Nursing homeActive

Pilgrim Manor

222 Parkview St, Plymouth, IN 46563574936994378 certified beds · 65 residentsGovernment - CountyMedicare and Medicaid
Surveys on file
6
since 2023
Deficiencies
33
0312
Penalties · 3 yrs
$45,580
1 fine
Last survey
2026-06-01
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 1
Staffing 2
Quality 5
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Indiana Department of Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-06-01Complaint020CMS-2567 (Care Compare)
2026-04-16Complaint010CMS-2567 (Care Compare)
2026-02-13Standard0101CMS-2567 (Care Compare)
2024-11-27Standard0101CMS-2567 (Care Compare)
2024-08-28Complaint050CMS-2567 (Care Compare)
2023-12-22Standard030CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Indiana Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-06-01Complaint survey · 2 deficienciesOfficial report
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-10Record 155073-20260601-F605
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-10Record 155073-20260601-F690
2026-04-16Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 155073-20260416-F689
2026-02-13Standard survey · 11 deficienciesOfficial report
F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-03-19Record 155073-20260213-F691
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-13Record 155073-20260213-F550
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-19Record 155073-20260213-F552
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-19Record 155073-20260213-F580
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-13Record 155073-20260213-F604
F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-13Record 155073-20260213-F688
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-13Record 155073-20260213-F755
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-03-13Record 155073-20260213-F812
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-03-19Record 155073-20260213-F880
F881Implement a program that monitors antibiotic use.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-13Record 155073-20260213-F881
F908Keep all essential equipment working safely.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-13Record 155073-20260213-F908
2024-11-27Standard survey · 11 deficienciesOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-12-27Record 155073-20241127-F684
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-27Record 155073-20241127-F550
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-27Record 155073-20241127-F558
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-27Record 155073-20241127-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-27Record 155073-20241127-F656
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-27Record 155073-20241127-F689
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-27Record 155073-20241127-F695
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-04Record 155073-20241127-F755
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-04Record 155073-20241127-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-27Record 155073-20241127-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-27Record 155073-20241127-F880
2024-08-28Complaint survey · 5 deficienciesOfficial report
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-21Record 155073-20240828-F604
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-21Record 155073-20240828-F607
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-21Record 155073-20240828-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-21Record 155073-20240828-F610
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-21Record 155073-20240828-F689
2023-12-22Standard survey · 3 deficienciesOfficial report
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-15Record 155073-20231222-F656
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-15Record 155073-20231222-F686
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-01-15Record 155073-20231222-F812

Penalties & enforcement

DateActionAmountSource
2026-02-13Civil money penalty$45,580CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.62
Facility
Indiana
National
Indiana 0.67 · National 0.69
Total nurse hours per resident day3.43
Facility
Indiana
National
Indiana 3.68 · National 3.86
Weekend total nurse hours3.08
Facility
Indiana
National
Indiana 3.24 · National 3.42
Total nursing staff turnover39%
Facility
Indiana
National
Indiana 46% · National 46%
Registered nurse turnover43%
Facility
Indiana
National
Indiana 40% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityIndianaNational
Percentage of long-stay residents with pressure ulcers
lower is better
1.7%3.6%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
3.4%3.9%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
8.1%13.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
8.9%1.1%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
18.9%11.0%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
6.4%5.5%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
20.1%23.5%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Adams County Memorial Hospital
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Borne-Bauman, Candice
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Combs, James
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Flueckiger, Russell
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Holm, Byron
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Lehman, Scott
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Macklin, Larry
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Mcintire, David
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Pilgrim Manor Operations
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Smith, Scott
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Sprunger, Kyle
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Wheeler, Dane
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
222 Parkview Propco LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Advanced Care Consultants LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Blue Management Services LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Borne-Bauman, Candice
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Clinical Consulting Services LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Combs, James
Individual
ADP OF THE SNFNOT APPLICABLE
First Bank Of Berne
Organization
ADP OF THE SNFNOT APPLICABLE
Flueckiger, Russell
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Greatorex, Tina
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Holm, Byron
Individual
ADP OF THE SNFNOT APPLICABLE
Lehman, Scott
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Macklin, Larry
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Mcintire, David
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Nbh Bank
Organization
5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
Pilgrim Manor Operations
Organization
ADP OF THE SNFNOT APPLICABLE
Schiowitz, Marc
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Sebbag, Gabriel
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Summation Financial Services LLC
Organization
ADP OF THE SNFNOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Indiana.

No county cost figures on file for Marshall.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Miller's Merry Manor
Plymouth
1.5 mi2025-02-070170
Miller's Merry Manor
Culver
10.6 mi2026-03-040110
Signature Healthcare Of Bremen
Bremen
11.1 mi2025-10-100400
Miller's Merry Manor
Walkerton
11.9 mi2026-05-190151
Southfield Village
South Bend
18.1 mi2026-01-130210
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01