Created on: 07/25/2025
Posted to the Web on: 08/06/2025
Basic Information
FACILITY CONTACT INFORMATION:
Address: 505 N MAIN ST
City: WALDRON
Telephone: (765) 525-4371
Web Site:
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
LICENSE INFORMATION:
License number: 25-000423-1
License effective date: 07/01/2025
License expiration date: 06/30/2026
Administration and Staff
Administrator: NICOLE CLAPP
Start date: 08/16/2021
Director of Nursing: BRENDA COMER
Start date: 02/21/2025
Medical director:
Start date: / /
Wound care specialist:
Start date: / /
Infection preventionist:
Start date: / /
Ownership
CURENT OWNERSHIP:
Owning corporation: MAJOR HOSPITAL
2451 INTELLPLEX DR
SHELBYVILLE IN 46176
Ownership type: OTHER
Officer(s): DANA CALDWELL
JEFF BEATY
JOHN COFFIN
JAN SANDMAN
SHERRI TANDY
PAULA GUSTAFSON
GENE JONES
RALPH MERCURI
LINDA WESSIC
ROB KINDER
RYAN CLAXTON
MELANIE STEVENS
PHILP MATTHEW HAEHL
ALEXANDER ISAKOVAN
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: COVENANT CARE WALDRON HOME LLC
Date of last change of ownership: 07/01/2014
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): 71
Number of non-certified comprehensive care beds (State Licensed only): 0
Total number of comprehensive care beds: 71
RESIDENTIAL CARE BEDS:
Total number of residential beds: 0
Total number of beds in facility: 71
CENSUS:
Facility census: 48
As reported by the facility on: 07/01/2025
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 07/01/2025
Residential care beds occupied: 0
As reported by the facility on: 07/01/2025
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: 36
Number of comprehensive care resident rooms with battery
operated smoke detectors: 36
Number of comprehensive care resident rooms
with hard wired and/or wireless smoke detectors: 0
Person completing form - BENJAMIN J THOMPSON
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. MAINTENANCE DIRECTOR
Date form completed - 04/05/2025
Nurse Aide Training
NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 03/23/2006
Nurse aide training and competency evaluation program (NATCEP) expires: 04/01/2008
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 12/20/2023
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites:
HERITAGE MANOR
Approved: 12/13/2001
Terminated: 03/01/2007
BLUE RIVER CAREER PROGRAMS
Approved: 09/06/2007
Terminated: 08/21/2020
MORRISTOWN MANOR
Approved: 10/23/2000
Terminated: 04/01/2008
WALDRON REHABILITATION AND HEALTHCARE CENTER
Approved: N/A
Terminated: 08/21/2020
IVY TECH COMMUNITY COLLEGE
Approved: 09/07/2011
Terminated: 08/21/2020
WILLOWS OF SHELBYVILLE
Approved: 12/09/1998
Terminated: 12/15/2008
BLUE RIVER CAREER PROGRAMS
Approved: 03/17/2025
Terminated: N/A
Complaints
NUMBER OF SUBSTANTIATED COMPLAINTS:
Current year: 0
Previous year: 0
2 years previous: 1
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
339
339
354
351
Rank of Score
55
53
50
52
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 gridView 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
No
No
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
Mand. Deny Pay for New Admits-3 Mo.
Date Imposed: 09/15/2023 Date Ended: 09/29/2023
Date terminated from Medicare/Medicaid: N/A
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.
