Indiana State Department of Health

Division of Long Term Care

CONSUMER REPORT

CEDARS THE

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: 14409 SUNRISE CT City: LEO Telephone: (260) 627-2191 Web Site: NAME CHANGES: Most recent name change: N/A Date of most recent name change: N/A LICENSE INFORMATION: License number: 25-001215-1 License effective date: 06/01/2025 License expiration date: 05/31/2026
Administration and Staff
Administrator: AMANDA DUGGAN Start date: 08/01/2024 Director of Nursing: MEGAN ZENT Start date: 11/19/2024 Medical director: Austin Schlie 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: CEDAR CREEK RETIREMENT HOME INC Date of last change of ownership: 06/01/2015
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): 65 Number of non-certified comprehensive care beds (State Licensed only): 0 Total number of comprehensive care beds: 65 RESIDENTIAL CARE BEDS: Total number of residential beds: 13 Total number of beds in facility: 78 CENSUS: Facility census: 46 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: 9 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: 34 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: 34 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 - CHAD FORTH Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. ADMINISTRATOR Date form completed - 03/20/2023
Nurse Aide Training
NURSE AIDE TRAINING PROGRAM APPROVALS: Nurse aide training and competency evaluation program (NATCEP) approved: 06/13/2024 Nurse aide training and competency evaluation program (NATCEP) expires: 04/01/2026 Nurse aide training and competency evaluation program (NATCEP) banned: Yes Nurse aide training and competency evaluation program (NATCEP) ban expires: 05/20/2023 CLINICAL TRAINING SITES: This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: CEDARS THE Approved: 02/19/1999 Terminated: 02/02/2008 FWCS CAREER ACADEMY AT ANTHIS Approved: 02/17/1998 Terminated: 02/02/2008 UNIVERSITY OF SAINT FRANCIS Approved: 03/31/1998 Terminated: 02/02/2008 IVY TECH COMMUNITY COLLEGE Approved: 01/27/2011 Terminated: 05/21/2021 CEDARS THE Approved: 06/13/2024 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 321 321 318 327
Rank of Score 63 63 64 61
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 No
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 Directed Plan of Correction Date Imposed: 12/30/2023 Date Ended: 11/20/2023 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.
Event ID Survey Type Exit Date
ZMNF11 Complaint 06/30/2025
0O1E11 Complaint 05/05/2025
GGKC12 Complaint, Follow Up 03/06/2025
GGKC11 Complaint 02/17/2025
N8T011 Complaint 12/18/2024
0FEV22 Recertification, Follow Up, Life Safety Code 11/04/2024
2GHE11 Complaint 10/29/2024
0FEV12 Recertification, Follow Up, State Licensure 10/03/2024
0FEV21 Recertification, Life Safety Code 09/24/2024
0FEV11 Recertification, State Licensure 09/13/2024
SG3912 Complaint, Follow Up 09/04/2024
RKTW12 Complaint, Follow Up 09/04/2024
SG3911 Complaint 08/14/2024
RKTW11 Complaint 07/22/2024
3TXD11 Complaint 04/29/2024
P2NT11 Complaint, Other 12/28/2023
5QWZ22 Recertification, Follow Up, Life Safety Code 12/12/2023
5QWZ12 Recertification, Follow Up, State Licensure 10/19/2023
5QWZ21 Recertification, Life Safety Code 10/19/2023
5QWZ11 Recertification, State Licensure 09/08/2023
7QRJ12 Complaint, Follow Up 08/29/2023
7QRJ11 Complaint 08/09/2023
ZKPD11 Complaint 06/30/2023
JJCF12 Complaint, Follow Up 06/13/2023
JJCF11 Complaint 05/08/2023
I4QF12 Complaint, Follow Up 04/12/2023
I4QF11 Complaint 03/13/2023
S6TB22 Recertification, Follow Up, Life Safety Code 03/08/2023
L70H11 Complaint 02/03/2023
E8V611 Complaint 01/03/2023
SS0R12 Complaint, Follow Up 12/22/2022
S6TB12 Recertification, Follow Up, State Licensure 12/22/2022
S6TB21 Recertification, Life Safety Code 12/07/2022
SS0R11 Complaint 11/22/2022
QDEI11 Complaint 11/09/2022
S6TB11 Recertification, State Licensure 11/09/2022
FTD412 Complaint, Follow Up 10/19/2022
FTD411 Complaint 09/21/2022
0FKG12 Complaint, Follow Up 08/31/2022
T5IT12 Complaint, Follow Up 08/31/2022
T5IT11 Complaint 08/02/2022
 
 
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.