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Nursing HomeMedicaid Investigative

Castleton Health Care Center

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

7630 E 86th St, I-69/fall Creek · Indianapolis, IN 46256109 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.6/5

based on 107 Google reviews

5
4
3
2
1
Castleton Health Care Center Nursing Home in Indianapolis, IN — Street View
Street View

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6/ 10
high Risk

Quality Concerns Identified

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

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (20 vs median 6)
  • High staff turnover (66%)
  • High RN turnover (83%)

Bottom 25% in IN · Critically understaffed (RN) · No penalties on record

Source: Medicare data

What this means for your family

This facility is highly regarded for its clean environment and friendly, attentive staff, making it a strong candidate for rehabilitation. However, because some families have reported concerns regarding staffing levels and follow-through, we recommend you visit during off-hours or weekends to observe the care environment firsthand and ask management specifically about their staffing ratios.

Google Reviews

Google Reviews

107 reviews on Google
Castleton Health Care Center receives high praise for its cleanliness, welcoming atmosphere, and friendly, attentive staff. Many families report positive experiences with rehabilitation services and long-term care, noting that the facility feels like a family environment. However, a small minority of reviewers have raised serious concerns regarding staffing levels, quality of care, and administrative follow-through.

Quality Themes

Tap a score for details
Food8.0Staff8.0Clean9.0Activities8.0Meds7.0MemoryN/AComms8.0ValueN/A

Strengths

  • Clean, well-maintained facility
  • Friendly and compassionate staff
  • Spacious, private rehab rooms
  • Effective communication with families

Concerns

  • Understaffing leading to neglect or delayed care (mentioned by 3 reviewers)
  • Inconsistent quality of patient care and hygiene (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.0'16(1)5.01.0'19(1)4.53.0'23(4)4.94.7'25(58)4.6'26(21)

Distribution · 112 analyzed

5
89
4
17
3
0
2
0
1
6

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the current staffing levels, what specific protocols are in place to ensure that residents receive timely assistance with daily hygiene and call-light responses?
  • 2I noticed the facility has a high volume of recent state citations; what specific steps is the leadership team taking to address these health inspection findings and improve the overall quality of care?
  • 3With the facility having 109 residents, how do you ensure that staff members are able to provide consistent, one-on-one attention to each resident throughout the day?
  • 4What does a typical daily activity schedule look like to keep residents engaged, and how do you encourage participation for those who may be more reserved?
  • 5In the event of a sudden medical change or emergency, what is the communication process for keeping family members informed and involved in the care plan?
  • 6I appreciate that the facility is well-maintained and clean; how do you manage the balance between maintaining this environment and ensuring that direct patient care remains the top priority?

Personalized based on this facility's data


Key Review Excerpts

My niece is probably the youngest person in the facility. Currently, we as a family are pleased with her care. The room is clean, the staff is attentive. She has a smart TV with a working remote. 😊 The nurses are compassionate. Transportation is efficient. Activities are fun.

Memory care family member · 2024★★★★★

I can’t say enough about the entire staff!! The facility is clean, everyone is pleasant, and they take great care of my Mom!! I have sooooo much peace now knowing she is in good hands. They have amazing activities and my Mom said the chef is the best lol!

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

My Dad’s care was so far superior here compared to the other places that we moved my mother-in-law here when her post-surgery rehab place had become an em

Rehab patient's family · 2020★★★★
Source: 107 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.34hrs
45%
Registered nurses for medical care
Total Nursing
3.32hrs
81%
All nurses + aides combined
Staff Turnover
69%
Lower is better (< 30% = good)
RN Turnover
89%
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
3/ 5
Better Than Avg

8

measures

Worse Than Avg

8

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility64.4%
Worse than Avg
Here
64.4%
US
12.1%
IN
24.8%
Marion
21.6%

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

💉

Residents vaccinated for the flu

↑ Higher is better
This Facility58.1%
Worse than Avg
Here
58.1%
US
95.5%
IN
95.4%
Marion
94.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility77.1%
Worse than Avg
Here
77.1%
US
93.4%
IN
93.6%
Marion
93.7%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility27.2%
Worse than Avg
Here
27.2%
US
19.4%
IN
23.8%
Marion
18.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility25.2%
Worse than Avg
Here
25.2%
US
19.5%
IN
23.5%
Marion
21.0%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility9.1%
Better than Avg
Here
9.1%
US
14.4%
IN
11.4%
Marion
9.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility23.1%
Worse than Avg
Here
23.1%
US
79.7%
IN
79.0%
Marion
77.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility54.6%
Worse than Avg
Here
54.6%
US
81.8%
IN
81.5%
Marion
82.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.4%
Mixed vs Avgs
Here
1.4%
US
1.6%
IN
1.3%
Marion
1.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

38deficiencies
Well above state avg (7.6)
22 complaint-triggered

Castleton Health Care Center shows concerning patterns with 91 deficiencies over 10 surveys, including 25 complaint-triggered issues where families reported problems. The facility repeatedly struggles with fire safety systems, medication management, and quality of care issues like pressure ulcer prevention and pain management. While all deficiencies show correction dates, the pattern of recurring violations in fire safety and basic care areas, combined with multiple family complaints, suggests ongoing operational challenges.

Mar 6, 2026Complaint
4
0602Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Nov 7, 2025Complaint
2
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.

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.

Sep 23, 2025Routine
25
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

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.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

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.

0567Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to manage his or her financial affairs.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0745Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide medically-related social services to help each resident achieve the highest possible quality of life.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

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

Sep 23, 2025Complaint
4
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.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

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.

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

Aug 5, 2025Complaint
4
0921Potential for harm · PatternCorrected

Environmental Deficiencies

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

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Jul 18, 2025Complaint
3
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0770Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide timely, quality laboratory services/tests to meet the needs of residents.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Castleton Health Care Center

Organization Type

for profit

Ownership & Management

Owners

Gurwitz, Solomon

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

Sternshein, Jennifer

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

Unger, Jeffrey

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

Zimmerman, Caroline

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

Key personnel

7630 E 86th Street in LLC5% or Greater Mortgage InterestFrontier Realty Investors LLC5% or Greater Mortgage InterestGibraltar Trust5% or Greater Mortgage InterestScooper Realty, LLC5% or Greater Mortgage InterestWindsor Square Realty, LLC5% or Greater Mortgage Interest
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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