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Nursing HomeMedicaid Investigative

Mason Health Care Center

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

900 Provident Drive, Warsaw, IN 46580105 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.8/5

based on 171 Google reviews

5
4
3
2
1
Mason Health Care Center Nursing Home in Warsaw, IN — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

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

  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (13 vs median 6)

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

Source: Medicare data

What this means for your family

This facility is highly regarded for its rehabilitation therapy and compassionate nursing staff. However, because multiple reviewers have noted concerns regarding hygiene assistance and medical oversight, we strongly recommend that you visit frequently and maintain open, documented communication with the management team to ensure your loved one's specific needs are being met.

Google Reviews

Google Reviews

171 reviews on Google
Mason Health Care Center receives overwhelming praise for its compassionate, family-oriented staff and effective rehabilitation services. While many families report high satisfaction with the care provided, a minority of reviewers have raised serious concerns regarding inconsistent attention to hygiene, slow response times, and lapses in medical oversight. Prospective families should carefully evaluate the facility's current staffing levels and communication protocols during off-hours.

Quality Themes

Tap a score for details
Food6.0Staff8.0Clean9.0Activities9.0Meds7.0Memory8.0Comms6.0ValueN/A

Strengths

  • Highly skilled and effective rehabilitation therapy team
  • Compassionate, family-oriented nursing staff
  • Clean and well-maintained facility environment
  • Strong, responsive leadership and management

Concerns

  • Inconsistent hygiene and toileting assistance (mentioned by 3 reviewers)
  • Slow response times for call lights (mentioned by 2 reviewers)
  • Inadequate medical oversight or communication regarding patient needs (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'17(3)'19(1)'21(5)'23(3)'25(126)'26(6)

Distribution · 174 analyzed

5
159
4
3
3
2
2
5
1
5
107 reviews posted between May 21, 2025May 31, 2025 · 107 were 5-star
62 reviews posted between May 25, 2025May 31, 2025 · 62 were 5-star
13 reviews posted between May 2, 2022May 4, 2022 · 13 were 5-star

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about your rehabilitation therapy team; can you tell us more about how they work with residents to regain their independence?
  • 2How does the nursing staff ensure that call lights are answered promptly, especially during the busier night shifts?
  • 3What specific protocols are in place to ensure that personal hygiene and toileting needs are met consistently for every resident?
  • 4How does the leadership team communicate important updates or changes in a resident's medical condition to their family members?
  • 5In the event of a medical emergency after hours, what is the process for contacting the on-call physician or coordinating care?
  • 6What kind of daily activities or social outings do you have planned to keep the residents engaged and connected with one another?

Personalized based on this facility's data


Key Review Excerpts

I could not imagine my grandmother getting better care than she did at Mason's! Everyone treated her with so much love and respect like she was THEIR family member.

Long-term resident's family · 2022★★★★★

The rehab staff is very very good and the nurses do their best with as many patients as they have to see to it that you’re comfortable and satisfied

Rehab patient · 2025★★☆☆☆

My dad was there 2 months or more before someone checked his records and found out he’s diabetic. My dad’s room mate beat on my dad in the middle of the night.

Long-term resident's family · 2026★★☆☆☆
Source: 171 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.61hrs
82%
Registered nurses for medical care
Total Nursing
3.24hrs
79%
All nurses + aides combined
Staff Turnover
46%
Lower is better (< 30% = good)
RN Turnover
50%
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

5

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility13.7%
Mixed vs Avgs
Here
13.7%
US
12.1%
IN
24.8%
Kosciusko
18.0%

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 Facility8.1%
Better than Avg
Here
8.1%
US
15.5%
IN
13.6%
Kosciusko
12.2%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility26.4%
Worse than Avg
Here
26.4%
US
19.4%
IN
23.8%
Kosciusko
21.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
IN
93.6%
Kosciusko
99.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility19.3%
Worse than Avg
Here
19.3%
US
15.3%
IN
13.0%
Kosciusko
13.3%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility17.6%
Mixed vs Avgs
Here
17.6%
US
19.5%
IN
23.5%
Kosciusko
15.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.2%
Better than Avg
Here
98.2%
US
81.8%
IN
81.5%
Kosciusko
86.2%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility94.1%
Better than Avg
Here
94.1%
US
79.8%
IN
79.0%
Kosciusko
85.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
IN
1.3%
Kosciusko
1.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

14deficiencies
Well above state avg (7.6)
18 complaint-triggered

Families filed 16 complaint reports triggering inspections at this facility, revealing persistent problems with patient care, medication management, and fire safety issues. The most recurring problems involve medication errors and pharmaceutical services, fire safety equipment and sprinkler systems, and basic patient care including feeding tubes and daily living assistance. While the facility corrects deficiencies when cited, the same issues repeatedly surface across multiple surveys and complaints.

Mar 9, 2026Complaint
2
0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

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.

Aug 26, 2025Complaint
2
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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Aug 26, 2025Routine
18
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.

0015Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

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.

0211Potential for harm · PatternCorrected

Egress Deficiencies

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

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

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

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0761Potential for harm · PatternCorrected

Miscellaneous Deficiencies

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

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

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.

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.

0685Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

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.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

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.

Jun 17, 2025Complaint
1
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.

Mar 5, 2025Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Aug 30, 2024Routine
21
0006Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0007Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address patient/client population and determine types of services needed.

0009Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Include a process for Emergency Preparedness collaboration.

0032Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide primary/alternate means for communication.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0211Potential for harm · WidespreadCorrected

Egress Deficiencies

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

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

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.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

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.

0676Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

Mason Health Care Center

Organization Type

nonprofit

Chain Affiliation

Chain Name

Tlc Management

Chain Size

20 facilities nationwide

Chain avg rating: 4.0/5 · Rank 18 of 20 (Worst)

Ownership & Management

Owners

Riverview Hospital

Owner · Organization

100%

Gibson, Cullen

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

Ott, Dwight

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

Ott, Gary

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

Ott, Ryan

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

Key personnel

Friend, JaynaOfficer / DirectorHyatt, DavidOfficer / DirectorMason Healthcare Operations CompanyManagerTender Loving Care Management INCManagerBrooks, RukiyaManager
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 4 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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