Indiana State Department of Health
Division of Long Term Care
 
CONSUMER REPORT
 
PEABODY RETIREMENT COMMUNITY
 
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: 400 W SEVENTH ST
City: NORTH MANCHESTER
Telephone: (260) 982-8616
Web Site:  
 
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
 
LICENSE INFORMATION:
  License number: 24-000485-1
  License effective date: 10/01/2024
  License expiration date: 09/30/2025
 


Administration and Staff

Administrator: KATIE ROBINSON
  Start date: 04/10/2023
 
Director of Nursing: SHARON SCOTT-BELLINGER
  Start date: 03/14/2023
 
Medical director: Rutvik Patel
  Start date:   /  /  
 
Wound care specialist:  
  Start date:   /  /  
 
Infection preventionist: Bonnie Fleshood
  Start date:   /  /  
 


Ownership

CURENT OWNERSHIP:
 
Owning corporation: WOODLAWN HOSPITAL
1400 E NINTH STREET
ROCHESTER IN 46975
 
Ownership type:  OTHER
 
Officer(s): STEVE FURNIVALL
            JIM STRAETER
            PAULA MCKINNEY
            ALISON HEYDE
            JOHN WINENGER
            ALAN FISHER
            TRAVIS ALBRIGHT
            GREG MELLONGER
            TERRI JOHNSON
            GLEN BODE
            KENDRA CHUDZYNSKI
            GREG MELLINGER
            HARRY WEBB
 
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: THE ESTELLE PEABODY MEM HOME OF THE SYNOD OF LINC
Date of last change of ownership: 10/31/2014
 


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):        192
Number of non-certified comprehensive care beds (State Licensed only):     0
Total number of comprehensive care beds:     192
 
RESIDENTIAL CARE BEDS:
 
Total number of residential beds:            144
 
Total number of beds in facility:            336
 
CENSUS:
Facility census:  227
As reported by the facility on: 07/14/2025
 
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 07/14/2025
 
Residential care beds occupied:  54
As reported by the facility on: 07/14/2025
 
Alzheimer Beds:  48
Alzheimer Beds Occupied:  47
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:  
 
Number of comprehensive care resident rooms: 171
Number of comprehensive care resident rooms with battery 
                    operated smoke detectors: 0
Number of comprehensive care resident rooms 
             with hard wired and/or wireless smoke detectors: 171
 
  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 - KATIE ROBINSON
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: 06/17/2013
Nurse aide training and competency evaluation program (NATCEP) expires: 04/01/2019
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 06/06/2026
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     IVY TECH COMMUNITY COLLEGE
         Approved: 06/03/2021
         Terminated: 12/28/2020
     PEABODY RETIREMENT COMMUNITY
         Approved: 06/17/2013
         Terminated: 08/31/2018
     HAGEN HEALTH EDUCATION
         Approved: 04/17/2015
         Terminated: 08/31/2018
     HEARTLAND CAREER CENTER
         Approved: 09/16/2021
         Terminated: 03/17/2022
     IVY TECH COMMUNITY COLLEGE
         Approved: 07/23/2025
         Terminated: N/A
     IVY TECH COMMUNITY COLLEGE
         Approved: 06/04/2024
         Terminated: 06/07/2024
     HEARTLAND CAREER CENTER
         Approved: 11/22/2024
         Terminated: N/A
     IVY TECH COMMUNITY COLLEGE
         Approved: 08/07/2024
         Terminated: N/A
 


Complaints

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

 


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
232
203
206
209


Rank of Score
86
89
89
89


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
No
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: 06/07/2024  Date Ended: 06/07/2024
     Amount proposed per day: 
     Civil Money Penalty
     Date Imposed: 04/18/2024  Date Ended: 04/18/2024
     Amount proposed per day: 
     Directed Plan of Correction
     Date Imposed: 04/21/2023  Date Ended: 04/27/2023
     Civil Money Penalty
     Date Imposed: 03/28/2023  Date Ended: 04/26/2023
     Amount proposed per day: 
     Amount proposed per day: 
 
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.


 
Event ID
Survey Type
Exit Date

LFN822
Follow Up, Life Safety Code, Recertification
06/12/2025


HTQV11
Complaint
05/28/2025


LFN812
Follow Up, Recertification, State Licensure
05/28/2025


LFN821
Recertification, Life Safety Code
05/06/2025


LFN811
Recertification, State Licensure
04/09/2025


1YF211
Complaint
02/24/2025


OQ6N11
Complaint
01/14/2025


B94Q11
Complaint
11/25/2024


W23U22
Follow Up, Life Safety Code, Other
10/09/2024


W23U21
Life Safety Code, Other
09/23/2024


KYK911
Complaint
07/31/2024


YRJ522
Follow Up, Life Safety Code, Recertification
07/29/2024


2D4T11
Complaint
07/02/2024


MUYK12
Complaint, Follow Up
06/21/2024


MUYK11
Complaint
06/07/2024


YRJ512
Follow Up, Recertification, State Licensure
05/31/2024


ZVH112
Complaint, Follow Up
05/31/2024


YRJ521
Recertification, Life Safety Code
05/23/2024


YRJ511
Recertification, State Licensure
05/01/2024


ZVH111
Complaint
04/18/2024


F01P11
Complaint
01/19/2024


TG0211
Complaint
10/03/2023


T94512
Complaint, Follow Up
09/22/2023


D94X11
Complaint, Other
09/19/2023


T94511
Complaint
08/23/2023


40LF11
Complaint
08/01/2023


J5AR12
Follow Up, Recertification, State Licensure
05/19/2023


J5AR22
Follow Up, Life Safety Code, Recertification
05/17/2023


20I111
Complaint
05/10/2023


5L5311
Complaint
04/26/2023


J5AR21
Recertification, Life Safety Code
04/13/2023


J5AR11
Recertification, Complaint, State Licensure
03/28/2023


XX5C11
Complaint
01/05/2023


HZYI11
Complaint
09/26/2022


KPBV12
Complaint, Follow Up
09/07/2022


 
 


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.