Yorktown, IN

Yorktown Manor

4-star overall rating with 4-star inspections with 3 recent health deficiencies

2000 S Andrews Rd, Yorktown, IN

(765) 759-7740

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 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

100

Certified beds

Average residents

72

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Ide Management Group

Operator or chain grouping

Approved since

1984-09-20

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

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.72

Registered nurse staffing · state 0.66 · national 0.68

LPN hours / resident day

0.49

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

1.98

Nurse aide staffing · state 2.27 · national 2.35

Total nurse hours

3.19

All reported nurse hours · state 3.71 · national 3.89

Licensed hours

1.21

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

2.83

Weekend nurse staffing · state 3.24 · national 3.43

Weekend RN hours

0.60

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

0.77

CMS adjusted RN staffing hours

Adjusted total hours

3.43

CMS adjusted total nurse staffing hours

Case-mix index

1.27

Higher values indicate more complex resident acuity

RN turnover

39%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

49%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,041

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

Performance score

18.22

Composite VBP score used to determine payment impact.

Payment multiplier

0.9819

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

3.64

Baseline 73.68% · Performance 53.45% · Measure score 3.64 · Achievement 2.50 · Improvement 3.64

Adjusted total nurse staffing

0

Baseline 2.94 hours · Performance 2.96 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.3%	10.72% 1.4 pts better	No Different than the National Rate · Eligible stays 34 · Observed rate 0% · Lower 95% interval 5.93%
Discharge to community	56.86%	50.57% 6.3 pts better	No Different than the National Rate · Eligible stays 25 · Observed rate 52% · Lower 95% interval 37.59%
Medicare spending per beneficiary	1.13	1.02 0.1 pts worse
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 18 · 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 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	7.61%	8.2% 0.6 pts worse	Numerator 7 · Denominator 92
Staff flu vaccination coverage	36.51%	42% 5.5 pts worse	Numerator 69 · Denominator 189
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.4	1.6 0.2 pts better	1.9 0.5 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.3 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.9	1.5 0.4 pts worse	1.8 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.6 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	81.5%	93.6% 12.1 pts worse	93.4% 11.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 88.1% · Q2 82.5% · Q3 81.7% · Q4 74.2% · 4Q avg 81.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	95.6%	95.4% 0.2 pts better	95.5% 0.1 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 95.6%
Percentage of long-stay residents experiencing one or more falls with major injury	10.5%	3.8% 6.7 pts worse	3.3% 7.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 12.7% · Q3 10.0% · Q4 9.1% · 4Q avg 10.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.8%	24.6% 21.8 pts better	11.4% 8.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 5.9% · Q3 1.8% · Q4 1.8% · 4Q avg 2.8%
Percentage of long-stay residents who lose too much weight	4.2%	5.6% 1.4 pts better	5.4% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 7.5% · Q3 3.8% · Q4 3.7% · 4Q avg 4.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	23.7%	23.5% 0.2 pts worse	19.6% 4.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 24.1% · Q3 24.5% · Q4 23.2% · 4Q avg 23.7%
Percentage of long-stay residents who received an antipsychotic medication	11.4%	14.8% 3.4 pts better	16.7% 5.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 14.3% · Q3 6.1% · Q4 7.3% · 4Q avg 11.4% · 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	21.9%	13.3% 8.6 pts worse	16.3% 5.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 31.1% · Q3 17.9% · Q4 15.6% · 4Q avg 21.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	18.8%	11.7% 7.1 pts worse	14.9% 3.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.0% · Q2 18.9% · Q3 13.5% · Q4 17.0% · 4Q avg 18.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.8%	0.4% 1.4 pts worse	1.0% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.2%	1.2% About the same	1.7% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 1.7% · Q4 1.6% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	22.6%	24.2% 1.6 pts better	19.8% 2.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.9% · Q2 28.0% · Q3 23.9% · Q4 18.6% · 4Q avg 22.6%
Percentage of long-stay residents with pressure ulcers	6.7%	4.1% 2.6 pts worse	5.1% 1.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 10.7% · Q3 3.9% · Q4 3.4% · 4Q avg 6.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	50.0%	81.6% 31.6 pts worse	81.7% 31.7 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 65.7% · Q2 73.2% · Q3 45.3% · Q4 26.4% · 4Q avg 50.0%
Percentage of short-stay residents who had an outpatient emergency department visit	5.0%	10.5% 5.5 pts better	12.0% 7 pts better	Short Stay · 20240701-20250630 · Adjusted 5.0% · Observed 4.5% · Expected 10.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	7.1%	1.3% 5.8 pts worse	1.6% 5.5 pts worse	Short Stay · 2024Q4-2025Q3 · Q2 8.3% · Q3 8.7% · Q4 8.7% · 4Q avg 7.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	79.5%	79.0% 0.5 pts better	79.7% 0.2 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 79.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	21.9%	22.4% 0.5 pts better	23.9% 2 pts better	Short Stay · 20240701-20250630 · Adjusted 21.9% · Observed 18.2% · Expected 19.8% · Used in QM five-star

Survey summary

Recent inspection cycles

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

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-10-08 · Fire 2024-10-08

4 health deficiencies

Top issue: Infection Control (1 deficiency)

5 fire-safety deficiencies

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

Cycle 3 Health 2023-08-25 · Fire 2023-08-25

9 health deficiencies

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

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-10-08

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2024-11-04

F · Potential for more than minimal harm 2024-10-08

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-11-04

E · Potential for more than minimal harm 2024-10-08

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-11-04

D · Potential for more than minimal harm 2024-10-08

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-11-04

C · Minimal harm 2024-10-08

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-11-04

F · Potential for more than minimal harm 2023-08-25

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-09-11

E · Potential for more than minimal harm 2023-08-25

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2023-09-11

E · Potential for more than minimal harm 2023-08-25

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2023-09-11

E · Potential for more than minimal harm 2023-08-25

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 2023-09-11

E · Potential for more than minimal harm 2023-08-25

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-09-11

E · Potential for more than minimal harm 2023-08-25

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-09-11

Inspection history

Recent health citations

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

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-09-26

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

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-26

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

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-09-26

E · Potential for more than minimal harm 2024-10-08

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2024-10-31

D · Potential for more than minimal harm 2024-10-08

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 2024-10-31

D · Potential for more than minimal harm 2024-10-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-31

D · Potential for more than minimal harm 2024-06-11

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-07-01

D · Potential for more than minimal harm 2024-02-21

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 2024-03-12

D · Potential for more than minimal harm 2023-10-12

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-10-30

E · Potential for more than minimal harm 2023-08-25

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 2023-09-08

D · Potential for more than minimal harm 2023-08-25

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-09-08

D · Potential for more than minimal harm 2023-08-25

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2023-09-08

D · Potential for more than minimal harm 2023-08-25

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 2023-09-08

D · Potential for more than minimal harm 2023-08-25

F851 · Administration Deficiencies

Health

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

Corrected 2023-09-08

D · Potential for more than minimal harm 2023-07-07

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-07-21

E · Potential for more than minimal harm 2023-03-02

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 2023-03-24

Penalties and ownership

What sits behind the stars

Ownership

Adams County Memorial Hospital

5% Or Greater Direct Ownership Interest · Organization

100% 52 facilities 2015-08-01

Adams County Memorial Hospital

Operational/Managerial Control · Organization

0% 52 facilities 2015-08-01

Bahrami, Yousuf