Shady Nook Care Center

Name: Shady Nook Care Center
Address: 36 VILLAGE DRIVE, Lawrenceburg, IN, 47025, US
Telephone: 8125370930

36 Village Drive, Lawrenceburg, IN 47025 · Dearborn County · 94 certified beds · avg 88 residents/day · certified since May 9, 1994

Part of chain: ADAMS COUNTY MEMORIAL HOSPITAL (8 facilities, chain avg rating 2.9★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.65

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★☆☆☆2/5 · 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)

▲ Actual harm, one-off · Nov 20, 2025 · F-0760 · triggered by a complaint

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.

Why it matters: A serious medication error can cause real harm, hospitalization, or worse.

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 (21)

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 12, 2026	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. · from a complaint
Jan 23, 2026	D · Potential for harm, 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 23, 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. · from a complaint
Jan 6, 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.
Jan 6, 2026	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.
Jan 6, 2026	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.
Nov 20, 2025	▲ G · Actual 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
Feb 19, 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. · from a complaint
Nov 13, 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.
Nov 13, 2024	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.
Nov 13, 2024	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.
Nov 13, 2024	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 13, 2024	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.
Nov 13, 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.
Jun 5, 2024	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. · from a complaint
Sep 25, 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. · from a complaint
Sep 25, 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. · from a complaint
Sep 25, 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.
Sep 25, 2023	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.
Sep 25, 2023	D · Potential for harm, one-off	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Sep 25, 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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (6 → 3).

Year	Citations	Serious (G–L)	Worst severity that year
2023	6	0	D
2024	7	0	F
2025	2	1	G ▲
2026	6	0	D

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)	2.65	3.42	3.95	bottom 8% in Indiana; bottom 6% in the U.S.
Registered Nurse hours	0.67	0.62	0.69	top 34% in Indiana; top 39% in the U.S.
Weekend total nurse staffing	2.17	3.01	3.50	bottom 4% in Indiana; bottom 3% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.38	0.47	0.48	bottom 45% in Indiana; bottom 49% in the U.S.
Total nursing staff turnover (%)	0.0	45.9	45.8	—
RN turnover (%)	0.0	40.4	42.9	—

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 2.97, RN 0.75, weekend 2.43. Staffing rating: 1/5.

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: 2/5 · short-stay residents: 5/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
36 Valley Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	09/01/2020
Adams County Memorial Hospital	Organization	Operational/Managerial Control	NOT APPLICABLE	09/01/2020
Advanced Care Consultants LLC	Organization	ADP of the SNF	NOT APPLICABLE	09/01/2020
Blue Management Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2024
Boltz, Lindsey	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2020
Boltz, Lindsey	Individual	ADP of the SNF	NOT APPLICABLE	09/01/2020
Borne-Bauman, Candice	Individual	Managing Control - Governing Body	NOT APPLICABLE	09/01/2020
Borne-Bauman, Candice	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2020
Clinical Consulting Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	09/01/2020
David M Fistel in LLC	Organization	ADP of the SNF	NOT APPLICABLE	09/01/2020
First Bank of Berne	Organization	ADP of the SNF	NOT APPLICABLE	09/01/2020
Flueckiger, Russell	Individual	Managing Control - Governing Body	NOT APPLICABLE	09/01/2020
Flueckiger, Russell	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2020
Greatorex, Tina	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	02/02/2026
Greenberg, David	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	02/03/2026
Greystone Funding Company LLC	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	09/01/2020
JSJ Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/01/2020
Keg Investments LLC	Organization	ADP of the SNF	NOT APPLICABLE	09/01/2020
Lahasky, Ephram	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	02/03/2026
Lehman, Scott	Individual	Managing Control - Governing Body	NOT APPLICABLE	09/01/2020

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 systems do you use to prevent medication errors, and what happens when one occurs?"
"How do you keep residents' medical records accurate, complete, and secure?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"What specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"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
Envive of Lawrenceburg	0.3 mi	Lawrenceburg, IN	★★★☆☆	2/5
Ridgewood Health Campus	0.6 mi	Lawrenceburg, IN	★★★★☆	3/5
Shawneespring Health Care Center	9.8 mi	Harrison, OH	★★☆☆☆	2/5
Three Rivers Healthcare Center	10.2 mi	Cincinnati, OH	★★★☆☆	2/5
Harrison Trail Health Campus	11.2 mi	Harrison, OH	★★★★★	5/5
Waters of Dillsboro-Ross Manor, the	11.7 mi	Dillsboro, IN	★☆☆☆☆	2/5
Western Hills Retirement Village	12.2 mi	Cincinnati, OH	★★★★☆	3/5
Waters of Rising Sun, the	12.3 mi	Rising Sun, IN	★★★☆☆	3/5
Delhi Post-Acute	12.6 mi	Cincinnati, OH	★☆☆☆☆	2/5
Bayley Place	13.0 mi	Cincinnati, OH	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Lawrenceburg →

Facility data as of CMS processing date 2026-08-01. CCN 155525.

The Care File

Visit checklist — Shady Nook Care Center

36 Village Drive, Lawrenceburg, IN 47025 · 8125370930

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

Most serious findings on record:

▲ Nov 20, 2025 (F-0760, Actual 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.

Questions for the administrator:

☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "What specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "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 155525 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)