Nursing homes › Indiana › Mcgivney Health Care Center
2907 East Smoky Row, Carmel, IN 46033 · 3178460265 · 37 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: Non profit - Corporation.
Total nurse staffing: 2.91 (Indiana median: 3.55). RN hours: 0.13. Weekend total: 2.91. Nursing staff turnover: 20%.
All-time on record: 43 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-08-26 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Health | corrected 2025-09-15 |
| 2025-08-26 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Health | corrected 2025-09-19 |
| 2025-08-26 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Health | corrected 2025-09-15 |
| 2025-08-26 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2025-09-15 |
| 2025-08-26 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-09-15 |
| 2025-08-26 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2025-09-15 |
| 2025-08-26 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-09-16 |
| 2025-08-26 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2025-09-16 |
| 2025-08-26 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-09-16 |
| 2025-08-26 | 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. | D | Health | corrected 2025-09-15 |
| 2025-08-26 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Health | corrected 2025-09-15 |
| 2025-08-26 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-09-16 |
| 2025-08-26 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | D | Health | corrected 2025-09-15 |
| 2024-10-02 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-10-24 |
| 2024-10-02 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2024-10-24 |
| 2024-10-02 | 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. | D | Health | corrected 2024-10-24 |
| 2024-10-02 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Health | corrected 2024-10-24 |
| 2024-10-02 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | D | Health | corrected 2024-10-24 |
| 2023-09-22 | Ensure that residents are free from significant medication errors. | G | Health | corrected 2023-10-27 |
| 2023-09-22 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | F | Health | corrected 2023-10-27 |
| 2023-09-22 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-10-27 |
| 2023-09-22 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Health | corrected 2023-10-27 |
| 2023-09-22 | Provide and implement an infection prevention and control program. | E | Health | corrected 2023-10-27 |
| 2023-09-22 | Implement a program that monitors antibiotic use. | E | Health | corrected 2023-10-27 |
| 2023-09-22 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | Health | corrected 2023-10-27 |
| 2023-09-22 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2023-10-27 |
| 2023-09-22 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2023-10-27 |
| 2023-09-22 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2023-10-27 |
| 2023-09-22 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2023-10-27 |
| 2023-09-22 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2023-10-27 |
| 2023-09-22 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2023-10-27 |
| 2023-09-22 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2023-10-27 |
| 2023-09-22 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Health | corrected 2023-10-27 |
| 2023-09-22 | 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. | D | Health | corrected 2023-10-27 |
| 2023-09-22 | Observe each nurse aide's job performance and give regular training. | D | Health | corrected 2023-10-27 |
| 2023-09-22 | Post nurse staffing information every day. | D | Health | corrected 2023-10-27 |
| 2023-09-22 | 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. | D | Health | corrected 2023-10-27 |
| 2023-09-22 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2023-10-27 |
| 2023-09-22 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Health | corrected 2023-10-27 |
| 2023-09-22 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2023-10-27 |
| Date | Type | Amount |
|---|---|---|
| 2023-09-22 | Fine | $8,189 |
| 2023-09-22 | Payment Denial | 8 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| WITHAM MEMORIAL HOSPITAL | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 04/01/2015 |
| BAYSTON, BRETT | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2023 |
| BRAND, JOHN | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2015 |
| CASTETTER, ANDREA | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2023 |
| COMPTON, JOHN | Corporate Director | Individual | NOT APPLICABLE | since 07/01/2015 |
| FUNK, JAMES | Corporate Director | Individual | NOT APPLICABLE | since 07/01/2011 |
| HAWKINS, CLAUDE | Corporate Director | Individual | NOT APPLICABLE | since 09/01/2013 |
| HORNBECKER, MICHAEL | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2024 |
| PATRICK, LORI | Corporate Director | Individual | NOT APPLICABLE | since 07/01/2022 |
| REAGAN, JULIE | Corporate Director | Individual | NOT APPLICABLE | since 02/21/2025 |
| SCHMITS, FRED | Corporate Director | Individual | NOT APPLICABLE | since 07/01/2015 |
| BRAVERMAN, KELLY | Corporate Officer | Individual | NOT APPLICABLE | since 12/01/2021 |
| EMMINGER, DEBORAH | Corporate Officer | Individual | NOT APPLICABLE | since 07/01/2024 |
| SELLERS, DANIEL | Corporate Officer | Individual | NOT APPLICABLE | since 06/24/2024 |
| GIBAULT CARE, INC. | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/01/2015 |
| BANKS, JOE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/27/2024 |
| SHERA, RANDALL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/02/2018 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 155855. Corrections: data@carerecords.org.