Federal inspection record · CMS data as of October 1, 2026
Shady Nook Care Center
36 Village Drive, Lawrenceburg, IN · (812) 537-0930
- Certified beds
- 94
- Residents per day
- 89
- Ownership
- For-Profit
- Chain
- Adams County Memorial Hospital
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 9, 1994
1
How this home got 2 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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Indiana.
-
Staffing
★★★★★−1 star
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
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Indiana homes
Shady Nook Care Center carries 44 inspection points. That is fewer than 39% 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
20 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 residents are free from significant medication errors.
Everything else, by area of care
Quality of Life and Care9D
- 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 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 appropriate treatment and care according to orders, resident’s preferences and goals.
- 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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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 enough food/fluids to maintain a resident's health.
- D
Provide care or services that was trauma informed and/or culturally competent.
Pharmacy Service5D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- 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
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure that residents are free from significant medication errors.
Resident Assessment and Care Planning3D
- 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
Ensure each resident receives an accurate assessment.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2026-01-06
7 health deficiencies · 7 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2024-11-13
7 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-09-25
6 health deficiencies · 10 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 2 min of nursing staff time a day, 42 min of it from a registered nurse.
This home
3 h 2 min
Indiana average
3 h 44 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
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 daysAbout the same | 1.5 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better | 1.0 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine9.6 pts worse | 84.1% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine13.1 pts worse | 82.0% | 95.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1 pts worse | 4.8% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms9.1 pts better | 16.4% | 25.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.1 pts better | 3.2% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.9 pts worse | 31.4% | 23.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.5 pts worse | 15.2% | 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 worsened15.6 pts worse | 26.7% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased13.2 pts worse | 24.0% | 10.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts worse | 0.5% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.3% | 1.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.2 pts worse | 22.6% | 22.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.8 pts better | 1.7% | 3.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12.4 pts worse | 69.5% | 81.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7.9 pts better | 3.0% | 10.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.0% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine27.3 pts worse | 51.9% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.9 pts better | 16.9% | 21.8% | 23.4% |
·
Who owns and runs it
39 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 |
|---|---|---|---|
| 36 Valley Holdings LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Adams County Memorial Hospital | Operational/Managerial Control · Organization | 0% | 41 facilities |
| Advanced Care Consultants LLC | Adp Of The SNF · Organization | 0% | 14 facilities |
| Blue Management Services LLC | Adp Of The SNF · Organization | 0% | 50 facilities |
| Boltz, Lindsey | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Boltz, Lindsey | Adp Of The SNF · Individual | 0% | 1 facilities |
| Borne-Bauman, Candice | Managing Control - Governing Body · Individual | 0% | 49 facilities |
| Borne-Bauman, Candice | Operational/Managerial Control · Individual | 0% | 49 facilities |
| Clinical Consulting Services LLC | Adp Of The SNF · Organization | 0% | 45 facilities |
| David M Fistel In LLC | Adp Of The SNF · Organization | 0% | 1 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 |
| Greatorex, Tina | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 22 facilities |
| Greenberg, David | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 17 facilities |
| Greystone Funding Company LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 19 facilities |
| Jsj Holdings LLC | Adp Of The SNF · Organization | 0% | 9 facilities |
| Keg Investments LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Lahasky, Ephram | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 41 facilities |
| Lehman, Scott | Managing Control - Governing Body · Individual | 0% | 49 facilities |
| Lehman, Scott | Operational/Managerial Control · Individual | 0% | 49 facilities |
| Lme Family Holdings LLC | Adp Of The SNF · Organization | 0% | 23 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 |
| Radadiya, Pragneshkumar | Operational/Managerial Control · Individual | 0% | 13 facilities |
| Radadiya, Pragneshkumar | Adp Of The SNF · Individual | 0% | 13 facilities |
| Samara Holdings Company LLC | Adp Of The SNF · Organization | 0% | 16 facilities |
| Schiowitz, Marc | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 24 facilities |
| Sebbag, Gabriel | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 33 facilities |
| Shady Nook Operations LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Shady Nook Operations LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Smith, Scott | Managing Control - Governing Body · Individual | 0% | 54 facilities |
| Smith, Scott | Corporate Officer · Individual | 0% | 54 facilities |
| Smith, Scott | Operational/Managerial Control · Individual | 0% | 54 facilities |
| Sprunger, Kyle | Corporate Officer · Individual | 0% | 52 facilities |
| Sprunger, Kyle | Operational/Managerial Control · Individual | 0% | 52 facilities |
| Summation Financial Services LLC | Adp Of The SNF · Organization | 0% | 51 facilities |
·
Fire safety
22 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke11F
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install an approved automatic sprinkler system.
- E
Install corridor and hallway doors that block smoke.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Egress5E
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E
Have horizontal exits used in accordance with safety requirements.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D
Install emergency lighting that can last at least 1 1/2 hours.
Services4F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Have elevators that firefighters can control in the event of a fire.
Gas, Vacuum, and Electrical Systems1E
- E
Have proper medical gas storage and administration areas.
Construction1E
- E
Use approved construction type or materials.
·
Other homes nearby
-
Envive Of Lawrenceburg
Lawrenceburg, IN · Envive Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 21 min
- Fines
- $0
-
Ridgewood Health Campus
Lawrenceburg, IN · Trilogy Health Services
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 22 min
- Fines
- $0
-
Shawneespring Health Care Center
Harrison, OH · Carespring
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 53 min
- Fines
- $18,324