Warsaw, IN

Warsaw Meadows

1-star overall rating with 1-star inspections with abuse icon flag with $105,073 in total fines with 13 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

300 E Prairie St, Warsaw, IN

(574) 267-8922

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Ide Management Group

Operator or chain grouping

Approved since

1995-04-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

10 facilities

Chain averages 3 overall / 3 health / 2 staffing / 3 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Hospital-based

Yes

CMS reports the provider resides in a hospital

Staffing

Hours and turnover

RN hours / resident day

0.67

Registered nurse staffing · state 0.66 · national 0.68

LPN hours / resident day

0.36

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

2.32

Nurse aide staffing · state 2.27 · national 2.35

Total nurse hours

3.35

All reported nurse hours · state 3.71 · national 3.89

Licensed hours

1.03

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

3.05

Weekend nurse staffing · state 3.24 · national 3.43

Weekend RN hours

0.51

Weekend registered nurse coverage · state 0.45 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.75

CMS adjusted RN staffing hours

Adjusted total hours

3.76

CMS adjusted total nurse staffing hours

Case-mix index

1.22

Higher values indicate more complex resident acuity

RN turnover

33%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

63%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,509

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

29.57

Composite VBP score used to determine payment impact.

Payment multiplier

0.9855

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

5.91

Baseline 89.16% · Performance 47.92% · Measure score 5.91 · Achievement 3.86 · Improvement 5.91

Adjusted total nurse staffing

Baseline 3.23 hours · Performance 2.90 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.12%	10.72% 0.4 pts worse	No Different than the National Rate · Eligible stays 26 · Observed rate 15.38% · Lower 95% interval 7.11%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	0.99	1.02 About the same
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 12 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 12 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	18.18%	8.2% 10 pts better	Numerator 2 · Denominator 11
Staff flu vaccination coverage	10.84%	42% 31.2 pts worse	Numerator 9 · Denominator 83
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.5%	93.6% 5.9 pts better	93.4% 6.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.3% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.3%	95.4% 2.9 pts better	95.5% 2.8 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.3%
Percentage of long-stay residents experiencing one or more falls with major injury	4.6%	3.8% 0.8 pts worse	3.3% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 5.7% · Q3 5.8% · Q4 1.9% · 4Q avg 4.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	24.8%	24.6% 0.2 pts worse	11.4% 13.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 26.5% · Q3 24.5% · Q4 25.0% · 4Q avg 24.8%
Percentage of long-stay residents who lose too much weight	4.6%	5.6% 1 pts better	5.4% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 2.1% · Q3 6.4% · Q4 2.2% · 4Q avg 4.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	11.3%	23.5% 12.2 pts better	19.6% 8.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 8.5% · Q3 14.9% · Q4 13.3% · 4Q avg 11.3%
Percentage of long-stay residents who received an antipsychotic medication	21.8%	14.8% 7 pts worse	16.7% 5.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.5% · Q2 25.0% · Q3 21.2% · Q4 20.6% · 4Q avg 21.8% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	9.2%	13.3% 4.1 pts better	16.3% 7.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 12.2% · Q3 13.5% · Q4 7.0% · 4Q avg 9.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	16.6%	11.7% 4.9 pts worse	14.9% 1.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 20.0% · Q3 14.0% · Q4 16.3% · 4Q avg 16.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.4%	0.4% About the same	1.0% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.7% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.4%	1.2% 0.2 pts worse	1.7% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.8% · Q4 1.9% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	23.2%	24.2% 1 pts better	19.8% 3.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 18.3% · Q3 28.5% · Q4 31.6% · 4Q avg 23.2%
Percentage of long-stay residents with pressure ulcers	3.6%	4.1% 0.5 pts better	5.1% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 2.5% · Q3 4.1% · Q4 5.4% · 4Q avg 3.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	53.8%	81.6% 27.8 pts worse	81.7% 27.9 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 31.4% · Q2 56.2% · Q3 72.4% · Q4 58.8% · 4Q avg 53.8%
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.3% 1.3 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	63.6%	79.0% 15.4 pts worse	79.7% 16.1 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 63.6%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-08 · Fire 2025-09-08

13 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

4 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Cycle 2 Health 2024-08-13 · Fire 2024-08-13

11 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

7 fire-safety deficiencies

Top issue: Emergency Preparedness (6 deficiencies)

Cycle 3 Health 2023-08-10 · Fire 2023-08-10

6 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-09-08

E18 · Emergency Preparedness Deficiencies

Fire Safety

Establish procedures for tracking staff and patients during an emergency.

Corrected 2025-12-26

F · Potential for more than minimal harm 2025-09-08

E25 · Emergency Preparedness Deficiencies

Fire Safety

Create arrangements with other facilities to receive patients.

Corrected 2025-12-26

E · Potential for more than minimal harm 2025-09-08

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-12-26

E · Potential for more than minimal harm 2025-09-08

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Not marked corrected

F · Potential for more than minimal harm 2024-08-13

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2024-09-16

F · Potential for more than minimal harm 2024-08-13

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2024-09-16

F · Potential for more than minimal harm 2024-08-13

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2024-09-16

F · Potential for more than minimal harm 2024-08-13

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2024-09-16

F · Potential for more than minimal harm 2024-08-13

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2024-09-16

F · Potential for more than minimal harm 2024-08-13

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-09-16

E · Potential for more than minimal harm 2024-08-13

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-09-16

F · Potential for more than minimal harm 2023-08-10

E18 · Emergency Preparedness Deficiencies

Fire Safety

Establish procedures for tracking staff and patients during an emergency.

Corrected 2023-10-30

E · Potential for more than minimal harm 2023-08-10

K321 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-10-30

E · Potential for more than minimal harm 2023-08-10

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-10-30

E · Potential for more than minimal harm 2023-08-10

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-10-30

D · Potential for more than minimal harm 2023-08-10

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-10-30

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-31

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2026-01-30

G · Actual harm 2025-10-01

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-11-18

F · Potential for more than minimal harm 2025-09-08

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-10-06

E · Potential for more than minimal harm 2025-09-08

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-10-06

E · Potential for more than minimal harm 2025-09-08

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-10-06

E · Potential for more than minimal harm 2025-09-08

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-10-06

D · Potential for more than minimal harm 2025-09-08

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-10-06

D · Potential for more than minimal harm 2025-09-08

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-10-06

D · Potential for more than minimal harm 2025-09-08

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-10-06

D · Potential for more than minimal harm 2025-09-08

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-10-06

D · Potential for more than minimal harm 2025-09-08

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2025-10-06

D · Potential for more than minimal harm 2025-09-08

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2025-10-06

G · Actual harm 2025-07-23

F689 · Quality of Life and Care Deficiencies

Health

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

Not marked corrected

D · Potential for more than minimal harm 2024-12-20

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-01-19

G · Actual harm 2024-08-13

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-09-13

E · Potential for more than minimal harm 2024-08-13

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-09-13

D · Potential for more than minimal harm 2024-08-13

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-09-13

D · Potential for more than minimal harm 2024-08-13

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-09-13

D · Potential for more than minimal harm 2024-08-13

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-09-13

D · Potential for more than minimal harm 2024-08-13

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-09-13

D · Potential for more than minimal harm 2024-08-13

F691 · Quality of Life and Care Deficiencies

Health

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Corrected 2024-09-13

D · Potential for more than minimal harm 2024-08-13

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-09-13

D · Potential for more than minimal harm 2024-08-13

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2024-09-13

D · Potential for more than minimal harm 2024-08-13

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-09-13

E · Potential for more than minimal harm 2023-11-28

F809 · Nutrition and Dietary Deficiencies

Health

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2023-12-15

G · Actual harm 2023-10-13

F622 · Resident Rights Deficiencies

Health

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2023-11-02

D · Potential for more than minimal harm 2023-10-13

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2023-11-02

E · Potential for more than minimal harm 2023-08-10

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-08-29

D · Potential for more than minimal harm 2023-08-10

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-08-29

D · Potential for more than minimal harm 2023-03-31

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-05-01

Penalties and ownership

What sits behind the stars

$105,073 2024-08-13

Fine

Fine · fine $105,073

Fine

$0 2024-08-13

Payment Denial

Payment Denial · denial start 2024-09-12 · 1 days

1 day denial

$0 2023-10-13

Payment Denial

Payment Denial · denial start 2023-11-10 · 36 days

36 day denial

Ownership

Adams County Memorial Hospital

5% Or Greater Direct Ownership Interest · Organization

100% 52 facilities 2012-07-01

Adams County Memorial Hospital

Operational/Managerial Control · Organization

0% 52 facilities 2012-07-01

Borne-Bauman, Candice