MCGIVNEY HEALTH CARE CENTER
2907 EAST SMOKY ROW, CARMEL, IN 46033 · CCN 155855
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 37
- Avg residents/day
- 33.9
- Phone
- 3178460265
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 | 2025-08-26 | 13 | 7.6 | 9.5 | +5.4 worse |
| 2 | 2024-10-02 | 5 | 7.9 | 9.8 | -2.9 better |
| 3 | 2023-09-22 | 25 | 8.8 | 9.3 | +16.2 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 3 |
| Resident assessment and care planning | 3 |
| Nursing and physician services | 1 |
| Resident rights | 2 |
| Nutrition and dietary | 1 |
| Environmental | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.09 | 44.4% |
| RN staffing (reported) | 0.23 | — |
| Total nurse staffing (adjusted) | 3.03 | — |
Fines & penalties
- Total fines
- $8,189
- Number of fines
- 1
- Number of penalties
- 2
- Payment denials
- 1
Inspection citations (43)1 actual harm
- DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2025-08-26 · Health · corrected 2025-09-15
Potential for more than minimal harm
- DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-08-26 · Health · corrected 2025-09-19
Potential for more than minimal harm
- DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-08-26 · Health · corrected 2025-09-15
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-08-26 · Health · corrected 2025-09-15
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.2025-08-26 · Health · corrected 2025-09-15
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.2025-08-26 · Health · corrected 2025-09-15
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-08-26 · Health · corrected 2025-09-16
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-08-26 · Health · corrected 2025-09-16
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-08-26 · Health · corrected 2025-09-16
Potential for more than minimal harm
- DF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2025-08-26 · Health · corrected 2025-09-15
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-08-26 · Health · corrected 2025-09-15
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-08-26 · Health · corrected 2025-09-16
Potential for more than minimal harm
- DF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2025-08-26 · Health · corrected 2025-09-15
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.2024-10-02 · Health · corrected 2024-10-24
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-10-02 · Health · corrected 2024-10-24
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.2024-10-02 · Health · corrected 2024-10-24
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-02 · Health · corrected 2024-10-24
Potential for more than minimal harm
- DF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2024-10-02 · Health · corrected 2024-10-24
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-09-22 · Health · corrected 2023-10-27
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-09-22 · Health · corrected 2023-10-27
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-09-22 · Health · corrected 2023-10-27
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2023-09-22 · Health · corrected 2023-10-27
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.2023-09-22 · Health · corrected 2023-10-27
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-22 · Health · corrected 2023-10-27
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-09-22 · Health · corrected 2023-10-27
Potential for more than minimal harm
- DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-09-22 · Health · corrected 2023-10-27
Potential for more than minimal harm
- DF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2023-09-22 · Health · corrected 2023-10-27
Potential for more than minimal harm
- DF0730Observe each nurse aide's job performance and give regular training.2023-09-22 · Health · corrected 2023-10-27
Potential for more than minimal harm
- DF0732Post nurse staffing information every day.2023-09-22 · Health · corrected 2023-10-27
Potential for more than minimal harm
- GF0760Ensure that residents are free from significant medication errors.2023-09-22 · Health · corrected 2023-10-27
Actual 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.2023-09-22 · Health · corrected 2023-10-27
Potential for more than minimal harm
- FF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2023-09-22 · Health · corrected 2023-10-27
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.2023-09-22 · Health · corrected 2023-10-27
Potential for more than minimal harm
- EF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2023-09-22 · Health · corrected 2023-10-27
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.2023-09-22 · Health · corrected 2023-10-27
Potential for more than minimal harm
- DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-09-22 · Health · corrected 2023-10-27
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-09-22 · Health · corrected 2023-10-27
Potential for more than minimal harm
- EF0881Implement a program that monitors antibiotic use.2023-09-22 · Health · corrected 2023-10-27
Potential for more than minimal harm
- EF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-09-22 · Health · corrected 2023-10-27
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-09-22 · Health · corrected 2023-10-27
Potential for more than minimal harm
- DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2023-09-22 · Health · corrected 2023-10-27
Potential for more than minimal harm
- DF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2023-09-22 · Health
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.2023-09-22 · Health · corrected 2023-10-27
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| WITHAM MEMORIAL HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2015-04-01 |
| GIBAULT CARE, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2015-04-01 |
| BANKS, JOE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-06-27 |
| SHERA, RANDALL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-04-02 |
| BAYSTON, BRETT | Individual | CORPORATE DIRECTOR | — | 2023-01-01 |
| BRAND, JOHN | Individual | CORPORATE DIRECTOR | — | 2015-01-01 |
| CASTETTER, ANDREA | Individual | CORPORATE DIRECTOR | — | 2023-01-01 |
| COMPTON, JOHN | Individual | CORPORATE DIRECTOR | — | 2015-07-01 |
| FUNK, JAMES | Individual | CORPORATE DIRECTOR | — | 2011-07-01 |
| HAWKINS, CLAUDE | Individual | CORPORATE DIRECTOR | — | 2013-09-01 |
| HORNBECKER, MICHAEL | Individual | CORPORATE DIRECTOR | — | 2024-01-01 |
| PATRICK, LORI | Individual | CORPORATE DIRECTOR | — | 2022-07-01 |
| REAGAN, JULIE | Individual | CORPORATE DIRECTOR | — | 2025-02-21 |
| SCHMITS, FRED | Individual | CORPORATE DIRECTOR | — | 2015-07-01 |
| BRAVERMAN, KELLY | Individual | CORPORATE OFFICER | — | 2021-12-01 |
| EMMINGER, DEBORAH | Individual | CORPORATE OFFICER | — | 2024-07-01 |
| SELLERS, DANIEL | Individual | CORPORATE OFFICER | — | 2024-06-24 |
Other facilities in CARMEL
| Name | Overall | Beds |
|---|---|---|
| BARRINGTON OF CARMEL, THE | ★★★★★ | 8 |
| RESTORACY OF CARMEL | ★★★★☆ | 72 |
| BRIDGEWATER HEALTHCARE CENTER | ★★★★☆ | 120 |
| RETREAT AT THE STRATFORD, THE | ★★★☆☆ | 18 |
| MAJESTIC CARE OF CARMEL | ★★★☆☆ | 94 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.