Occupancy rate
61%
11% lower than Indiana averageIndiana average: 68%
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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Nursing Home in Indiana
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Adams Heritage
Nursing Home in Indiana
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Adams Heritage
Adams Heritage is a senior living facility located in Monroeville, Indiana, offering 24-hour nursing care and rehabilitation services. The facility provides a compassionate environment where residents can focus on their healing process and enjoy a variety of life-enriching activities. With a dedicated team that treats residents like family, Adams Heritage ensures that each person receives the attention and care they deserve.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
61
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
60.7%
Residents per day (avg)
39
Occupancy rate
60.7%
Residents per day (avg)
39
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
32% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
53% of new residents, often for short stays.
Typical stay
8 months
Medicaid
15% of new residents, often for long-term daily care.
Typical stay
3 years
Finances and operations
Governmental community
Operated by county authorities.
Home revenue
$5.5M
Surplus of revenue
$21.4K
Governmental community
Operated by county authorities.
Home revenue
$5.5M
Surplus of revenue
$21.4K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.5M
61-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
13 years in operation
A community with a solid operating history and experience delivering ongoing care.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
Occupancy
11% lower than Indiana averageOccupied beds
37 / 61
Average residents
70 per day
Facility TypeNursing Home (skilled Nursing Facility)
IssuanceJanuary 3, 2025
ExpirationFebruary 28, 2026
License Number25-002549-1
CMS Certification Number155729
Awards2026 Best Nursing Home by U.S. News & World Report, 2023 AHCA/NCAL Silver National Quality Award, 2021 AHCA/NCAL Bronze National Quality Award
Adams Heritage is legally operated by Adams County Memorial Hospital, and administrated by Natasha Graves.
Profit StatusOTHER
SNF/NF (Combined)
61 units
Total beds
61 units
Staffing
Key information about the people who lead and staff this community.
Medical DirectorMark Gresla
Director of NursingLESLIE SALWAY
ContactCarmela Tuttle
Accept Medicare
Rehabilitation Services
Respite Care
Short-Term Rehab
Doctor on Staff
Skilled Nursing
24-Hour Staffing
Short-Term Rehabilitation
Outpatient Rehabilitation
Fax(260) 623-6870
Restaurant-Style Dining
On-Site Beauty And Barber Shop
Community Room
Bird Aviary
Outdoor Walking Paths
Beautiful Gardens
Daily Housekeeping
Laundry Services
Cable
Wi-Fi
State-Of-The-Art Response System
Coordination Of Transportation For Medical Appointments
Specific Programs24-Hour Nursing Care, Short-Term Rehabilitation, Outpatient Rehabilitation, Therapy Services, Events, Volunteer Opportunities
Religious ServicesYes
Volunteer ProgramsYes
Operating HoursMonday-Friday: 8am-5pm, Saturday: 9am-3pm, Sunday: Closed
Food DescriptionAdams Heritage’s dining program goes above and beyond to meet the individual preferences and specific diets of residents, ensuring a stock of family favorites.
Meals IncludedYes
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicare Accepted
This facility is certified for eligible Medicare services.
Inspection History
In Indiana, the Department of Health, Division of Long Term Care is the primary regulatory body that performs onsite inspections and quality of care reviews for all licensed facilities.
Inspection Overview
22 total visits · Indiana avg: 19
Ranked 241st of 388 in Indiana
9
Inspections
Indiana avg: 13
31% below Indiana avg
6
Visits with Citations
Indiana avg: 7
14% below Indiana avg
10
Citations Total
Indiana avg: 34
71% below Indiana avg Ranked 71st of 385
16
Visits without Citations
Indiana avg: 12
33% above Indiana avg
Show Inspection Reports
Latest inspection
Date
June 16, 2025
Annual Inspection10 total citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
Indiana average: 34 citations
9 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Indiana average: 36 deficiencies
Inspection Report Summary for Adams Heritage
The most recent inspection on June 16, 2025, found Adams Heritage to be in compliance with all applicable regulations and had no deficiencies. Earlier inspections showed a pattern of isolated deficiencies primarily related to food labeling and dating, medication storage, and Life Safety Code issues involving sprinkler system maintenance. Complaint investigations conducted during this period were consistently unsubstantiated, with no deficiencies cited in relation to the allegations. There were no fines, immediate jeopardy findings, or enforcement actions listed in the available reports. The facility’s record suggests improvement over time, culminating in a clean most recent inspection.
Health Inspection History
Inspections
Total health inspections
2
Indiana average 6
Last Health inspection on May 2025
Total health citations
2
Indiana average 25
Citations per inspection
1
Indiana average 4.12
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 2 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Indiana averageIndiana average: 0.2
Serious Health citations
0
0
100% better than Indiana averageIndiana average: 0.6
0 critical citations
0 serious citations
2 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
May 28, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
May 28, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jul 30, 2024
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jul 30, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Indiana The information below is reported by the Indiana Department of Health, Division of Long Term Care.
Filter by care type
Adams Woodcrest
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Decatur
143
67.1%
-3%
3.69
+7%
0
2
2.0
0
108
-
-
Adams County Memorial Hospital
$12.2M
$5.6M
46.1%
155747
Adams Heritage
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Monroeville
61
60.7%
-13%
4.12
+20%
0
2
1.0
0
39
A+
-
Adams County Memorial Hospital
$5.1M
$2.5M
49.1%
155729
Addison Pointe Health & Rehabilitation Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Chesterton
100
93.0%
+34%
3.16
-8%
1
27
4.5
1
93
-
-
Dobben, Steven
$15.2M
$5.3M
34.8%
155805
Alexandria Care Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Alexandria
70
71.4%
+3%
3.19
-7%
0
16
4.0
0
56
-
-
Magnolia Health Management I Llc
$6.0M
$2.2M
35.7%
155521
Albany Health Care & Rehabilitation Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Albany
102
75.5%
+9%
3.51
+2%
0
19
3.2
1
77
-
-
Troxwell, Melanie
$12.3M
$4.3M
35%
155432
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
139
Employees
81
Contractors
58
Staff to resident ratio
3.76:1
3756657% better than Indiana averageIndiana average ratio: 0.00:1
Avg staff/day
26
Average shift
7.2 hours
6% worse than Indiana averageIndiana average: 7.7 hours
Total staff hours (quarter)
17,056
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
17
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
16
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
68
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
20.8%
3,550 contractor hours this quarter
Certified Nursing Assistant: 34
Licensed Practical Nurse: 14
Registered Nurse: 9
Occupational Therapy Aide: 1
Staff by category
| Certified Nursing Assistant | 34 | 34 | 68 | 9,129 | 91 | 100% | 7.3 |
| Registered Nurse | 8 | 9 | 17 | 2,330 | 91 | 100% | 8.1 |
| Licensed Practical Nurse | 2 | 14 | 16 | 1,488 | 90 | 99% | 7.4 |
| Other Dietary Services Staff | 2 | 0 | 2 | 846 | 83 | 91% | 7.9 |
| Physical Therapy Aide | 5 | 0 | 5 | 488 | 73 | 80% | 5.8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 483 | 61 | 67% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 463 | 59 | 65% | 7.8 |
| Dietitian | 1 | 0 | 1 | 463 | 70 | 77% | 6.6 |
| Administrator | 1 | 0 | 1 | 450 | 60 | 66% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 450 | 60 | 66% | 7.5 |
| Qualified Social Worker | 4 | 0 | 4 | 123 | 36 | 40% | 3.3 |
| Respiratory Therapy Technician | 7 | 0 | 7 | 105 | 32 | 35% | 3.3 |
| Physical Therapy Assistant | 4 | 0 | 4 | 77 | 33 | 36% | 2.3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 64 | 18 | 20% | 3.5 |
| Speech Language Pathologist | 9 | 0 | 9 | 61 | 26 | 29% | 2.4 |
| Medical Director | 1 | 0 | 1 | 36 | 3 | 3% | 12 |
68 Certified Nursing Assistant
% of Days
100%
17 Registered Nurse
% of Days
100%
16 Licensed Practical Nurse
% of Days
99%
2 Other Dietary Services Staff
% of Days
91%
5 Physical Therapy Aide
% of Days
80%
1 Clinical Nurse Specialist
% of Days
67%
1 Mental Health Service Worker
% of Days
65%
1 Dietitian
% of Days
77%
1 Administrator
% of Days
66%
1 Nurse Practitioner
% of Days
66%
4 Qualified Social Worker
% of Days
40%
7 Respiratory Therapy Technician
% of Days
35%
4 Physical Therapy Assistant
% of Days
36%
1 Occupational Therapy Aide
% of Days
20%
9 Speech Language Pathologist
% of Days
29%
1 Medical Director
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
37 residents
Residents by payment source
Medicare
2 residents (5.4%)
Medicaid
24 residents (64.9%)
Private pay or other
11 residents (29.7%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.9
24% worse than Indiana averageIndiana average: 8.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.8
45% worse than Indiana averageIndiana average: 17.1
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
19.7%
Percent of long-stay residents whose need for help with daily activities has increased
19.7%
64% worse than Indiana averageIndiana average: 12.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
18.0%
Percent of long-stay residents whose ability to move independently worsened
18.0%
26% worse than Indiana averageIndiana average: 14.4%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
36.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
36.6%
49% worse than Indiana averageIndiana average: 24.6%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.5%
Percent of long-stay residents experiencing one or more falls with major injury
3.5%
11% better than Indiana averageIndiana average: 3.9%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
7.6%
Percent of long-stay high risk residents with pressure ulcers
7.6%
74% worse than Indiana averageIndiana average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Indiana averageIndiana average: 1.2%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
0.7%
Percent of long-stay residents who lose too much weight
0.7%
87% better than Indiana averageIndiana average: 5.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Indiana averageIndiana average: 24.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
4.1%
Percent of long-stay residents who received an antipsychotic medication
4.1%
67% better than Indiana averageIndiana average: 12.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
7% better than Indiana averageIndiana average: 93.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Indiana averageIndiana average: 95.4%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
22% better than Indiana averageIndiana average: 81.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Indiana averageIndiana average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
27% better than Indiana averageIndiana average: 79.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Adams Heritage based on CMS SNF Cost Reports.
Occupancy Rate
71.6%
↓ 6.3pp vs 2022
Net Income
$21.4K
↑ ~$206.8K vs 2022
Total Payroll
$3.8M
↑ ~$1.1M vs 2022
Profit Margin
0.4%
↑ 3.8pp vs 2022
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