CASTLETON HEALTH CARE CENTER
7630 E 86TH ST, INDIANAPOLIS, IN 46256 · CCN 155245
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 109
- Avg residents/day
- 71.5
- Phone
- 3178450032
Inspection history vs Indiana & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Indiana avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-09-13 | 20 | 7.6 | 9.5 | +12.4 worse |
| 2 | 2023-09-29 | 13 | 7.9 | 9.8 | +5.1 worse |
| 3 | 2022-04-22 | 24 | 8.8 | 9.3 | +15.2 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 6 |
| Resident assessment and care planning | 1 |
| Resident rights | 3 |
| Nutrition and dietary | 1 |
| Pharmacy service | 3 |
| Environmental | 1 |
| Administration | 1 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.24 | 66.2% |
| RN staffing (reported) | 0.36 | 83.3% |
| Total nurse staffing (adjusted) | 2.54 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (57)3 actual harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-11-07 · Health · corrected 2025-11-09
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-11-07 · Health · corrected 2025-11-09
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-09-23 · Health · corrected 2025-11-09
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-09-23 · Health · corrected 2025-10-21
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-09-23 · Health · corrected 2025-11-09
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-09-23 · Health · corrected 2025-10-21
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-08-05 · Health · corrected 2025-08-07
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-08-05 · Health · corrected 2025-08-07
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-08-05 · Health · corrected 2025-08-07
Potential for more than minimal harm
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-08-05 · Health · corrected 2025-08-07
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-07-18 · Health · corrected 2025-07-30
Potential for more than minimal harm
- DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2025-07-18 · Health · corrected 2025-07-30
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-07-18 · Health · corrected 2025-07-30
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-06-12 · Health · corrected 2025-02-21
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-09-13 · Health · corrected 2024-09-23
Potential for more than minimal harm
- DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-09-13 · Health · corrected 2024-09-23
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-09-13 · Health · corrected 2024-09-23
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-09-13 · Health · corrected 2024-09-23
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-09-13 · Health · corrected 2024-09-23
Potential for more than minimal harm
- FF0881Implement a program that monitors antibiotic use.2024-09-13 · Health · corrected 2024-09-23
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-02-10 · Health · corrected 2024-02-22
Potential for more than minimal harm
- DF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-09-29 · Health · corrected 2023-10-24
Potential for more than minimal harm
- CF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-09-29 · Health · corrected 2023-10-24
Potential for minimal harm
- DF0610Respond appropriately to all alleged violations.2023-09-29 · Health · corrected 2023-10-24
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-09-29 · Health · corrected 2023-10-24
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-09-29 · Health · corrected 2023-10-24
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-09-29 · Health · corrected 2023-10-24
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-29 · Health · corrected 2023-10-24
Actual harm
- CF0732Post nurse staffing information every day.2023-09-29 · Health · corrected 2023-10-24
Potential for minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-09-29 · Health · corrected 2023-10-24
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-09-29 · Health · corrected 2023-10-24
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2023-09-29 · Health · corrected 2023-10-24
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-09-29 · Health · corrected 2023-10-24
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-09-29 · Health · corrected 2023-10-24
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-03-29 · Health · corrected 2023-04-21
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-03-29 · Health · corrected 2023-04-21
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-03-29 · Health · corrected 2023-04-21
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-29 · Health · corrected 2023-04-21
Potential for more than minimal harm
- DF0687Provide appropriate foot care.2023-03-29 · Health · corrected 2023-04-21
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-03-29 · Health · corrected 2023-04-21
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-03-29 · Health · corrected 2023-04-21
Potential for more than minimal harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2022-04-22 · Health · corrected 2022-05-20
Potential for more than minimal harm
- DF0602Protect each resident from the wrongful use of the resident's belongings or money.2022-04-22 · Health · corrected 2022-05-20
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2022-04-22 · Health · corrected 2022-05-20
Potential for more than minimal harm
- DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2022-04-22 · Health · corrected 2022-05-20
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-04-22 · Health · corrected 2022-05-20
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-04-22 · Health · corrected 2022-06-03
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-04-22 · Health · corrected 2022-05-13
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-04-22 · Health · corrected 2022-05-20
Potential for more than minimal harm
- GF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-04-22 · Health · corrected 2022-05-20
Actual harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-04-22 · Health · corrected 2022-05-20
Potential for more than minimal harm
- GF0697Provide safe, appropriate pain management for a resident who requires such services.2022-04-22 · Health · corrected 2022-05-20
Actual harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-04-22 · Health · corrected 2022-05-20
Potential for more than minimal harm
- DF0758Implement 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.2022-04-22 · Health · corrected 2022-05-20
Potential for more than minimal harm
- DF0761Ensure 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.2022-04-22 · Health · corrected 2022-05-20
Potential for more than minimal harm
- DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2022-04-22 · Health · corrected 2022-06-25
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2022-04-22 · Health · corrected 2022-05-20
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| HENDRICKS COUNTY HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2013-11-01 |
| CASTLETON CARE CENTER, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 |
| FENOUGHTY, DEANNA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-10 |
| PIKE, JAMES | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 |
| ENGELS, ERIN | Individual | CORPORATE DIRECTOR | — | 2013-11-01 |
| GENTRY, MARK | Individual | CORPORATE DIRECTOR | — | 2022-01-12 |
| STARKEY, TYLER | Individual | CORPORATE DIRECTOR | — | 2020-08-01 |
| WAITE, JOHN | Individual | CORPORATE DIRECTOR | — | 2020-08-01 |
| WHICKER, TIMOTHY | Individual | CORPORATE DIRECTOR | — | 2022-01-12 |
| FENOUGHTY, DEANNA | Individual | CORPORATE OFFICER | — | 2023-07-10 |
| ENGELS, ERIN | Individual | 5% OR GREATER MORTGAGE INTEREST | — | 2012-10-22 |
Other facilities in INDIANAPOLIS
| Name | Overall | Beds |
|---|---|---|
| MILLER'S MERRY MANOR | ★★★★★ | 114 |
| FAIRWAY VILLAGE | ★★★★★ | 53 |
| MARQUETTE | ★★★★★ | 57 |
| HOOSIER VILLAGE | ★★★★★ | 24 |
| SOUTHPOINTE HEALTHCARE CENTER | ★★★★★ | 100 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.