Castleton Health Care Center
7630 E 86th St · Indianapolis, IN · 46256 · 3178450032
109 certified beds For profit - Corporation
Why this verdict
- 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.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
69% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
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: 3 of 5
| Total nurse hours / resident-day | 3.32 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.34 | 0.55–0.75 |
| Weekend hours / resident-day | 2.99 | ≈ weekday level |
| Nursing turnover / year | 69% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (59 in the current record)
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Potential for harm · E April 27, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 29, 2026 · Pharmacy Service
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Potential for harm · D March 6, 2026 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected March 17, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 6, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 17, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 6, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 17, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 6, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 17, 2026 · Pharmacy Service
-
Potential for harm · E November 7, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 9, 2025 · Resident Rights
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Potential for harm · D November 7, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 9, 2025 · Quality of Life and Care
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Actual harm · G September 23, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 21, 2025 · Quality of Life and Care
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Potential for harm · D September 23, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected October 21, 2025 · Resident Rights
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Potential for harm · D September 23, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected October 21, 2025 · Resident Rights
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Potential for harm · D September 23, 2025
Honor the resident's right to manage his or her financial affairs.
Corrected October 21, 2025 · Resident Rights
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Potential for harm · D September 23, 2025
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected October 21, 2025 · Resident Rights
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Potential for harm · D September 23, 2025
Assess the resident when there is a significant change in condition
Corrected October 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 23, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · E September 23, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 21, 2025 · Quality of Life and Care
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Potential for harm · D September 23, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected November 9, 2025 · Quality of Life and Care
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Potential for harm · D September 23, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 21, 2025 · Quality of Life and Care
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Potential for harm · D September 23, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected November 9, 2025 · Quality of Life and Care
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Potential for harm · D September 23, 2025
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected October 21, 2025 · Quality of Life and Care
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Potential for harm · D September 23, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 21, 2025 · Pharmacy Service
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Potential for harm · D September 23, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected October 21, 2025 · Pharmacy Service
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Potential for harm · D September 23, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected October 21, 2025 · Pharmacy Service
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Potential for harm · D September 23, 2025
Ensure that residents are free from significant medication errors.
Corrected October 21, 2025 · Pharmacy Service
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Potential for harm · E September 23, 2025
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 October 21, 2025 · Pharmacy Service
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Potential for harm · D September 23, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected October 21, 2025 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 155245 · certified since January 23, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.