C74

PILGRIM MANOR

Grade C 74/100 composite score

Government - County

CMS Star Ratings

Overall
2/5
Health Insp.
1/5
Quality
5/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

78

Ownership

Government - County

Total Fines

None

Last Survey

N/A

222 PARKVIEW ST, PLYMOUTH, IN 46563
5749369943

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.68h
LPN
0.50h
CNA
2.22h
Total
3.40h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

ADAMS COUNTY MEMORIAL HOSPITAL

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jul 2024

100%

ADAMS COUNTY MEMORIAL HOSPITAL

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jan 2025

PILGRIM MANOR OPERATIONS

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jan 2025

BORNE-BAUMAN, CANDICE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2024

COMBS, JAMES

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2024

FLUECKIGER, RUSSELL

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2024

HOLM, BYRON

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2024

LEHMAN, SCOTT

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2024

MACKLIN, LARRY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2024

MCINTIRE, DAVID

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2024

SMITH, SCOTT

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2024

SPRUNGER, KYLE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2024

WHEELER, DANE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2024

NBH BANK

Organization5% OR GREATER MORTGAGE INTERESTSince Jul 2024

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (26)

November 27, 2024Health11 deficiencies1 severe
0550DMinimal harm, Isolated

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Dec 27, 2024
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Dec 27, 2024
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 27, 2024
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 27, 2024
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Dec 27, 2024
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Dec 27, 2024
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Dec 27, 2024
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Dec 27, 2024
0684GActual harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Dec 27, 2024
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Jan 4, 2025
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Jan 4, 2025
August 28, 2024Health5 deficiencies
0604DMinimal harm, Isolated

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Sep 21, 2024
0607DMinimal harm, Isolated

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Sep 21, 2024
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Sep 21, 2024
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Sep 21, 2024
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Sep 21, 2024
December 22, 2023Health3 deficiencies
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Jan 15, 2024
0686DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jan 15, 2024
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jan 15, 2024
February 15, 2023Health7 deficiencies
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 27, 2023
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Mar 27, 2023
0758DMinimal harm, Isolated

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Pharmacy Service Deficiencies

Corrected Mar 27, 2023
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Mar 27, 2023
0686DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Mar 27, 2023
0692DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Mar 27, 2023
0693DMinimal harm, Isolated

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.

Quality of Life and Care Deficiencies

Corrected Mar 27, 2023

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Frequently Asked Questions

What is the CareGrader rating for PILGRIM MANOR?

PILGRIM MANOR in PLYMOUTH, Indiana has a CareGrader grade of C (Average), with a composite score of 74.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for PILGRIM MANOR?

PILGRIM MANOR has an overall CMS star rating of 2 out of 5, a health inspection rating of 1/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does PILGRIM MANOR have?

PILGRIM MANOR has 26 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does PILGRIM MANOR have?

PILGRIM MANOR has 78 certified beds with approximately 65 current residents (83% occupancy). The facility is located at 222 PARKVIEW ST, PLYMOUTH, Indiana 46563. It is a government - county facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.