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Nursing HomeMedicaid Investigative

Brooke Knoll Village

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1108 Kingwood Drive, Avon, IN 46123117 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 83 Google reviews

Brooke Knoll Village Nursing Home in Avon, IN — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (10 vs median 6)
  • High staff turnover (54%)

Below average in IN · Below recommended RN staffing · Worst in HCF MANAGEMENT INDIANA chain · No penalties on record

Source: Medicare data

What this means for your family

Brooke Knoll Village offers a beautiful environment and a highly effective therapy team, making it a strong candidate for short-term rehab. However, families should be vigilant regarding daily care; we strongly recommend asking management about current CNA-to-resident ratios and how they ensure hygiene tasks are completed for residents who require assistance.

Google Reviews

Google Reviews

83 reviews on Google
Brooke Knoll Village receives polarized feedback, with many families praising the facility's aesthetic, cleanliness, and the dedication of specific nursing and therapy staff. However, a significant number of reviewers report recurring issues with understaffing, poor hygiene, and neglect, particularly regarding basic care tasks like showering and responding to call lights. Families should be aware that experiences appear to vary greatly depending on the specific shift or unit.

Quality Themes

Tap a score for details
Food7.0Staff5.0Clean8.0Activities8.0Meds4.0MemoryN/AComms4.0ValueN/A

Strengths

  • Modern, clean, and well-maintained facility
  • Highly effective physical and occupational therapy teams
  • Compassionate and attentive individual staff members
  • Spacious, well-designed resident rooms

Concerns

  • Chronic understaffing leading to neglect (mentioned by 9 reviewers)
  • Poor hygiene and lack of assistance with showering/toileting (mentioned by 7 reviewers)
  • Unresponsive call lights and delayed assistance (mentioned by 4 reviewers)
  • Inconsistent communication regarding medical care (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'14(2)'16(1)'18(3)'20(1)'22(4)'24(19)'26(7)

Distribution · 87 analyzed

5
58
4
8
3
1
2
3
1
17

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1The facility looks so modern and well-maintained; how do you ensure that the cleanliness of the common areas and resident rooms is kept up consistently throughout the day?
  • 2We've heard great things about your physical and occupational therapy teams; how do you coordinate their schedules with a resident's daily routine?
  • 3How do you manage the call light system to ensure that staff can respond quickly when a resident needs help with personal care or toileting?
  • 4What is your process for ensuring medication is administered accurately and that there is clear communication between the nursing staff and family members regarding any changes?
  • 5In the event of a medical emergency during the night, what is the specific protocol for notifying the family and coordinating with doctors?
  • 6What kind of daily activities or social outings do you have planned to help residents stay engaged with one another?

Personalized based on this facility's data


Key Review Excerpts

The Physical, Occupational, and Speech therapists were amazing in helping him recover and get back home. The nursing staff as well as attending physicians took great care to ensure he was on road to recovery.

Rehab patient's family · 2024★★★★

The only issue my sister has is the staff not understanding her because she is deaf. Jessica, the director of the facility, has bent over backwards to help my sister with all her needs and concerns.

Long-term resident's family · 2025★★★★

They don’t have enough help to take care of you and they don’t listen to what the hospital says you need and then they lie to you about stuff. When you have to sit in a poopy diaper for hours at a time

Resident's family · 2025★★☆☆☆
Source: 83 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.54hrs
71%
Registered nurses for medical care
Total Nursing
3.81hrs
93%
All nurses + aides combined
Staff Turnover
61%
Lower is better (< 30% = good)
RN Turnover
60%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

9

measures

Worse Than Avg

7

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility49.2%
Worse than Avg
Here
49.2%
US
12.1%
IN
24.8%
Hendricks
37.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility25.7%
Worse than Avg
Here
25.7%
US
15.3%
IN
13.0%
Hendricks
7.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility18.4%
Worse than Avg
Here
18.4%
US
14.4%
IN
11.4%
Hendricks
5.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.2%
Better than Avg
Here
5.2%
US
15.4%
IN
13.6%
Hendricks
11.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility14.1%
Better than Avg
Here
14.1%
US
19.5%
IN
23.5%
Hendricks
20.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.9%
Better than Avg
Here
98.9%
US
93.4%
IN
93.6%
Hendricks
97.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility94.1%
Better than Avg
Here
94.1%
US
79.7%
IN
79.0%
Hendricks
76.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.0%
Better than Avg
Here
96.0%
US
81.8%
IN
81.5%
Hendricks
88.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
1.6%
IN
1.3%
Hendricks
1.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

12deficiencies
Well above state avg (7.6)
4 complaint-triggered

Brooke Knoll Village has a concerning pattern of recurring deficiencies across multiple surveys, with families filing two complaint reports about medication management and accident hazards. The facility repeatedly struggles with medication management, accident prevention, and resident care planning issues that persist across surveys from 2022 to 2025, suggesting ongoing systemic problems despite corrections being reported.

Feb 2, 2026Complaint
2
0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Aug 13, 2025Complaint
1
0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

Mar 27, 2025Routine
10
0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0646Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

0661Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0699Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Mar 12, 2024Complaint
1
0689Potential for harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

Jan 25, 2024Routine
9
0558Potential for harm · PatternCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0699Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

Oct 6, 2022Routine
8
0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0200Potential for harm · PatternCorrected

Egress Deficiencies

Meet other general requirements.

0293Potential for harm · PatternCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0582Potential for harm · IsolatedResolved (past non-compliance)

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Ownership & Operations

Who Operates This Facility

Owner / Operator

Brooke Knoll Village

Organization Type

government

Chain Affiliation

Chain Name

Hcf Management Indiana

Chain Size

6 facilities nationwide

Chain avg rating: 3.7/5 · Rank 6 of 6 (Worst)

Ownership & Management

Owners

Witham Memorial Hospital

Owner · Organization

100%

Acchiardo, Lisa

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Ramsey, Chris

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Ramsey, Neil

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Reed, Michael

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Bayston, BrettOfficer / DirectorBrand, JohnOfficer / DirectorCastetter, AndreaOfficer / DirectorHawkins, ClaudeOfficer / DirectorHornbecker, MichaelOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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