Federal inspection record · CMS data as of October 1, 2026
Woodland Manor
343 S Nappanee St, Elkhart, IN · (574) 295-0096
- Certified beds
- 80
- Residents per day
- 66
- Ownership
- For-Profit
- Chain
- Adams County Memorial Hospital
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 12, 1969
1
How this home got 1 star
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 (already 1)
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
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Indiana homes
Woodland Manor carries 85 inspection points. That is fewer than 15% 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
48 health citations on record since 2023. 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 (5)
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Quality of Life and Care13E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide or obtain dental services for each resident.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
- 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
Provide safe and appropriate respiratory care for a resident when needed.
- E
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
Assist a resident in gaining access to vision and hearing services.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights10E
- 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.
- C
Ensure residents have reasonable access to and privacy in their use of communication methods.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
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
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.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
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.
Pharmacy Service5E
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- 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 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.
- E
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control5D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Environmental4F
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Resident Assessment and Care Planning2D
- 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.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Administration1D
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
Inspection history
2025-11-21
9 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2025-05-05
14 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2024-11-14
25 health deficiencies · 17 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 34 min of nursing staff time a day, 22 min of it from a registered nurse.
This home
3 h 34 min
Indiana average
3 h 44 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 70% of nursing staff and 56% 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
Fines and payment denials
$114,339 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-02-28 | Fine | $79,284 |
| 2024-05-17 | Fine | $35,055 |
| 2024-05-17 | Payment Denial · 29 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine13.4 pts worse | 80.3% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine21.9 pts worse | 73.2% | 95.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.7 pts better | 1.1% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.2 pts worse | 29.7% | 25.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.8 pts worse | 7.1% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.6 pts better | 17.9% | 23.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.9 pts worse | 23.6% | 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 worsened23.5 pts worse | 34.6% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased26.8 pts worse | 37.6% | 10.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts worse | 1.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts worse | 1.5% | 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 ulcers3.1 pts better | 0.4% | 3.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine57.9 pts worse | 24.0% | 81.9% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts worse | 1.7% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine64.5 pts worse | 14.7% | 79.2% | 80.1% |
·
Who owns and runs it
31 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 |
|---|---|---|---|
| 343 Nappanee Propco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Adams County Memorial Hospital | Operational/Managerial Control · Organization | 0% | 41 facilities |
| Advanced Care Consultants LLC | Adp Of The SNF · Organization | 0% | 14 facilities |
| Blue Management Services LLC | Adp Of The SNF · Organization | 0% | 50 facilities |
| Borne-Bauman, Candice | Managing Control - Governing Body · Individual | 0% | 49 facilities |
| Borne-Bauman, Candice | Operational/Managerial Control · Individual | 0% | 49 facilities |
| Cibc Bank Usa | 5% Or Greater Mortgage Interest · Organization | 0% | 208 facilities |
| Clinical Consulting Services LLC | Adp Of The SNF · Organization | 0% | 45 facilities |
| Fernandes, Taryn | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Fernandes, Taryn | Adp Of The SNF · Individual | 0% | 2 facilities |
| First Bank Of Berne | Adp Of The SNF · Organization | 0% | 48 facilities |
| Flueckiger, Russell | Managing Control - Governing Body · Individual | 0% | 50 facilities |
| Flueckiger, Russell | Operational/Managerial Control · Individual | 0% | 50 facilities |
| Greatorex, Tina | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 22 facilities |
| Lehman, Scott | Managing Control - Governing Body · Individual | 0% | 49 facilities |
| Lehman, Scott | Operational/Managerial Control · Individual | 0% | 49 facilities |
| Lme Family Holdings LLC | Adp Of The SNF · Organization | 0% | 23 facilities |
| Macklin, Larry | Managing Control - Governing Body · Individual | 0% | 49 facilities |
| Macklin, Larry | Operational/Managerial Control · Individual | 0% | 49 facilities |
| Mcintire, David | Managing Control - Governing Body · Individual | 0% | 49 facilities |
| Mcintire, David | Operational/Managerial Control · Individual | 0% | 49 facilities |
| Moore, Leslie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Moore, Leslie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Samara Family Holdings LLC | Adp Of The SNF · Organization | 0% | 22 facilities |
| Schiowitz, Marc | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 24 facilities |
| Sebbag, Gabriel | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 33 facilities |
| Smith, Scott | Operational/Managerial Control · Individual | 0% | 54 facilities |
| Sprunger, Kyle | Operational/Managerial Control · Individual | 0% | 52 facilities |
| Summation Financial Services LLC | Adp Of The SNF · Organization | 0% | 51 facilities |
| Woodland Nursing And Rehab LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Woodland Nursing And Rehab LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
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Fire safety
28 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness11F
- C
Implement emergency and standby power systems.
- F
Develop Emergency Preparedness policies and procedures.
- F
Establish procedures for tracking staff and patients during an emergency.
- F
Develop a communication plan.
- F
Provide primary/alternate means for communication.
- F
Provide family notifications of emergency plan.
- F
Establish emergency prep training and testing.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Address patient/client population and determine types of services needed.
Smoke8E
- E
Install corridor and hallway doors that block smoke.
- E
Provide properly protected cooking facilities.
- C
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Install corridor and hallway doors that block smoke.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems4F
- C
Have generator or other power source capable of supplying service within 10 seconds.
- 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
Ensure proper usage of power strips and extension cords.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
Egress1F
- F
Meet other general requirements that are deficient.
Services1E
- E
Have properly installed electrical wiring and gas equipment.
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-
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