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

CMS overall rating

5 of 5

Compare with a nearby home →
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.

  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 (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.

  3. 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.

  4. 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.

5★4★3★2★1★+16 homes above 163.2505102550100inspection points → fewer is better on the leftThis home · 7 pts · 5★

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.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 5 4 pts
E 0 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 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.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Pharmacy Service2D
  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.

    March 3, 2026 · Standard · F761 · Corrected March 17, 2026

  2. 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.

    February 27, 2024 · Standard · F758 · Corrected March 8, 2024

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    March 3, 2026 · Standard · F880 · Corrected March 17, 2026

Resident Rights1D
  1. D

    Keep residents' personal and medical records private and confidential.

    February 18, 2025 · Standard · F583 · Corrected February 26, 2025

Quality of Life and Care1D
  1. D

    Provide care or services that was trauma informed and/or culturally competent.

    February 27, 2024 · Standard · F699 · Corrected March 8, 2024

Inspection history

  1. 2026-03-03

    2 health deficiencies · 0 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

  2. 2025-02-18

    1 health deficiencies · 0 fire-safety deficiencies

    Top issue: Resident Rights (1 deficiency)

  3. 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.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.4 pts better1.11.51.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts better0.61.41.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.3 pts better100.0%93.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.7 pts better98.8%95.1%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.7 pts worse5.5%3.8%3.2%
Percentage of long-stay residents who have depressive symptoms25.5 pts better0.0%25.5%13.5%
Percentage of long-stay residents who lose too much weight2.8 pts better2.5%5.3%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication4.3 pts better19.2%23.5%19.5%
Percentage of long-stay residents who received an antipsychotic medication3.5 pts better10.2%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 worsened7 pts worse18.1%11.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased10.5 pts worse21.3%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 infection1.8 pts worse2.9%1.1%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence6 pts worse28.4%22.4%18.3%
Percentage of long-stay residents with pressure ulcers3.5 pts better0.0%3.5%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.4 pts better95.3%81.9%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication2.6 pts worse3.7%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.3 pts better81.5%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
NameRoleShareHomes
Adair, HeidiOperational/Managerial Control · Individual0%3 facilities
Adams County Memorial HospitalOperational/Managerial Control · Organization0%41 facilities
Bleke, RonOperational/Managerial Control · Individual0%3 facilities
Blue Management Services LLCAdp Of The SNF · Organization0%50 facilities
Bohnke, BryanOperational/Managerial Control · Individual0%3 facilities
Borne-Bauman, CandiceManaging Control - Governing Body · Individual0%49 facilities
Borne-Bauman, CandiceOperational/Managerial Control · Individual0%49 facilities
Fenstermaker, SadieOperational/Managerial Control · Individual0%1 facilities
Fenstermaker, SadieAdp Of The SNF · Individual0%1 facilities
Fink, JaneOperational/Managerial Control · Individual0%3 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
Forvis Mazars LlpOperational/Managerial Control · Organization0%295 facilities
Forvis Mazars LlpAdp Of The SNF · Organization0%295 facilities
Gotsch, DebbieOperational/Managerial Control · Individual0%3 facilities
Grote, RandyOperational/Managerial Control · Individual0%3 facilities
Hanke, ChrisOperational/Managerial Control · Individual0%3 facilities
Healthcare Therapy Services IncOperational/Managerial Control · Organization0%17 facilities
Healthcare Therapy Services IncAdp Of The SNF · Organization0%17 facilities
Kiefer, AlexanderOperational/Managerial Control · Individual0%3 facilities
Kiefer, AlexanderAdp Of The SNF · Individual0%3 facilities
Lehman, ScottManaging Control - Governing Body · Individual0%49 facilities
Lehman, ScottOperational/Managerial Control · Individual0%49 facilities
Linnemeier, CraigOperational/Managerial Control · Individual0%3 facilities
Lutheran Homes, Inc.Operational/Managerial Control · Organization0%3 facilities
Lutheran Homes, Inc.Adp Of The SNF · Organization0%3 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
Messmann, GregOperational/Managerial Control · Individual0%3 facilities
Neary, TriciaOperational/Managerial Control · Individual0%3 facilities
Neary, TriciaAdp Of The SNF · Individual0%3 facilities
Nehring, EmilyOperational/Managerial Control · Individual0%3 facilities
Omnicare LLCAdp Of The SNF · Organization0%43 facilities
Park, AlisonOperational/Managerial Control · Individual0%3 facilities
Rush, KevinOperational/Managerial Control · Individual0%3 facilities
Smith, ScottOperational/Managerial Control · Individual0%54 facilities
Sprunger, KyleOperational/Managerial Control · Individual0%52 facilities
Teska, LowellOperational/Managerial Control · Individual0%3 facilities
Trent, TomOperational/Managerial Control · Individual0%3 facilities
Walda, ChrisOperational/Managerial Control · Individual0%3 facilities
Warrener, GeraldOperational/Managerial Control · Individual0%1 facilities
Warrener, GeraldAdp Of The SNF · Individual0%1 facilities
Wheeler, DaneOperational/Managerial Control · Individual0%40 facilities

·

Fire safety

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

Services1F
  1. F

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    February 27, 2024 · K521 · Corrected May 4, 2024

Smoke1E
  1. E

    Inspect, test, and maintain automatic sprinkler systems.

    February 27, 2024 · K353 · Corrected May 4, 2024

·

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