PILGRIM MANOR
222 PARKVIEW ST, PLYMOUTH, IN 46563 · CCN 155073
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★★ 5
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- Government - County
- Certified beds
- 78
- Avg residents/day
- 65.1
- Phone
- 5749369943
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 | 2024-11-27 | 11 | 7.6 | 9.5 | +3.4 worse |
| 2 | 2023-12-22 | 8 | 7.9 | 9.8 | +0.1 worse |
| 3 | 2023-02-15 | 7 | 8.8 | 9.3 | -1.8 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 3 |
| Resident assessment and care planning | 2 |
| Resident rights | 2 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.25 | 48.7% |
| RN staffing (reported) | 0.65 | 50.0% |
| Total nurse staffing (adjusted) | 3.40 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (26)1 actual harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-11-27 · Health · corrected 2024-12-27
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-11-27 · Health · corrected 2024-12-27
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-11-27 · Health · corrected 2024-12-27
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.2024-11-27 · Health · corrected 2024-12-27
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-27 · Health · corrected 2024-12-27
Actual harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-27 · Health · corrected 2024-12-27
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-11-27 · Health · corrected 2024-12-27
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.2024-11-27 · Health · corrected 2025-01-04
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.2024-11-27 · Health · corrected 2025-01-04
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.2024-11-27 · Health · corrected 2024-12-27
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-11-27 · Health · corrected 2024-12-27
Potential for more than minimal harm
- DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-08-28 · Health · corrected 2024-09-21
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-08-28 · Health · corrected 2024-09-21
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-08-28 · Health · corrected 2024-09-21
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-08-28 · Health · corrected 2024-09-21
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-28 · Health · corrected 2024-09-21
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.2023-12-22 · Health · corrected 2024-01-15
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-12-22 · Health · corrected 2024-01-15
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.2023-12-22 · Health · corrected 2024-01-15
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.2023-02-15 · Health · corrected 2023-03-27
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-02-15 · Health · corrected 2023-03-27
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-02-15 · Health · corrected 2023-03-27
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2023-02-15 · Health · corrected 2023-03-27
Potential for more than minimal harm
- DF0693Ensure 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.2023-02-15 · Health · corrected 2023-03-27
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.2023-02-15 · Health · corrected 2023-03-27
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.2023-02-15 · Health · corrected 2023-03-27
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| ADAMS COUNTY MEMORIAL HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-07-01 |
| ADAMS COUNTY MEMORIAL HOSPITAL | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 |
| PILGRIM MANOR OPERATIONS | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 |
| BORNE-BAUMAN, CANDICE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-01 |
| COMBS, JAMES | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-10 |
| FLUECKIGER, RUSSELL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-01 |
| HOLM, BYRON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-01 |
| LEHMAN, SCOTT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-01 |
| MACKLIN, LARRY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-01 |
| MCINTIRE, DAVID | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-01 |
| SMITH, SCOTT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-01 |
| SPRUNGER, KYLE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-01 |
| WHEELER, DANE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-01 |
| NBH BANK | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2024-07-01 |
Other facilities in PLYMOUTH
| Name | Overall | Beds |
|---|---|---|
| MILLER'S MERRY MANOR | ★★★★☆ | 131 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.