Federal inspection record · CMS data as of October 1, 2026
Markle Health & Rehabilitation
170 N Tracy St, Markle, IN · (260) 758-2131
- Certified beds
- 86
- Residents per day
- 75
- Ownership
- Non-Profit
- Chain
- American Senior Communities
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 25, 2000
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
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
Markle Health & Rehabilitation carries 5 inspection points. That is fewer than 95% 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
4 health citations on record since 2023. 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 Care2D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Resident Rights1D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2025-06-05
1 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2024-08-09
2 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2023-07-27
1 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 28 min of nursing staff time a day, 27 min of it from a registered nurse.
This home
3 h 28 min
Indiana average
3 h 44 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 42% of nursing staff and 29% 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. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.2 pts better | 96.9% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.9 pts better | 100.0% | 95.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts better | 3.5% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms9.4 pts better | 16.1% | 25.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.1 pts better | 2.2% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.6 pts better | 21.9% | 23.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.8 pts better | 10.9% | 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 worsened10.4 pts better | 0.7% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9 pts better | 1.8% | 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 incontinence4.4 pts better | 18.0% | 22.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1 pts better | 2.5% | 3.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5 pts better | 86.9% | 81.9% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better | 0.8% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine17.3 pts better | 96.5% | 79.2% | 80.1% |
·
Who owns and runs it
35 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 |
|---|---|---|---|
| Henry County Memorial Hospital | 5% Or Greater Direct Ownership Interest · Organization | 100% | 31 facilities |
| American Senior Communities LLC | Operational/Managerial Control · Organization | 0% | 88 facilities |
| American Senior Communities LLC | Adp Of The SNF · Organization | 0% | 88 facilities |
| Chies, Steven | Managing Control - Governing Body · Individual | 0% | 39 facilities |
| Dice, Mark | Operational/Managerial Control · Individual | 0% | 88 facilities |
| Dice, Mark | Adp Of The SNF · Individual | 0% | 88 facilities |
| Dynes, Sheldon | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Dynes, Sheldon | Trustee Of The SNF · Individual | 0% | 9 facilities |
| Foster, Brittney | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Henry County Memorial Hospital | Adp Of The SNF · Organization | 0% | 31 facilities |
| Jackson, Blake | Managing Control - Governing Body · Individual | 0% | 38 facilities |
| Jackson, Ethan | Managing Control - Governing Body · Individual | 0% | 37 facilities |
| Jackson, Mark | Managing Control - Governing Body · Individual | 0% | 37 facilities |
| Jackson, Michael | Managing Control - Governing Body · Individual | 0% | 37 facilities |
| Jackson, Wessley | Managing Control - Governing Body · Individual | 0% | 37 facilities |
| Justice, David | Managing Control - Governing Body · Individual | 0% | 37 facilities |
| Kelsey, Donna | Managing Control - Governing Body · Individual | 0% | 39 facilities |
| Moore, Nicole | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Moore, Nicole | Adp Of The SNF · Individual | 0% | 1 facilities |
| Pidgeon, John | Managing Control - Governing Body · Individual | 0% | 31 facilities |
| Pidgeon, John | Trustee Of The SNF · Individual | 0% | 31 facilities |
| Ring, Brian | Corporate Officer · Individual | 0% | 30 facilities |
| Ring, Brian | Operational/Managerial Control · Individual | 0% | 30 facilities |
| Shane, Andrew | Operational/Managerial Control · Individual | 0% | 39 facilities |
| Shane, Andrew | Adp Of The SNF · Individual | 0% | 39 facilities |
| Shore, Marion | Managing Control - Governing Body · Individual | 0% | 31 facilities |
| Shore, Marion | Trustee Of The SNF · Individual | 0% | 31 facilities |
| Stitle, Stephen | Managing Control - Governing Body · Individual | 0% | 37 facilities |
| Van Camp, Steven | Operational/Managerial Control · Individual | 0% | 88 facilities |
| Van Camp, Steven | Adp Of The SNF · Individual | 0% | 88 facilities |
| Ware, Deborah | Managing Control - Governing Body · Individual | 0% | 30 facilities |
| Ware, Deborah | Trustee Of The SNF · Individual | 0% | 30 facilities |
| Williams, Lloyd | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Williams, Lloyd | Adp Of The SNF · Individual | 0% | 2 facilities |
| Wright, Theressa | Managing Control - Governing Body · Individual | 0% | 37 facilities |
·
Fire safety
10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Install an approved automatic sprinkler system.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Egress2E
- E
Have horizontal exits used in accordance with safety requirements.
- E
Have exits that are accessible at all times.
Services1E
- E
Have properly installed electrical wiring and gas equipment.
Miscellaneous1F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Emergency Preparedness1C
- C
Establish roles under a Waiver declared by secretary.
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Other homes nearby
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River Terrace Health Care Center
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
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- Fines
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-
Ossian Health Care And Rehabilitation Center
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- Nursing / resident / day
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- Fines
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-
Hickory Creek At Huntington
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
- 3 h 25 min
- Fines
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