McGivney Health Care Center

2907 East Smoky Row · Carmel, IN · 46033 · 3178460265

37 certified beds Non profit - Corporation

Why this verdict

  • Staffing levels are well below research benchmarks for safe care.
  • Inspection results are getting worse cycle over cycle, not better.

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Red flags

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

RN staffing in the bottom 10% nationally

0.08 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Total nurse staffing below 3.0 hours per resident-day

2.39 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 59
Serious harm & abuse 20% 94
Staffing 20% 37
Federal penalties 15% 59
Trend 10% 23
Context 5% 100

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

CMS ratings & staffing

Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day2.393.48 min · 4.1 strong
RN hours / resident-day0.080.55–0.75
Weekend hours / resident-day2.41≈ weekday level
Nursing turnover / year27%median 45%
Fines (3-yr window)1 · $8,189

Inspection citations (43 in the current record)

  • Potential for harm · D August 26, 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 September 15, 2025 · Resident Rights

  • Potential for harm · D August 26, 2025

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

    Corrected September 19, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 26, 2025

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

    Corrected September 15, 2025 · Resident Rights

  • Potential for harm · D August 26, 2025

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected September 15, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 26, 2025

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

    Corrected September 15, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 26, 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 September 15, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 26, 2025

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

    Corrected September 16, 2025 · Quality of Life and Care

  • Potential for harm · D August 26, 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 September 16, 2025 · Quality of Life and Care

  • Potential for harm · D August 26, 2025

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

    Corrected September 16, 2025 · Quality of Life and Care

  • Potential for harm · D August 26, 2025

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected September 15, 2025 · Nursing and Physician Services

  • Potential for harm · D August 26, 2025

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

    Corrected September 15, 2025 · Nutrition and Dietary

  • Potential for harm · D August 26, 2025

    Provide and implement an infection prevention and control program.

    Corrected September 16, 2025 · Infection Control

  • Potential for harm · D August 26, 2025

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Corrected September 15, 2025 · Environmental

  • Potential for harm · D October 2, 2024

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

    Corrected October 24, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D October 2, 2024

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected October 24, 2024 · Pharmacy Service

  • Potential for harm · D October 2, 2024

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected October 24, 2024 · Pharmacy Service

  • Potential for harm · D October 2, 2024

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

    Corrected October 24, 2024 · Nutrition and Dietary

  • Potential for harm · D October 2, 2024

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Corrected October 24, 2024 · Environmental

  • Actual harm · G September 22, 2023

    Ensure that residents are free from significant medication errors.

    Corrected October 27, 2023 · Pharmacy Service

  • Potential for harm · D September 22, 2023

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected October 27, 2023 · Resident Rights

  • Potential for harm · D September 22, 2023

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

    Corrected October 27, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 22, 2023

    Ensure each resident receives an accurate assessment.

    Corrected October 27, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D September 22, 2023

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected October 27, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D September 22, 2023

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

    Corrected October 27, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D September 22, 2023

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

    Corrected October 27, 2023 · Quality of Life and Care

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

Federal penalties

DateTypeAmount / length
September 22, 2023Fine$8,189
September 22, 2023Payment Denial8 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 155855 · certified since August 16, 2017. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.