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Nursing HomeMedicaid Investigative

Oak Grove Christian Retirement Village

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

221 W Division St, Demotte, IN 4631073 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 47 Google reviews

5
4
3
2
1
Oak Grove Christian Retirement Village Nursing Home in Demotte, IN — Street View
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5/ 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)
  • Above-median deficiencies (17 vs median 6)
  • High staff turnover (51%)
  • High RN turnover (56%)

Bottom 25% in IN · Below recommended RN staffing · Above recommended total nurse staffing · Worst in GREENCROFT COMMUNITIES chain · No penalties on record

Source: Medicare data

What this means for your family

While the facility is physically beautiful and offers excellent physical therapy, the recent reports of security lapses and serious care failures are concerning. We strongly advise families to visit at off-hours to observe security protocols and to speak directly with current residents' families about their experience with management responsiveness.

Google Reviews

Google Reviews

47 reviews on Google
Oak Grove Christian Retirement Village is a visually appealing and clean facility that receives high praise for its physical therapy services and community engagement. However, families have raised serious concerns regarding inconsistent staffing, security lapses, and allegations of poor communication and resident neglect. Prospective families should be aware of a divide between the facility's polished appearance and reports of operational failures in care and safety.

Quality Themes

Tap a score for details
FoodN/AStaff6.0Clean9.0Activities9.0Meds2.0MemoryN/AComms3.0Value3.0

Strengths

  • High-quality physical therapy services
  • Clean and well-maintained facility
  • Active community involvement and events
  • Welcoming atmosphere for visitors

Concerns

  • Inconsistent or inadequate staffing levels (mentioned by 2 reviewers)
  • Lack of security and open-door policies (mentioned by 2 reviewers)
  • Admission denials for complex rehabilitation cases (mentioned by 2 reviewers)
  • Poor communication and responsiveness from management (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2341.0'18(1)4.83.9'21(8)4.33.8'23(5)4.22.0'25(4)4.6'26(16)

Distribution · 50 analyzed

5
34
4
3
3
3
2
2
1
8

How They Respond to Reviews

77%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed the facility has a very active calendar; could you share what some of the most popular community events are for residents this month?
  • 2Given that physical therapy is a noted strength here, how does the team coordinate those sessions with the daily nursing care plan?
  • 3With the current focus on maintaining a welcoming atmosphere, what protocols are in place to balance an open-door policy with ensuring resident security?
  • 4How does the management team typically handle communication with families regarding changes in a resident’s health or medication adjustments?
  • 5I see there have been some recent challenges with staffing consistency; what steps is the leadership taking to ensure reliable support for residents throughout the day and night?
  • 6In the event of a medical emergency, what is the specific process for notifying family members and coordinating with local hospitals?

Personalized based on this facility's data


Key Review Excerpts

The physical therapists are very caring they work to get Mom to her goal and take care about their patients.

Rehab patient's family · 2026★★★★★

The worse thing about this place is lack of security. No one checks people going in and out of there. No doors are locked and the residents are not safe from anyone off the streets to come in and enter their rooms.

Visitor · 2024★★★☆☆

They 'forgot' to hook my 90 yr old mother's oxygen up 3 different times, the physical therapist is a bully and has absolute no compassion.

Resident's family · 2025☆☆☆☆
Source: 47 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.64hrs
86%
Registered nurses for medical care
Total Nursing
4.18hrs
OK
All nurses + aides combined
Staff Turnover
51%
Lower is better (< 30% = good)
RN Turnover
46%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

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

Medicare Rating
4/ 5
Better Than Avg

6

measures

Worse Than Avg

8

measures

Mixed Results

3

measures

Long-Stay Residents
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility39.1%
Worse than Avg
Here
39.1%
US
95.5%
IN
95.4%
Jasper
93.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility46.8%
Worse than Avg
Here
46.8%
US
93.4%
IN
93.6%
Jasper
90.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
IN
24.8%
Jasper
5.9%

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 Facility29.2%
Worse than Avg
Here
29.2%
US
15.3%
IN
13.0%
Jasper
20.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility33.3%
Worse than Avg
Here
33.3%
US
19.4%
IN
23.8%
Jasper
21.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility8.8%
Better than Avg
Here
8.8%
US
15.5%
IN
13.6%
Jasper
17.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility7.1%
Worse than Avg
Here
7.1%
US
79.8%
IN
79.0%
Jasper
79.8%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility17.5%
Worse than Avg
Here
17.5%
US
81.8%
IN
81.5%
Jasper
81.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.1%
Better than Avg
Here
1.1%
US
1.6%
IN
1.3%
Jasper
2.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

21deficiencies
1penalties
Well above state avg (7.6)
28 complaint-triggered

Families have filed multiple complaints leading to 22 deficiencies, with recurring issues in medication management, resident care, and food safety appearing across all recent surveys. The facility shows persistent problems with providing appropriate treatment and care, medication oversight, and food handling that continue to resurface despite corrections. While all violations show correction dates, the pattern of repeated deficiencies in core care areas suggests ongoing quality concerns that warrant careful evaluation during any visit.

Apr 14, 2026Complaint
4
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.

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.

0773Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

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.

Feb 5, 2026Complaint
2
0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Sep 22, 2025Routine
12
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.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0881Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Aug 13, 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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

May 7, 2025Complaint
2
0689Actual 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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Oct 22, 2024Routine
11
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.

0755Potential for harm · PatternResolved (past non-compliance)

Pharmacy Service Deficiencies

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

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0625Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Payment Denial

May 7, 2025

11-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Oak Grove Christian Retirement Village

Organization Type

nonprofit

Chain Affiliation

Chain Name

Greencroft Communities

Chain Size

5 facilities nationwide

Chain avg rating: 2.4/5 · Rank 5 of 5 (Worst)

Ownership & Management

Owners

Woodlawn Hospital

Owner · Organization

100%

Woodlawn Hospital

Owner (parent company) · Organization

100%

Key personnel

Bode, GlenManaging Control - Governing BodyChudzynski, KendraManaging Control - Governing BodyFisher, AlanManaging Control - Governing BodyHeyde, AlisonManaging Control - Governing BodyJohnson, TerriManaging Control - Governing Body
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 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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