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.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
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
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-day | 2.39 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.08 | 0.55–0.75 |
| Weekend hours / resident-day | 2.41 | ≈ weekday level |
| Nursing turnover / year | 27% | median 45% |
| Fines (3-yr window) | 1 · $8,189 |
Inspection citations (43 in the current record)
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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Potential for harm · D August 26, 2025
Provide and implement an infection prevention and control program.
Corrected September 16, 2025 · Infection Control
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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
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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
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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
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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
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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
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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
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Actual harm · G September 22, 2023
Ensure that residents are free from significant medication errors.
Corrected October 27, 2023 · Pharmacy Service
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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
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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
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Potential for harm · D September 22, 2023
Ensure each resident receives an accurate assessment.
Corrected October 27, 2023 · Resident Assessment and Care Planning
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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
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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
| Date | Type | Amount / length |
|---|---|---|
| September 22, 2023 | Fine | $8,189 |
| September 22, 2023 | Payment Denial | 8 days |
Family & resident reviews — a separate signal, never mixed into the score
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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.