Federal inspection record · CMS data as of October 1, 2026
Oak Grove Christian Retirement Village
221 W Division St, Demotte, IN · (219) 987-7005
- Certified beds
- 73
- Residents per day
- 62
- Ownership
- Non-Profit
- Chain
- Greencroft Communities
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 24, 1999
1
How this home got 1 star
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.
-
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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Indiana homes
Oak Grove Christian Retirement Village carries 103.5 inspection points. That is fewer than 10% 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
52 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.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care20D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Assessment and Care Planning9D
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Rights7D
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- 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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Infection Control4D
- D
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Pharmacy Service4E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration2D
- D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
- D
Employ staff that are licensed, certified, or registered in accordance with state laws.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspection history
2025-09-22
18 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
2024-10-22
17 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
2023-11-20
17 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 12 min of nursing staff time a day, 30 min of it from a registered nurse.
This home
4 h 12 min
Indiana average
3 h 44 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 48% of nursing staff and 62% 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
Fines and payment denials
$0 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-05-07 | Payment Denial · 11 day denial | $0 |
6
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 days0.2 pts better | 1.3 | 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 vaccine39.3 pts worse | 54.4% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 98.1% | 95.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts worse | 4.1% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms25 pts better | 0.5% | 25.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.9 pts better | 2.4% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.2 pts better | 17.3% | 23.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.4 pts better | 8.3% | 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 worsened17.6 pts worse | 28.7% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased13.1 pts worse | 23.9% | 10.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 0.4% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.5 pts worse | 3.6% | 1.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.9 pts worse | 27.3% | 22.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.4 pts worse | 4.9% | 3.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine32.8 pts worse | 49.1% | 81.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.9 pts better | 7.0% | 10.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts better | 0.4% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine0.2 pts worse | 79.0% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission8.4 pts worse | 30.2% | 21.8% | 23.4% |
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Who owns and runs it
45 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 |
|---|---|---|---|
| Woodlawn Hospital | 5% Or Greater Direct Ownership Interest · Organization | 100% | 9 facilities |
| Woodlawn Hospital | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 9 facilities |
| Bierma, Sharon | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bierma, Sharon | Adp Of The SNF · Individual | 0% | 1 facilities |
| Bode, Glen | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Bode, Glen | Trustee Of The SNF · Individual | 0% | 9 facilities |
| Chudzynski, Kendra | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Chudzynski, Kendra | Trustee Of The SNF · Individual | 0% | 9 facilities |
| Davis, Hugh | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Davis, Hugh | Adp Of The SNF · Individual | 0% | 5 facilities |
| Devries, Gerrit | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Devries, Gerrit | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hamstra, Donna | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hamstra, Donna | Adp Of The SNF · Individual | 0% | 1 facilities |
| Heyde, Alison | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Heyde, Alison | Trustee Of The SNF · Individual | 0% | 9 facilities |
| Hoekstra, Don | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hoekstra, Don | Adp Of The SNF · Individual | 0% | 1 facilities |
| Ingram, Beth | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ingram, Beth | Adp Of The SNF · Individual | 0% | 1 facilities |
| Johnson, Terri | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Johnson, Terri | Trustee Of The SNF · Individual | 0% | 9 facilities |
| Kooy, Randy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kooy, Randy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Mckim, Darla | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mckim, Darla | Adp Of The SNF · Individual | 0% | 1 facilities |
| Mellinger, Gregory | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Mellinger, Gregory | Trustee Of The SNF · Individual | 0% | 9 facilities |
| Miller, Brandon | Managing Control - Governing Body · Individual | 0% | 8 facilities |
| Miller, Brandon | Trustee Of The SNF · Individual | 0% | 8 facilities |
| Oakgrove Christian Retirement Village | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Oakgrove Christian Retirement Village | Adp Of The SNF · Organization | 0% | 1 facilities |
| Olinski, Lynda | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Olinski, Lynda | Adp Of The SNF · Individual | 0% | 5 facilities |
| Ouwenga, Larry | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ouwenga, Larry | Adp Of The SNF · Individual | 0% | 1 facilities |
| Patel, Chirag | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Patel, Chirag | Adp Of The SNF · Individual | 0% | 1 facilities |
| Rogers, Bradley | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Rogers, Bradley | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Vankepel, Karl | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Vankepel, Karl | Adp Of The SNF · Individual | 0% | 1 facilities |
| Webb, Harry | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Webb, Harry | Trustee Of The SNF · Individual | 0% | 9 facilities |
| Woodlawn Hospital | Adp Of The SNF · Organization | 0% | 9 facilities |
·
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