Indiana State Department of Health
Division of Long Term Care
 
CONSUMER REPORT
 
KENDALLVILLE MANOR
 
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: 1802 E DOWLING ST
City: KENDALLVILLE
Telephone: (260) 347-4374
Web Site:  
 
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
 
LICENSE INFORMATION:
  License number: 24-000529-1
  License effective date: 10/01/2024
  License expiration date: 09/30/2025
 


Administration and Staff

Administrator: ANTHONY HILL
  Start date: 08/29/2022
 
Director of Nursing: CELESTINE MORGAN
  Start date: 01/31/2022
 
Medical director:  
  Start date:   /  /  
 
Wound care specialist:  
  Start date:   /  /  
 
Infection preventionist:  
  Start date:   /  /  
 


Ownership

CURENT OWNERSHIP:
 
Owning corporation: ADAMS COUNTY MEMORIAL HOSPITAL
1100 MERCER AVENUE
DECATUR IN 46733
 
Ownership type:  OTHER
 
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: KENDALLVILLE MANOR INVESTORS LLC
Date of last change of ownership:  
 


Bed Counts and Census

COMPREHENSIVE CARE BEDS:
Number of Medicaid beds (NF):                     60
Number of Medicare beds (SNF):                    0
Number of Medicare/Medicaid beds (SNF/NF):        0
Number of non-certified comprehensive care beds (State Licensed only):     0
Total number of comprehensive care beds:     60
 
RESIDENTIAL CARE BEDS:
 
Total number of residential beds:            0
 
Total number of beds in facility:            60
 
CENSUS:
Facility census:  51
As reported by the facility on: 07/21/2025
 
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 07/21/2025
 
Residential care beds occupied:  0
As reported by the facility on: 07/21/2025
 
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: 31
Number of comprehensive care resident rooms with battery 
                    operated smoke detectors: 31
Number of comprehensive care resident rooms 
             with hard wired and/or wireless smoke detectors: 0
 
Person completing form - ANTHONY HILL
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. ADMINISTRATOR
Date form completed - 04/17/2025
 


Nurse Aide Training

NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 03/11/1998
Nurse aide training and competency evaluation program (NATCEP) expires: 04/01/2000
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 01/16/2021
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     IMPACT INSTITUTE
         Approved: 08/19/2014
         Terminated: 01/17/2019
     IVY TECH COMMUNITY COLLEGE
         Approved: 02/18/2004
         Terminated: 11/08/2005
     KENDALLVILLE MANOR
         Approved: 03/11/1998
         Terminated: 01/17/2019
     COTTON CARE LLC
         Approved: 05/25/2023
         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
338
368
311
311


Rank of Score
55
42
67
66


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
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
 
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

MMGZ11
Complaint
07/01/2025


XOXG22
Follow Up, Life Safety Code, Recertification
03/19/2025


XOXG21
Recertification, Life Safety Code
02/26/2025


XOXG12
Recertification, Follow Up, State Licensure
02/17/2025


XOXG11
Recertification, State Licensure
01/27/2025


7KQ912
Complaint, Follow Up
09/11/2024


7KQ911
Complaint
08/27/2024


SOF211
Complaint
05/06/2024


TD9N22
Follow Up, Life Safety Code, Recertification
03/15/2024


TD9N21
Recertification, Life Safety Code
02/29/2024


TD9N12
Recertification, Complaint, Follow Up, State Licensure
02/23/2024


TD9N11
Recertification, Complaint, State Licensure
02/07/2024


LGOG12
Complaint, Follow Up
04/03/2023


D6LI22
Recertification, Follow Up, Life Safety Code
03/30/2023


LGOG11
Complaint
03/22/2023


V5B711
Complaint
02/21/2023


D6LI21
Recertification, Life Safety Code
02/21/2023


D6LI12
Recertification, Follow Up, State Licensure
02/20/2023


D6LI11
Recertification, Complaint, State Licensure
02/03/2023


USBD12
Complaint, Follow Up
12/19/2022


USBD11
Complaint
11/28/2022


HAP911
Complaint
10/25/2022


CPP512
Complaint, Follow Up
08/29/2022


CPP511
Complaint
08/10/2022


 
 


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.