SNF
HAMILTON TRACE OF FISHERS
CCN: 155793 · FISHERS, IN 46037 · Hamilton County
Overview
- Address
- 11851 CUMBERLAND RD, FISHERS, IN 46037
- Phone
- 3178134444
- Certified beds
- 108
- Avg daily residents
- 104 (96% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 2011-10-25
- Setting
- Urban
3 /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.
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 | 3.65 | 3.81 | 3.69 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.76 | 0.67 | 0.77 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.19 | 0.85 | 1.21 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 1.70 | 2.30 | 1.72 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.95 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.12 | — | — | — |
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)
3.20
hrs / resident / day
RN (weekend)
0.45
hrs / resident / day
Total nurse (adjusted, weekend)
3.24
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
44.1%
annual
RN turnover
12.5%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.35
higher acuity than avg
Case-Mix Index Ratio
0.98
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) | 2025-05-12 | 14 | 13 | 4 | 72 | 1 | 72 |
| Cycle 2/3 (prior) | 2024-03-08 | 5 | 4 | 2 | 20 | 1 | 20 |
Total weighted health score
59.0
lower is better
Deficiencies (25)
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
24 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0690 | 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 | 2026-01-30 | 2026-02-20 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-05-12 | 2025-06-06 |
| 0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | 2025-05-12 | 2025-06-06 |
| 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 | 2025-05-12 | 2025-06-06 |
| 0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2025-05-12 | 2025-06-06 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-05-12 | 2025-06-06 |
| 0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-05-12 | 2025-06-06 |
| 0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2025-05-12 | 2025-06-06 |
| 0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2025-05-12 | 2025-06-06 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-05-12 | 2025-06-06 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2025-05-12 | 2025-06-06 |
| 0583 | Keep residents' personal and medical records private and confidential. | D | 2025-05-12 | 2025-06-06 |
| 0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2025-05-12 | 2025-06-06 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-05-12 | 2025-06-06 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2024-03-08 | 2024-03-29 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-03-08 | 2024-03-29 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2024-03-08 | 2024-03-29 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-03-08 | 2024-03-29 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-07-27 | 2023-08-19 |
| 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 | 2022-11-22 | 2023-01-06 |
| 0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2022-11-22 | 2023-01-06 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2022-11-22 | 2023-01-06 |
| 0679 | Provide activities to meet all resident's needs. | E | 2022-11-22 | 2023-01-06 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2022-11-22 | 2023-01-06 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2022-11-22 | 2023-01-06 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 8.9% Medicaid 21.1% Other 70.0%
Operating performance
Operating Margin
1.3%
Total Margin
1.5%
Occupancy Rate
83.3%
Cost per Resident Day
$48
Revenue & costs
Net Patient Revenue
$20.1M
Total Costs
$3.1M
Net Income
$305K
Balance sheet
Total Assets
$3.1M
Total Liabilities
$1.9M
Fund Balance
$1.2M
Current Ratio
1.26
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: CARDON & ASSOCIATES
- Chain ID
105- Facilities in chain
- 20
- Legal business name
- HENDRICKS COUNTY HOSPITAL
Chain-average star ratings (for peer context)
Overall
3.8
Health
3.4
Staffing
2.6
QM
4.7
Owner / manager organizations (6)
| Organization | Role | Association |
|---|---|---|
| HENDRICKS COUNTY HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 12/15/2013 |
| CARDON AND ASSOCIATES INC | OPERATIONAL/MANAGERIAL CONTROL | since 08/23/2013 |
| CARDON MANAGEMENT COMPANY II LLC | OPERATIONAL/MANAGERIAL CONTROL | since 10/17/2013 |
| CARDON MANAGEMENT COMPANY LLC | OPERATIONAL/MANAGERIAL CONTROL | since 10/17/2013 |
| LUMENT REAL ESTATE CAPITAL LLC | 5% OR GREATER SECURITY INTEREST | since 04/22/2015 |
| ORIX REAL ESTATE CAPITAL LLC | 5% OR GREATER SECURITY INTEREST | since 04/22/2015 |
Owner / manager individuals (20)
| Name | Role | Association |
|---|---|---|
| BALLA, MATTHEW | OPERATIONAL/MANAGERIAL CONTROL | since 05/23/2022 |
| CATTELL, ZACHARY | OPERATIONAL/MANAGERIAL CONTROL | since 04/07/2025 |
| CRAYCRAFT, ALLIE | OPERATIONAL/MANAGERIAL CONTROL | since 11/29/2021 |
| FAUTH, KENDRA | OPERATIONAL/MANAGERIAL CONTROL | since 12/26/2021 |
| FENOUGHTY, DEANNA | OPERATIONAL/MANAGERIAL CONTROL | since 07/10/2023 |
| GORMAL, GREGG | OPERATIONAL/MANAGERIAL CONTROL | since 10/01/2016 |
| HAUG, AMY | OPERATIONAL/MANAGERIAL CONTROL | since 01/04/2022 |
| HOYEK, GEORGE | OPERATIONAL/MANAGERIAL CONTROL | since 10/01/2016 |
| KARNER, JIM | OPERATIONAL/MANAGERIAL CONTROL | since 06/18/2012 |
| LOPOSSA, LYNN | OPERATIONAL/MANAGERIAL CONTROL | since 12/17/2023 |
| MCCLELLAND, THOMAS | OPERATIONAL/MANAGERIAL CONTROL | since 12/26/2021 |
| MCINTOSH, ERIC | OPERATIONAL/MANAGERIAL CONTROL | since 10/31/2021 |
| RODGERS, KENT | OPERATIONAL/MANAGERIAL CONTROL | since 10/04/2021 |
| STEWART, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | since 02/07/2022 |
| ENGELS, ERIN | CORPORATE DIRECTOR | since 12/01/2014 |
| GENTRY, MARK | CORPORATE DIRECTOR | since 01/12/2022 |
| STARKEY, TYLER | CORPORATE DIRECTOR | since 08/01/2020 |
| WAITE, JOHN | CORPORATE DIRECTOR | since 08/01/2020 |
| WHICKER, TIMOTHY | CORPORATE DIRECTOR | since 01/12/2022 |
| FENOUGHTY, DEANNA | CORPORATE OFFICER | since 07/10/2023 |
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
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
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.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $48 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 1.26 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 21.1% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 8.9% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $304,553 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $20,111,504 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 83.3% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 1.3% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $3,072,207 | metrics.total_assets |
| Cost Report | Total Costs ($) | $3,063,951 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $1,175,354 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $1,896,853 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 1.5% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.20762 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.72188 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.76517 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.69466 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.24290 | 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 | 103.8 | 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 | 0.84600 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.29923 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.66683 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.81206 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.35993 | 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 | 2.6 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 105 | Chain ID |
| Provider Information | Chain Name | CARDON & ASSOCIATES | Chain Name |
| Provider Information | City/Town | FISHERS | City/Town |
| Provider Information | CMS Certification Number (CCN) | 155793 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Hamilton | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 2011-10-25 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 2 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 39.9591 | Latitude |
| Provider Information | Legal Business Name | HENDRICKS COUNTY HOSPITAL | Legal Business Name |
| Provider Information | Location | 11851 CUMBERLAND RD,FISHERS,IN,46037 | 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 | -85.994 | 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 | 108 | 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 | 20 | 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 | 1.35044 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.98025 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 3 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Corporation | 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 | 11851 CUMBERLAND RD | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | HAMILTON TRACE OF FISHERS | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 280 | 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 | 72 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 4 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 13 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-05-12 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 72 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 14 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 4 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-03-08 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 20 | 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 | 2 | 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 | 20 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 5 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.45415 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 12.5 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.94782 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.19233 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 1.70008 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.11548 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.75549 | 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 | 3.64790 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 5 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 4 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | IN | State |
| Provider Information | Telephone Number | 3178134444 | 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 | 3.20186 | 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 | 44.1 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 59.000 | 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 | 46037 | ZIP Code |