University Heights Health and Living Community
1380 E County Line Rd S, Indianapolis, IN 46227 · Marion County · 176 certified beds · avg 125 residents/day · certified since Feb 21, 1989
Part of chain: CARDON & ASSOCIATES (19 facilities, chain avg rating 3.7★)
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 (15)
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 provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Jun 6, 2025 | D · Potential for harm, one-off | 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. |
| Jun 6, 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. |
| Nov 7, 2024 | E · Potential for harm, repeated | 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 |
| Nov 7, 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. · from a complaint |
| Aug 27, 2024 | E · Potential for harm, repeated | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Aug 27, 2024 | D · Potential for harm, one-off | The facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand. |
| Aug 27, 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. |
| Aug 27, 2024 | 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. |
| Aug 27, 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. |
| Aug 27, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| May 23, 2024 | D · Potential for harm, one-off | 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. · from a complaint |
| May 23, 2024 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · from a complaint |
| Dec 5, 2023 | 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 |
| Dec 5, 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 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (2 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | D |
| 2024 | 10 | 0 | E |
| 2025 | 2 | 0 | D |
| 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)
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) | 3.17 | 3.42 | 3.95 | bottom 40% in Indiana; bottom 20% in the U.S. |
| Registered Nurse hours | 0.48 | 0.62 | 0.69 | bottom 33% in Indiana; bottom 34% in the U.S. |
| Weekend total nurse staffing | 2.75 | 3.01 | 3.50 | bottom 40% in Indiana; bottom 18% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.30 | 0.47 | 0.48 | bottom 22% in Indiana; bottom 31% in the U.S. |
| Total nursing staff turnover (%) | 50.0 | 45.9 | 45.8 | bottom 37% in Indiana; bottom 38% in the U.S. |
| RN turnover (%) | 37.5 | 40.4 | 42.9 | top 44% in Indiana; top 42% 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 3.35, RN 0.50, weekend 2.91. 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: 5/5 · short-stay residents: 3/5
Who owns this facility
Government - County
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Riverview Hospital | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/01/2011 |
| Ankura Consulting Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/15/2022 |
| Balla, Matthew | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/23/2022 |
| Balla, Matthew | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/23/2022 |
| Balla, Matthew | Individual | ADP of the SNF | NOT APPLICABLE | 05/23/2022 |
| Bradley & Associates INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2023 |
| Cardon and Associates INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/23/2013 |
| Cardon and Associates INC | Organization | ADP of the SNF | NOT APPLICABLE | 06/24/2025 |
| Cardon Management Company LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/01/2011 |
| Cardon Management Company LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/18/2025 |
| Cattell, Zachary | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/25/2022 |
| Cattell, Zachary | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/25/2022 |
| Cattell, Zachary | Individual | ADP of the SNF | NOT APPLICABLE | 04/25/2022 |
| Cole Marketing Communications INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2015 |
| Fauth, Kendra | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/26/2021 |
| Fauth, Kendra | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/26/2021 |
| Fauth, Kendra | Individual | ADP of the SNF | NOT APPLICABLE | 12/26/2021 |
| Forvis Mazars LLP | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2021 |
| Friend, Jayna | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2021 |
| Friend, Jayna | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "How do you handle room assignments and roommate requests, and do residents get advance written notice before any move?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "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 |
|---|---|---|---|---|---|
| Greenwood Health and Living Community | 0.6 mi | Greenwood, IN | ★★★☆☆ | 3/5 | |
| Greenwood Meadows | 1.2 mi | Greenwood, IN | ★★★★★ | 4/5 | |
| Greenwood Healthcare Center | 1.4 mi | Greenwood, IN | ★★★☆☆ | 3/5 | |
| Hawthorne Healthcare Center | 1.7 mi | Indianapolis, IN | ★★★★☆ | 3/5 | |
| Majestic Care of Southport | 2.3 mi | Indianapolis, IN | ★★★☆☆ | 3/5 | |
| Southpointe Healthcare Center | 2.4 mi | Indianapolis, IN | ★★★★★ | 5/5 | |
| Greenwood Village South | 2.9 mi | Greenwood, IN | ★★★★★ | 5/5 | |
| Rosegate Village | 3.3 mi | Indianapolis, IN | ★★★★☆ | 4/5 | |
| Forest Creek Village | 4.0 mi | Indianapolis, IN | ★★★★☆ | 3/5 | |
| Aspen Trace Health & Living Community | 4.1 mi | Greenwood, IN | ★★★★★ | 5/5 | |
| Waters of Indianapolis, the | 5.2 mi | Indianapolis, IN | ★★☆☆☆ | 2/5 | abuse |
| Altenheim Health & Living Community | 5.3 mi | Indianapolis, IN | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 155327.