SFF Candidate

Overview

Address
5600 E 16TH ST, INDIANAPOLIS, IN 46218
Phone
3173560911
Certified beds
115
Avg daily residents
49 (42% of beds filled)
Ownership
Government (county)
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1967-01-01
Setting
Urban
2 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
2/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
2/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
5/5
Quality Measures breakdown
Long-Stay Quality Measures 5/5
Short-Stay Quality Measures Data not available.

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
3.61 3.93 3.54 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.59 0.69 0.58 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
1.12 0.87 1.10
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
1.89 2.37 1.85
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.72
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.03

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
2.98
hrs / resident / day
RN (weekend)
0.54
hrs / resident / day
Total nurse (adjusted, weekend)
2.92
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
62.1%
annual
RN turnover
42.9%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.39
higher acuity than avg
Case-Mix Index Ratio
1.01
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-04-25 24 16 10 132 2 198
Cycle 2/3 (prior) 2024-04-22 18 7 11 92 1 92
Total weighted health score
171.5
lower is better

Deficiencies (52)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

1 A/B/C No actual harm — minor
50 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0584 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 2025-12-11 2026-01-09
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-12-11 2026-01-09
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-12-11 2026-01-09
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-12-11 2026-01-09
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2025-12-11 2026-01-09
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. G 2025-11-13 2025-12-26
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D 2025-07-14 2025-08-05
0687 Provide appropriate foot care. D 2025-07-14 2025-08-05
0565 Honor the resident's right to organize and participate in resident/family groups in the facility. D 2025-04-25 2025-05-31
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2025-04-25 2025-05-31
0610 Respond appropriately to all alleged violations. D 2025-04-25 2025-05-31
0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. D 2025-04-25 2025-05-31
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-04-25 2025-05-31
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2025-04-25 2025-05-31
0697 Provide safe, appropriate pain management for a resident who requires such services. D 2025-04-25 2025-05-31
0744 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. D 2025-04-25 2025-05-31
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2025-04-25 2025-05-31
0761 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 2025-04-25 2025-05-31
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. E 2025-04-25 2025-05-31
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2025-04-25 2025-07-02
0880 Provide and implement an infection prevention and control program. D 2025-04-25 2025-05-31
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. D 2025-04-25 2025-07-02
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E 2025-04-25 2025-05-31
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-04-25 2025-05-31
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-04-22 2024-05-10
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-04-22 2024-05-10
0693 Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. D 2024-04-22 2024-05-10
0740 Ensure each resident must receive and the facility must provide necessary behavioral health care and services. D 2024-04-22 2024-05-10
0759 Ensure medication error rates are not 5 percent or greater. D 2024-04-22 2024-05-10
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. E 2024-04-22 2024-05-10
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. E 2024-04-22 2024-05-10
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D 2023-05-11 2023-06-02
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2023-05-11 2023-06-02
0880 Provide and implement an infection prevention and control program. D 2023-05-11 2023-06-02
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2023-05-11 2023-06-02
0558 Reasonably accommodate the needs and preferences of each resident. D 2023-05-11 2023-06-02
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2023-05-11 2023-06-02
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2023-05-11 2023-06-02
0610 Respond appropriately to all alleged violations. D 2023-05-11 2023-06-02
0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. D 2023-05-11 2023-06-02
0692 Provide enough food/fluids to maintain a resident's health. D 2023-05-11 2023-06-02
0699 Provide care or services that was trauma informed and/or culturally competent. D 2023-05-11 2023-06-02
0727 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F 2023-05-11 2023-06-02
0851 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. C 2023-05-11 2023-06-02
0585 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 2023-05-11 2023-06-02
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2023-05-11 2023-06-02
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2023-05-11 2023-06-02
0661 Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. D 2023-05-11 2023-06-02
0697 Provide safe, appropriate pain management for a resident who requires such services. E 2023-05-11 2023-06-02
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2023-05-11 2023-06-02

Showing 50 most recent of 52. See the All Data CSV for the full list.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 1.3% Medicaid 87.6% Other 11.1%

Operating performance

Operating Margin
-21.1%
Total Margin
0.0%
Occupancy Rate
39.5%
Cost per Resident Day
$26

Revenue & costs

Net Patient Revenue
$5.1M
Total Costs
$425K
Net Income
$2K

Balance sheet

Total Assets
$593.8M
Total Liabilities
$342.3M
Fund Balance
$251.5M
Current Ratio
5.49

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: AMERICAN SENIOR COMMUNITIES

Chain ID
33
Facilities in chain
91
Legal business name
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
Chain-average star ratings (for peer context)
Overall
3.8
Health
3.4
Staffing
2.1
QM
4.7

Owner / manager organizations (2)

Organization Role Association
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY 5% OR GREATER DIRECT OWNERSHIP INTEREST since 12/01/2003
AMERICAN SENIOR COMMUNITIES LLC OPERATIONAL/MANAGERIAL CONTROL since 01/01/2003

Owner / manager individuals (14)

Name Role Association
LEWIS, BRITTANY OPERATIONAL/MANAGERIAL CONTROL since 10/14/2023
METZLER, PAIGE OPERATIONAL/MANAGERIAL CONTROL since 08/15/2023
DRUMMER, CARL CORPORATE DIRECTOR since 01/01/2017
FEHRIBACH, GREGORY CORPORATE DIRECTOR since 12/14/2004
HANIFY, THOMAS CORPORATE DIRECTOR since 01/01/2022
LAZARD, ROBERT CORPORATE DIRECTOR since 01/29/2021
MANTRAVADI, GEETA CORPORATE DIRECTOR since 07/21/2021
MUKES-GAITHER, BEVERLY CORPORATE DIRECTOR since 01/01/2022
PAYNE, MONICA CORPORATE DIRECTOR since 08/09/2021
BABCOCK, PAUL CORPORATE OFFICER since 09/30/2020
CAINE, VIRGINIA CORPORATE OFFICER since 01/10/1994
HARRIS, LISA CORPORATE OFFICER since 12/22/2003
DICE, MARK CONTRACTED MANAGING EMPLOYEE since 06/01/2023
VAN CAMP, STEVEN CONTRACTED MANAGING EMPLOYEE since 09/06/2019

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Special focus status
SFF Candidate
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $26 metrics.cost_per_resident_day
Cost Report Current Ratio 5.49 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 87.6% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 1.3% metrics.medicare_day_share
Cost Report Net Income ($) $2,175 metrics.net_income
Cost Report Net Patient Revenue ($) $5,104,784 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 39.5% metrics.occupancy_rate
Cost Report Operating Margin (%) -21.1% metrics.operating_margin
Cost Report Total Assets ($) $593,821,793 metrics.total_assets
Cost Report Total Costs ($) $425,053 metrics.total_costs
Cost Report Total Fund Balances ($) $251,519,264 metrics.fund_balance
Cost Report Total Liabilities ($) $342,302,529 metrics.total_liabilities
Cost Report Total Margin (%) 0.0% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.10182 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.85329 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.58220 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.53730 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.92418 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 48.8 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.87325 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.37329 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.68831 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.93485 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.46816 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 3.4 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.8 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.7 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.1 Chain Average Staffing Rating
Provider Information Chain ID 33 Chain ID
Provider Information Chain Name AMERICAN SENIOR COMMUNITIES Chain Name
Provider Information City/Town INDIANAPOLIS City/Town
Provider Information CMS Certification Number (CCN) 155029 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Marion County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1967-01-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 39.7889 Latitude
Provider Information Legal Business Name THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY Legal Business Name
Provider Information Location 5600 E 16TH ST,INDIANAPOLIS,IN,46218 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -86.073 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 115 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 91 Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.39394 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.01183 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 2 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type Government - County Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 5600 E 16TH ST Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name COMMUNITY NURSING AND REHABILITATION CENTER Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 480 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 5 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 132 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 66 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 10 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 2 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 16 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-04-25 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 198 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 24 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 7 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-04-22 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 92 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 11 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 92 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 18 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.54138 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 42.9 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.71626 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.12292 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.88877 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.03387 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.59334 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.60503 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote 2 Short-Stay QM Rating Footnote
Provider Information Special Focus Status SFF Candidate Special Focus Status
Provider Information Staffing Rating 2 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State IN State
Provider Information Telephone Number 3173560911 Telephone Number
Provider Information Total Amount of Fines in Dollars 0.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.98017 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 0 Total Number of Penalties
Provider Information Total nursing staff turnover 62.1 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 171.500 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 46218 ZIP Code