Cumberland Trace Health & Living Community

1925 Reeves Road · Plainfield, IN · 46168 · 3178387070

104 certified beds Government - County Chain: Cardon & Associates

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • 3 citations involved actual harm to residents.

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Red flags

2 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

Score breakdown

Inspection record 30% of score 54
Serious harm & abuse 20% 82
Staffing 20% 69
Federal penalties 15% 68
Trend 10% 34
Context 5% 100

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

CMS ratings & staffing

Overall: 3 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.753.48 min · 4.1 strong
RN hours / resident-day0.460.55–0.75
Weekend hours / resident-day3.37≈ weekday level
Nursing turnover / year39%median 45%
Fines (3-yr window)1 · $33,579

Inspection citations (19 in the current record)

  • Actual harm · G May 23, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected June 13, 2025 · Quality of Life and Care

  • Actual harm · G May 23, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected June 13, 2025 · Quality of Life and Care

  • Potential for harm · D May 23, 2025

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected June 13, 2025 · Resident Rights

  • Potential for harm · D May 23, 2025

    Ensure each resident receives an accurate assessment.

    Corrected June 13, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 23, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected June 13, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 23, 2025

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Corrected June 13, 2025 · Quality of Life and Care

  • Potential for harm · E May 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 June 13, 2025 · Pharmacy Service

  • Actual harm · G April 23, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected May 20, 2024 · Resident Rights

  • Potential for harm · D April 23, 2024

    Reasonably accommodate the needs and preferences of each resident.

    Corrected May 20, 2024 · Resident Rights

  • Potential for harm · D April 23, 2024

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected May 20, 2024 · Quality of Life and Care

  • Potential for harm · D April 23, 2024

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

    Corrected May 20, 2024 · Quality of Life and Care

  • Potential for harm · D February 16, 2023

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected March 19, 2023 · Resident Rights

  • Potential for harm · D February 16, 2023

    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 March 19, 2023 · Resident Rights

  • Potential for harm · D February 16, 2023

    Ensure each resident receives an accurate assessment.

    Corrected March 19, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D February 16, 2023

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected March 19, 2023 · Quality of Life and Care

  • Potential for harm · D February 16, 2023

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 19, 2023 · Quality of Life and Care

  • Potential for harm · E February 16, 2023

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Corrected March 19, 2023 · Quality of Life and Care

  • Potential for harm · D February 16, 2023

    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 March 19, 2023 · Pharmacy Service

  • Potential for harm · D February 16, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 19, 2023 · Nutrition and Dietary

Federal penalties

DateTypeAmount / length
May 23, 2025Fine$33,579

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 155836 · certified since May 29, 2015. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.