-01

Baltes, Christopher