Twin City Health Care

Name: Twin City Health Care
Address: 627 E NORTH H STREET, Gas City, IN, 46933, US
Telephone: 7656748516

627 E North H Street, Gas City, IN 46933 · Grant County · 75 certified beds · avg 38 residents/day · certified since Apr 13, 1984

Part of chain: HCF MANAGEMENT INDIANA (6 facilities, chain avg rating 3.5★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.99

Nurse hours/resident/day (adjusted)

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 (10)

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
Aug 14, 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).
Aug 14, 2025	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.
Sep 17, 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.
Sep 17, 2024	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Sep 25, 2023	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Sep 25, 2023	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Sep 25, 2023	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.
Sep 25, 2023	C · Minimal risk, facility-wide	The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman.
Aug 15, 2023	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Aug 15, 2023	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

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (2 → 2).

Year	Citations	Worst severity that year
2023	6	E
2024	2	E
2025	2	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)	2.99	3.42	3.95	bottom 27% in Indiana; bottom 13% in the U.S.
Registered Nurse hours	0.44	0.62	0.69	bottom 25% in Indiana; bottom 28% in the U.S.
Weekend total nurse staffing	2.75	3.01	3.50	bottom 39% in Indiana; bottom 18% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.46	0.47	0.48	top 39% in Indiana; top 38% in the U.S.
Total nursing staff turnover (%)	40.5	45.9	45.8	top 34% in Indiana; top 38% in the U.S.
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 3.57, RN 0.52, weekend 3.28. 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: 4/5 · short-stay residents: 5/5

Who owns this facility

Government - County

Owner / manager	Type	Role	Stake	Since
Witham Memorial Hospital	Organization	5% or Greater Direct Ownership Interest	100%	11/01/2011
Bayston, Brett	Individual	Corporate Director	NOT APPLICABLE	01/01/2023
Brand, John	Individual	Corporate Director	NOT APPLICABLE	01/01/2015
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	09/01/2013
Hornbecker, Michael	Individual	Corporate Director	NOT APPLICABLE	01/01/2024
Magnolia Health Management VII	Organization	Operational/Managerial Control	NOT APPLICABLE	11/01/2011
Magnolia Health Systems 59, 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
Offerle, Andrew	Individual	Operational/Managerial Control	NOT APPLICABLE	10/29/2025
Offerle, Andrew	Individual	ADP of the SNF	NOT APPLICABLE	10/29/2025
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	11/13/2025
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
Sanders, Jessica	Individual	Operational/Managerial Control	NOT APPLICABLE	10/29/2025
Sanders, Jessica	Individual	ADP of the SNF	NOT APPLICABLE	10/29/2025
Sellers, Daniel	Individual	Corporate Officer	NOT APPLICABLE	06/20/2024
Ward, Jonathan	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2011

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 written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"Where do you post your latest state inspection results and the ombudsman's contact information?"
"What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
"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
Colonial Oaks Health Care Center	3.4 mi	Marion, IN	★★★★★	5/5
Wesleyan Health Care Center	4.1 mi	Marion, IN	★★★☆☆	2/5
Aperion Care Marion LLC	4.9 mi	Marion, IN	★★☆☆☆	1/5	abuse
University Nursing Center	6.1 mi	Upland, IN	★★☆☆☆	1/5	abuse
Miller's Merry Manor	6.5 mi	Marion, IN	★★★☆☆	3/5
Summit Health and Living	11.5 mi	Summitville, IN	★★★★☆	4/5
Waters of Hartford City Skilled Nursing Facility	11.9 mi	Hartford City, IN	★★★★★	5/5
Envive of Hartford City	13.1 mi	Hartford City, IN	★★★☆☆	3/5
Rolling Meadows Health Care Center	14.2 mi	La Fontaine, IN	★★★★★	5/5
Heritage Pointe of Warren	16.3 mi	Warren, IN	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Gas City →

Facility data as of CMS processing date 2026-08-01. CCN 155232.

The Care File

Visit checklist — Twin City Health Care

627 E North H Street, Gas City, IN 46933 · 7656748516

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "Where do you post your latest state inspection results and the ombudsman's contact information?"
☐ "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
☐ "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 155232 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)