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Nursing HomeMedicaid Investigative

Pilgrim Manor

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

222 Parkview St, Plymouth, IN 4656378 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 14 Google reviews

5
4
3
2
1
Pilgrim Manor Nursing Home in Plymouth, 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 (11 vs median 6)

Below average in IN · Below recommended RN staffing · No penalties on record

Source: Medicare data

What this means for your family

Pilgrim Manor offers a clean environment with a highly regarded, friendly staff. However, families should be aware of reported issues with food quality and weekend staffing levels, and we recommend asking management about their specific weekend coverage plans.

Google Reviews

Google Reviews

14 reviews on Google
Pilgrim Manor is generally praised for its cleanliness and friendly, helpful staff who are attentive to both residents and visitors. However, concerns have been raised regarding the quality and temperature of the food served, as well as significant staffing shortages during weekend hours.

Quality Themes

Tap a score for details
Food2.0Staff9.0Clean10.0ActivitiesN/AMedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • Friendly and helpful staff
  • Clean, well-maintained facility
  • Attentive care for residents

Concerns

  • Understaffing, particularly on weekends (mentioned by 2 reviewers)
  • Poor food quality and temperature (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2343.02024(1)4.82025(9)4.02026(5)

Distribution · 15 analyzed

5
10
4
3
3
1
2
0
1
1

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1With the current staffing levels, how do you ensure consistent attention for residents, especially during weekend shifts?
  • 2I noticed the dining experience is an area you are working to improve; could you walk me through how you are currently addressing food quality and temperature concerns?
  • 3Given the recent health inspection findings, what specific steps has the leadership team taken to improve compliance and overall care standards?
  • 4How do you balance the need for high-quality medical oversight with the current staffing capacity to ensure my loved one stays safe?
  • 5Since many families praise the facility's cleanliness, how do you maintain that standard while managing the daily care needs of all 78 residents?
  • 6What kind of daily activities or social engagement programs are available to keep residents active and connected throughout the week?

Personalized based on this facility's data


Key Review Excerpts

The staff are friendly and helpful to nonresidents, and kind, attentive, patient, and helpful to the residents.

Visitor · 2025★★★★★

Food is frequently NOT appropriate for patients. Hard vegetables and fruit, always COLD when served grossly understaffed, especially on weekends

Family member · 2024★★★☆☆

Love that this place is always very clean...and the staff is very friendly

Visitor · 2025☆☆☆☆
Source: 14 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.71hrs
95%
Registered nurses for medical care
Total Nursing
3.51hrs
86%
All nurses + aides combined
Staff Turnover
48%
Lower is better (< 30% = good)
RN Turnover
39%
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

10

measures

Worse Than Avg

5

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility7.1%
Better than Avg
Here
7.1%
US
12.1%
IN
24.8%
Marshall
8.3%

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 Facility8.0%
Better than Avg
Here
8.0%
US
15.5%
IN
13.6%
Marshall
18.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility18.8%
Worse than Avg
Here
18.8%
US
14.4%
IN
11.4%
Marshall
14.3%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility17.2%
Better than Avg
Here
17.2%
US
19.5%
IN
23.5%
Marshall
24.3%
🦠

Residents who got a urinary tract infection

↓ Lower is better
This Facility8.2%
Worse than Avg
Here
8.2%
US
1.6%
IN
1.1%
Marshall
1.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility26.2%
Worse than Avg
Here
26.2%
US
19.4%
IN
23.8%
Marshall
20.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility86.3%
Better than Avg
Here
86.3%
US
81.8%
IN
81.5%
Marshall
84.6%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility79.2%
Mixed vs Avgs
Here
79.2%
US
79.8%
IN
79.0%
Marshall
83.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
IN
1.3%
Marshall
2.0%
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)
10 complaint-triggered

Families filed multiple reports leading to 9 complaint-triggered deficiencies, including serious concerns about abuse prevention and physical restraint policies. The facility shows recurring problems with care planning, medication management, and fire safety systems that persist across multiple surveys from 2023 to 2024. While all deficiencies have correction dates, the pattern of repeated issues in core care areas suggests ongoing quality challenges that warrant careful consideration.

Apr 16, 2026Complaint
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.

Feb 13, 2026Routine
20
0691Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

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.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0351Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

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

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0923Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0552Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

0881Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0908Potential for harm · IsolatedCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

Nov 27, 2024Routine
12
0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

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

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.

0550Potential for harm · IsolatedCorrected

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.

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.

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.

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Nov 27, 2024Complaint
2
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

Aug 28, 2024Complaint
5
0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

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.

Jan 22, 2024Complaint
2
0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Pilgrim Manor

Organization Type

government

Ownership & Management

Owners

Greatorex, Tina

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

Schiowitz, Marc

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

Sebbag, Gabriel

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

Key personnel

Nbh Bank5% or Greater Mortgage InterestBorne-Bauman, CandiceManaging Control - Governing BodyFlueckiger, RussellManaging Control - Governing BodyLehman, ScottManaging Control - Governing BodyMacklin, LarryManaging 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 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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