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

Hawthorne Healthcare Center

7465 Madison Ave, Indianapolis, IN · (317) 788-3000

CMS overall rating

3 of 5

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Certified beds
88
Residents per day
72
Ownership
For-Profit
Chain
Communicare Health
Medicare / Medicaid
Medicare + Medicaid
Certified since
July 13, 2010

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.

  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

    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

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Indiana homes

Hawthorne Healthcare Center carries 46 inspection points. That is fewer than 37% of Indiana's 504 rated homes.

5★4★3★2★1★+16 homes above 163.2505102550100inspection points → fewer is better on the leftThis home · 46 pts · 2★

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

28 health citations on record since 2024. 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 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 19 4 pts
E 6 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 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 (2)

  1. J

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

    April 23, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected April 14, 2025

  2. G

    Ensure that residents are free from significant medication errors.

    June 17, 2024 · Complaint inspection · Pharmacy Service · F760 · Corrected August 27, 2024

Everything else, by area of care

Resident Rights6E
  1. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    August 4, 2026 · Complaint · F554 · Corrected August 10, 2026

  2. D

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

    August 20, 2024 · Complaint · F580 · Corrected August 28, 2024

  3. D

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    August 20, 2024 · Complaint · F623 · Corrected August 28, 2024

  4. E

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

    August 2, 2024 · Complaint · F550 · Corrected August 27, 2024

  5. 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.

    August 2, 2024 · Complaint · F625 · Corrected August 27, 2024

  6. D

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

    July 17, 2024 · Complaint · F580 · Corrected August 28, 2024

Quality of Life and Care5E
  1. E

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

    December 5, 2025 · Standard · F689 · Corrected December 23, 2025

  2. 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.

    December 5, 2025 · Standard · F693 · Corrected December 23, 2025

  3. D

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

    July 17, 2024 · Complaint · F742 · Corrected August 12, 2024

  4. D

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    July 5, 2024 · Complaint · F740 · Corrected August 2, 2024

  5. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    February 2, 2024 · Standard · F698 · Corrected February 26, 2024

Resident Assessment and Care Planning4E
  1. D

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

    November 13, 2024 · Standard · F656 · Corrected December 13, 2024

  2. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    August 20, 2024 · Complaint · F842 · Corrected August 28, 2024

  3. E

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    June 17, 2024 · Complaint · F842 · Corrected August 28, 2024

  4. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    February 2, 2024 · Complaint · F842 · Corrected February 26, 2024

Freedom from Abuse, Neglect, and Exploitation4D
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    August 2, 2024 · Complaint · F609 · Corrected August 27, 2024

  2. D

    Respond appropriately to all alleged violations.

    August 2, 2024 · Complaint · F610 · Corrected August 27, 2024

  3. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    July 17, 2024 · Complaint · F609 · Corrected August 27, 2024

  4. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    March 15, 2024 · Complaint · F609 · Corrected April 5, 2024

Nutrition and Dietary3E
  1. E

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

    November 13, 2024 · Standard · F812 · Corrected December 13, 2024

  2. C

    Dispose of garbage and refuse properly.

    November 13, 2024 · Standard · F814 · Corrected December 13, 2024

  3. E

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

    February 2, 2024 · Standard · F812 · Corrected February 26, 2024

Administration2D
  1. D

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    July 17, 2024 · Complaint · F835 · Corrected August 12, 2024

  2. D

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    June 17, 2024 · Complaint · F849 · Corrected August 2, 2024

Pharmacy Service1D
  1. 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.

    August 2, 2024 · Complaint · F761 · Corrected August 27, 2024

Infection Control1E
  1. E

    Provide and implement an infection prevention and control program.

    June 17, 2024 · Complaint · F880 · Corrected August 27, 2024

Inspection history

  1. 2025-12-05

    3 health deficiencies · 8 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  2. 2024-11-13

    4 health deficiencies · 8 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

  3. 2024-02-02

    21 health deficiencies · 5 fire-safety deficiencies

    Top issue: Resident Rights (5 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 23 min of nursing staff time a day, 38 min of it from a registered nurse.

This home

3 h 23 min

Indiana average

3 h 44 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 49% of nursing staff and 38% 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

$12,428 in federal fines on record over the past three years.

DatePenaltyAmount
2025-04-23Fine$12,428
2024-06-17Payment Denial · 1 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.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.5 pts worse93.2%93.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine10.8 pts worse84.3%95.1%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts worse4.0%3.8%3.2%
Percentage of long-stay residents who have depressive symptoms20 pts better5.5%25.5%13.5%
Percentage of long-stay residents who lose too much weight1.3 pts worse6.6%5.3%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication4.6 pts worse28.1%23.5%19.5%
Percentage of long-stay residents who received an antipsychotic medication7.9 pts better5.8%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 worsened4.8 pts better6.3%11.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased8.2 pts better2.6%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 incontinence3.7 pts worse26.1%22.4%18.3%
Percentage of long-stay residents with pressure ulcers0.6 pts worse4.1%3.5%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.9 pts worse76.0%81.9%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication1.5 pts worse2.6%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine0.5 pts worse78.7%79.2%80.1%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Adams County Memorial HospitalOperational/Managerial Control · Organization0%41 facilities
Barbour, JakobOperational/Managerial Control · Individual0%1 facilities
Barbour, JakobAdp Of The SNF · Individual0%1 facilities
Blue Management Services LLCAdp Of The SNF · Organization0%50 facilities
Borne-Bauman, CandiceManaging Control - Governing Body · Individual0%49 facilities
Borne-Bauman, CandiceOperational/Managerial Control · Individual0%49 facilities
First Bank Of BerneAdp Of The SNF · Organization0%48 facilities
Flueckiger, RussellManaging Control - Governing Body · Individual0%50 facilities
Flueckiger, RussellOperational/Managerial Control · Individual0%50 facilities
Lehman, ScottManaging Control - Governing Body · Individual0%49 facilities
Lehman, ScottOperational/Managerial Control · Individual0%49 facilities
Macklin, LarryManaging Control - Governing Body · Individual0%49 facilities
Macklin, LarryOperational/Managerial Control · Individual0%49 facilities
Mcintire, DavidManaging Control - Governing Body · Individual0%49 facilities
Mcintire, DavidOperational/Managerial Control · Individual0%49 facilities
Odenthal, RichardOperational/Managerial Control · Individual0%73 facilities
Omega Healthcare Investors IncAdp Of The SNF · Organization0%33 facilities
Omg In Mstr Lsco LLCAdp Of The SNF · Organization0%18 facilities
Radadiya, PragneshkumarOperational/Managerial Control · Individual0%13 facilities
Radadiya, PragneshkumarAdp Of The SNF · Individual0%13 facilities
S Madison Mgt Co., LLCOperational/Managerial Control · Organization0%1 facilities
S Madison Mgt Co., LLCAdp Of The SNF · Organization0%1 facilities
Smith, ScottOperational/Managerial Control · Individual0%54 facilities
Sprunger, KyleOperational/Managerial Control · Individual0%52 facilities
Wheeler, DaneOperational/Managerial Control · Individual0%40 facilities

·

Fire safety

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

Gas, Vacuum, and Electrical Systems6F
  1. F

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    December 5, 2025 · K914 · Corrected February 6, 2026

  2. E

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

    December 5, 2025 · K927 · Corrected February 6, 2026

  3. C

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

    December 5, 2025 · K918 · Corrected February 6, 2026

  4. F

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

    November 13, 2024 · K918 · Corrected January 31, 2025

  5. F

    Ensure that testing and maintenance of electrical equipment is performed.

    November 13, 2024 · K921 · Corrected January 31, 2025

  6. D

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

    February 2, 2024 · K927 · Corrected March 15, 2024

Miscellaneous5F
  1. F

    Have simulated fire drills held at unexpected times.

    December 5, 2025 · K712 · Corrected February 6, 2026

  2. F

    Have simulated fire drills held at unexpected times.

    November 13, 2024 · K712 · Corrected January 31, 2025

  3. F

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

    November 13, 2024 · K761 · Corrected January 31, 2025

  4. F

    Have simulated fire drills held at unexpected times.

    February 2, 2024 · K712 · Corrected March 15, 2024

  5. F

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

    February 2, 2024 · K761 · Corrected March 15, 2024

Smoke4F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    December 5, 2025 · K353 · Corrected February 6, 2026

  2. F

    Inspect, test, and maintain automatic sprinkler systems.

    November 13, 2024 · K353 · Corrected January 31, 2025

  3. E

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

    November 13, 2024 · K321 · Corrected January 31, 2025

  4. E

    Install corridor and hallway doors that block smoke.

    February 2, 2024 · K363 · Corrected March 15, 2024

Egress3F
  1. F

    Install emergency lighting that can last at least 1 1/2 hours.

    December 5, 2025 · K291 · Corrected January 27, 2026

  2. E

    Have properly located and lighted "Exit" signs.

    December 5, 2025 · K293 · Corrected February 6, 2026

  3. D

    Install emergency lighting that can last at least 1 1/2 hours.

    February 2, 2024 · K291 · Corrected March 15, 2024

Emergency Preparedness3F
  1. C

    Implement emergency and standby power systems.

    December 5, 2025 · E41 · Corrected February 6, 2026

  2. F

    Conduct testing and exercise requirements.

    November 13, 2024 · E39 · Corrected January 31, 2025

  3. F

    Implement emergency and standby power systems.

    November 13, 2024 · E41 · Corrected January 31, 2025

·

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  3. University Heights Health And Living Community

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    Worst citation, 3 yrs
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    3 h 22 min
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