Evergreen Crossing and the Lofts

Name: Evergreen Crossing and the Lofts
Address: 5404 GEORGETOWN ROAD, Indianapolis, IN, 46254, US
Telephone: 3172915404

5404 Georgetown Road, Indianapolis, IN 46254 · Marion County · 109 certified beds · avg 94 residents/day · certified since Dec 11, 2014

Part of chain: COMMUNICARE HEALTH (110 facilities, chain avg rating 3.2★)

1/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.45

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 2/5

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 · Nov 14, 2025 · F-0686 · triggered by a complaint

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

All citations in the current public record (33)

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
Apr 17, 2026	F · Potential for harm, facility-wide	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.
Apr 17, 2026	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Apr 17, 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).
Apr 17, 2026	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.
Apr 17, 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.
Apr 17, 2026	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.
Apr 17, 2026	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.
Feb 2, 2026	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Feb 2, 2026	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
Dec 31, 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
Dec 31, 2025	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
Nov 14, 2025	▲ G · Actual harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Nov 14, 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. · from a complaint
Aug 11, 2025	E · Potential for harm, repeated	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint
Aug 11, 2025	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Aug 11, 2025	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint
Aug 11, 2025	E · Potential for harm, repeated	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint
Aug 11, 2025	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. · from a complaint
Feb 28, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Feb 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.
Feb 28, 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.
Feb 28, 2025	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Feb 28, 2025	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.
Feb 28, 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.
Nov 15, 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
Nov 15, 2024	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Mar 6, 2024	D · Potential for harm, one-off	When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. · from a complaint
Feb 7, 2024	D · Potential for harm, one-off	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint
Dec 15, 2023	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Dec 15, 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.
Dec 15, 2023	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Dec 15, 2023	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Dec 15, 2023	D · Potential for harm, one-off	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 7).

Year	Citations	Serious (G–L)	Worst severity that year
2023	5	0	E
2024	4	0	D
2025	15	1	G ▲
2026	9	0	F

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)	3.45	3.42	3.95	top 39% in Indiana; bottom 34% in the U.S.
Registered Nurse hours	0.40	0.62	0.69	bottom 18% in Indiana; bottom 22% in the U.S.
Weekend total nurse staffing	3.08	3.01	3.50	top 36% in Indiana; bottom 35% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.17	0.47	0.48	bottom 3% in Indiana; bottom 8% in the U.S.
Total nursing staff turnover (%)	52.7	45.9	45.8	bottom 28% in Indiana; bottom 30% in the U.S.
RN turnover (%)	75.0	40.4	42.9	bottom 5% in Indiana; bottom 9% 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 3.55, RN 0.41, weekend 3.16. Staffing rating: 2/5.

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
Hancock Regional Hospital	Organization	5% or Greater Direct Ownership Interest	100%	11/14/2018
Bond, Maria	Individual	Trustee of the SNF	NOT APPLICABLE	07/01/2021
Clark, Timothy	Individual	Trustee of the SNF	NOT APPLICABLE	05/01/2015
Daugherty, Joshua	Individual	Trustee of the SNF	NOT APPLICABLE	01/01/2020
Felker, Dean	Individual	Trustee of the SNF	NOT APPLICABLE	05/01/2015
Georgetown Mgt Co LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	09/01/2017
Georgetown Mgt Co LLC	Organization	ADP of the SNF	NOT APPLICABLE	09/01/2017
Joyner, Sara	Individual	Trustee of the SNF	NOT APPLICABLE	01/01/2022
Long, Steven	Individual	Operational/Managerial Control	NOT APPLICABLE	11/14/2018
Mustaklem, Marwan	Individual	Operational/Managerial Control	NOT APPLICABLE	07/20/2022
Mustaklem, Marwan	Individual	ADP of the SNF	NOT APPLICABLE	06/10/2025
Odenthal, Richard	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2017
Omega Healthcare Investors INC	Organization	ADP of the SNF	NOT APPLICABLE	09/01/2017
Omg in MSTR Lsco LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/10/2025
Spall, Amanda	Individual	Operational/Managerial Control	NOT APPLICABLE	02/19/2015
Spall, Amanda	Individual	ADP of the SNF	NOT APPLICABLE	02/19/2025
Willard, Lacey	Individual	Trustee of the SNF	NOT APPLICABLE	07/01/2022
Wilson, Roy	Individual	Trustee of the SNF	NOT APPLICABLE	05/01/2015

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"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
Robin Run Health Center	1.6 mi	Indianapolis, IN	★☆☆☆☆	1/5	abuseSFF
Northwest Manor Health Care Center	2.8 mi	Indianapolis, IN	★★★☆☆	2/5
Alpha Home - a Waters Community	3.8 mi	Indianapolis, IN	★☆☆☆☆	1/5
Eagle Valley Meadows	4.2 mi	Indianapolis, IN	★★☆☆☆	1/5
Hooverwood	4.3 mi	Indianapolis, IN	★☆☆☆☆	1/5	abuse
Marquette	4.4 mi	Indianapolis, IN	★★★★★	4/5
Harcourt Terrace Nursing and Rehabilitation	4.5 mi	Indianapolis, IN	★★☆☆☆	1/5
Westpark a Waters Community	4.7 mi	Indianapolis, IN	★☆☆☆☆	2/5
St Augustine Home for the Aged	4.8 mi	Indianapolis, IN	★★★★★	4/5
Spring Mill Meadows	4.9 mi	Indianapolis, IN	★★★☆☆	2/5
Brickyard Healthcare - Willow Springs Care Center	5.0 mi	Indianapolis, IN	★★☆☆☆	2/5
Hoosier Village	5.5 mi	Indianapolis, IN	★★★★☆	4/5

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 155826.

The Care File

Visit checklist — Evergreen Crossing and the Lofts

5404 Georgetown Road, Indianapolis, IN 46254 · 3172915404

Health inspection rating 1/5 · CMS overall 2/5· Fines (3y): $0

Most serious findings on record:

▲ Nov 14, 2025 (F-0686, Actual harm, one-off): The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Questions for the administrator:

☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 155826 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)