B85

UNIVERSITY HEIGHTS HEALTH AND LIVING COMMUNITY

Grade B 85/100 composite score

Government - County

CMS Star Ratings

Overall
4/5
Health Insp.
4/5
Quality
4/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

176

Ownership

Government - County

Total Fines

None

Last Survey

N/A

1380 E COUNTY LINE RD S, INDIANAPOLIS, IN 46227
3178857050

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.63h
LPN
0.65h
CNA
2.13h
Total
3.41h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

RIVERVIEW HOSPITAL

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Oct 2017

100%

CARDON MANAGEMENT COMPANY LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Oct 2017

FRIEND, JAYNA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jun 2021

FRIEND, JAYNA

IndividualCORPORATE OFFICERSince Jun 2021

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (17)

June 6, 2025Health2 deficiencies
0656DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Jul 2, 2025
0842DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Jul 2, 2025
November 7, 2024Health2 deficiencies
0755EMinimal harm, Pattern

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

Pharmacy Service Deficiencies

Corrected Nov 25, 2024
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Nov 25, 2024
August 27, 2024Health6 deficiencies
0554EMinimal harm, Pattern

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

Resident Rights Deficiencies

Corrected Sep 18, 2024
0559DMinimal harm, Isolated

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Resident Rights Deficiencies

Corrected Sep 18, 2024
0644DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Sep 18, 2024
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Sep 18, 2024
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Sep 18, 2024
0883DMinimal harm, Isolated

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

Infection Control Deficiencies

Corrected Sep 18, 2024
May 23, 2024Health2 deficiencies
0656DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Jun 10, 2024
0688DMinimal harm, Isolated

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.

Quality of Life and Care Deficiencies

Corrected Jun 10, 2024
December 5, 2023Health2 deficiencies
0600DMinimal harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Dec 23, 2023
0602DMinimal harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Dec 18, 2023
September 22, 2023Health2 deficiencies
0656DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Oct 6, 2023
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Oct 6, 2023
July 13, 2023Health1 deficiency
0656DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Jul 29, 2023

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Frequently Asked Questions

What is the CareGrader rating for UNIVERSITY HEIGHTS HEALTH AND LIVING COMMUNITY?

UNIVERSITY HEIGHTS HEALTH AND LIVING COMMUNITY in INDIANAPOLIS, Indiana has a CareGrader grade of B (Good), with a composite score of 84.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for UNIVERSITY HEIGHTS HEALTH AND LIVING COMMUNITY?

UNIVERSITY HEIGHTS HEALTH AND LIVING COMMUNITY has an overall CMS star rating of 4 out of 5, a health inspection rating of 4/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does UNIVERSITY HEIGHTS HEALTH AND LIVING COMMUNITY have?

UNIVERSITY HEIGHTS HEALTH AND LIVING COMMUNITY has 17 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does UNIVERSITY HEIGHTS HEALTH AND LIVING COMMUNITY have?

UNIVERSITY HEIGHTS HEALTH AND LIVING COMMUNITY has 176 certified beds with approximately 123 current residents (70% occupancy). The facility is located at 1380 E COUNTY LINE RD S, INDIANAPOLIS, Indiana 46227. It is a government - county facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.