Starfile

Starfile / Indiana

AMBASSADOR HEALTHCARE

705 E MAIN ST, CENTERVILLE, IN 47330 · CCN 155490

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★★☆☆ 3
Staffing
★★★☆☆ 3

Facility

Ownership type
For profit - Partnership
Certified beds
137
Avg residents/day
110.7
Phone
7658553424

Inspection history vs Indiana & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityIndiana avgNational avgvs state
12025-04-30157.69.5+7.4 worse
22024-02-20217.99.8+13.1 worse
32022-11-2138.89.3-5.8 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Quality of life and care6
Resident assessment and care planning1
Resident rights7

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.1836.2%
RN staffing (reported)0.8534.8%
Total nurse staffing (adjusted)3.39

Fines & penalties

Total fines
$42,078
Number of fines
1
Number of penalties
1
Payment denials
0

Inspection citations (39)1 immediate jeopardy

  1. DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2025-08-12 · Health · corrected 2025-09-12

    Potential for more than minimal harm

  2. DF0584Honor 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.2025-08-12 · Health · corrected 2025-09-12

    Potential for more than minimal harm

  3. DF0585Honor 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.2025-08-12 · Health · corrected 2025-09-12

    Potential for more than minimal harm

  4. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-12 · Health · corrected 2025-09-12

    Potential for more than minimal harm

  5. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-08-12 · Health · corrected 2025-09-12

    Potential for more than minimal harm

  6. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-07-18 · Health · corrected 2025-07-25

    Potential for more than minimal harm

  7. DF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.2025-07-18 · Health · corrected 2025-07-25

    Potential for more than minimal harm

  8. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-04-30 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  9. DF0558Reasonably accommodate the needs and preferences of each resident.2025-04-30 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  10. DF0584Honor 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.2025-04-30 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  11. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-04-30 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  12. DF0685Assist a resident in gaining access to vision and hearing services.2025-04-30 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  13. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-04-30 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  14. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2025-04-30 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  15. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-30 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  16. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-02-10 · Health · corrected 2025-02-28

    Potential for more than minimal harm

  17. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-08 · Health · corrected 2025-01-31

    Potential for more than minimal harm

  18. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-01-08 · Health · corrected 2025-01-31

    Potential for more than minimal harm

  19. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-12-09 · Health · corrected 2024-12-31

    Potential for more than minimal harm

  20. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-09-05 · Health · corrected 2024-09-30

    Potential for more than minimal harm

  21. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-09-05 · Health · corrected 2024-09-30

    Potential for more than minimal harm

  22. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-05 · Health · corrected 2024-09-30

    Potential for more than minimal harm

  23. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2024-09-05 · Health · corrected 2024-09-30

    Potential for more than minimal harm

  24. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-04-19 · Health · corrected 2024-05-02

    Immediate jeopardy

  25. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-04-19 · Health · corrected 2024-05-02

    Potential for more than minimal harm

  26. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-04-19 · Health · corrected 2024-05-02

    Potential for more than minimal harm

  27. DF0638Assure that each resident’s assessment is updated at least once every 3 months.2024-02-20 · Health · corrected 2024-02-21

    Potential for more than minimal harm

  28. DF0641Ensure each resident receives an accurate assessment.2024-02-20 · Health · corrected 2024-02-21

    Potential for more than minimal harm

  29. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-02-20 · Health · corrected 2024-02-21

    Potential for more than minimal harm

  30. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-02-20 · Health · corrected 2024-02-21

    Potential for more than minimal harm

  31. DF0679Provide activities to meet all resident's needs.2024-02-20 · Health · corrected 2024-02-21

    Potential for more than minimal harm

  32. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-20 · Health · corrected 2024-02-21

    Potential for more than minimal harm

  33. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-02-20 · Health · corrected 2024-02-21

    Potential for more than minimal harm

  34. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-02-20 · Health · corrected 2024-02-21

    Potential for more than minimal harm

  35. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-20 · Health · corrected 2024-02-21

    Potential for more than minimal harm

  36. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-02-20 · Health · corrected 2024-02-21

    Potential for more than minimal harm

  37. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-02-20 · Health · corrected 2024-02-21

    Potential for more than minimal harm

  38. DF0641Ensure each resident receives an accurate assessment.2022-11-21 · Health · corrected 2022-12-17

    Potential for more than minimal harm

  39. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-11-21 · Health · corrected 2022-12-17

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
WITHAM MEMORIAL HOSPITALOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2011-07-01
AMBASSADOR CENTERVILLE MANAGEMENT, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2022-05-02
FUERST, SHIMONIndividualOPERATIONAL/MANAGERIAL CONTROL2022-05-02
KOFMAN, MENACHEMIndividualOPERATIONAL/MANAGERIAL CONTROL2022-05-02
BAYSTON, BRETTIndividualCORPORATE DIRECTOR2023-01-01
BRAND, JOHNIndividualCORPORATE DIRECTOR2015-01-01
CASTETTER, ANDREAIndividualCORPORATE DIRECTOR2023-01-01
HAWKINS, CLAUDEIndividualCORPORATE DIRECTOR2013-09-01
HORNBECKER, MICHAELIndividualCORPORATE DIRECTOR2024-01-01
BRAVERMAN, KELLYIndividualCORPORATE OFFICER2021-12-01
SELLERS, DANIELIndividualCORPORATE OFFICER2024-06-21
MANTOOTH, MELISSAIndividualCONTRACTED MANAGING EMPLOYEE2019-07-01
BARDOCZI, STEPHENIndividualW-2 MANAGING EMPLOYEE2013-09-02

Other facilities in CENTERVILLE

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.