Indiana State Department of Health

Division of Long Term Care

CONSUMER REPORT

CEDAR CREEK OF BLOOMINGTON MEMORY CARE

NURSING HOME

RESIDENTIAL FACILITY

Created on: 07/25/2025

Posted to the Web on: 08/06/2025
Basic Information
FACILITY CONTACT INFORMATION: Address: 3203 MOORES PIKE ROAD City: BLOOMINGTON Telephone: (812) 335-4655 Web Site: NAME CHANGES: Most recent name change: HOOSIER MC LLC Date of most recent name change: 03/27/2024 9:43:49 AM LICENSE INFORMATION: License number: 25-012706-1 License effective date: 02/01/2025 License expiration date: 01/31/2026
Administration and Staff
Administrator: Start date: N/A Director of Nursing: JENNIFER CALVERT Start date: 01/01/2023 Medical director: Start date: / / Wound care specialist: Start date: / / Infection preventionist: Start date: / /
Ownership
CURENT OWNERSHIP: Owning corporation: HOOSIER MC, LLC 600 THIRD AVENUE, 21ST FLOOR NEW YORK NY 10016 Ownership type: PROFIT Officer(s): ALAN LITT JONATHAN LITT THOMAS LALLY LLC SALTAIRE PARTNERS INC SALTPAC HOLDING CO LLC HARMC HOLDCO PREVIOUS OWNERSHIP CHANGES: Name of previous owner: AUTUMN HILLS MANAGEMENT IN, LLC Date of last change of ownership: 02/01/2024
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): 0 Number of non-certified comprehensive care beds (State Licensed only): 0 Total number of comprehensive care beds: 0 RESIDENTIAL CARE BEDS: Total number of residential beds: 66 Total number of beds in facility: 66 CENSUS: Facility census: 22 As reported by the facility on: 01/10/2023 Number of comprehensive care beds occupied in this facility. 0 As reported by the facility on: 01/10/2023 Residential care beds occupied: 22 As reported by the facility on: 01/10/2023 Alzheimer Beds: 66 Alzheimer Beds Occupied: 62 As reported by the facility on: / / Ventilator Beds: 0 Ventilator Beds Occupied: 0 As reported by the facility on: / /
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: IVY TECH COMMUNITY COLLEGE Approved: 03/31/2021 Terminated: N/A
Complaints
NUMBER OF SUBSTANTIATED COMPLAINTS: 
 
  Current year:  0
  Previous year:  0
  2 years previous:  0
State Licensure Surveys
The ISDH conducts a state licensure survey at each licensed residential facility
approximately once per year.  If state findings are cited on a survey, the
residential facility may be requested by the ISDH to complete a plan of
correction on how and when they will correct each state finding and who will be
responsible to ensure the corrections are made and will not reoccur in the future.
The plan of correction is generally submitted by the residential facility and
reviewed by the ISDH within fifteen (15) days of the survey.

To read an overview of the survey process, click here
   
NOTE:
    The residential consumer report survey information begins with surveys that
    have been completed on or after December 1, 2008.  Any survey performed prior
    to that date will not have any information in the state findings count rows or
    columns or will show zero.
01/23/2025 Most Recent 03/28/2024 2nd Most Recent 04/18/2023 3rd Most Recent
Number of state findings 0 0 4
State Average for the year of the survey (rounded to nearest whole integer). 3 4 4
Survey Report View Survey Report View Survey Report View Survey Report
Enforcement Actions
Event ID: G5C011 Action - Citation / Fine Notice to facility: 04/07/2025 Appeal: N/A Action Cease/Recind: 05/13/2025 Case Closed: 05/13/2025 Initial Amount: $5000 Event ID: Q6NJ11 Action - Citation / Fine Notice to facility: 09/18/2023 Appeal: N/A Action Cease/Recind: 10/06/2023 Case Closed: 10/06/2023 Initial Amount: $2500 Event ID: SMUK11 Action - Citation / Fine Notice to facility: 04/05/2023 Appeal: N/A Action Cease/Recind: 04/25/2023 Case Closed: 04/25/2023 Initial Amount: $2500
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
06QX11 Complaint 06/04/2025
Q73F11 Complaint, Relicensure 01/23/2025
G5C012 Complaint, Follow Up 10/28/2024
G5C011 Complaint 09/19/2024
PYY611 Complaint 06/20/2024
TISG11 Relicensure 03/28/2024
593811 Complaint 01/16/2024
42Y311 Complaint 08/23/2023
Q6NJ12 Complaint, Follow Up 08/03/2023
Q6NJ11 Complaint 06/26/2023
LFYS11 Relicensure 04/18/2023
7M0K11 Complaint 03/06/2023
0SSU11 Complaint 01/30/2023
SMUK12 Complaint, Follow Up 01/03/2023
SMUK11 Complaint 11/30/2022
LC3J11 Complaint 09/02/2022
 
 
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.