Federal inspection record · CMS data as of October 1, 2026
Lutheran Life Villages
351 N Allen Chapel Rd, Kendallville, IN · (260) 347-2256
- CMS high-performer trophy
- Certified beds
- 99
- Residents per day
- 84
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 12, 2005
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 (already 5)
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 (already 5)
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
Lutheran Life Villages carries 7 inspection points. That is fewer than 93% 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
5 health citations on record since 2024. 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
Pharmacy Service2D
- 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.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Resident Rights1D
- D
Keep residents' personal and medical records private and confidential.
Quality of Life and Care1D
- D
Provide care or services that was trauma informed and/or culturally competent.
Inspection history
2026-03-03
2 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2025-02-18
1 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Rights (1 deficiency)
2024-02-27
2 health deficiencies · 2 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 43 min of nursing staff time a day, 49 min of it from a registered nurse.
This home
3 h 43 min
Indiana average
3 h 44 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 39% of nursing staff and 13% 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 days0.4 pts better | 1.1 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts better | 0.6 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.3 pts better | 100.0% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.7 pts better | 98.8% | 95.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.7 pts worse | 5.5% | 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 weight2.8 pts better | 2.5% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.3 pts better | 19.2% | 23.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.5 pts better | 10.2% | 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 worsened7 pts worse | 18.1% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10.5 pts worse | 21.3% | 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 infection1.8 pts worse | 2.9% | 1.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6 pts worse | 28.4% | 22.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.5 pts better | 0.0% | 3.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.4 pts better | 95.3% | 81.9% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.6 pts worse | 3.7% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.3 pts better | 81.5% | 79.2% | 80.1% |
·
Who owns and runs it
46 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 |
|---|---|---|---|
| Adair, Heidi | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Adams County Memorial Hospital | Operational/Managerial Control · Organization | 0% | 41 facilities |
| Bleke, Ron | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Blue Management Services LLC | Adp Of The SNF · Organization | 0% | 50 facilities |
| Bohnke, Bryan | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Borne-Bauman, Candice | Managing Control - Governing Body · Individual | 0% | 49 facilities |
| Borne-Bauman, Candice | Operational/Managerial Control · Individual | 0% | 49 facilities |
| Fenstermaker, Sadie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Fenstermaker, Sadie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Fink, Jane | Operational/Managerial Control · Individual | 0% | 3 facilities |
| First Bank Of Berne | Adp Of The SNF · Organization | 0% | 48 facilities |
| Flueckiger, Russell | Managing Control - Governing Body · Individual | 0% | 50 facilities |
| Flueckiger, Russell | Operational/Managerial Control · Individual | 0% | 50 facilities |
| Forvis Mazars Llp | Operational/Managerial Control · Organization | 0% | 295 facilities |
| Forvis Mazars Llp | Adp Of The SNF · Organization | 0% | 295 facilities |
| Gotsch, Debbie | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Grote, Randy | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Hanke, Chris | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Healthcare Therapy Services Inc | Operational/Managerial Control · Organization | 0% | 17 facilities |
| Healthcare Therapy Services Inc | Adp Of The SNF · Organization | 0% | 17 facilities |
| Kiefer, Alexander | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Kiefer, Alexander | Adp Of The SNF · Individual | 0% | 3 facilities |
| Lehman, Scott | Managing Control - Governing Body · Individual | 0% | 49 facilities |
| Lehman, Scott | Operational/Managerial Control · Individual | 0% | 49 facilities |
| Linnemeier, Craig | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Lutheran Homes, Inc. | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Lutheran Homes, Inc. | Adp Of The SNF · Organization | 0% | 3 facilities |
| Macklin, Larry | Managing Control - Governing Body · Individual | 0% | 49 facilities |
| Macklin, Larry | Operational/Managerial Control · Individual | 0% | 49 facilities |
| Mcintire, David | Managing Control - Governing Body · Individual | 0% | 49 facilities |
| Mcintire, David | Operational/Managerial Control · Individual | 0% | 49 facilities |
| Messmann, Greg | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Neary, Tricia | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Neary, Tricia | Adp Of The SNF · Individual | 0% | 3 facilities |
| Nehring, Emily | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Omnicare LLC | Adp Of The SNF · Organization | 0% | 43 facilities |
| Park, Alison | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Rush, Kevin | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Smith, Scott | Operational/Managerial Control · Individual | 0% | 54 facilities |
| Sprunger, Kyle | Operational/Managerial Control · Individual | 0% | 52 facilities |
| Teska, Lowell | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Trent, Tom | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Walda, Chris | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Warrener, Gerald | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Warrener, Gerald | Adp Of The SNF · Individual | 0% | 1 facilities |
| Wheeler, Dane | Operational/Managerial Control · Individual | 0% | 40 facilities |
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Fire safety
2 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Services1F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Smoke1E
- E
Inspect, test, and maintain automatic sprinkler systems.
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Other homes nearby
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Kendallville Manor
Kendallville, IN · Ide Management Group
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 15 min
- Fines
- $0
-
Orchard Pointe Health Campus
Kendallville, IN · Trilogy Health Services
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 7 min
- Fines
- $0
-
Ascension Living Sacred Heart Village
Avilla, IN · Ascension Living
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 49 min
- Fines
- $0