Northwest Manor Health Care Center
6440 W 34th St, Indianapolis, IN 46224 · Marion County · 126 certified beds · avg 114 residents/day · certified since Jan 12, 1967
Part of chain: ADAMS COUNTY MEMORIAL HOSPITAL (8 facilities, chain avg rating 2.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · 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 · May 13, 2026 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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: Jun 12, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (16)
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 |
|---|---|---|
| May 13, 2026 | ▲ G · Actual 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. |
| May 13, 2026 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| May 13, 2026 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| May 13, 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). |
| May 13, 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. |
| May 13, 2026 | 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. |
| May 13, 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. |
| Jul 22, 2025 | D · Potential for harm, one-off | 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 |
| Jul 22, 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 |
| Jun 11, 2025 | 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. |
| Jun 11, 2025 | 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. |
| Jun 11, 2025 | 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. |
| Jun 11, 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. |
| Apr 4, 2024 | 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. |
| Apr 4, 2024 | 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. |
| Apr 4, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 3 | 0 | E |
| 2025 | 6 | 0 | E |
| 2026 | 7 | 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) | 3.96 | 3.42 | 3.95 | top 16% in Indiana; top 41% in the U.S. |
| Registered Nurse hours | 0.58 | 0.62 | 0.69 | top 46% in Indiana; bottom 50% in the U.S. |
| Weekend total nurse staffing | 3.42 | 3.01 | 3.50 | top 19% in Indiana; top 46% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.33 | 0.47 | 0.48 | bottom 30% in Indiana; bottom 39% in the U.S. |
| Total nursing staff turnover (%) | 24.2 | 45.9 | 45.8 | top 4% in Indiana; top 6% in the U.S. |
| RN turnover (%) | 36.8 | 40.4 | 42.9 | top 43% in Indiana; top 41% 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 3.96, RN 0.58, weekend 3.42. Staffing rating: 4/5.
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
Government - County
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Moser, Steven | Individual | 5% or Greater Indirect Ownership Interest | 50% | 07/01/2012 |
| Vanderbur, Sharon | Individual | 5% or Greater Indirect Ownership Interest | 50% | 07/01/2012 |
| Adams County Memorial Hospital | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2012 |
| Blue Management Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/01/2023 |
| Borne-Bauman, Candice | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2019 |
| Borne-Bauman, Candice | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2019 |
| First Bank of Berne | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2020 |
| Flueckiger, Russell | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2012 |
| Flueckiger, Russell | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2012 |
| Forvis Mazars LLP | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/01/2023 |
| Forvis Mazars LLP | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2023 |
| Kaehr, Ellen | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/15/2020 |
| Kaehr, Ellen | Individual | ADP of the SNF | NOT APPLICABLE | 09/15/2020 |
| Lehman, Scott | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/14/2020 |
| Lehman, Scott | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/14/2020 |
| Lument Real Estate Capital LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 07/01/2012 |
| Macklin, Larry | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2012 |
| Macklin, Larry | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2012 |
| McIntire, David | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2019 |
| McIntire, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "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?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "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 |
|---|---|---|---|---|---|
| Eagle Valley Meadows | 1.6 mi | Indianapolis, IN | ★★☆☆☆ | 1/5 | |
| Evergreen Crossing and the Lofts | 2.8 mi | Indianapolis, IN | ★★☆☆☆ | 1/5 | |
| Westside Retirement Village | 3.3 mi | Indianapolis, IN | ★★☆☆☆ | 1/5 | |
| Envive of Indianapolis | 3.4 mi | Indianapolis, IN | ★☆☆☆☆ | 1/5 | |
| Westpark a Waters Community | 3.7 mi | Indianapolis, IN | ★☆☆☆☆ | 2/5 | |
| Alpha Home - a Waters Community | 3.8 mi | Indianapolis, IN | ★☆☆☆☆ | 1/5 | |
| Robin Run Health Center | 3.9 mi | Indianapolis, IN | ★☆☆☆☆ | 1/5 | abuseSFF |
| Wellbrooke of Avon | 4.2 mi | Indianapolis, IN | ★★★★★ | 4/5 | |
| Brooke Knoll Village | 4.8 mi | Avon, IN | ★★☆☆☆ | 2/5 | |
| Washington Healthcare Center | 5.8 mi | Indianapolis, IN | ★★★★☆ | 3/5 | |
| Brownsburg Health Care Center | 5.9 mi | Brownsburg, IN | ★☆☆☆☆ | 1/5 | abuseSFF |
| North Capitol Nursing & Rehabilitation Center | 6.1 mi | Indianapolis, IN | ★★★☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 155041.