Pineknoll Rehabilitation Centre
160 N Middle School Rd, Winchester, IN 47394 · Randolph County · 58 certified beds · avg 52 residents/day · certified since Jun 30, 1994
Part of chain: HCF MANAGEMENT INDIANA (6 facilities, chain avg rating 3.5★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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 (8)
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 27, 2025 | E · Potential for harm, repeated | The facility employed staff who were not licensed, certified, or registered as required by state law. |
| May 27, 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). |
| Apr 19, 2024 | 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. |
| Feb 20, 2023 | 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 20, 2023 | E · Potential for harm, repeated | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Feb 20, 2023 | 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. |
| Feb 20, 2023 | 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 20, 2023 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | E |
| 2024 | 1 | 0 | F |
| 2025 | 2 | 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) | 3.54 | 3.42 | 3.95 | top 34% in Indiana; bottom 38% in the U.S. |
| Registered Nurse hours | 0.57 | 0.62 | 0.69 | top 48% in Indiana; bottom 48% in the U.S. |
| Weekend total nurse staffing | 2.87 | 3.01 | 3.50 | top 48% in Indiana; bottom 24% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.26 | 0.47 | 0.48 | bottom 15% in Indiana; bottom 24% in the U.S. |
| Total nursing staff turnover (%) | 28.8 | 45.9 | 45.8 | top 8% in Indiana; top 12% in the U.S. |
| RN turnover (%) | 22.2 | 40.4 | 42.9 | top 17% in Indiana; top 17% 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 3.76, RN 0.61, weekend 3.05. 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: 3/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Witham Memorial Hospital | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/01/2011 |
| Bayston, Brett | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Brand, John | Individual | Corporate Director | NOT APPLICABLE | 11/01/2016 |
| Braverman, Kelly | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2021 |
| Castetter, Andrea | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Hawkins, Claude | Individual | Corporate Director | NOT APPLICABLE | 11/01/2016 |
| Hornbecker, Michael | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Magnolia Health Management XXV, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/01/2011 |
| Magnolia Health Systems 56, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/13/2025 |
| Magnolia Health Systems INC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2011 |
| Reagan, Julie | Individual | Corporate Director | NOT APPLICABLE | 09/25/2024 |
| Reed, Michael | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 12/09/2025 |
| Reed, Stuart | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2011 |
| Sabra Health Care Limited Partnership | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2011 |
| Sellers, Daniel | Individual | Corporate Officer | NOT APPLICABLE | 06/20/2024 |
| Thorn, Rosalind | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/28/2025 |
| Thorn, Rosalind | Individual | ADP of the SNF | NOT APPLICABLE | 12/12/2025 |
| Ward, Jonathan | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2011 |
| Watkins, Kenneth | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/28/2025 |
| Watkins, Kenneth | Individual | ADP of the SNF | NOT APPLICABLE | 10/28/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you verify licenses and certifications for every caregiver before they start, and how often do you recheck them?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
- "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 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 |
|---|---|---|---|---|---|
| Union City Care Center | 9.7 mi | Union City, OH | ★★★★★ | 4/5 | |
| Parker Health Care & Rehabilitation Center | 11.9 mi | Parker City, IN | ★★★★★ | 5/5 | |
| Albany Health Care & Rehabilitation Center | 16.7 mi | Albany, IN | ★★☆☆☆ | 2/5 | abuse |
| Envive of Muncie | 17.0 mi | Muncie, IN | ★★☆☆☆ | 3/5 | |
| Persimmon Ridge Rehabilitation Centre | 17.9 mi | Portland, IN | ★★☆☆☆ | 2/5 | |
| Cardinal Care Strategies | 18.8 mi | Muncie, IN | ★☆☆☆☆ | 1/5 | abuseSFF |
| Brethren Retirement Community | 18.8 mi | Greenville, OH | ★★☆☆☆ | 2/5 | |
| Ayden Healthcare of Greenville | 19.0 mi | Greenville, OH | ★☆☆☆☆ | 2/5 | |
| Waters of Dunkirk Skilled Nursing Facility, the | 19.0 mi | Dunkirk, IN | ★★☆☆☆ | 1/5 | abuse |
| Rest Haven Nursing Home INC | 19.5 mi | Greenville, OH | ★★★★☆ | 3/5 | |
| Brickyard Healthcare - Richmond Care Center | 19.5 mi | Richmond, IN | ★☆☆☆☆ | 1/5 | abuse |
| Village Green Rehabilitation and Healthcare Center | 19.6 mi | Greenville, OH | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 155527.