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Nursing HomeMedicaid Investigative

Community Nursing and Rehabilitation Center

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

5600 E 16th St, Community Heights · Indianapolis, IN 46218115 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 81 Google reviews

5
4
3
2
1
Community Nursing and Rehabilitation Center Nursing Home in Indianapolis, IN — Street View
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8/ 10
critical Risk

Quality Concerns Identified

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

  • Special Focus Facility (under heightened CMS scrutiny)
  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (24 vs median 6)
  • High staff turnover (62%)

Below average in IN · Below recommended RN staffing · Below chain average · No penalties on record · Special Focus Facility (CMS)

Source: Medicare data

What this means for your family

While many families report a positive, family-oriented environment, there is a persistent pattern of serious neglect allegations that cannot be ignored. If you are considering this facility, we strongly recommend unannounced visits during weekends and evenings to observe staffing levels and cleanliness firsthand, and to speak directly with current residents' families.

Google Reviews

Google Reviews

81 reviews on Google
Community Nursing and Rehabilitation Center receives highly polarized feedback, with many reviewers praising a recent shift in leadership and a warm, family-oriented atmosphere. However, these positive reports are sharply contrasted by serious allegations of neglect, including reports of residents being left in soiled conditions, untreated wounds, and poor communication. Families considering this facility should be aware of the stark divide between those who report excellent care and those who describe life-threatening lapses in basic hygiene and medical attention.

Quality Themes

Tap a score for details
Food5.0Staff6.0Clean5.0Activities8.0Meds2.0MemoryN/AComms2.0Value7.0

Strengths

  • Warm, welcoming staff and receptionist
  • Clean, well-maintained environment (noted by many)
  • Strong, caring therapy and nursing team
  • Positive recent leadership changes

Concerns

  • Neglect and hygiene issues (residents left in soiled conditions) (mentioned by 7 reviewers)
  • Poor communication and difficulty reaching staff by phone (mentioned by 4 reviewers)
  • Unpleasant odors (specifically urine) throughout the facility (mentioned by 4 reviewers)
  • Inadequate medical care leading to hospitalizations or infections (mentioned by 5 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'17(2)'19(4)'21(5)'23(39)'25(4)'26(1)

Distribution · 83 analyzed

5
60
4
3
3
0
2
1
1
19
16 reviews posted between Dec 18, 2023Dec 20, 2023 · 14 were 5-star

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed the facility has undergone some recent leadership changes; how have these transitions impacted the daily care and communication processes for families?
  • 2With the facility's current focus on maintaining a clean environment, what specific protocols are in place to ensure consistent hygiene and comfort for residents throughout the day?
  • 3Regarding medical management, what is your process for coordinating care with outside physicians to ensure residents receive timely treatment and avoid unnecessary hospitalizations?
  • 4I appreciate that your team is active in responding to feedback online; how do you utilize that family input to improve your internal communication and responsiveness?
  • 5Given the size of the facility, what is the best way for families to stay updated on their loved one's health status, and what is your typical turnaround time for returning calls?
  • 6Could you walk me through the daily activity schedule and how you tailor those programs to keep residents engaged and active within the community?

Personalized based on this facility's data


Key Review Excerpts

My mom went in & came out worse because of the neglect. She ended up in the hospital because they weren't on their job.

Memory care family member · 2023☆☆☆☆

The management is working very hard on turning this place around and it shows tremendously. The staff is wonderful and the moral is amazing.

Family member · 2023★★★★★

My mother was brought here for rehabilitation and had to be taken to the hospital due to their neglect she received. She left with no strength in her legs so she couldn't take a step under her own power.

Rehab patient's family · 2023☆☆☆☆
Source: 81 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.57hrs
76%
Registered nurses for medical care
Total Nursing
3.50hrs
85%
All nurses + aides combined
Staff Turnover
58%
Lower is better (< 30% = good)
RN Turnover
44%
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
5/ 5
Better Than Avg

14

measures

Worse Than Avg

2

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility23.3%
Mixed vs Avgs
Here
23.3%
US
12.1%
IN
24.8%
Marion
22.3%

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

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.7%
Better than Avg
Here
5.7%
US
15.4%
IN
13.6%
Marion
11.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility5.8%
Better than Avg
Here
5.8%
US
15.3%
IN
13.0%
Marion
12.8%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility5.2%
Better than Avg
Here
5.2%
US
14.4%
IN
11.4%
Marion
9.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility28.2%
Worse than Avg
Here
28.2%
US
19.5%
IN
23.5%
Marion
20.9%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
IN
95.4%
Marion
93.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility86.5%
Better than Avg
Here
86.5%
US
79.7%
IN
79.0%
Marion
76.8%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility86.5%
Better than Avg
Here
86.5%
US
81.8%
IN
81.5%
Marion
81.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
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

24deficiencies
Well above state avg (7.6)
21 complaint-triggered

This facility shows a concerning pattern of recurring problems, with 21 complaint-triggered deficiencies indicating families have filed reports about care issues. The most persistent problems involve medication management, resident rights violations, and fire safety issues that repeat across multiple surveys. Recent complaints from late 2025 flagged serious concerns about abuse reporting, daily living assistance, and respiratory care, suggesting ongoing care quality problems despite the facility's corrections of past deficiencies.

Dec 11, 2025Complaint
5
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.

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.

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Nov 13, 2025Complaint
1
0755Actual 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 14, 2025Complaint
2
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.

0687Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

Apr 25, 2025Routine
29
0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0222Potential for harm · PatternCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0225Potential for harm · PatternCorrected

Egress Deficiencies

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

0311Potential for harm · PatternCorrected

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0361Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

0362Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0761Potential for harm · PatternCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0565Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

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.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0744Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

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

0300Minimal · WidespreadCorrected

Egress Deficiencies

Meet other general requirements that are deficient.

0712Minimal · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Apr 25, 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.

Apr 22, 2024Routine
10
0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

0740Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Community Nursing and Rehabilitation Center

Organization Type

government

Chain Affiliation

Chain Name

American Senior Communities

Chain Size

91 facilities nationwide

Chain avg rating: 3.8/5 · Rank 78 of 91

Ownership & Management

Owners

The Health and Hospital Corporation of Marion County

Owner · Organization

100%

Key personnel

Dice, MarkContracted Managing EmployeeVan Camp, StevenContracted Managing EmployeeDrummer, CarlOfficer / DirectorFehribach, GregoryOfficer / DirectorHanify, ThomasOfficer / 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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