Signature Healthcare at Parkwood
1001 N Grant St, Lebanon, IN 46052 · Boone County · 106 certified beds · avg 83 residents/day · certified since Jun 13, 1991
Part of chain: SIGNATURE HEALTHCARE (67 facilities, chain avg rating 3.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
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 · Feb 6, 2024 · 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 (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Feb 26, 2024 (Deficient, Provider has date of correction)
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 |
|---|---|---|
| Mar 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. · from a complaint |
| Feb 17, 2025 | E · Potential for harm, repeated | 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 17, 2025 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Feb 17, 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. |
| Feb 17, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Feb 17, 2025 | D · Potential for harm, one-off | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. |
| Aug 13, 2024 | 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 |
| Mar 22, 2024 | D · Potential for harm, one-off | The facility did not let a resident return after a hospital stay or approved leave that lasted longer than the facility's bed-hold policy allowed. Residents generally have the right to come back to the next available bed. · from a complaint |
| Mar 22, 2024 | 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. · from a complaint |
| Feb 6, 2024 | ▲ 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. · from a complaint |
| Feb 6, 2024 | E · Potential for harm, repeated | 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 |
| Feb 6, 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. |
| Feb 6, 2024 | 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. |
| Feb 6, 2024 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Feb 6, 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. |
| Feb 6, 2024 | 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. · from a complaint |
| Feb 6, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate treatment and services to residents with a mental health condition, difficulty adjusting emotionally, or a history of trauma or post-traumatic stress disorder (PTSD). |
| Feb 6, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Feb 6, 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. |
| Feb 6, 2024 | D · Potential for harm, one-off | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Nov 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. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (5 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | D |
| 2024 | 14 | 1 | G ▲ |
| 2025 | 5 | 0 | E |
| 2026 | 1 | 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)
1 fine totaling $8,018, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Feb 6, 2024 | Fine | $8,018 |
| Feb 6, 2024 | Payment Denial | 16 days from Mar 7, 2024 |
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) | 3.48 | 3.42 | 3.95 | top 36% in Indiana; bottom 36% in the U.S. |
| Registered Nurse hours | 0.60 | 0.62 | 0.69 | top 43% in Indiana; top 48% in the U.S. |
| Weekend total nurse staffing | 3.00 | 3.01 | 3.50 | top 40% in Indiana; bottom 31% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.37 | 0.47 | 0.48 | bottom 41% in Indiana; bottom 46% in the U.S. |
| Total nursing staff turnover (%) | 52.1 | 45.9 | 45.8 | bottom 29% in Indiana; bottom 32% in the U.S. |
| RN turnover (%) | 66.7 | 40.4 | 42.9 | bottom 12% in Indiana; bottom 15% 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 3.54, RN 0.61, weekend 3.05. 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: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Jackson County Schneck Memorial Hospital | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/01/2013 |
| Andres, Anthony | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/07/2020 |
| Andres, Anthony | Individual | ADP of the SNF | NOT APPLICABLE | 10/07/2020 |
| Asbr Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/22/2025 |
| Bevers, Susan | Individual | Trustee of the SNF | NOT APPLICABLE | 09/01/2020 |
| Doyle, Maria | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2021 |
| Fish, Eric | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2000 |
| Forvis Mazars LLP | Organization | ADP of the SNF | NOT APPLICABLE | 11/18/2024 |
| Gilliland, Terrence | Individual | Trustee of the SNF | NOT APPLICABLE | 07/01/2012 |
| Harpe, Brandon | Individual | Trustee of the SNF | NOT APPLICABLE | 09/01/2020 |
| Harrison, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2013 |
| Harrison, John | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2013 |
| Healthcare Services Group INC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2021 |
| Houck, Jared | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/29/2024 |
| Houck, Jared | Individual | ADP of the SNF | NOT APPLICABLE | 04/29/2024 |
| Hurt, Jennifer | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2023 |
| Hurt, Jennifer | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2023 |
| Jjla LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/25/2025 |
| Kleber, Courtney | Individual | Trustee of the SNF | NOT APPLICABLE | 09/01/2020 |
| Lehner, Timothy | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
- "What specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
- "If my family member is hospitalized, what is your bed-hold policy and what guarantees their right to return?"
- "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 |
|---|---|---|---|---|---|
| Homewood Health Campus | 1.5 mi | Lebanon, IN | ★★☆☆☆ | 2/5 | |
| Waters of Lebanon, the | 3.0 mi | Lebanon, IN | ★☆☆☆☆ | 2/5 | |
| Restoracy of Whitestown, the | 7.7 mi | Whitestown, IN | ★★★★★ | 4/5 | |
| Zionsville Meadows | 12.1 mi | Zionsville, IN | ★★★★☆ | 3/5 | |
| Majestic Care of Sheridan | 13.5 mi | Sheridan, IN | ★★★★★ | 4/5 | |
| Hoosier Village | 14.2 mi | Indianapolis, IN | ★★★★☆ | 4/5 | |
| Copper Trace Health & Living Community | 14.2 mi | Westfield, IN | ★★★☆☆ | 3/5 | |
| Retreat at the Stratford, the | 14.8 mi | Carmel, IN | ★★★★☆ | 4/5 | |
| Clinton House Rehabilitation and Healthcare Center | 15.2 mi | Frankfort, IN | ★★★★★ | 4/5 | |
| Brownsburg Meadows | 15.6 mi | Brownsburg, IN | ★★★☆☆ | 2/5 | |
| Brownsburg Health Care Center | 16.1 mi | Brownsburg, IN | ★☆☆☆☆ | 1/5 | abuseSFF |
| Wellbrooke of Westfield | 16.6 mi | Westfield, IN | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 155378.