Indiana State Department of Health
Division of Long Term Care
 
CONSUMER REPORT
 
HAMILTON TRACE OF FISHERS
 
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: 11851 CUMBERLAND RD
City: FISHERS
Telephone: (317) 813-4444
Web Site:  
 
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
 
LICENSE INFORMATION:
  License number: 24-012644-1
  License effective date: 12/01/2024
  License expiration date: 11/30/2025
 


Administration and Staff

Administrator: ALLIE CRAYCRAFT III
  Start date: 11/29/2021
 
Director of Nursing: ROBERT STEWART
  Start date: 02/07/2022
 
Medical director: John Riley
  Start date:   /  /  
 
Wound care specialist:  
  Start date:   /  /  
 
Infection preventionist:  
  Start date:   /  /  
 


Ownership

CURENT OWNERSHIP:
 
Owning corporation: HENDRICKS COUNTY HOSPITAL
1000 EAST MAIN STREET
DANVILLE IN 46122
 
Ownership type:  OTHER
 
Officer(s): KEVIN SPEER
            ERIN ENGELS
            TODD DAVIS
            YVONNE CULPEPPER
            D. MICHELLE FENOUGHTY
            STANTON "STAN" RISSER
            LISA IMLAY
            GARY EVERLING
            MICHAEL KIRSCHNER
            TYLER STARKEY
            JOHN WAITE
            MARK GENTRY
            TIM WHICKER
            SHANE SOMMERS
            NANCY FOSTER
            RYAN VAN DONSELAA
            WESLEY ROGERS
 
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: HAMILTON TRACE OF FISHERS, LLC
Date of last change of ownership: 12/15/2013
 


Bed Counts and Census

COMPREHENSIVE CARE BEDS:
Number of Medicaid beds (NF):                     0
Number of Medicare beds (SNF):                    52
Number of Medicare/Medicaid beds (SNF/NF):        56
Number of non-certified comprehensive care beds (State Licensed only):     0
Total number of comprehensive care beds:     108
 
RESIDENTIAL CARE BEDS:
 
Total number of residential beds:            102
 
Total number of beds in facility:            210
 
CENSUS:
Facility census:  105
As reported by the facility on: 07/13/2020
 
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 07/13/2020
 
Residential care beds occupied:  29
As reported by the facility on: 07/13/2020
 
Alzheimer Beds:  20
Alzheimer Beds Occupied:  19
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: 104
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: 104
 
  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 - JOHN ASERO
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. MAINTENANCE DIRECTOR
Date form completed - 04/07/2025
 


Nurse Aide Training

NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 04/05/2019
Nurse aide training and competency evaluation program (NATCEP) expires: 04/08/2021
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 04/20/2017
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     PRIMEWAY INSTITUTE
         Approved: 08/22/2012
         Terminated: 04/15/2015
     LEGACY MEDICAL ACADEMY
         Approved: 12/20/2018
         Terminated: N/A
     J EVERETT LIGHT CAREER CENTER
         Approved: 09/13/2018
         Terminated: N/A
     ACL MEDICAL TRAINING, LLC
         Approved: 10/29/2018
         Terminated: N/A
     FATHER'S HEART CNA TRAINING CENTER
         Approved: 08/11/2020
         Terminated: N/A
     HAMILTON TRACE OF FISHERS
         Approved: 04/05/2019
         Terminated: N/A
     IVY TECH COMMUNITY COLLEGE
         Approved: 02/10/2023
         Terminated: N/A
     MORRISTOWN MANOR
         Approved: 05/22/2025
         Terminated: N/A
     HOPE TRAINING CENTER
         Approved: 03/07/2024
         Terminated: N/A
     HAMILTON SOUTHEASTERN SCHOOLS
         Approved: 09/06/2024
         Terminated: N/A
     CARMEL HEALTH & LIVING COMMUNITY
         Approved: 10/31/2023
         Terminated: N/A
     CLOVER CNA ACADEMY
         Approved: 10/31/2023
         Terminated: N/A
     READY TO CARE
         Approved: 09/22/2022
         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
371
353
362
374


Rank of Score
42
48
47
43


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

NCDD12
Recertification, Complaint, Follow Up, State Licensure
06/30/2025


NCDD21
Recertification, Life Safety Code
05/19/2025


NCDD11
Recertification, Complaint, State Licensure
05/12/2025


2BMJ11
Complaint
10/01/2024


3ANJ22
Recertification, Follow Up, Life Safety Code
05/30/2024


ZGNR11
Complaint
04/17/2024


3ANJ21
Recertification, Life Safety Code
04/05/2024


3ANJ12
Recertification, Complaint, Follow Up, State Licensure
04/02/2024


3ANJ11
Recertification, Complaint, State Licensure
03/08/2024


KL8711
Complaint
08/31/2023


UKZF12
Complaint, Follow Up
08/24/2023


UKZF11
Complaint
07/27/2023


KR8X11
Complaint
06/26/2023


UZ6K11
Complaint
04/27/2023


NCMK11
Complaint
04/13/2023


7NWK12
Recertification, Complaint, Follow Up, State Licensure
01/26/2023


7NWK22
Recertification, Follow Up, Life Safety Code
01/12/2023


7NWK21
Recertification, Life Safety Code
12/12/2022


7NWK11
Recertification, Complaint, State Licensure
11/22/2022


 
 


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.