Nursing homeActive
Signature Healthcare Of Bremen
316 Woodies Lane, Bremen, IN 46506574546349473 certified beds · 58 residentsGovernment - Hospital districtMedicare and Medicaid
Surveys on file
7
since 2023
Deficiencies
48
● 0● 48● 0
Penalties · 3 yrs
—
none on file
Last survey
2025-10-10
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 3
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Indiana Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-10-10 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-02-17 | Standard | 090 | CMS-2567 (Care Compare) | — |
| 2024-11-01 | Complaint | 090 | CMS-2567 (Care Compare) | — |
| 2024-10-04 | Complaint | 050 | CMS-2567 (Care Compare) | — |
| 2024-06-13 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-03-12 | Standard | 0140 | CMS-2567 (Care Compare) | — |
| 2023-02-15 | Standard | 080 | CMS-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.
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 2025-12-15Record 155474-20251010-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 2025-12-15Record 155474-20251010-F686
F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 155474-20250217-F578
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 155474-20250217-F623
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 155474-20250217-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 2025-03-14Record 155474-20250217-F656
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 155474-20250217-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 155474-20250217-F684
F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 155474-20250217-F740
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 2025-03-14Record 155474-20250217-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 2025-03-14Record 155474-20250217-F880
F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-27Record 155474-20241101-F557
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 2024-11-27Record 155474-20241101-F580
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 2024-11-27Record 155474-20241101-F656
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-27Record 155474-20241101-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-27Record 155474-20241101-F684
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 2024-11-27Record 155474-20241101-F755
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-27Record 155474-20241101-F757
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-27Record 155474-20241101-F760
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 2024-11-27Record 155474-20241101-F880
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 2024-10-21Record 155474-20241004-F580
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-21Record 155474-20241004-F623
F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-21Record 155474-20241004-F625
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-21Record 155474-20241004-F684
F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-21Record 155474-20241004-F694
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 2024-07-05Record 155474-20240613-F689
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-08Record 155474-20240312-F561
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-08Record 155474-20240312-F623
F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-08Record 155474-20240312-F625
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 2024-04-08Record 155474-20240312-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-08Record 155474-20240312-F657
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-08Record 155474-20240312-F677
F679Provide activities to meet all resident's needs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-08Record 155474-20240312-F679
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-08Record 155474-20240312-F684
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 2024-04-08Record 155474-20240312-F688
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 2024-04-08Record 155474-20240312-F690
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-08Record 155474-20240312-F692
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-08Record 155474-20240312-F756
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-08Record 155474-20240312-F758
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-08Record 155474-20240312-F760
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-22Record 155474-20230215-F561
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 2023-03-22Record 155474-20230215-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-22Record 155474-20230215-F657
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-22Record 155474-20230215-F684
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 2023-03-22Record 155474-20230215-F686
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-22Record 155474-20230215-F692
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 2023-03-22Record 155474-20230215-F695
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-22Record 155474-20230215-F812
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.79
Facility
Indiana
National
Indiana 0.67 · National 0.69
Total nurse hours per resident day3.37
Facility
Indiana
National
Indiana 3.68 · National 3.86
Weekend total nurse hours2.94
Facility
Indiana
National
Indiana 3.24 · National 3.42
Total nursing staff turnover50%
Facility
Indiana
National
Indiana 46% · National 46%
Registered nurse turnover27%
Facility
Indiana
National
Indiana 40% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Indiana | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.7% | 3.6% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.8% | 3.9% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 19.6% | 13.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.9% | 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 | 11.8% | 11.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 8.6% | 5.5% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 16.3% | 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)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Jackson County Schneck Memorial Hospital Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Jackson County Schneck Memorial Hospital Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | — | — |
| Asbr Holdings LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Blimling, Nicole Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Fish, Eric Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Gettinger, Paul Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Harrison, John Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Healthcare Services Group Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Houck, Jared Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Lehner, Timothy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Lewis, Linda Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| LP Bremen Management, LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mann, Deborah Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Midcap Funding IV Trust Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Moore, Jennifer Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rapp, Roland Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Revelette, Barbara Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Smedra, Ira Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Steier III, Elmer Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Stigler, Charles Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Syer, Charles Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Wintner, Jacob Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bevers, Susan Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Bevers, Susan Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Blimling, Nicole Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Doyle, Maria Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fish, Eric Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Gettinger, Paul Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gilliland, Terrence Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Gilliland, Terrence Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Harpe, Brandon Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Harpe, Brandon Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Harrison, John Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Healthcare Services Group Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Houck, Jared Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Jackson County Schneck Memorial Hospital Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kleber, Courtney Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Kleber, Courtney Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Lehner, Timothy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lewis, Linda Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| LP Bremen LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| LP Bremen Management, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mann, Deborah Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Markel, Andrew Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Markel, Andrew Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Mccory, Jack Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Mccory, Jack Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Midcap Funding IV Trust Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
| Moore, Jennifer Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Reedy, Matthew Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Reedy, Matthew Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Revelette, Barbara Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Shc Medical Partners LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Shc Medical Partners Of Indiana, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Signature Healthcare Clinical Consulting Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Signature Healthcare Consulting Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Smith, Rick Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Smith, Rick Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Stakeholder Payroll Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Storey, Marc Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Storey, Marc Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Signature Healthcare — 67 facilities
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
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Waters Of Wakarusa Skilled Nursing Facility, The Wakarusa | 8.8 mi | 2026-03-16 | 1231 |
| Southfield Village South Bend | 12.4 mi | 2026-01-13 | 0210 |
| Pilgrim Manor Plymouth | 11.1 mi | 2026-06-01 | 0312 |
| Brickyard Healthcare - Twelfth Street Care Center Mishawaka | 14.4 mi | 2025-09-12 | 2260 |
| Miller's Merry Manor Plymouth | 12.1 mi | 2025-02-07 | 0170 |
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
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |