Indiana State Department of Health
Division of Long Term Care
 
CONSUMER REPORT
 
MILL POND HEALTH CAMPUS
 
NURSING HOME
SKILLED NURSING FACILITY / NURSING FACILITY DISTINCT PART
Created on: 07/25/2025
 
Posted to the Web on: 08/06/2025
 
 



Basic Information

FACILITY CONTACT INFORMATION:
Address: 1014 MILL POND LANE
City: GREENCASTLE
Telephone: (765) 653-4397
Web Site:  
 
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
 
LICENSE INFORMATION:
  License number: 25-004550-1
  License effective date: 05/01/2025
  License expiration date: 04/30/2026
 


Administration and Staff

Administrator: RACHEL FRYE
  Start date: 03/11/2024
 
Director of Nursing: JANET STEPHENS
  Start date: 01/08/2025
 
Medical director:  
  Start date:   /  /  
 
Wound care specialist:  
  Start date:   /  /  
 
Infection preventionist:  
  Start date:   /  /  
 


Ownership

CURENT OWNERSHIP:
 
Owning corporation: PUTNAM COUNTY HOSPITAL
1542 BLOOMINGTON ST
GREENCASTLE IN 46135
 
Ownership type:  OTHER
 
Officer(s): DENNIS WEATHERFORD
            JANICE FRY
            MATTHEW HEADLEY
            DAVID BRAY
            KEITH LANDRY
            ALAN NERONE
            KATRINA LEWIS
            WENDELL UNDERWOOD
            MARK WOOD
 
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: TRILOGY HEALTH SERVICES LLC
Date of last change of ownership:  
 


Bed Counts and Census

COMPREHENSIVE CARE BEDS:
Number of Medicaid beds (NF):                     0
Number of Medicare beds (SNF):                    32
Number of Medicare/Medicaid beds (SNF/NF):        36
Number of non-certified comprehensive care beds (State Licensed only):     0
Total number of comprehensive care beds:     68
 
RESIDENTIAL CARE BEDS:
 
Total number of residential beds:            49
 
Total number of beds in facility:            117
 
CENSUS:
Facility census:  90
As reported by the facility on: 07/17/2025
 
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 07/17/2025
 
Residential care beds occupied:  32
As reported by the facility on: 07/17/2025
 
Alzheimer Beds:  13
Alzheimer Beds Occupied:  10
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: 0
Number of comprehensive care resident rooms 
             with hard wired and/or wireless smoke detectors: 36
 
  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 - RACHEL FRYE
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. EXEUCTIVE DIRECTOR
Date form completed - 04/10/2025
 


Nurse Aide Training

NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved:  
Nurse aide training and competency evaluation program (NATCEP) expires:  
Nurse aide training and competency evaluation program (NATCEP) banned: No
Nurse aide training and competency evaluation program (NATCEP) ban expires: N/A
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     AREA 30 CAREER CENTER
         Approved: 01/04/2006
         Terminated: N/A
     CONNECTING HEALTH CAREERS INSTITUTE, LLC
         Approved: 11/07/2013
         Terminated: 05/05/2021
     PREMIER NURSING ACADEMY
         Approved: 02/28/2018
         Terminated: 08/17/2018
     LIGHTSTONE EDUCATION CENTER
         Approved: 03/15/2019
         Terminated: N/A
     CUMBERLAND POINTE HEALTH CAMPUS
         Approved: 09/25/2018
         Terminated: N/A
     GREENCASTLE NURSING ASSISTANT TRAINING CENTER, LLC
         Approved: 04/14/2021
         Terminated: N/A
     LEFFLER ACADEMY
         Approved: 07/26/2022
         Terminated: N/A
     AMBER MANOR CARE CENTER
         Approved: 08/25/2023
         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
446
428
428
428


Rank of Score
10
13
14
14


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
     Directed Plan of Correction
     Date Imposed: 11/10/2022  Date Ended: 11/08/2022
     Civil Money Penalty
     Date Imposed: 10/05/2022  Date Ended: 10/05/2022
     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

TE6V11
Complaint
05/29/2025


4ODC22
Follow Up, Life Safety Code, Recertification
05/22/2025


4ODC12
Recertification, Follow Up, State Licensure
04/21/2025


4ODC21
Recertification, Life Safety Code
04/07/2025


4ODC11
Recertification, State Licensure
03/07/2025


X86U11
Complaint
07/24/2024


6DKZ11
Complaint
04/22/2024


3W2K22
Recertification, Follow Up, Life Safety Code
03/26/2024


3W2K12
Recertification, Follow Up, State Licensure
03/12/2024


3W2K21
Recertification, Life Safety Code
03/07/2024


3W2K11
Recertification, Complaint, State Licensure
01/24/2024


5MS811
Complaint
01/19/2023


KIEX12
Recertification, Follow Up, State Licensure
12/19/2022


KIEX22
Recertification, Follow Up, Life Safety Code
12/01/2022


KIEX21
Recertification, Life Safety Code
11/14/2022


VMID11
Complaint
10/25/2022


KIEX11
Recertification, State Licensure
10/05/2022


1QM812
Complaint, Follow Up
08/25/2022


KMMS11
Complaint
08/25/2022


 
 


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.