Federal inspection record · CMS data as of October 1, 2026
Signature Healthcare Of Bremen
316 Woodies Lane, Bremen, IN · (574) 546-3494
- Certified beds
- 73
- Residents per day
- 55
- Ownership
- Government
- Chain
- Signature Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 27, 1992
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
★★★★★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
★★★★★+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
Signature Healthcare Of Bremen carries 97.25 inspection points. That is fewer than 12% 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
43 health citations on record since 2024. 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)
-
J
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Everything else, by area of care
Quality of Life and Care16E
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 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
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- E
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 treatment and care according to orders, resident’s preferences and goals.
- D
Provide for the safe, appropriate administration of IV fluids 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 care and assistance to perform activities of daily living for any resident who is unable.
- 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 appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- 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.
Resident Rights10D
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 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 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.
- 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.
Resident Assessment and Care Planning7D
- 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
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 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
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Pharmacy Service6D
- 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 that residents are free from significant medication errors.
- 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
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 that residents are free from significant medication errors.
Infection Control2F
- F
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2026-05-21
5 health deficiencies · 13 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2025-02-17
23 health deficiencies · 10 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2024-03-12
15 health deficiencies · 6 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 36 min of nursing staff time a day, 50 min of it from a registered nurse.
This home
3 h 36 min
Indiana average
3 h 44 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 45% of nursing staff and 42% 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. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts worse | 1.6 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts worse | 2.1 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4 pts better | 97.7% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.6 pts worse | 90.5% | 95.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2 pts better | 1.8% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms7.2 pts better | 18.3% | 25.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.7 pts worse | 8.0% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.6 pts better | 15.9% | 23.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.4 pts worse | 20.1% | 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 worsened6.8 pts better | 4.3% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1 pts worse | 11.8% | 10.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same | 0.3% | 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 incontinence2.5 pts worse | 24.9% | 22.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcersAbout the same | 3.5% | 3.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.4 pts better | 98.3% | 81.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.6 pts better | 9.3% | 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 vaccine20.8 pts better | 100.0% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission10.4 pts better | 11.4% | 21.8% | 23.4% |
·
Who owns and runs it
61 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 |
| Jackson County Schneck Memorial Hospital | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 10 facilities |
| Asbr Holdings LLC | Operational/Managerial Control · Organization | 0% | 32 facilities |
| Bevers, Susan | Managing Control - Governing Body · Individual | 0% | 10 facilities |
| Bevers, Susan | Trustee Of The SNF · Individual | 0% | 10 facilities |
| Blimling, Nicole | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Blimling, Nicole | Adp Of The SNF · Individual | 0% | 1 facilities |
| Doyle, Maria | Adp Of The SNF · Individual | 0% | 5 facilities |
| Fish, Eric | Managing Control - Governing Body · Individual | 0% | 10 facilities |
| Fish, Eric | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Gettinger, Paul | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Gettinger, Paul | Adp Of The SNF · Individual | 0% | 1 facilities |
| Gilliland, Terrence | Managing Control - Governing Body · Individual | 0% | 10 facilities |
| Gilliland, Terrence | Trustee Of The SNF · Individual | 0% | 10 facilities |
| Harpe, Brandon | Managing Control - Governing Body · 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 | Operational/Managerial Control · Organization | 0% | 30 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 |
| Jackson County Schneck Memorial Hospital | Adp Of The SNF · Organization | 0% | 10 facilities |
| Kleber, Courtney | Managing Control - Governing Body · Individual | 0% | 10 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 |
| Lewis, Linda | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Lewis, Linda | Adp Of The SNF · Individual | 0% | 1 facilities |
| Lp Bremen LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Lp Bremen Management, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Lp Bremen Management, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Mann, Deborah | Managing Control - Governing Body · Individual | 0% | 10 facilities |
| Mann, Deborah | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Markel, Andrew | Managing Control - Governing Body · Individual | 0% | 10 facilities |
| Markel, Andrew | Trustee Of The SNF · Individual | 0% | 10 facilities |
| Mccory, Jack | Managing Control - Governing Body · Individual | 0% | 10 facilities |
| Mccory, Jack | Trustee Of The SNF · Individual | 0% | 10 facilities |
| Midcap Funding Iv Trust | 5% Or Greater Security Interest · Organization | 0% | 26 facilities |
| Midcap Funding Iv Trust | Operational/Managerial Control · Organization | 0% | 26 facilities |
| Moore, Jennifer | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Moore, Jennifer | Adp Of The SNF · Individual | 0% | 9 facilities |
| Rapp, Roland | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Reedy, Matthew | Managing Control - Governing Body · Individual | 0% | 10 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 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 |
| Smedra, Ira | Operational/Managerial Control · Individual | 0% | 31 facilities |
| Smith, Rick | Managing Control - Governing Body · Individual | 0% | 10 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 | Operational/Managerial Control · Individual | 0% | 66 facilities |
| Stigler, Charles | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Storey, Marc | Managing Control - Governing Body · Individual | 0% | 10 facilities |
| Storey, Marc | Trustee Of The SNF · Individual | 0% | 10 facilities |
| Syer, Charles | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wintner, Jacob | Operational/Managerial Control · Individual | 0% | 35 facilities |
·
Fire safety
29 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- C
Install a fire alarm system that can be heard throughout the facility.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
- D
Install corridor and hallway doors that block smoke.
- C
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.
Gas, Vacuum, and Electrical Systems7F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- E
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
- E
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
- D
Ensure proper usage of power strips and extension cords.
- C
Have generator or other power source capable of supplying service within 10 seconds.
Egress5F
- F
Install proper backup exit lighting.
- F
Meet other general requirements that are deficient.
- E
Install emergency lighting that can last at least 1 1/2 hours.
- E
Have properly located and lighted "Exit" signs.
- F
Meet other general requirements that are deficient.
Emergency Preparedness4E
- E
Implement emergency and standby power systems.
- C
Establish staff and initial training requirements.
- C
Conduct testing and exercise requirements.
- C
Conduct risk assessment and an All-Hazards approach.
Services2E
- E
Have properly installed electrical wiring and gas equipment.
- E
Have properly installed electrical wiring and gas equipment.
Miscellaneous1E
- E
Have simulated fire drills held at unexpected times.
Construction1E
- E
Use approved construction type or materials.
·
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