OAK GROVE CHRISTIAN RETIREMENT VILLAGE
221 W DIVISION ST, DEMOTTE, IN 46310 · CCN 155667
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 73
- Avg residents/day
- 62.9
- Phone
- 2199877005
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 | 2025-09-22 | 17 | 7.6 | 9.5 | +9.4 worse |
| 2 | 2024-10-22 | 16 | 7.9 | 9.8 | +8.1 worse |
| 3 | 2023-11-20 | 25 | 8.8 | 9.3 | +16.2 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 9 |
| Resident assessment and care planning | 3 |
| Nursing and physician services | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.19 | 50.7% |
| RN staffing (reported) | 0.64 | 56.3% |
| Total nurse staffing (adjusted) | 4.18 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- GREENCROFT COMMUNITIES
- Facilities in chain
- 5
- Chain avg overall
- 2.40 / 5
Inspection citations (58)1 actual harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-09-22 · Health · corrected 2025-10-31
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-09-22 · Health · corrected 2025-10-31
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.2025-09-22 · Health · corrected 2025-10-31
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-09-22 · Health · corrected 2025-10-31
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-22 · Health · corrected 2025-10-31
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-09-22 · Health · corrected 2025-10-31
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-09-22 · Health · corrected 2025-10-31
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2025-09-22 · Health · corrected 2025-10-31
Potential for minimal harm
- DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2025-09-22 · Health · corrected 2025-10-31
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.2025-09-22 · Health · corrected 2025-10-31
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-09-22 · Health · corrected 2025-10-31
Potential for more than minimal harm
- DF0881Implement a program that monitors antibiotic use.2025-09-22 · Health · corrected 2025-10-31
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-08-13 · Health · corrected 2025-09-11
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-08-13 · Health · corrected 2025-09-11
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.2025-08-13 · Health · corrected 2025-09-11
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-07 · Health · corrected 2025-06-10
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-07 · Health · corrected 2025-06-10
Actual harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-10-22 · Health · corrected 2024-11-22
Potential for more than minimal harm
- DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2024-10-22 · Health · corrected 2024-11-22
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.2024-10-22 · Health · corrected 2024-11-22
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-22 · Health · corrected 2024-11-22
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-10-22 · Health · corrected 2024-11-22
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.2024-10-22 · Health · corrected 2024-11-22
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-10-22 · Health · corrected 2024-11-22
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-10-22 · Health · corrected 2024-09-26
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.2024-10-22 · Health · corrected 2024-12-05
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.2024-10-22 · Health · corrected 2024-11-22
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.2024-10-22 · Health · corrected 2024-11-22
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-10-22 · Health · corrected 2024-12-19
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.2024-07-24 · Health · corrected 2024-08-16
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-05-14 · Health · corrected 2024-05-30
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-14 · Health · corrected 2024-05-30
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-17 · Health · corrected 2024-05-10
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.2023-11-20 · Health · corrected 2024-01-12
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.2023-11-20 · Health · corrected 2024-01-12
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-11-20 · Health · corrected 2024-01-12
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-11-20 · Health · corrected 2024-01-12
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.2023-11-20 · Health · corrected 2024-01-12
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-11-20 · Health · corrected 2024-01-12
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-11-20 · Health · corrected 2024-01-12
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-11-20 · Health · corrected 2024-01-12
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-11-20 · Health · corrected 2024-01-12
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-11-20 · Health · corrected 2024-01-12
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.2023-11-20 · Health · corrected 2024-01-12
Potential for more than minimal harm
- DF0839Employ staff that are licensed, certified, or registered in accordance with state laws.2023-11-20 · Health · corrected 2024-01-12
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-11-20 · Health · corrected 2024-01-12
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-09-26 · Health · corrected 2023-10-31
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-09-26 · Health · corrected 2023-10-31
Potential for more than minimal harm
- DF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2023-09-26 · Health · corrected 2023-10-31
Potential for more than minimal harm
- EF0558Reasonably accommodate the needs and preferences of each resident.2023-07-11 · Health · corrected 2023-08-31
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-07-11 · Health · corrected 2023-08-31
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-07-11 · Health · corrected 2023-08-31
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.2023-07-11 · Health · corrected 2023-08-31
Potential for more than minimal harm
- DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2023-07-11 · Health · corrected 2023-08-31
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-07-11 · Health · corrected 2023-08-31
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-07-11 · Health · corrected 2023-08-31
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.2023-07-11 · Health · corrected 2023-08-31
Potential for more than minimal harm
- DF0895Have a Compliance and Ethics Program.2023-07-11 · Health · corrected 2023-08-31
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| WOODLAWN HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2016-01-01 |
| WOODLAWN HOSPITAL | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2016-01-01 |
| OAKGROVE CHRISTIAN RETIREMENT VILLAGE | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-01-01 |
| BIERMA, SHARON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-01-01 |
| DAVIS, HUGH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-05 |
| DEVRIES, GERRIT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-01-01 |
| FISHER, ALAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-06-13 |
| HAMSTRA, DONNA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-01-01 |
| HOEKSTRA, DON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-01-01 |
| INGRAM, BETH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-05-13 |
| KOOY, RANDY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-01 |
| MCKIM, DARLA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-01-01 |
| OLINSKI, LYNDA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-04-08 |
| OUWENGA, LARRY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-01-01 |
| PATEL, CHIRAG | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-01-01 |
| VANKEPEL, KARL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-01-01 |
Other facilities in DEMOTTE
| Name | Overall | Beds |
|---|---|---|
| APERION CARE DEMOTTE | ★☆☆☆☆ | 93 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.