Indiana State Department of Health
Division of Long Term Care
 
CONSUMER REPORT
 
ENVIVE OF ANDERSON
 
NURSING HOME
SKILLED NURSING FACILITY / NURSING FACILITY DUALLY CERTIFIED
Created on: 07/25/2025
 
Posted to the Web on: 08/06/2025
 
 



Basic Information

FACILITY CONTACT INFORMATION:
Address: 1821 LINDBERG RD
City: ANDERSON
Telephone: (765) 649-2532
Web Site:  
 
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
 
LICENSE INFORMATION:
  License number: 24-000027-1
  License effective date: 12/01/2024
  License expiration date: 11/30/2025
 


Administration and Staff

Administrator: RYAN KINZIE
  Start date: 05/19/2025
 
Director of Nursing: MICHELLE KOONTZ
  Start date: 12/29/2023
 
Medical director:  
  Start date:   /  /  
 
Wound care specialist:  
  Start date:   /  /  
 
Infection preventionist: Tiffany Tackett
  Start date:   /  /  
 


Ownership

CURENT OWNERSHIP:
 
Owning corporation: ADAMS COUNTY MEMORIAL HOSPITAL
1100 MERCER AVENUE
DECATUR IN 46733
 
Ownership type:  NON-PROFIT
 
Officer(s): RUSSELL FLUECKIGER
            DANE WHEELER
            SCOTT SMITH
            LARRY MACKLIN
            DAVID MCINTIRE
            SCOTT LEHMAN
            KYLE SPRUNGER
            TIFFANY WILLIAMS
            ELIZABETH FISHER
            ADAM MILLER, J.D.
            AMBER LAUTZENHEISE
            CANDICE BORNE-BAUMAN
 
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: BOARD OF TRUSTEES OF THE FLAVIUS J WITHAM MEMORIAL
Date of last change of ownership: 12/01/2021
 


Bed Counts and Census

COMPREHENSIVE CARE BEDS:
Number of Medicaid beds (NF):                     0
Number of Medicare beds (SNF):                    0
Number of Medicare/Medicaid beds (SNF/NF):        97
Number of non-certified comprehensive care beds (State Licensed only):     0
Total number of comprehensive care beds:     97
 
RESIDENTIAL CARE BEDS:
 
Total number of residential beds:            0
 
Total number of beds in facility:            97
 
CENSUS:
Facility census:  51
As reported by the facility on: 01/26/2023
 
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 01/26/2023
 
Residential care beds occupied:  0
As reported by the facility on: 01/26/2023
 
Alzheimer Beds:  0
Alzheimer Beds Occupied:  0
As reported by the facility on:   /  /  
 
Ventilator Beds:  0
Ventilator Beds Occupied:  0
As reported by the facility on:   /  /  
 


Sprinklers and Smoke Detectors

This facility is: FULLY SPRINKLERED
 
Number of comprehensive care resident rooms: 97
Number of comprehensive care resident rooms with battery 
                    operated smoke detectors: 77
Number of comprehensive care resident rooms 
             with hard wired and/or wireless smoke detectors: 20
 
  If hard wired and/or wireless smoke detectors are provided in resident's room, do they:
    (A) Provide a visual and audible signal at the nurses'stations that attend each room? - Yes
    (B) Transmit to a central station service - Yes
    (C) Connect to the health facility's fire alarm system - Yes
 
Person completing form - RYAN KINZIE
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. ADMINISTRATOR
Date form completed - 04/09/2025
 


Nurse Aide Training

NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 05/11/2021
Nurse aide training and competency evaluation program (NATCEP) expires: 04/01/2023
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 09/07/2025
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     TOMORROWS ANGELS
         Approved: 11/10/2005
         Terminated: 05/14/2006
     DISTRICT 26 CAREER CAMPUS
         Approved: 08/17/1998
         Terminated: 05/14/2006
     COUNTRYSIDE HEALTHCARE
         Approved: 03/17/1997
         Terminated: 05/14/2006
     IVY TECH COMMUNITY COLLEGE REGION 6
         Approved: 02/04/2004
         Terminated: 05/14/2006
     ADVANCING HOOSIERS LLC
         Approved: 08/02/2021
         Terminated: 04/24/2023
     ENVIVE OF ANDERSON
         Approved: 05/11/2021
         Terminated: 09/09/2023
     ALEXANDRIA CARE CENTER
         Approved: 06/10/2016
         Terminated: 01/20/2017
     CARDINAL CARE STRATEGIES
         Approved: 04/06/2021
         Terminated: 09/09/2023
     TWIN CITY HEALTH CARE
         Approved: 05/11/2021
         Terminated: 04/21/2025
 


Complaints

NUMBER OF SUBSTANTIATED COMPLAINTS: 
 
  Current year:  0
  Previous year:  0
  2 years previous:  3

 


Facility Report Card



 


 
03/01/2020 Current QTR
12/01/2019 Previous QTR
09/01/2019 Previous QTR
06/01/2019 Previous QTR


Report Card Score
288
279
210
249


Rank of Score
74
78
89
83


Average Score
302
296
295
296


 
*Facility report card scores have not been updated since March 1, 2020 due to changes in the survey process during the ongoing COVID-19 pandemic. 
The facility report card score is calculated four times per calendar year 
for the two most recent nursing home health surveys.  The facility report card score 
also includes all complaint surveys, life safety code surveys, emergency preparedness surveys, 
and any follow-up surveys that occur within the two most recent nursing home health surveys. 
The facility report card score ranges from 500 to 0, with 500 being the best score possible. 
 
View the Scope and Severity grid
 
View the scoring methodology
 



Overview of Survey findings




 
 The Most Recent Set
 2ND Most Recent Set
 3RD Most Recent Set

Immediate Jeopardy
No
No
No


 Substandard Quality of Care 
No
No
No


Administrator Change
Yes
Yes
Yes


Owner Change
No
No
No


Number of Substantiated Complaints With Deficiencies
0
0
0


Deficiency Free Standard Health Survey
No
No
No


 
    The term 'Recent Set' referenced above relates to the referenced annual survey,
    and any other surveys performed between it and the previous annual survey.
 

 


Enforcement Actions

 
Federal Certification Actions Imposed
     Civil Money Penalty
     Date Imposed: 07/17/2023  Date Ended: 07/31/2023
     Amount proposed per day: 3765
     Amount proposed per day: 4303
     Amount proposed per day: 4841
     Mand. Deny Pay for New Admits-3 Mo.
     Date Imposed: 04/24/2023  Date Ended: 05/12/2023
     Directed Plan of Correction
     Date Imposed: 12/08/2022  Date Ended: 12/21/2022
     Civil Money Penalty
     Date Imposed: 08/22/2022  Date Ended: 09/24/2022
     Amount proposed per day: 
     Amount proposed per day: 950
 
Date terminated from Medicare/Medicaid: 02/28/2002
 


Survey History


    The survey report is not posted until the report has been provided to the facility and their plan of correction submitted and approved.
    The survey report therefore will likely not be posted until four to six weeks after the exit date.
        
    In the grid below click on an event ID that is underlined to see the survey report for that event.


 
Event ID
Survey Type
Exit Date

1YFD12
Complaint, Follow Up
07/01/2025


1YFD11
Complaint
05/22/2025


8ORY11
Complaint
03/07/2025


UING12
Complaint, Follow Up
01/14/2025


UING11
Complaint
12/03/2024


65UP22
Follow Up, Life Safety Code, Recertification
09/11/2024


65UP12
Recertification, Complaint, Follow Up, State Licensure
09/06/2024


DS3U11
Complaint
09/03/2024


65UP21
Recertification, Life Safety Code
08/13/2024


65UP11
Recertification, Complaint, State Licensure
07/26/2024


4HH612
Complaint, Follow Up
04/16/2024


4HH611
Complaint
03/15/2024


3H8L11
Complaint
10/26/2023


CZCH12
Complaint, Follow Up
10/23/2023


CZCH11
Complaint
09/19/2023


8TH822
Recertification, Follow Up, Life Safety Code
09/18/2023


8TH812
Complaint, Follow Up, Recertification, State Licensure
08/28/2023


8TH821
Recertification, Life Safety Code
08/01/2023


8TH811
Recertification, Complaint, State Licensure
07/14/2023


64I012
Complaint, Follow Up
06/30/2023


R44W12
Complaint, Follow Up
05/24/2023


64I011
Complaint
05/12/2023


CN7W11
Complaint
04/20/2023


F43F12
Complaint, Follow Up
04/12/2023


R44W11
Complaint
03/20/2023


F43F11
Complaint
01/24/2023


6TWE23
Recertification, Follow Up, Life Safety Code
12/21/2022


980811
Complaint
12/07/2022


6TWE22
Recertification, Follow Up, Life Safety Code
11/15/2022


6TWE12
Recertification, Complaint, Follow Up, State Licensure
10/31/2022


6TWE21
Recertification, Life Safety Code
09/23/2022


6TWE11
Recertification, Complaint, State Licensure
08/30/2022


CR9B12
Complaint, Follow Up
08/19/2022


J52P12
Complaint, Follow Up, Other
08/19/2022


3LPO12
Complaint, Follow Up, Other
08/19/2022


J52P11
Complaint, Other
07/27/2022


 
 


Links and Resources

 
CMS nursing home compare page 
 
    In addition to the information provided on this 
    web site, the Centers for Medicare & Medicaid Services (CMS) has a web site 
    which contains information on every Medicare and Medicaid certified nursing 
    home in the country. The CMS nursing home survey results contain summary information 
    about a facility's noncompliance of regulations regarding the care of residents 
    found in the nursing homes. You can locate nursing homes in your area and find 
    information about compliance with federal regulations.
 
Resources and links to other organizations
 
Choosing a Nursing Home
 
Overview of the Survey Process
 
State Wide Grouping of all Scores
   
Overview of current comprehensive facility scores
   
Spreadsheet of current comprehensive facility names and scores
   
Legal Disclaimer for Long Term Care Reports.