RETREAT AT THE STRATFORD, THE
2460 GLEBE ST, CARMEL, IN 46032 · CCN 155794
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 18
- Avg residents/day
- 9.8
- Phone
- 3177339560
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 | 2025-03-07 | 8 | 7.6 | 9.5 | +0.4 worse |
| 2 | 2024-04-05 | 3 | 7.9 | 9.8 | -4.9 better |
| 3 | 2023-03-14 | 5 | 8.8 | 9.3 | -3.8 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 1 |
| Resident assessment and care planning | 1 |
| Resident rights | 2 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 7.25 | 64.3% |
| RN staffing (reported) | 1.87 | 80.0% |
| Total nurse staffing (adjusted) | 7.02 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 1
- Payment denials
- 1
Chain
- Chain
- SENIOR LIVING COMMUNITIES
- Facilities in chain
- 9
- Chain avg overall
- 4.30 / 5
Inspection citations (16)
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-06-02 · Health · corrected 2025-06-16
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.2025-06-02 · Health · corrected 2025-05-25
Potential for more than minimal 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.2025-03-07 · Health · corrected 2025-04-02
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.2025-03-07 · Health · corrected 2025-04-02
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-07 · Health · corrected 2025-04-02
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.2025-03-07 · Health · corrected 2025-04-02
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.2025-03-07 · Health · corrected 2025-04-02
Potential for more than minimal harm
- DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-03-07 · Health · corrected 2025-04-02
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-05 · Health · corrected 2024-02-21
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-04-05 · Health · corrected 2024-05-15
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.2024-04-05 · Health · corrected 2024-05-15
Potential for more than minimal 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.2023-03-14 · Health · corrected 2023-04-28
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.2023-03-14 · Health · corrected 2023-04-28
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.2023-03-14 · Health · corrected 2023-04-28
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-03-14 · Health · corrected 2023-04-28
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.2023-03-14 · Health · corrected 2023-04-28
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| THOMPSON, DONALD | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2010-09-17 |
| THOMPSON, JOSHUA | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | 2021-01-01 |
| THOMPSON, BENJAMIN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | 2021-01-01 |
| THOMPSON, BENJAMIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-07-01 |
| MAXWELL GROUP, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2010-10-10 |
| MILLER, BRADLEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-19 |
| SOLITO, LEO | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
Other facilities in CARMEL
| Name | Overall | Beds |
|---|---|---|
| BARRINGTON OF CARMEL, THE | ★★★★★ | 8 |
| BRIDGEWATER HEALTHCARE CENTER | ★★★★☆ | 120 |
| RESTORACY OF CARMEL | ★★★★☆ | 72 |
| MAJESTIC CARE OF CARMEL | ★★★☆☆ | 94 |
| WELLBROOKE OF CARMEL | ★★★☆☆ | 74 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.