Stonebrooke Rehabilitation Center

Name: Stonebrooke Rehabilitation Center
Address: 990 N 16TH ST, New Castle, IN, 47362, US
Telephone: 7655290230

990 N 16th St, New Castle, IN 47362 · Henry County · 117 certified beds · avg 69 residents/day · certified since Apr 9, 1974

Part of chain: AMERICAN SENIOR COMMUNITIES (90 facilities, chain avg rating 3.9★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.86

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★☆☆3/5 · 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 · Jun 17, 2026 · 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 (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jul 16, 2026 (Deficient, Provider has date of correction)

All citations in the current public record (32)

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
Jun 17, 2026	▲ G · Actual 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
Jun 17, 2026	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
Oct 23, 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. · from a complaint
Oct 23, 2025	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
Oct 23, 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
May 20, 2025	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · from a complaint
May 20, 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.
May 20, 2025	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.
May 20, 2025	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.
May 20, 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 9, 2025	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
Mar 22, 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.
Mar 22, 2024	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Mar 22, 2024	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Mar 22, 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.
Mar 22, 2024	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.
Mar 22, 2024	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.
Mar 22, 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 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.
Sep 26, 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
Jan 24, 2023	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.
Jan 24, 2023	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jan 24, 2023	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.
Jan 24, 2023	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.
Jan 24, 2023	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.
Jan 24, 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.
Jan 24, 2023	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.
Jan 24, 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.
Jan 24, 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.
Jan 24, 2023	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Jan 24, 2023	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.
Jan 24, 2023	D · Potential for harm, one-off	The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (8 → 5).

Year	Citations	Serious (G–L)	Worst severity that year
2023	13	0	F
2024	8	0	F
2025	9	0	D
2026	2	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)	3.86	3.42	3.95	top 19% in Indiana; top 46% in the U.S.
Registered Nurse hours	0.46	0.62	0.69	bottom 29% in Indiana; bottom 31% in the U.S.
Weekend total nurse staffing	3.33	3.01	3.50	top 24% in Indiana; bottom 49% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.38	0.47	0.48	bottom 43% in Indiana; bottom 48% in the U.S.
Total nursing staff turnover (%)	38.8	45.9	45.8	top 29% in Indiana; top 33% in the U.S.
RN turnover (%)	57.1	40.4	42.9	bottom 21% in Indiana; bottom 26% 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 4.24, RN 0.50, weekend 3.66. 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: 2/5 · long-stay residents: 3/5 · short-stay residents: 1/5

Who owns this facility

Government - County

Owner / manager	Type	Role	Stake	Since
Henry County Memorial Hospital	Organization	5% or Greater Direct Ownership Interest	100%	01/01/2023
American Senior Communities LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2023
American Senior Communities LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/25/2025
Carter, Amy	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2023
Carter, Amy	Individual	ADP of the SNF	NOT APPLICABLE	03/25/2025
Chies, Steven	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2023
Davis, Keith	Individual	Operational/Managerial Control	NOT APPLICABLE	03/18/2025
Davis, Keith	Individual	ADP of the SNF	NOT APPLICABLE	03/25/2025
Dice, Mark	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2023
Dice, Mark	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2023
Dynes, Sheldon	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2013
Dynes, Sheldon	Individual	Trustee of the SNF	NOT APPLICABLE	01/01/2013
Henry County Memorial Hospital	Organization	ADP of the SNF	NOT APPLICABLE	05/07/2025
Jackson, Blake	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2023
Jackson, Ethan	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2023
Jackson, Mark	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2023
Jackson, Michael	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/14/2024
Jackson, Wessley	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2023
Justice, David	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2023
Kelsey, Donna	Individual	Managing Control - Governing Body	NOT APPLICABLE	07/18/2024

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?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"What specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"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
Waters of New Castle, the	0.1 mi	New Castle, IN	★★★☆☆	3/5
Hickory Creek at New Castle	0.1 mi	New Castle, IN	★★☆☆☆	3/5
Willows of New Castle	0.2 mi	New Castle, IN	★★☆☆☆	3/5
Glen Oaks Health Campus	3.1 mi	New Castle, IN	★★★★☆	3/5
Middletown Nursing and Rehabilitation Center	12.1 mi	Middletown, IN	★★★★☆	3/5
Waters of Middletown Skilled Nursing Facility, the	12.5 mi	Middletown, IN	★★★★☆	4/5
Waters Edge Village	17.1 mi	Muncie, IN	★★★★☆	3/5
Waters of Chesterfield Skilled Nursing Facility	17.1 mi	Chesterfield, IN	★★★★☆	4/5
Yorktown Manor	17.3 mi	Yorktown, IN	★★★★☆	4/5
Cardinal Care Strategies	17.5 mi	Muncie, IN	★☆☆☆☆	1/5	abuseSFF
Brookside Care Strategies	17.7 mi	Muncie, IN		—/5	abuseSFF
Woodlands the	17.7 mi	Muncie, IN	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in New Castle →

Facility data as of CMS processing date 2026-08-01. CCN 155160.

The Care File

Visit checklist — Stonebrooke Rehabilitation Center

990 N 16th St, New Castle, IN 47362 · 7655290230

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

Most serious findings on record:

▲ Jun 17, 2026 (F-0600, Actual 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.

Questions for the administrator:

☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "What specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "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 155160 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)