Federal inspection record · CMS data as of October 1, 2026
Woodlands The
3820 W Jackson St, Muncie, IN · (765) 289-3451
- Certified beds
- 108
- Residents per day
- 70
- Ownership
- For-Profit
- Chain
- Life Care Centers Of America
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 1, 1983
1
How this home got 2 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
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
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Indiana homes
Woodlands The carries 53 inspection points. That is fewer than 30% 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
27 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights8E
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- E
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.
- E
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.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
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.
Pharmacy Service5E
- E
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.
- 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.
- 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.
Nutrition and Dietary4F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
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 Exploitation3D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
- D
Protect each resident from the wrongful use of the resident's belongings or money.
Quality of Life and Care3D
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Resident Assessment and Care Planning1D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Environmental1E
- E
Keep all essential equipment working safely.
Inspection history
2025-03-07
7 health deficiencies · 17 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2024-02-23
11 health deficiencies · 5 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2023-01-30
9 health deficiencies · 7 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 39 min of nursing staff time a day, 46 min of it from a registered nurse.
This home
3 h 39 min
Indiana average
3 h 44 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 40% of nursing staff and 20% 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.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts better | 1.1 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 1.2 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.3 pts better | 98.0% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.9 pts better | 100.0% | 95.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.4 pts worse | 6.2% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms25.1 pts better | 0.4% | 25.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.5 pts better | 2.8% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.2 pts worse | 24.7% | 23.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.1 pts better | 11.6% | 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 worsened5.4 pts better | 5.7% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.1 pts better | 8.7% | 10.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 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 incontinence7.2 pts worse | 29.6% | 22.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.6 pts worse | 4.1% | 3.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine25.6 pts worse | 56.3% | 81.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3 pts better | 7.9% | 10.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts worse | 1.9% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine17.8 pts worse | 61.4% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission11.4 pts worse | 33.2% | 21.8% | 23.4% |
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Who owns and runs it
30 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 |
|---|---|---|---|
| Engels, Erin | Managing Control - Governing Body · Individual | 0% | 44 facilities |
| Engels, Erin | Trustee Of The SNF · Individual | 0% | 44 facilities |
| Fenoughty, Deanna | Corporate Officer · Individual | 0% | 45 facilities |
| Fenoughty, Deanna | Operational/Managerial Control · Individual | 0% | 45 facilities |
| Fletcher, Todd | Operational/Managerial Control · Individual | 0% | 165 facilities |
| Gentry, Mark | Managing Control - Governing Body · Individual | 0% | 45 facilities |
| Gentry, Mark | Trustee Of The SNF · Individual | 0% | 45 facilities |
| Hendricks County Hospital | Adp Of The SNF · Organization | 0% | 17 facilities |
| Henry, Terry | Operational/Managerial Control · Individual | 0% | 159 facilities |
| Hiltz, Jeffrey | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Hiltz, Jeffrey | Adp Of The SNF · Individual | 0% | 5 facilities |
| Lay, Lisa | Operational/Managerial Control · Individual | 0% | 166 facilities |
| Life Care Centers Of America, Inc. | Operational/Managerial Control · Organization | 0% | 194 facilities |
| Life Care Centers Of America, Inc. | Adp Of The SNF · Organization | 0% | 194 facilities |
| Muncie Medical Investors Limited Partnership | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Muncie Medical Investors Limited Partnership | Adp Of The SNF · Organization | 0% | 1 facilities |
| Preston, Aubrey | Operational/Managerial Control · Individual | 0% | 162 facilities |
| Preston, Forrest | Operational/Managerial Control · Individual | 0% | 170 facilities |
| Preston, Forrest | Adp Of The SNF · Individual | 0% | 170 facilities |
| Spaugh, Kevin | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Spaugh, Kevin | Adp Of The SNF · Individual | 0% | 1 facilities |
| Starkey, Tyler | Managing Control - Governing Body · Individual | 0% | 45 facilities |
| Starkey, Tyler | Trustee Of The SNF · Individual | 0% | 45 facilities |
| Swanker, Richard | Operational/Managerial Control · Individual | 0% | 168 facilities |
| Thurmond, Joan | Operational/Managerial Control · Individual | 0% | 191 facilities |
| Waite, John | Managing Control - Governing Body · Individual | 0% | 45 facilities |
| Waite, John | Trustee Of The SNF · Individual | 0% | 45 facilities |
| Whicker, Timothy | Managing Control - Governing Body · Individual | 0% | 45 facilities |
| Whicker, Timothy | Trustee Of The SNF · Individual | 0% | 45 facilities |
| Ziegler, James | Operational/Managerial Control · Individual | 0% | 165 facilities |
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Fire safety
29 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- E
Install corridor and hallway doors that block smoke.
- C
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- C
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Install corridor and hallway doors that block smoke.
- C
Inspect, test, and maintain automatic sprinkler systems.
Emergency Preparedness6F
- F
Develop Emergency Preparedness policies and procedures.
- F
Create arrangements with other facilities to receive patients.
- F
Develop a communication plan.
- F
Establish emergency prep training and testing.
- F
Establish staff and initial training requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
Services4E
- E
Have properly installed electrical wiring and gas equipment.
- E
Have properly installed electrical wiring and gas equipment.
- C
Meet other general requirements that are deficient.
- C
Meet other general requirements that are deficient.
Egress4E
- E
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Miscellaneous3E
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems2F
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- E
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
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Other homes nearby
-
Waters Edge Village
Muncie, IN · American Senior Communities
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 44 min
- Fines
- $0
-
Brickyard Healthcare - Muncie Care Center
Muncie, IN · Brickyard Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 46 min
- Fines
- $0
-
Bethel Pointe Health And Rehab
Muncie, IN · Tlc Management
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 36 min
- Fines
- $0