Copper Trace Health & Living Community
1250 W 146th Street, Westfield, IN 46074 · Hamilton County · 104 certified beds · avg 99 residents/day · certified since Dec 3, 2015
Part of chain: CARDON & ASSOCIATES (19 facilities, chain avg rating 3.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Mar 17, 2026 · F-0580 · triggered by a complaint
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 4, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (17)
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 |
|---|---|---|
| Mar 17, 2026 | ▲ G · Actual harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Dec 18, 2025 | 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. |
| Dec 18, 2025 | D · Potential for harm, one-off | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Dec 18, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Dec 18, 2025 | D · Potential for harm, one-off | 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. |
| Oct 28, 2025 | D · Potential for harm, one-off | The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · from a complaint |
| Oct 28, 2025 | 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). · from a complaint |
| Feb 10, 2025 | 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. · from a complaint |
| Jan 8, 2025 | 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. |
| Jan 8, 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 8, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jan 8, 2025 | D · Potential for harm, one-off | 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. |
| Dec 6, 2024 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Dec 6, 2024 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Nov 3, 2023 | E · Potential for harm, repeated | 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. |
| Nov 3, 2023 | 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. |
| Nov 3, 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 (4 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | E |
| 2024 | 2 | 0 | D |
| 2025 | 11 | 0 | D |
| 2026 | 1 | 1 | G ▲ |
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) | 3.93 | 3.42 | 3.95 | top 17% in Indiana; top 43% in the U.S. |
| Registered Nurse hours | 0.67 | 0.62 | 0.69 | top 33% in Indiana; top 39% in the U.S. |
| Weekend total nurse staffing | 3.43 | 3.01 | 3.50 | top 19% in Indiana; top 46% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.27 | 0.47 | 0.48 | bottom 15% in Indiana; bottom 26% in the U.S. |
| Total nursing staff turnover (%) | 68.1 | 45.9 | 45.8 | bottom 4% in Indiana; bottom 7% in the U.S. |
| RN turnover (%) | 65.2 | 40.4 | 42.9 | bottom 12% in Indiana; bottom 15% 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 3.56, RN 0.61, weekend 3.11. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5
Who owns this facility
Government - County
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Riverview Hospital | Organization | 5% or Greater Direct Ownership Interest | 100% | 10/01/2017 |
| Ankura Consulting Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/15/2022 |
| Balla, Matthew | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/23/2022 |
| Balla, Matthew | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/23/2022 |
| Balla, Matthew | Individual | ADP of the SNF | NOT APPLICABLE | 05/23/2022 |
| Bradley & Associates INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2023 |
| Cardon and Associates INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/23/2013 |
| Cardon and Associates INC | Organization | ADP of the SNF | NOT APPLICABLE | 08/22/2025 |
| Cardon Management Company LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/01/2011 |
| Cardon Management Company LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/10/2025 |
| Cattell, Zachary | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/25/2022 |
| Cattell, Zachary | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/25/2022 |
| Cattell, Zachary | Individual | ADP of the SNF | NOT APPLICABLE | 04/25/2022 |
| Cole Marketing Communications INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2015 |
| Fauth, Kendra | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/26/2021 |
| Fauth, Kendra | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/26/2021 |
| Fauth, Kendra | Individual | ADP of the SNF | NOT APPLICABLE | 12/26/2021 |
| Forvis Mazars LLP | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2021 |
| Friend, Jayna | Individual | Corporate Officer | NOT APPLICABLE | 06/04/2021 |
| Friend, Jayna | Individual | ADP of the SNF | NOT APPLICABLE | 06/03/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "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 |
|---|---|---|---|---|---|
| Retreat at the Stratford, the | 1.8 mi | Carmel, IN | ★★★★☆ | 4/5 | |
| Majestic Care of Carmel | 2.9 mi | Carmel, IN | ★★☆☆☆ | 3/5 | |
| Wellbrooke of Carmel | 3.4 mi | Carmel, IN | ★★★☆☆ | 2/5 | |
| Barrington of Carmel, the | 4.1 mi | Carmel, IN | ★★★★★ | 5/5 | |
| Restoracy of Carmel | 4.6 mi | Carmel, IN | ★★★★☆ | 3/5 | |
| Carmel Health & Living Community | 4.9 mi | Carmel, IN | ★★☆☆☆ | 2/5 | |
| Bridgewater Healthcare Center | 4.9 mi | Carmel, IN | ★★★★★ | 4/5 | |
| Wellbrooke of Westfield | 5.0 mi | Westfield, IN | ★★★★★ | 4/5 | |
| Zionsville Meadows | 5.4 mi | Zionsville, IN | ★★★★☆ | 3/5 | |
| Maple Park Village | 5.4 mi | Westfield, IN | ★★☆☆☆ | 2/5 | abuse |
| Hoosier Village | 5.5 mi | Indianapolis, IN | ★★★★☆ | 4/5 | |
| St Augustine Home for the Aged | 6.0 mi | Indianapolis, IN | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 155841.