Federal inspection record · CMS data as of October 1, 2026
Southpointe Healthcare Center
4904 War Admiral Drive, Indianapolis, IN · (317) 885-3333
- Certified beds
- 100
- Residents per day
- 93
- Ownership
- Non-Profit
- Chain
- Communicare Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 26, 2014
1
How this home got 5 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 (already 5)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Indiana homes
Southpointe Healthcare Center carries 8 inspection points. That is fewer than 91% 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
6 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care2D
- 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 for the safe, appropriate administration of IV fluids for a resident when needed.
Resident Rights1D
- D
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Assessment and Care Planning1D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Infection Control1D
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Pharmacy Service1D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspection history
2026-03-03
1 health deficiencies · 12 fire-safety deficiencies
Top issue: Resident Rights (1 deficiency)
2024-12-06
3 health deficiencies · 6 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-01-09
2 health deficiencies · 2 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 44 min of nursing staff time a day, 39 min of it from a registered nurse.
This home
3 h 44 min
Indiana average
3 h 44 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 51% of nursing staff and 47% of registered nurses left in the past year, along with 1 administrator.
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 days0.6 pts better | 0.9 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 0.9 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.3 pts better | 100.0% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.7 pts better | 98.8% | 95.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.1 pts worse | 3.9% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms14.9 pts worse | 40.4% | 25.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.2 pts better | 5.1% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.7 pts better | 21.8% | 23.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.3 pts better | 6.4% | 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 worsened3.7 pts worse | 14.8% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.7 pts better | 7.1% | 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 infection1.1 pts better | 0.0% | 1.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.9 pts worse | 31.3% | 22.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.2 pts worse | 3.7% | 3.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.5 pts worse | 72.4% | 81.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7.1 pts better | 3.8% | 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 vaccine5.2 pts worse | 74.0% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.2 pts better | 20.6% | 21.8% | 23.4% |
·
Who owns and runs it
27 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 |
|---|---|---|---|
| Hancock Regional Hospital | 5% Or Greater Direct Ownership Interest · Organization | 100% | 27 facilities |
| Hancock Regional Hospital | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 27 facilities |
| Bond, Maria | Managing Control - Governing Body · Individual | 0% | 27 facilities |
| Bond, Maria | Trustee Of The SNF · Individual | 0% | 27 facilities |
| Clark, Timothy | Managing Control - Governing Body · Individual | 0% | 27 facilities |
| Clark, Timothy | Trustee Of The SNF · Individual | 0% | 27 facilities |
| Daugherty, Joshua | Managing Control - Governing Body · Individual | 0% | 27 facilities |
| Daugherty, Joshua | Trustee Of The SNF · Individual | 0% | 27 facilities |
| Felker, Dean | Managing Control - Governing Body · Individual | 0% | 27 facilities |
| Felker, Dean | Trustee Of The SNF · Individual | 0% | 27 facilities |
| Joyner, Sara | Managing Control - Governing Body · Individual | 0% | 27 facilities |
| Joyner, Sara | Trustee Of The SNF · Individual | 0% | 27 facilities |
| Kelley, Sara | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kelley, Sara | Adp Of The SNF · Individual | 0% | 1 facilities |
| Long, Steven | Managing Control - Governing Body · Individual | 0% | 27 facilities |
| Long, Steven | Operational/Managerial Control · Individual | 0% | 27 facilities |
| Odenthal, Richard | Operational/Managerial Control · Individual | 0% | 73 facilities |
| Omega Healthcare Investors Inc | Adp Of The SNF · Organization | 0% | 33 facilities |
| Omg In Mstr Lsco LLC | Adp Of The SNF · Organization | 0% | 18 facilities |
| Sweeny, Brendan | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Sweeny, Brendan | Adp Of The SNF · Individual | 0% | 3 facilities |
| War Admiral Mgt Co LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| War Admiral Mgt Co LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Willard, Lacey | Managing Control - Governing Body · Individual | 0% | 27 facilities |
| Willard, Lacey | Trustee Of The SNF · Individual | 0% | 27 facilities |
| Wilson, Roy | Managing Control - Governing Body · Individual | 0% | 27 facilities |
| Wilson, Roy | Trustee Of The SNF · Individual | 0% | 27 facilities |
·
Fire safety
20 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems9F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- E
Ensure that gas containers are correctly designed and tested, and in locations that are labeled.
- E
Ensure medical gas and vacuum systems have documented maintenance programs.
- E
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure medical gas and vacuum systems have documented maintenance programs.
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Smoke7F
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Install corridor and hallway doors that block smoke.
- D
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Provide properly protected cooking facilities.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Egress2F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
·
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