Cardinal Care Strategies

4600 E Jackson St · Muncie, IN · 47303 · 7652821416

104 certified beds For profit - Corporation

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

3 immediate-jeopardy citations in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

3 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

99% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 18
Serious harm & abuse 20% 0
Staffing 20% 47
Federal penalties 15% 100
Trend 10% 30
Context 5% 35

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day3.273.48 min · 4.1 strong
RN hours / resident-day0.340.55–0.75
Weekend hours / resident-day2.97≈ weekday level
Nursing turnover / year99%median 45%
Fines (3-yr window)none

Inspection citations (57 in the current record)

  • Potential for harm · D April 22, 2026 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected May 30, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E April 22, 2026 · found via complaint

    Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

    Corrected May 30, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E January 9, 2026

    Assure the security of all personal funds of residents deposited with the facility.

    Corrected February 4, 2026 · Resident Rights

  • Potential for harm · D January 9, 2026

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected February 4, 2026 · Resident Rights

  • Potential for harm · D January 9, 2026

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected February 4, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 9, 2026

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected February 4, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 9, 2026

    Respond appropriately to all alleged violations.

    Corrected February 4, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 9, 2026

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected February 4, 2026 · Resident Rights

  • Potential for harm · D January 9, 2026

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected February 4, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 9, 2026

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected February 4, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 9, 2026

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected February 4, 2026 · Quality of Life and Care

  • Potential for harm · E January 9, 2026

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected February 4, 2026 · Pharmacy Service

  • Potential for harm · F January 9, 2026

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected February 4, 2026 · Nutrition and Dietary

  • Potential for harm · D January 9, 2026

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected February 4, 2026 · Administration

  • Potential for harm · D January 9, 2026

    Provide and implement an infection prevention and control program.

    Corrected February 4, 2026 · Infection Control

  • Potential for harm · D January 9, 2026

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected February 4, 2026 · Infection Control

  • Potential for harm · D January 9, 2026 · found via complaint

    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

    Corrected February 4, 2026 · Resident Rights

  • Immediate jeopardy · J December 12, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected February 4, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J December 12, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected December 15, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J December 12, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected February 4, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 25, 2025 · found via complaint

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Corrected September 12, 2025 · Quality of Life and Care

  • Potential for harm · D May 27, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected June 9, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E May 27, 2025 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected June 9, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 27, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected June 9, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 21, 2025 · found via complaint

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected April 11, 2025 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 155400 · certified since August 17, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.