2140 W 86TH ST, INDIANAPOLIS, IN 46260
124 beds · Government - County
CMS Provider #155154
Data updated: March 1, 2026
Overall Rating
★★★★★
Health Rating
★★★★★
Staffing Rating
★★★★★
Quality Rating
★★★★★
Daily nursing care
3.6 hrs/resident
Steady
Inspection findings
12
More issues
Ownership changes
0
County-owned, managed by American Senior Communities.
Complaint trend
More complaints
Active with 8 complaint-related findings in the most recent cycle.
Overall Rating
Health Inspection
Staffing Rating
Quality Rating
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The facility's record is marked by excellent clinical quality outcomes and a zero-percent reliance on agency staff, offset by a 62.4% nursing turnover rate and an increasing number of health inspection findings.
Data from the Centers for Medicare and Medicaid Services (CMS) reveals a complex quality profile for this facility. While the facility achieved the highest possible rating of five stars for clinical quality measures—indicating high performance in resident health outcomes—it faces significant challenges in health inspections and workforce stability. Health inspection findings have trended upward, moving from 7 to 12 in the latest cycle, a figure notably higher than the Indiana state average of 7.6. These findings include concerns regarding infection prevention and control programs and the timely creation of resident care plans.
Staffing data shows a significant reliance on permanent employees, with 0% use of outside contract or agency labor. However, the facility experiences high nursing staff turnover at 62.4%, meaning more than six out of ten nursing staff members left within a year. Additionally, there is a measurable decline in care levels during weekends; total nursing care drops from 3.62 hours per resident per day during the week to 3.23 hours on weekends, representing a 10.7% reduction in available staffing. While registered nurse hours of 0.76 per resident per day exceed the state average of 0.66, the high turnover and weekend staffing gaps are data points that often correlate with inconsistent daily care routines. Compared to its parent chain averages, this facility scores lower on health inspections but maintains a higher staff-to-resident ratio.
Total nursing staff turnover is 62.4%, which is 15.4 percentage points higher than the Indiana state average of 47%.
The facility employs 0% contract or agency staff, indicating that all nursing care is provided by direct employees of the facility.
Health inspection findings increased from 7 in the previous cycle to 12 in the most recent survey, including an 'E' severity rating for infection control programs.
This shows how the facility's federal ratings have changed over the past 24 months. Consistent high ratings suggest stable quality, while declining trends may warrant further investigation.
| Category | Apr 24 | Jun 24 | Aug 24 | Oct 24 | Dec 24 | Mar 25 | May 25 | Jul 25 | Nov 25 | Jan 26 | Mar 26 | Trend |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall | 2★ | 2★ | 2★ | 3★ | 3★ | 3★ | 2★ | 3★ | 3★ | 2★ | 3★ | |
| Staffing | 1★ | 1★ | 1★ | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ | 3★ | |
| Health | 3★ | 3★ | 3★ | 3★ | 3★ | 3★ | 2★ | 2★ | 2★ | 1★ | 2★ |
Staffing depth is the strongest predictor of care quality. Facilities routinely cut staff on evenings and weekends — the shifts when falls happen and call lights go unanswered.
RN Hours Specifically
State avg total staffing: 3.7 hrs/resident/day
0
administrators departed in past year
Stable62.4%
State avg: 47.0%
45.5%
State avg: 41.7%
0.0%
of nursing hours from contract/agency staff
Low — good continuitySource: PBJ data, 2025Q3
A facility's location matters — nearby hospitals, pharmacies, and public transit can make visits easier and ensure quick access to emergency care.
Walk Score
74
Very Walkable
Transit Score
32
Some Transit
Median Income
$66,330
Median Home Value
$247,400
Poverty Rate
14.4%
Age 65+
16.3%
Median Age
36
Pop. Density
35,019/mi²
Median Rent
$1,016
Google reviews provide firsthand accounts from residents' families and visitors.
Federal and state inspectors conduct regular surveys of every nursing home. Deficiencies listed here are problems found during those inspections.
| Date | Tag | Category | Description | Severity | Corrected | Type | IC |
|---|---|---|---|---|---|---|---|
| 8/5/2025 | 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | Actual harm | 8/27/2025 | Standard | |
| 8/5/2025 | 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | Minimal harm | 8/27/2025 | Standard | |
| 8/5/2025 | 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Minimal harm | 8/27/2025 | Standard | |
| 8/5/2025 | 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Minimal harm | 8/27/2025 | Standard | |
| 8/5/2025 | 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Minimal harm | 8/27/2025 | Standard | |
| 8/5/2025 | 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Actual harm | 8/27/2025 | Standard | |
| 8/5/2025 | 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Minimal harm | 8/27/2025 | Standard | |
| 8/5/2025 | 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | Minimal harm | 8/27/2025 | Standard | |
| 8/5/2025 | 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Minimal harm | 8/27/2025 | Standard | |
| 8/5/2025 | 0761 | Pharmacy Service Deficiencies | 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. | Minimal harm | 8/27/2025 | Standard |
When inspection deficiencies are serious enough, the government may impose financial penalties or deny Medicare/Medicaid payments.
No penalties or fines recorded for this facility.
Ownership structure and changes can affect facility quality.
Facilities in Chain
91
Chain Avg Rating
3.8 ★
Years Operating
52
| Owner Name | Type | Role | Ownership % | Association Date |
|---|---|---|---|---|
| THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY | Organization | — | 100% | 1/1/2003 |
| AMERICAN SENIOR COMMUNITIES LLC | Organization | — | — | 1/1/2003 |
| KUMP, CYNTHIA | Individual | — | — | 5/15/2017 |
| TUCKER, ERIN | Individual | — | — | 9/12/2021 |
| BABCOCK, PAUL | Individual | — | — | 9/30/2020 |
| KELSEY, DONNA | Individual | — | — | 6/1/2016 |
| VAN CAMP, STEVEN | Individual | — | — | 9/6/2019 |
Recent news articles, lawsuits, and media coverage mentioning this facility.
No recent news coverage found for this facility.
Data updated: March 1, 2026 · CMS, OSCAR, state inspection records
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