Federal inspection record · CMS data as of October 1, 2026

University Heights Health And Living Community

1380 E County Line Rd S, Indianapolis, IN · (317) 885-7050

CMS overall rating

4 of 5

Compare with a nearby home →
Certified beds
176
Residents per day
131
Ownership
Government
Chain
Cardon & Associates
Medicare / Medicaid
Medicare + Medicaid
Certified since
February 21, 1989

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Indiana.

  2. 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.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Indiana homes

University Heights Health And Living Community carries 18 inspection points. That is fewer than 78% of Indiana's 504 rated homes.

5★4★3★2★1★+16 homes above 163.2505102550100inspection points → fewer is better on the leftThis home · 18 pts · 4★

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

17 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 15 4 pts
E 2 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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

Resident Assessment and Care Planning5D
  1. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    May 12, 2026 · Standard · F658 · Corrected May 25, 2026

  2. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    June 6, 2025 · Standard · F656 · Corrected July 2, 2025

  3. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    June 6, 2025 · Standard · F842 · Corrected July 2, 2025

  4. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    August 27, 2024 · Standard · F644 · Corrected September 18, 2024

  5. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    May 23, 2024 · Complaint · F656 · Corrected June 10, 2024

Quality of Life and Care4D
  1. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    August 25, 2026 · Complaint · F689 · Not yet marked corrected

  2. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    August 27, 2024 · Standard · F677 · Corrected September 18, 2024

  3. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    August 27, 2024 · Standard · F684 · Corrected September 18, 2024

  4. 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.

    May 23, 2024 · Complaint · F688 · Corrected June 10, 2024

Pharmacy Service2E
  1. D

    Ensure that residents are free from significant medication errors.

    August 25, 2026 · Complaint · F760 · Not yet marked corrected

  2. E

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    November 7, 2024 · Complaint · F755 · Corrected November 25, 2024

Infection Control2D
  1. D

    Provide and implement an infection prevention and control program.

    November 7, 2024 · Complaint · F880 · Corrected November 25, 2024

  2. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    August 27, 2024 · Standard · F883 · Corrected September 18, 2024

Resident Rights2E
  1. E

    Allow residents to self-administer drugs if determined clinically appropriate.

    August 27, 2024 · Standard · F554 · Corrected September 18, 2024

  2. D

    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

    August 27, 2024 · Standard · F559 · Corrected September 18, 2024

Freedom from Abuse, Neglect, and Exploitation2D
  1. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    December 5, 2023 · Complaint · F600 · Corrected December 23, 2023

  2. D

    Protect each resident from the wrongful use of the resident's belongings or money.

    December 5, 2023 · Complaint · F602 · Corrected December 18, 2023

Inspection history

  1. 2026-05-12

    3 health deficiencies · 2 fire-safety deficiencies

    Top issue: Pharmacy Service (1 deficiency)

  2. 2025-06-06

    4 health deficiencies · 7 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (2 deficiencies)

  3. 2024-08-27

    10 health deficiencies · 13 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 22 min of nursing staff time a day, 29 min of it from a registered nurse.

This home

3 h 22 min

Indiana average

3 h 44 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 53% of nursing staff and 65% 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.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.3 pts better98.0%93.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better97.2%95.1%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts better3.4%3.8%3.2%
Percentage of long-stay residents who have depressive symptoms6.1 pts worse31.6%25.5%13.5%
Percentage of long-stay residents who lose too much weight0.5 pts better4.8%5.3%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication8.3 pts worse31.8%23.5%19.5%
Percentage of long-stay residents who received an antipsychotic medication6.1 pts better7.6%13.7%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened9.7 pts better1.4%11.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased3.9 pts better6.9%10.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.0%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.6 pts better0.5%1.1%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.2 pts better20.2%22.4%18.3%
Percentage of long-stay residents with pressure ulcers0.3 pts better3.2%3.5%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2 pts better83.9%81.9%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit2.9 pts better8.0%10.9%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts better0.9%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.6 pts better89.8%79.2%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission5.2 pts worse27.0%21.8%23.4%

·

Who owns and runs it

74 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Riverview Hospital5% Or Greater Direct Ownership Interest · Organization100%31 facilities
Ankura Consulting Group LLCAdp Of The SNF · Organization0%18 facilities
Balla, MatthewManaging Control - Governing Body · Individual0%20 facilities
Balla, MatthewOperational/Managerial Control · Individual0%20 facilities
Balla, MatthewAdp Of The SNF · Individual0%20 facilities
Bradley & Associates IncAdp Of The SNF · Organization0%20 facilities
Cardon And Associates IncOperational/Managerial Control · Organization0%20 facilities
Cardon And Associates IncAdp Of The SNF · Organization0%20 facilities
Cardon Management Company LLCOperational/Managerial Control · Organization0%19 facilities
Cardon Management Company LLCAdp Of The SNF · Organization0%19 facilities
Cattell, ZacharyManaging Control - Governing Body · Individual0%20 facilities
Cattell, ZacharyOperational/Managerial Control · Individual0%20 facilities
Cattell, ZacharyAdp Of The SNF · Individual0%20 facilities
Cole Marketing Communications IncAdp Of The SNF · Organization0%19 facilities
Fauth, KendraManaging Control - Governing Body · Individual0%19 facilities
Fauth, KendraOperational/Managerial Control · Individual0%19 facilities
Fauth, KendraAdp Of The SNF · Individual0%19 facilities
Forvis Mazars LlpAdp Of The SNF · Organization0%295 facilities
Friend, JaynaCorporate Officer · Individual0%31 facilities
Friend, JaynaOperational/Managerial Control · Individual0%31 facilities
Friend, JaynaAdp Of The SNF · Individual0%31 facilities
German American Bank5% Or Greater Security Interest · Organization0%5 facilities
German American BankAdp Of The SNF · Organization0%5 facilities
Girdler, JenniferManaging Control - Governing Body · Individual0%1 facilities
Girdler, JenniferOperational/Managerial Control · Individual0%1 facilities
Girdler, JenniferAdp Of The SNF · Individual0%1 facilities
Gormal, GreggManaging Control - Governing Body · Individual0%20 facilities
Gormal, GreggOperational/Managerial Control · Individual0%20 facilities
Gormal, GreggAdp Of The SNF · Individual0%20 facilities
Grzych, BenjyManaging Control - Governing Body · Individual0%1 facilities
Grzych, BenjyOperational/Managerial Control · Individual0%1 facilities
Grzych, BenjyAdp Of The SNF · Individual0%1 facilities
Hashmi, SyedManaging Control - Governing Body · Individual0%7 facilities
Hashmi, SyedOperational/Managerial Control · Individual0%7 facilities
Hashmi, SyedAdp Of The SNF · Individual0%7 facilities
Haug, AmyManaging Control - Governing Body · Individual0%20 facilities
Haug, AmyOperational/Managerial Control · Individual0%20 facilities
Haug, AmyAdp Of The SNF · Individual0%20 facilities
Headley, KathyIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%14 facilities
Healthdrive Podiatry Group PaAdp Of The SNF · Organization0%16 facilities
Heart Of Cardon LLCAdp Of The SNF · Organization0%19 facilities
Hyatt, DavidManaging Control - Governing Body · Individual0%31 facilities
Hyatt, DavidOperational/Managerial Control · Individual0%31 facilities
Ingram, StephanieManaging Control - Governing Body · Individual0%7 facilities
Ingram, StephanieOperational/Managerial Control · Individual0%7 facilities
Ingram, StephanieAdp Of The SNF · Individual0%7 facilities
Jeffrey L Morer Od PcAdp Of The SNF · Organization0%18 facilities
Lacy Beyl & Company IncAdp Of The SNF · Organization0%20 facilities
Lifespan Therapy LLCAdp Of The SNF · Organization0%19 facilities
Lopossa, LynnManaging Control - Governing Body · Individual0%20 facilities
Lopossa, LynnOperational/Managerial Control · Individual0%20 facilities
Lopossa, LynnAdp Of The SNF · Individual0%20 facilities
Mcclarnon, DanielleManaging Control - Governing Body · Individual0%4 facilities
Mcclarnon, DanielleAdp Of The SNF · Individual0%4 facilities
Mcclelland, ThomasManaging Control - Governing Body · Individual0%20 facilities
Mcclelland, ThomasOperational/Managerial Control · Individual0%20 facilities
Mcclelland, ThomasAdp Of The SNF · Individual0%20 facilities
Mcintosh, EricOperational/Managerial Control · Individual0%20 facilities
Mcintosh, EricAdp Of The SNF · Individual0%20 facilities
Med-Pass IncorporatedAdp Of The SNF · Organization0%20 facilities
Mobile Audiology Associates PcAdp Of The SNF · Organization0%18 facilities
Moore Operating Group IncOperational/Managerial Control · Organization0%18 facilities
Moore, DanielIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%14 facilities
Moore, DavidIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%16 facilities
Moore, StephenIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%14 facilities
Moser Consulting IncorporatedAdp Of The SNF · Organization0%19 facilities
Proactive Clinical PartnersAdp Of The SNF · Organization0%17 facilities
Respiratory Partners IncAdp Of The SNF · Organization0%19 facilities
Spencer, LeaannManaging Control - Governing Body · Individual0%19 facilities
Spencer, LeaannAdp Of The SNF · Individual0%19 facilities
Third Eye Health IncAdp Of The SNF · Organization0%18 facilities
Uh, LLCAdp Of The SNF · Organization0%1 facilities
Vohra Wound Physicians Of The West PcAdp Of The SNF · Organization0%7 facilities
Vox Global LLCAdp Of The SNF · Organization0%18 facilities

·

Fire safety

22 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke7F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    May 12, 2026 · K353 · Corrected May 25, 2026

  2. E

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    June 6, 2025 · K374 · Corrected July 18, 2025

  3. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    August 27, 2024 · K321 · Corrected September 18, 2024

  4. E

    Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

    August 27, 2024 · K361 · Corrected September 18, 2024

  5. E

    Install corridor and hallway doors that block smoke.

    August 27, 2024 · K363 · Corrected September 18, 2024

  6. E

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    August 27, 2024 · K374 · Corrected September 18, 2024

  7. D

    Provide properly protected cooking facilities.

    August 27, 2024 · K324 · Corrected September 18, 2024

Gas, Vacuum, and Electrical Systems7F
  1. F

    Meet requirements for the installation and maintenance of electrical systems.

    June 6, 2025 · K911 · Corrected July 18, 2025

  2. F

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    June 6, 2025 · K916 · Corrected July 18, 2025

  3. F

    Have generator or other power source capable of supplying service within 10 seconds.

    June 6, 2025 · K918 · Corrected July 18, 2025

  4. E

    Ensure proper usage of power strips and extension cords.

    June 6, 2025 · K920 · Corrected July 18, 2025

  5. F

    Have generator or other power source capable of supplying service within 10 seconds.

    August 27, 2024 · K918 · Corrected September 18, 2024

  6. E

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    August 27, 2024 · K914 · Corrected September 18, 2024

  7. E

    Ensure proper usage of power strips and extension cords.

    August 27, 2024 · K920 · Corrected September 18, 2024

Egress2E
  1. E

    Meet other general requirements that are deficient.

    May 12, 2026 · K300 · Corrected May 25, 2026

  2. C

    Install emergency lighting that can last at least 1 1/2 hours.

    August 27, 2024 · K291 · Corrected September 18, 2024

Services2D
  1. D

    Have properly installed electrical wiring and gas equipment.

    June 6, 2025 · K511 · Corrected July 18, 2025

  2. D

    Have properly installed electrical wiring and gas equipment.

    August 27, 2024 · K511 · Corrected September 18, 2024

Miscellaneous2F
  1. F

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    August 27, 2024 · K761 · Corrected September 18, 2024

  2. C

    Have simulated fire drills held at unexpected times.

    August 27, 2024 · K712 · Corrected September 18, 2024

Construction1E
  1. E

    Meet other general requirements.

    June 6, 2025 · K100 · Corrected July 18, 2025

Emergency Preparedness1F
  1. F

    Conduct testing and exercise requirements.

    August 27, 2024 · E39 · Corrected September 18, 2024

·

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