Signature Healthcare at Parkwood

1001 N Grant St · Lebanon, IN · 46052 · 7654826400

106 certified beds For profit - Limited Liability company Chain: Signature Healthcare

  • Inspection results have improved across recent cycles.

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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.

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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.

Score breakdown

Inspection record 30% of score 72
Serious harm & abuse 20% 94
Staffing 20% 60
Federal penalties 15% 59
Trend 10% 92
Context 5% 100

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

CMS ratings & staffing

Overall: 5 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.403.48 min · 4.1 strong
RN hours / resident-day0.470.55–0.75
Weekend hours / resident-day2.99≈ weekday level
Nursing turnover / year52%median 45%
Fines (3-yr window)1 · $8,018

Inspection citations (22 in the current record)

  • Potential for harm · D March 6, 2026 · found via complaint

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

    Corrected March 21, 2026 · Quality of Life and Care

  • Potential for harm · E February 17, 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 March 3, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 17, 2025

    Provide activities to meet all resident's needs.

    Corrected March 3, 2025 · Quality of Life and Care

  • Potential for harm · D February 17, 2025

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

    Corrected March 3, 2025 · Quality of Life and Care

  • Potential for harm · D February 17, 2025

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

    Corrected March 3, 2025 · Infection Control

  • Potential for harm · D February 17, 2025

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Corrected March 3, 2025 · Infection Control

  • Potential for harm · D August 13, 2024 · found via complaint

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

    Corrected September 6, 2024 · Quality of Life and Care

  • Potential for harm · D March 22, 2024 · found via complaint

    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

    Corrected March 23, 2024 · Resident Rights

  • Potential for harm · D March 22, 2024 · found via complaint

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

    Corrected March 23, 2024 · Quality of Life and Care

  • Actual harm · G February 6, 2024 · found via complaint

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

    Corrected February 26, 2024 · Quality of Life and Care

  • Potential for harm · D February 6, 2024

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

    Corrected February 26, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D February 6, 2024

    Provide activities to meet all resident's needs.

    Corrected February 26, 2024 · Quality of Life and Care

  • Potential for harm · D February 6, 2024

    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 February 26, 2024 · Quality of Life and Care

  • Potential for harm · D February 6, 2024

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

    Corrected February 26, 2024 · Quality of Life and Care

  • Potential for harm · D February 6, 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 February 26, 2024 · Pharmacy Service

  • Potential for harm · D February 6, 2024

    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 26, 2024 · Pharmacy Service

  • Potential for harm · E February 6, 2024

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

    Corrected February 26, 2024 · Nutrition and Dietary

  • Potential for harm · D February 6, 2024

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected February 26, 2024 · Environmental

  • Potential for harm · E February 6, 2024 · found via complaint

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

    Corrected February 26, 2024 · Resident Rights

  • Potential for harm · D February 6, 2024 · found via complaint

    Provide enough food/fluids to maintain a resident's health.

    Corrected February 26, 2024 · Quality of Life and Care

  • Potential for harm · D November 20, 2023 · found via complaint

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

    Corrected December 13, 2023 · Resident Rights

  • Potential for harm · D June 20, 2023 · found via complaint

    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 July 8, 2023 · Pharmacy Service

Federal penalties

DateTypeAmount / length
February 6, 2024Fine$8,018
February 6, 2024Payment Denial16 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 155378 · certified since June 13, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.