Avon Health & Rehabilitation Center
4171 Forest Pointe Circle, Avon, IN 46123 · Hendricks County · 137 certified beds · avg 123 residents/day · certified since Sep 10, 1984
Part of chain: TLC MANAGEMENT (20 facilities, chain avg rating 3.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (15)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Feb 26, 2026 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Feb 26, 2026 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Feb 26, 2026 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Feb 26, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Feb 26, 2026 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jan 28, 2025 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Jan 28, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jan 28, 2025 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Jan 28, 2025 | D · Potential for harm, one-off | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. |
| Jan 28, 2025 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Nov 20, 2023 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Nov 20, 2023 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Nov 20, 2023 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Nov 20, 2023 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Aug 17, 2023 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | D |
| 2025 | 5 | 0 | D |
| 2026 | 5 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Indiana avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.82 | 3.42 | 3.95 | top 21% in Indiana; top 47% in the U.S. |
| Registered Nurse hours | 0.49 | 0.62 | 0.69 | bottom 36% in Indiana; bottom 37% in the U.S. |
| Weekend total nurse staffing | 3.29 | 3.01 | 3.50 | top 25% in Indiana; bottom 47% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.27 | 0.47 | 0.48 | bottom 16% in Indiana; bottom 26% in the U.S. |
| Total nursing staff turnover (%) | 36.8 | 45.9 | 45.8 | top 22% in Indiana; top 28% in the U.S. |
| RN turnover (%) | 30.0 | 40.4 | 42.9 | top 32% in Indiana; top 29% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.50, RN 0.45, weekend 3.01. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Riverview Hospital | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/01/2012 |
| Avon Healthcare Operations Company, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/01/2012 |
| Avon Healthcare Operations Company, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/21/2025 |
| Avon Properties LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2012 |
| Friend, Jayna | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2021 |
| Gibson, Cullen | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/21/2025 |
| Gimre, Jason | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Gimre, Jason | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Hyatt, David | Individual | Corporate Officer | NOT APPLICABLE | 01/28/2022 |
| Hyatt, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2012 |
| Kalu, Chijioke | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Kalu, Chijioke | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Ott Family Trust | Organization | Trustee of the SNF | NOT APPLICABLE | 08/01/2012 |
| Ott, Connie | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/25/2025 |
| Ott, Dwight | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/21/2025 |
| Ott, Gary | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/25/2025 |
| Ott, Jesse | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/21/2025 |
| Ott, Ryan | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/21/2025 |
| Tender Loving Care Management INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/01/2012 |
| Tender Loving Care Management INC | Organization | ADP of the SNF | NOT APPLICABLE | 07/21/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Majestic Care of Avon | 1.2 mi | Avon, IN | ★★☆☆☆ | 2/5 | |
| Danville Regional Rehabilitation | 2.5 mi | Danville, IN | ★★★★★ | 4/5 | |
| Countryside Meadows | 3.9 mi | Avon, IN | ★★★☆☆ | 2/5 | |
| Plainfield Health Care Center | 5.7 mi | Plainfield, IN | ★★☆☆☆ | 1/5 | SFF |
| Brooke Knoll Village | 5.7 mi | Avon, IN | ★★☆☆☆ | 2/5 | |
| Brownsburg Meadows | 5.9 mi | Brownsburg, IN | ★★★☆☆ | 2/5 | |
| Brownsburg Health Care Center | 6.2 mi | Brownsburg, IN | ★☆☆☆☆ | 1/5 | abuseSFF |
| Wellbrooke of Avon | 6.4 mi | Indianapolis, IN | ★★★★★ | 4/5 | |
| Cumberland Trace Health & Living Community | 6.7 mi | Plainfield, IN | ★★★☆☆ | 2/5 | |
| Westside Retirement Village | 7.6 mi | Indianapolis, IN | ★★☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 155236.