Federal inspection record · CMS data as of October 1, 2026
Signature Healthcare At Parkwood
1001 N Grant St, Lebanon, IN · (765) 482-6400
- Certified beds
- 106
- Residents per day
- 83
- Ownership
- For-Profit
- Chain
- Signature Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 13, 1991
1
How this home got 4 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.
-
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
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Indiana homes
Signature Healthcare At Parkwood carries 21 inspection points. That is fewer than 72% 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
21 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 Care9D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- D
Provide activities to meet all resident's needs.
- 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 the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Resident Rights3E
- D
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning2E
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Infection Control2D
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Pharmacy Service2D
- 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 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.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental1D
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2026-03-06
1 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2025-02-17
5 health deficiencies · 3 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
2024-02-06
15 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 32 min of nursing staff time a day, 38 min of it from a registered nurse.
This home
3 h 32 min
Indiana average
3 h 44 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 50% of nursing staff and 63% 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
$8,018 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-02-06 | Fine | $8,018 |
| 2024-02-06 | Payment Denial · 16 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 days0.6 pts worse | 2.1 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts worse | 1.7 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine32.6 pts worse | 61.1% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.3 pts worse | 92.8% | 95.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.2 pts better | 1.6% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6.3 pts worse | 31.8% | 25.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.9 pts better | 1.4% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.5 pts worse | 26.0% | 23.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.2 pts better | 10.5% | 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 worsened0.8 pts better | 10.3% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.1 pts worse | 12.9% | 10.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better | 0.2% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts worse | 1.9% | 1.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.7 pts better | 20.7% | 22.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.2 pts better | 1.3% | 3.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine32.2 pts worse | 49.7% | 81.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit8.1 pts better | 2.8% | 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 vaccine6.3 pts worse | 72.9% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.7 pts worse | 26.5% | 21.8% | 23.4% |
·
Who owns and runs it
53 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 |
|---|---|---|---|
| Jackson County Schneck Memorial Hospital | 5% Or Greater Direct Ownership Interest · Organization | 100% | 10 facilities |
| Andres, Anthony | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Andres, Anthony | Adp Of The SNF · Individual | 0% | 7 facilities |
| Asbr Holdings LLC | Adp Of The SNF · Organization | 0% | 32 facilities |
| Bevers, Susan | Trustee Of The SNF · Individual | 0% | 10 facilities |
| Doyle, Maria | Adp Of The SNF · Individual | 0% | 5 facilities |
| Fish, Eric | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Forvis Mazars Llp | Adp Of The SNF · Organization | 0% | 295 facilities |
| Gilliland, Terrence | Trustee Of The SNF · Individual | 0% | 10 facilities |
| Harpe, Brandon | Trustee Of The SNF · Individual | 0% | 10 facilities |
| Harrison, John | Operational/Managerial Control · Individual | 0% | 67 facilities |
| Harrison, John | Adp Of The SNF · Individual | 0% | 67 facilities |
| Healthcare Services Group Inc | Adp Of The SNF · Organization | 0% | 30 facilities |
| Houck, Jared | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Houck, Jared | Adp Of The SNF · Individual | 0% | 4 facilities |
| Hurt, Jennifer | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hurt, Jennifer | Adp Of The SNF · Individual | 0% | 1 facilities |
| Jjla LLC | Adp Of The SNF · Organization | 0% | 66 facilities |
| Kleber, Courtney | Trustee Of The SNF · Individual | 0% | 10 facilities |
| Lehner, Timothy | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Lehner, Timothy | Adp Of The SNF · Individual | 0% | 6 facilities |
| Lp Lebanon LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Lp Lebanon Management, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Lp Lebanon Management, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Lpsnf LLC | Adp Of The SNF · Organization | 0% | 38 facilities |
| Manhattan Five Partners LLC | Adp Of The SNF · Organization | 0% | 11 facilities |
| Mann, Deborah | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Markel, Andrew | Trustee Of The SNF · Individual | 0% | 10 facilities |
| Mccory, Jack | Trustee Of The SNF · Individual | 0% | 10 facilities |
| Midcap Finco LLC | Adp Of The SNF · Organization | 0% | 19 facilities |
| Moore, Jennifer | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Moore, Jennifer | Adp Of The SNF · Individual | 0% | 9 facilities |
| Moschinger, Heather | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Moschinger, Heather | Adp Of The SNF · Individual | 0% | 1 facilities |
| Pharmerica Holdings Inc | Adp Of The SNF · Organization | 0% | 2 facilities |
| Rapp, Roland | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 3 facilities |
| Reedy, Matthew | Trustee Of The SNF · Individual | 0% | 10 facilities |
| Revelette, Barbara | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Revelette, Barbara | Adp Of The SNF · Individual | 0% | 4 facilities |
| Shc In Holdings LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| Shc Medical Partners LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| Shc Medical Partners Of Indiana, LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| Signature Healthcare Clinical Consulting Services LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| Signature Healthcare Consulting Services LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| Signature Healthcare LLC | Adp Of The SNF · Organization | 0% | 19 facilities |
| Smedra, Ira | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 31 facilities |
| Smith, Rick | Trustee Of The SNF · Individual | 0% | 10 facilities |
| Stakeholder Payroll Services LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| Steier Iii, Elmer | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 66 facilities |
| Stigler, Charles | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 3 facilities |
| Storey, Marc | Trustee Of The SNF · Individual | 0% | 10 facilities |
| Wintner, Jacob | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 35 facilities |
| Wortley, Mark | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3E
- E
Provide properly protected cooking facilities.
- C
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Install an approved automatic sprinkler system.
Miscellaneous2E
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
·
Other homes nearby
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Homewood Health Campus
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★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 35 min
- Fines
- $0
-
Waters Of Lebanon, The
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
- 5 h 1 min
- Fines
- $0
-
Restoracy Of Whitestown, The
Whitestown, IN
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 5 h 14 min
- Fines
- $0