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

Waldron Rehabilitation And Healthcare Center

505 N Main St, Waldron, IN · (765) 525-4371

CMS overall rating

3 of 5

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Certified beds
71
Residents per day
51
Ownership
For-Profit
Chain
Adams County Memorial Hospital
Medicare / Medicaid
Medicare + Medicaid
Certified since
August 20, 2002

1

How this home got 3 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

    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.

  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

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Indiana homes

Waldron Rehabilitation And Healthcare Center carries 44 inspection points. That is fewer than 39% of Indiana's 504 rated homes.

5★4★3★2★1★+16 homes above 163.2505102550100inspection points → fewer is better on the leftThis home · 44 pts · 2★

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

41 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 31 4 pts
E 7 8 pts
F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 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

Quality of Life and Care15E
  1. D

    Provide safe, appropriate pain management for a resident who requires such services.

    May 14, 2026 · Complaint · F697 · Corrected June 1, 2026

  2. D

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

    December 5, 2025 · Standard · F684 · Corrected December 27, 2025

  3. D

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

    December 5, 2025 · Standard · F689 · Corrected December 27, 2025

  4. 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.

    August 19, 2025 · Complaint · F690 · Corrected September 5, 2025

  5. D

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

    October 9, 2024 · Standard · F689 · Corrected October 28, 2024

  6. D

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

    January 18, 2024 · Complaint · F689 · Corrected February 2, 2024

  7. D

    Provide enough food/fluids to maintain a resident's health.

    January 18, 2024 · Complaint · F692 · Corrected February 2, 2024

  8. D

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

    October 24, 2023 · Complaint · F684 · Corrected November 7, 2023

  9. E

    Provide activities to meet all resident's needs.

    July 17, 2023 · Standard · F679 · Corrected August 15, 2023

  10. E

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

    July 17, 2023 · Standard · F689 · Corrected August 15, 2023

  11. E

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    July 17, 2023 · Standard · F744 · Corrected August 15, 2023

  12. D

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

    July 17, 2023 · Standard · F677 · Corrected August 15, 2023

  13. 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.

    July 17, 2023 · Standard · F690 · Corrected August 15, 2023

  14. D

    Provide safe and appropriate respiratory care for a resident when needed.

    July 17, 2023 · Standard · F695 · Corrected August 15, 2023

  15. D

    Provide safe, appropriate pain management for a resident who requires such services.

    July 17, 2023 · Standard · F697 · Corrected August 15, 2023

Resident Rights9E
  1. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    May 14, 2026 · Complaint · F550 · Corrected June 1, 2026

  2. C

    Ensure residents have reasonable access to and privacy in their use of communication methods.

    December 5, 2025 · Standard · F576 · Corrected December 27, 2025

  3. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    October 9, 2024 · Standard · F550 · Corrected October 28, 2024

  4. D

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    January 18, 2024 · Complaint · F584 · Corrected February 2, 2024

  5. E

    Reasonably accommodate the needs and preferences of each resident.

    July 17, 2023 · Standard · F558 · Corrected August 15, 2023

  6. D

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    July 17, 2023 · Standard · F557 · Corrected August 15, 2023

  7. D

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    July 17, 2023 · Standard · F582 · Corrected August 15, 2023

  8. D

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    July 17, 2023 · Standard · F584 · Corrected August 15, 2023

  9. D

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    July 17, 2023 · Standard · F585 · Corrected August 15, 2023

Freedom from Abuse, Neglect, and Exploitation6D
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    May 14, 2026 · Complaint · F609 · Corrected June 1, 2026

  2. D

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

    May 22, 2024 · Complaint · F602 · Corrected April 4, 2024

  3. D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    May 22, 2024 · Complaint · F607 · Corrected April 4, 2024

  4. D

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

    October 24, 2023 · Complaint · F602 · Corrected November 7, 2023

  5. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    October 24, 2023 · Complaint · F609 · Corrected November 7, 2023

  6. D

    Respond appropriately to all alleged violations.

    October 24, 2023 · Complaint · F610 · Corrected November 7, 2023

Resident Assessment and Care Planning3D
  1. D

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

    May 28, 2025 · Complaint · F842 · Corrected June 11, 2025

  2. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    October 9, 2024 · Standard · F657 · Corrected October 28, 2024

  3. D

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

    July 17, 2023 · Standard · F842 · Corrected August 15, 2023

Nursing and Physician Services3F
  1. F

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    October 9, 2024 · Standard · F727 · Corrected October 28, 2024

  2. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    July 17, 2023 · Standard · F725 · Corrected August 15, 2023

  3. D

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    July 17, 2023 · Standard · F727 · Corrected August 15, 2023

Infection Control2E
  1. D

    Provide and implement an infection prevention and control program.

    December 5, 2025 · Standard · F880 · Corrected December 27, 2025

  2. E

    Provide and implement an infection prevention and control program.

    December 8, 2023 · Complaint · F880 · Corrected December 20, 2023

Nutrition and Dietary2F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    October 9, 2024 · Standard · F812 · Corrected October 28, 2024

  2. E

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    October 9, 2024 · Standard · F802 · Corrected October 28, 2024

Administration1D
  1. D

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    July 17, 2023 · Standard · F851 · Corrected August 15, 2023

Inspection history

  1. 2025-12-05

    7 health deficiencies · 0 fire-safety deficiencies

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

  2. 2024-10-09

    8 health deficiencies · 4 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

  3. 2023-07-17

    26 health deficiencies · 3 fire-safety deficiencies

    Top issue: Quality of Life and Care (10 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 4 min of nursing staff time a day, 25 min of it from a registered nurse.

This home

3 h 4 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 33% 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.
Number of hospitalizations per 1000 long-stay resident days0.8 pts worse2.31.51.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts worse2.51.41.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.4 pts better96.1%93.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.7 pts worse89.4%95.1%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.7 pts better1.1%3.8%3.2%
Percentage of long-stay residents who have depressive symptoms0.9 pts better24.6%25.5%13.5%
Percentage of long-stay residents who lose too much weight2.2 pts better3.1%5.3%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication4.2 pts worse27.7%23.5%19.5%
Percentage of long-stay residents who received an antipsychotic medication6.8 pts better6.9%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 worsened6 pts better5.1%11.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased8.9 pts better1.9%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 infection1.1 pts better0.0%1.1%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.2 pts better17.2%22.4%18.3%
Percentage of long-stay residents with pressure ulcers1.7 pts better1.8%3.5%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.9 pts worse66.0%81.9%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better0.0%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine44.9 pts worse34.3%79.2%80.1%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Adams County Memorial HospitalOperational/Managerial Control · Organization0%41 facilities
Andres, AnthonyOperational/Managerial Control · Individual0%7 facilities
Andres, AnthonyAdp Of The SNF · Individual0%7 facilities
Berdugo, ShaiOperational/Managerial Control · Individual0%16 facilities
Berdugo, ShaiAdp Of The SNF · Individual0%16 facilities
Blue Management Services LLCAdp Of The SNF · Organization0%50 facilities
Borne-Bauman, CandiceManaging Control - Governing Body · Individual0%49 facilities
Borne-Bauman, CandiceOperational/Managerial Control · Individual0%49 facilities
Capital Finance LLCOperational/Managerial Control · Organization0%35 facilities
Castle Indiana Management LLCAdp Of The SNF · Organization0%6 facilities
Cherry, NicoleOperational/Managerial Control · Individual0%1 facilities
Cherry, NicoleAdp Of The SNF · Individual0%1 facilities
Clayshire LLCOperational/Managerial Control · Organization0%5 facilities
Clayshire LLCAdp Of The SNF · Organization0%5 facilities
Davis, NesanelIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%4 facilities
First Bank Of BerneAdp Of The SNF · Organization0%48 facilities
Flueckiger, RussellManaging Control - Governing Body · Individual0%50 facilities
Flueckiger, RussellOperational/Managerial Control · Individual0%50 facilities
Forvis Mazars, LlpOperational/Managerial Control · Organization0%17 facilities
Forvis Mazars, LlpAdp Of The SNF · Organization0%17 facilities
Lehman, ScottManaging Control - Governing Body · Individual0%49 facilities
Lehman, ScottOperational/Managerial Control · Individual0%49 facilities
Lt Care Acquisition CorpOperational/Managerial Control · Organization0%16 facilities
Lt Care Acquisition CorpAdp Of The SNF · Organization0%16 facilities
Macklin, LarryManaging Control - Governing Body · Individual0%49 facilities
Macklin, LarryOperational/Managerial Control · Individual0%49 facilities
Mcintire, DavidManaging Control - Governing Body · Individual0%49 facilities
Mcintire, DavidOperational/Managerial Control · Individual0%49 facilities
Myers, AndyOperational/Managerial Control · Individual0%3 facilities
Neuman, MenasheIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%3 facilities
Singer, ChayaIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%4 facilities
Smith, ScottOperational/Managerial Control · Individual0%54 facilities
Sprunger, KyleOperational/Managerial Control · Individual0%52 facilities
Strimbu, TinaIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%6 facilities
Waldron Realty LLC5% Or Greater Mortgage Interest · Organization0%1 facilities
Waldron Realty LLCAdp Of The SNF · Organization0%1 facilities
Waldron Rehabilitation And Healthcare LLCOperational/Managerial Control · Organization0%1 facilities
Waldron Rehabilitation And Healthcare LLCAdp Of The SNF · Organization0%1 facilities

·

Fire safety

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

Smoke3E
  1. E

    Provide properly protected cooking facilities.

    October 9, 2024 · K324 · Corrected November 15, 2024

  2. E

    Install corridor and hallway doors that block smoke.

    October 9, 2024 · K363 · Corrected November 15, 2024

  3. E

    Install corridor and hallway doors that block smoke.

    July 17, 2023 · K363 · Corrected August 28, 2023

Emergency Preparedness2F
  1. F

    Establish staff and initial training requirements.

    July 17, 2023 · E37 · Corrected August 28, 2023

  2. C

    Provide emergency officials' contact information.

    July 17, 2023 · E31 · Corrected August 28, 2023

Egress1E
  1. 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.

    October 9, 2024 · K222 · Corrected November 15, 2024

Gas, Vacuum, and Electrical Systems1E
  1. E

    Ensure proper usage of power strips and extension cords.

    October 9, 2024 · K920 · Corrected November 15, 2024

·

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