Mooresville, IN

Meadow Lakes

5-star overall rating with 4-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

200 Meadow Lake Dr, Mooresville, IN

(317) 834-1791

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

137

Certified beds

Average residents

122

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

American Senior Communities

Operator or chain grouping

Approved since

2006-03-22

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.49

Registered nurse staffing

LPN hours / resident day

0.89

Licensed practical nurse staffing

Aide hours / resident day

2.07

Nurse aide staffing

Weekend hours

2.91

Weekend nurse staffing

RN turnover

44%

Annual RN turnover

Total nurse turnover

45%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.7	1.6 0.9 pts better	1.9 1.2 pts better	Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days	1.0	1.5 0.5 pts better	1.8 0.8 pts better	Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.0%	93.6% 5.4 pts better	93.4% 5.6 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	99.1%	95.4% 3.7 pts better	95.5% 3.6 pts better	Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury	4.7%	3.8% 0.9 pts worse	3.3% 1.4 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms	26.7%	24.6% 2.1 pts worse	11.4% 15.3 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight	3.8%	5.6% 1.8 pts better	5.4% 1.6 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	23.5%	23.5% About the same	19.6% 3.9 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication	13.8%	14.8% 1 pts better	16.7% 2.9 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened	5.9%	13.3% 7.4 pts better	16.3% 10.4 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	5.4%	11.7% 6.3 pts better	14.9% 9.5 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.2%	0.4% 0.2 pts better	1.0% 0.8 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection	0.0%	1.2% 1.2 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	19.7%	24.2% 4.5 pts better	19.8% 0.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	1.2%	4.1% 2.9 pts better	5.1% 3.9 pts better	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	96.4%	81.6% 14.8 pts better	81.7% 14.7 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit	4.4%	10.5% 6.1 pts better	12.0% 7.6 pts better	Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication	1.2%	1.3% 0.1 pts better	1.6% 0.4 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	88.6%	79.0% 9.6 pts better	79.7% 8.9 pts better	Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission	21.3%	22.4% 1.1 pts better	23.9% 2.6 pts better	Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-18 · Fire 2025-03-18

4 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2024-06-05 · Fire 2024-06-05

3 health deficiencies

Top issue: Infection Control (1 deficiency)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2023-06-02 · Fire 2023-06-02

2 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

5 fire-safety deficiencies

Top issue: Egress (3 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-03-18

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-04-02

E · Potential for more than minimal harm 2025-03-18

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-05-07

E · Potential for more than minimal harm 2025-03-18

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-04-18

E · Potential for more than minimal harm 2024-06-05

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-07-09

E · Potential for more than minimal harm 2024-06-05

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-07-09

E · Potential for more than minimal harm 2023-06-02

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2023-06-14

E · Potential for more than minimal harm 2023-06-02

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2023-06-14

E · Potential for more than minimal harm 2023-06-02

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-06-14

D · Potential for more than minimal harm 2023-06-02

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-06-14

D · Potential for more than minimal harm 2023-06-02

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-06-14

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-03-18

F554 · Resident Rights Deficiencies

Health

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

Corrected 2025-04-14

D · Potential for more than minimal harm 2025-03-18

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-04-14

D · Potential for more than minimal harm 2025-03-18

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-04-14

D · Potential for more than minimal harm 2025-03-18

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-04-14

D · Potential for more than minimal harm 2024-12-12

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-12-27

E · Potential for more than minimal harm 2024-06-05

F623 · Resident Rights Deficiencies

Health

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

Corrected 2024-06-21

D · Potential for more than minimal harm 2024-06-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-21

G · Actual harm 2024-01-10

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2024-02-02

D · Potential for more than minimal harm 2024-01-10

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-02-02

Penalties and ownership

What sits behind the stars

Ownership

The Health And Hospital Corporation Of Marion County

5% Or Greater Direct Ownership Interest · Organization

100% 70 facilities 2009-02-01

American Senior Communities LLC

Operational/Managerial Control · Organization

0% 89 facilities 2009-02-01

Babcock, Paul

Corporate Officer · Individual

0% 72 facilities 2020-09-30

Caine, Virginia

Corporate Officer · Individual

0% 52 facilities 1994-01-10

Dice, Mark

Contracted Managing Employee · Individual

0% 64 facilities 2023-06-01

Drummer, Carl