C75

CEDARS THE

Grade C 75/100 composite score

Non profit - Church related

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
3/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

65

Ownership

Non profit - Church related

Total Fines

None

Last Survey

N/A

14409 SUNRISE CT, LEO, IN 46765
2606272191

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.58h
LPN
0.87h
CNA
3.05h
Total
4.51h
Facility
State Average

Turnover Rates

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

Ownership

ADAMS COUNTY MEMORIAL HOSPITAL

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jun 2015

100%

ADAMS COUNTY MEMORIAL HOSPITAL

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jun 2015

CEDAR CREEK RETIREMENT HOME INC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jun 2015

FORVIS MAZARS LLP

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jan 2025

HEALTHCARE THERAPY SERVICES INC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jan 2025

PROACTIVE MEDICAL REVIEW AND CONSULTANTS LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jan 2025

BORNE-BAUMAN, CANDICE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2019

BROGUARD, DUANE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2025

BRUNE, SCOTT

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2025

DUGGAN, AMANDA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2023

FISCHER, PAUL

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2025

FLUECKIGER, RUSSELL

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jun 2015

KLOPFENSTEIN, JOHN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2025

LEHMAN, SCOTT

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2020

LEPLEY, WILLIAM

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2025

MACKLIN, LARRY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jun 2015

MCINTIRE, DAVID

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2019

SCHLATTER, LOWELL

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2025

SCHLATTER, MITCH

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2025

SCHLIE, AUSTIN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2023

SCHRENK, STEVEN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2025

SMITH, SCOTT

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2020

SPRUNGER, KYLE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2018

WHEELER, DANE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jun 2015

YODER, THOMAS

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2025

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (23)

June 30, 2025Health1 deficiency
0557DMinimal harm, Isolated

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Resident Rights Deficiencies

Corrected Jul 17, 2025
February 17, 2025Health1 deficiency
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Feb 28, 2025
September 13, 2024Health5 deficiencies
0623DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Oct 1, 2024
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Oct 1, 2024
0686DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Oct 1, 2024
0695DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Oct 1, 2024
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Oct 1, 2024
August 14, 2024Health2 deficiencies
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Sep 2, 2024
0686DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Sep 2, 2024
July 22, 2024Health1 deficiency
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Aug 9, 2024
September 8, 2023Health7 deficiencies
0583DMinimal harm, Isolated

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies

Corrected Sep 28, 2023
0622DMinimal harm, Isolated

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Resident Rights Deficiencies

Corrected Sep 28, 2023
0660DMinimal harm, Isolated

Plan the resident's discharge to meet the resident's goals and needs.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 28, 2023
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 28, 2023
0727EMinimal harm, Pattern

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Nursing and Physician Services Deficiencies

Corrected Sep 28, 2023
0756DMinimal harm, Isolated

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies

Corrected Sep 28, 2023
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Sep 28, 2023
August 9, 2023Health1 deficiency
0744DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Aug 27, 2023
May 8, 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 Jun 2, 2023
March 13, 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 Apr 11, 2023
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 Apr 11, 2023
November 9, 2022Health2 deficiencies
0550DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Dec 16, 2022
0758DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Dec 16, 2022

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Frequently Asked Questions

What is the CareGrader rating for CEDARS THE?

CEDARS THE in LEO, Indiana has a CareGrader grade of C (Average), with a composite score of 75.3 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 CEDARS THE?

CEDARS THE has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does CEDARS THE have?

CEDARS THE has 23 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 CEDARS THE have?

CEDARS THE has 65 certified beds with approximately 37 current residents (57% occupancy). The facility is located at 14409 SUNRISE CT, LEO, Indiana 46765. It is a non profit - church related 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.