Paoli Health and Living Community
559 W Longest St, Paoli, IN 47454 · Orange County · 109 certified beds · avg 81 residents/day · certified since Jun 12, 1989
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: ★☆☆☆☆1/5 · CMS overall rating: 1/5
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)
▲ Immediate jeopardy, one-off · Jan 24, 2025 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Dec 21, 2024 (Past Non-Compliance)
▲ Immediate jeopardy, one-off · Jan 24, 2025 · F-0689 · triggered by a complaint
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 (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Dec 27, 2024 (Past Non-Compliance)
All citations in the current public record (28)
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 |
|---|---|---|
| Jan 15, 2026 | 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 |
| Jan 15, 2026 | 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 |
| Jan 15, 2026 | D · Potential for harm, one-off | 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. · from a complaint |
| Apr 11, 2025 | E · Potential for harm, repeated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Apr 11, 2025 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Apr 11, 2025 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Apr 11, 2025 | 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. |
| Apr 11, 2025 | D · Potential for harm, one-off | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Apr 11, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Apr 11, 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. |
| Apr 11, 2025 | D · Potential for harm, one-off | The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. |
| Apr 11, 2025 | D · Potential for harm, one-off | 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. |
| Apr 11, 2025 | D · Potential for harm, one-off | The facility did not provide its staff with required training on behavioral health — caring for residents with conditions like dementia, depression, or other mental health needs. |
| Jan 24, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jan 24, 2025 | ▲ J · Immediate jeopardy, 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 24, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Jun 11, 2024 | 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. · from a complaint |
| Apr 16, 2024 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. · from a complaint |
| Feb 13, 2024 | E · Potential for harm, repeated | 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 13, 2024 | E · Potential for harm, repeated | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Feb 13, 2024 | E · Potential for harm, repeated | The facility did not make sure its nurse aides were properly trained — aides working more than 4 months must be trained and competent, and newer aides must be enrolled in training. |
| Feb 13, 2024 | 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. |
| Feb 13, 2024 | 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. |
| Feb 13, 2024 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Feb 13, 2024 | 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. |
| Feb 13, 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. |
| Mar 30, 2022 | 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. |
| Mar 30, 2022 | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 2 | 0 | D |
| 2024 | 10 | 0 | E |
| 2025 | 13 | 2 | J ▲ |
| 2026 | 3 | 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)
2 fines totaling $28,138.
| Date | Type | Amount / length |
|---|---|---|
| Jan 24, 2025 | Fine | $14,069 |
| Jan 24, 2025 | Fine | $14,069 |
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) | 3.33 | 3.42 | 3.95 | top 46% in Indiana; bottom 28% in the U.S. |
| Registered Nurse hours | 0.57 | 0.62 | 0.69 | top 49% in Indiana; bottom 47% in the U.S. |
| Weekend total nurse staffing | 2.74 | 3.01 | 3.50 | bottom 38% in Indiana; bottom 18% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.35 | 0.47 | 0.48 | bottom 36% in Indiana; bottom 43% in the U.S. |
| Total nursing staff turnover (%) | 58.0 | 45.9 | 45.8 | bottom 17% in Indiana; bottom 20% 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 3.26, RN 0.56, weekend 2.68. 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: 4/5 · long-stay residents: 5/5 · 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% | 09/01/2011 |
| 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 | 06/26/2025 |
| Cardon Management Company LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/01/2011 |
| Cardon Management Company LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/26/2025 |
| 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 |
| Emerson, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/15/2018 |
| Emerson, Mark | Individual | ADP of the SNF | NOT APPLICABLE | 04/15/2018 |
| 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 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "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 |
|---|---|---|---|---|---|
| Springs Valley Meadows | 6.0 mi | French Lick, IN | ★★★★★ | 4/5 | |
| Mitchell Manor | 11.0 mi | Mitchell, IN | ★★★☆☆ | 3/5 | |
| White River Lodge | 18.6 mi | Bedford, IN | ★★★★☆ | 4/5 | |
| Todd-Dickey Nursing and Rehabilitation | 19.0 mi | Leavenworth, IN | ★★★★★ | 4/5 | |
| Stonebridge Health Campus | 19.2 mi | Bedford, IN | ★★★★★ | 5/5 | |
| Majestic Care of Bedford | 19.8 mi | Bedford, IN | ★★★☆☆ | 2/5 | abuse |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 155333.