Federal inspection record · CMS data as of October 1, 2026
Hamilton Trace Of Fishers
11851 Cumberland Rd, Fishers, IN · (317) 813-4444
- Certified beds
- 108
- Residents per day
- 102
- Ownership
- For-Profit
- Chain
- Cardon & Associates
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 25, 2011
1
How this home got 3 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.
-
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
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Indiana homes
Hamilton Trace Of Fishers carries 61 inspection points. That is fewer than 24% 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
25 health citations on record since 2022. 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 Care8E
- 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.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 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.
- E
Provide activities to meet all resident's needs.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 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.
Resident Rights5E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Keep residents' personal and medical records private and confidential.
- 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.
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- 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.
Infection Control3D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Resident Assessment and Care Planning3D
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- D
Ensure each resident receives an accurate assessment.
Pharmacy Service2D
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspection history
2025-05-12
15 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2024-03-08
4 health deficiencies · 3 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2022-11-22
6 health deficiencies · 10 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 46 min of nursing staff time a day, 43 min of it from a registered nurse.
This home
3 h 46 min
Indiana average
3 h 44 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 35% of nursing staff and 25% 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. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident daysAbout the same | 1.5 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better | 1.1 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.6 pts better | 99.3% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.2 pts better | 97.3% | 95.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.7 pts worse | 6.5% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms21.4 pts better | 4.1% | 25.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.7 pts worse | 6.0% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.7 pts worse | 27.2% | 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 worsened1.2 pts better | 9.9% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.7 pts worse | 13.5% | 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 incontinence2.4 pts better | 20.0% | 22.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.2 pts better | 3.3% | 3.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.5 pts better | 89.4% | 81.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.5 pts worse | 11.4% | 10.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1 pts better | 0.1% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.1 pts better | 88.3% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.8 pts better | 15.0% | 21.8% | 23.4% |
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Who owns and runs it
67 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 |
|---|---|---|---|
| Ankura Consulting Group LLC | Adp Of The SNF · Organization | 0% | 18 facilities |
| Balla, Matthew | Operational/Managerial Control · Individual | 0% | 20 facilities |
| Balla, Matthew | Adp Of The SNF · Individual | 0% | 20 facilities |
| Bradley & Associates Inc | Adp Of The SNF · Organization | 0% | 20 facilities |
| Cardon And Associates Inc | Operational/Managerial Control · Organization | 0% | 20 facilities |
| Cardon And Associates Inc | Adp Of The SNF · Organization | 0% | 20 facilities |
| Cardon Management Company Ii LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Cardon Management Company Ii LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Cardon Management Company LLC | Operational/Managerial Control · Organization | 0% | 19 facilities |
| Cardon Management Company LLC | Adp Of The SNF · Organization | 0% | 19 facilities |
| Cattell, Zachary | Operational/Managerial Control · Individual | 0% | 20 facilities |
| Cattell, Zachary | Adp Of The SNF · Individual | 0% | 20 facilities |
| Cole Marketing Communications Inc | Adp Of The SNF · Organization | 0% | 19 facilities |
| Craycraft, Allie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Craycraft, Allie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Engels, Erin | Managing Control - Governing Body · Individual | 0% | 44 facilities |
| Engels, Erin | Corporate Director · Individual | 0% | 44 facilities |
| Fauth, Kendra | Operational/Managerial Control · Individual | 0% | 19 facilities |
| Fauth, Kendra | Adp Of The SNF · Individual | 0% | 19 facilities |
| Fenoughty, Deanna | Managing Control - Governing Body · Individual | 0% | 45 facilities |
| Fenoughty, Deanna | Corporate Officer · Individual | 0% | 45 facilities |
| Fenoughty, Deanna | Operational/Managerial Control · Individual | 0% | 45 facilities |
| Forvis Mazars Llp | Adp Of The SNF · Organization | 0% | 295 facilities |
| Gentry, Mark | Managing Control - Governing Body · Individual | 0% | 45 facilities |
| Gentry, Mark | Corporate Director · Individual | 0% | 45 facilities |
| Gormal, Gregg | Operational/Managerial Control · Individual | 0% | 20 facilities |
| Gormal, Gregg | Adp Of The SNF · Individual | 0% | 20 facilities |
| Hamilton Trace Property LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Haug, Amy | Operational/Managerial Control · Individual | 0% | 20 facilities |
| Haug, Amy | Adp Of The SNF · Individual | 0% | 20 facilities |
| Healthdrive Podiatry Group Pa | Adp Of The SNF · Organization | 0% | 16 facilities |
| Heart Of Cardon LLC | Adp Of The SNF · Organization | 0% | 19 facilities |
| Hoyek, George | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Hoyek, George | Adp Of The SNF · Individual | 0% | 2 facilities |
| Jeffrey L Morer Od Pc | Adp Of The SNF · Organization | 0% | 18 facilities |
| Karner, Jim | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Karner, Jim | Adp Of The SNF · Individual | 0% | 7 facilities |
| Lacy Beyl & Company Inc | Adp Of The SNF · Organization | 0% | 20 facilities |
| Lifespan Therapy LLC | Adp Of The SNF · Organization | 0% | 19 facilities |
| Lopossa, Lynn | Operational/Managerial Control · Individual | 0% | 20 facilities |
| Lopossa, Lynn | Adp Of The SNF · Individual | 0% | 20 facilities |
| Lument Real Estate Capital LLC | 5% Or Greater Security Interest · Organization | 0% | 44 facilities |
| Lument Real Estate Capital LLC | Adp Of The SNF · Organization | 0% | 44 facilities |
| Mcclelland, Thomas | Operational/Managerial Control · Individual | 0% | 20 facilities |
| Mcclelland, Thomas | Adp Of The SNF · Individual | 0% | 20 facilities |
| Mcintosh, Eric | Operational/Managerial Control · Individual | 0% | 20 facilities |
| Mcintosh, Eric | Adp Of The SNF · Individual | 0% | 20 facilities |
| Med-Pass Incorporated | Adp Of The SNF · Organization | 0% | 20 facilities |
| Mobile Audiology Associates Pc | Adp Of The SNF · Organization | 0% | 18 facilities |
| Moser Consulting Incorporated | Adp Of The SNF · Organization | 0% | 19 facilities |
| Orix Real Estate Capital LLC | 5% Or Greater Security Interest · Organization | 0% | 19 facilities |
| Orix Real Estate Capital LLC | Adp Of The SNF · Organization | 0% | 19 facilities |
| Respiratory Partners Inc | Adp Of The SNF · Organization | 0% | 19 facilities |
| Rodgers, Kent | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Rodgers, Kent | Adp Of The SNF · Individual | 0% | 1 facilities |
| Spencer, Leaann | Adp Of The SNF · Individual | 0% | 19 facilities |
| Starkey, Tyler | Managing Control - Governing Body · Individual | 0% | 45 facilities |
| Starkey, Tyler | Corporate Director · Individual | 0% | 45 facilities |
| Stewart, Robert | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Stewart, Robert | Adp Of The SNF · Individual | 0% | 2 facilities |
| Third Eye Health Inc | Adp Of The SNF · Organization | 0% | 18 facilities |
| Tyler, Lateasa | Adp Of The SNF · Individual | 0% | 5 facilities |
| Vox Global LLC | Adp Of The SNF · Organization | 0% | 18 facilities |
| Waite, John | Managing Control - Governing Body · Individual | 0% | 45 facilities |
| Waite, John | Corporate Director · Individual | 0% | 45 facilities |
| Whicker, Timothy | Managing Control - Governing Body · Individual | 0% | 45 facilities |
| Whicker, Timothy | Corporate Director · Individual | 0% | 45 facilities |
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Fire safety
15 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- C
Have approved installation, maintenance and testing program for fire alarm 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.
- E
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems4F
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
- E
Ensure proper usage of power strips and extension cords.
Services2E
- E
Have properly installed electrical wiring and gas equipment.
- E
Have properly installed electrical wiring and gas equipment.
Emergency Preparedness1F
- F
Implement emergency and standby power systems.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
Construction1E
- E
Meet requirements for sections of health care facilities separated by fire resistive construction.
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