Federal inspection record · CMS data as of October 1, 2026
Yorkshire Health & Rehabilitation
7630 E 86th St, Indianapolis, IN · (317) 845-0032
- Cited for abuse (CMS abuse icon)
- Special Focus Facility
- Certified beds
- 109
- Residents per day
- 83
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 23, 1985
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.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Indiana homes
Yorkshire Health & Rehabilitation carries 215.5 inspection points. That is fewer than 1% 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
61 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 (2)
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Quality of Life and Care14E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 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.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Pharmacy Service10E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure that residents are free from significant medication errors.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Resident Rights9E
- D
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 a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Honor the resident's right to manage his or her financial affairs.
- 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.
- D
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Assessment and Care Planning8D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Assess the resident when there is a significant change in condition
- 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
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 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
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Freedom from Abuse, Neglect, and Exploitation6D
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- C
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Infection Control5F
- E
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- F
Implement a program that monitors antibiotic use.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Environmental2E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Administration2D
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
- D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Nutrition and Dietary2F
- F
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.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Inspection history
2025-09-23
33 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (10 deficiencies)
2024-09-13
14 health deficiencies · 14 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2023-09-29
14 health deficiencies · 4 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 6 min of nursing staff time a day, 16 min of it from a registered nurse.
This home
3 h 6 min
Indiana average
3 h 44 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 69% of nursing staff and 80% of registered nurses left in the past year, along with 2 administrators.
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
$0 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-09-23 | Payment Denial · 18 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. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.1 pts worse | 2.6 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.4 pts worse | 2.8 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.8 pts better | 94.5% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.8 pts better | 96.9% | 95.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.8 pts better | 0.0% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms43 pts worse | 68.5% | 25.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight3 pts better | 2.3% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication10.7 pts worse | 34.2% | 23.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10.3 pts worse | 24.0% | 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 worsened1.1 pts better | 10.0% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.9 pts better | 6.9% | 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 infection0.7 pts better | 0.4% | 1.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.2 pts worse | 26.6% | 22.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.8 pts worse | 5.3% | 3.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.5 pts worse | 73.4% | 81.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.5 pts worse | 16.4% | 10.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1 pts worse | 2.1% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine20.9 pts worse | 58.3% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.4 pts better | 19.4% | 21.8% | 23.4% |
·
Who owns and runs it
63 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 |
|---|---|---|---|
| 7630 E 86th Street In LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| 7630 E 86th Street In LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Azalea Investors LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Azalea Investors LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Castleton Care Center, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Castleton Care Center, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Crossroads Senior Living Group LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Crossroads Senior Living Group LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Engels, Erin | 5% Or Greater Mortgage Interest · Individual | 0% | 44 facilities |
| Engels, Erin | Managing Control - Governing Body · Individual | 0% | 44 facilities |
| Engels, Erin | Corporate Director · Individual | 0% | 44 facilities |
| Engels, Erin | Trustee Of The SNF · Individual | 0% | 44 facilities |
| Esdov Investments LLC | Adp Of The SNF · Organization | 0% | 20 facilities |
| Fenoughty, Deanna | Managing Control - Governing Body · Individual | 0% | 45 facilities |
| Fenoughty, Deanna | Corporate Officer · Individual | 0% | 45 facilities |
| Fenoughty, Deanna | Operational/Managerial Control · Individual | 0% | 45 facilities |
| Fenoughty, Deanna | Trustee Of The SNF · Individual | 0% | 45 facilities |
| Forvis Mazars Llp | Operational/Managerial Control · Organization | 0% | 295 facilities |
| Forvis Mazars Llp | Adp Of The SNF · Organization | 0% | 295 facilities |
| Frontier Realty Investors LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| Frontier Realty Investors LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Garetz, David | Operational/Managerial Control · Individual | 0% | 72 facilities |
| Garetz, David | Adp Of The SNF · Individual | 0% | 72 facilities |
| Gentry, Mark | Managing Control - Governing Body · Individual | 0% | 45 facilities |
| Gentry, Mark | Corporate Director · Individual | 0% | 45 facilities |
| Gentry, Mark | Trustee Of The SNF · Individual | 0% | 45 facilities |
| Gibraltar Trust | 5% Or Greater Mortgage Interest · Organization | 0% | 29 facilities |
| Gibraltar Trust | Adp Of The SNF · Organization | 0% | 29 facilities |
| Gurwitz, Solomon | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 43 facilities |
| Johnson, Anita | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Jubilee Master Holdings LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Kaplan, Esther | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 59 facilities |
| Kaplan, Mosha | Operational/Managerial Control · Individual | 0% | 22 facilities |
| Kaplan, Mosha | Adp Of The SNF · Individual | 0% | 22 facilities |
| Ltc Consulting Services LLC | Operational/Managerial Control · Organization | 0% | 36 facilities |
| Ltc Consulting Services LLC | Adp Of The SNF · Organization | 0% | 36 facilities |
| Magnolia Realty, LLC | Adp Of The SNF · Organization | 0% | 9 facilities |
| Millennial Acquisitions, LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Opco Ca Skilled Mgmt Inc. | Operational/Managerial Control · Organization | 0% | 42 facilities |
| Opco Ca Skilled Mgmt Inc. | Adp Of The SNF · Organization | 0% | 42 facilities |
| Opco In Skilled Mgmt LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Oregon Realty, LLC | 5% Or Greater Security Interest · Organization | 0% | 10 facilities |
| Oregon Realty, LLC | Adp Of The SNF · Organization | 0% | 10 facilities |
| Pease Bell Cpas LLC | Operational/Managerial Control · Organization | 0% | 15 facilities |
| Pease Bell Cpas LLC | Adp Of The SNF · Organization | 0% | 15 facilities |
| Pike, James | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Pike, James | Adp Of The SNF · Individual | 0% | 6 facilities |
| Scooper Realty, LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 6 facilities |
| Scooper Realty, LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Starkey, Tyler | Managing Control - Governing Body · Individual | 0% | 45 facilities |
| Starkey, Tyler | Corporate Director · Individual | 0% | 45 facilities |
| Starkey, Tyler | Trustee Of The SNF · Individual | 0% | 45 facilities |
| Sternshein, Jennifer | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 55 facilities |
| Unger, Jeffrey | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 47 facilities |
| Waite, John | Managing Control - Governing Body · Individual | 0% | 45 facilities |
| Waite, John | Corporate Director · 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 | Corporate Director · Individual | 0% | 45 facilities |
| Whicker, Timothy | Trustee Of The SNF · Individual | 0% | 45 facilities |
| Windsor Square Realty, LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 6 facilities |
| Windsor Square Realty, LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Zimmerman, Caroline | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 35 facilities |
·
Fire safety
23 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Install a fire alarm system that can be heard throughout the facility.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler 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
Install corridor and hallway doors that block smoke.
- F
Inspect, test, and maintain automatic sprinkler 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
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Emergency Preparedness7F
- F
Conduct testing and exercise requirements.
- F
Develop Emergency Preparedness policies and procedures.
- 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).
- F
Conduct risk assessment and an All-Hazards approach.
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Egress2F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- E
Have exits that are accessible at all times.
Miscellaneous1F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
·
Other homes nearby
-
Clearvista Lake Health Campus
Indianapolis, IN · Trilogy Health Services
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 49 min
- Fines
- $0
-
Waters Of Castleton Skilled Nursing Facility, The
Indianapolis, IN · Infinity Healthcare Consulting
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 42 min
- Fines
- $0
-
Allisonville Meadows
Fishers, IN · American Senior Communities
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 34 min
- Fines
- $11,190