Occupancy rate
86%
26% higher than Indiana averageIndiana average: 68%
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Pilgrim Manor
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.
Pilgrim Manor
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.
Pilgrim Manor is a senior living facility located in Plymouth, Indiana. It offers short-term rehabilitation and long-term care services in a homelike environment. The facility has been serving the community for over 50 years, providing personalized care plans and a variety of social activities for residents.
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.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 25m per day
vs Indiana avg
-3%
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
78
Avg. Length of Stay
331 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
54% of new residents, usually for short-term rehab.
Typical stay
28 days
Private pay
35% of new residents, often for short stays.
Typical stay
10 - 11 months
Medicaid
12% of new residents, often for long-term daily care.
Typical stay
6 - 7 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$3.2M
Operating loss
-$417.4K
Privately-owned community
Operated by a business corporation.
Home revenue
$3.2M
Operating loss
-$417.4K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.2M
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.
$1.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$3.6M
78-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Occupancy
26% higher than Indiana averageOccupied beds
67 / 78
Average residents
70 per day
Facility TypeNursing Home (skilled Nursing Facility)
StatusActive
IssuanceJanuary 7, 2025
ExpirationJune 30, 2026
License Number25-000030-1
CMS Certification Number155073
Pilgrim Manor is legally operated by Adams County Memorial Hospital, and administrated by James Combs.
Profit StatusOTHER
SNF (Skilled Nursing)
6 units
SNF/NF (Combined)
72 units
Total beds
78 units
Staffing
Key information about the people who lead and staff this community.
Medical DirectorByron Holm, Jr.
Director of NursingCONNIE BENNETT
ContactLori Smith
Rehabilitation Services
Short-Term Rehab
Short Term Rehab
Long Term Care
Fax(574) 936-4310
Specific ProgramsShort Term Rehab, Long Term Care, Accommodations, Testimonials, Careers, Contact, Payments
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
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
19 total visits · Indiana avg: 19
Ranked 198th of 388 in Indiana
11
Inspections
Indiana avg: 13
15% below Indiana avg
9
Visits with Citations
Indiana avg: 7
29% above Indiana avg
38
Citations Total
Indiana avg: 34
12% above Indiana avg Ranked 250th of 385
10
Visits without Citations
Indiana avg: 12
17% below Indiana avg
Show Inspection Reports
5 complaints
Formal expressions of dissatisfaction or concern made by residents, or their families regarding various aspects of the care, services, and environment provided.
Indiana average: 5 complaints
Latest inspection
Date
May 16, 2025
Complaint Investigation38 total citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
Indiana average: 34 citations
39 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Indiana average: 36 deficiencies
Inspection Report Summary for Pilgrim Manor
The most recent inspection on May 16, 2025, found no deficiencies related to the complaint investigated. Earlier inspections showed a pattern of deficiencies primarily involving medication management, medication storage, and Life Safety Code compliance, including issues with sprinkler maintenance and fire safety procedures. Complaint investigations substantiated some concerns about resident care, such as improper use of restraints and failure to monitor hot liquid temperatures, as well as medication documentation and storage. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history shows some improvement in recent visits, with the latest inspection free of cited deficiencies.
Health Inspection History
Inspections
Total health inspections
4
Indiana average 6
Last Health inspection on Nov 2024
Total health citations
26
Indiana average 25
Citations per inspection
6.5
Indiana average 4.12
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
15 of 26 citations resulted from standard inspections; 5 of 26 resulted from complaint investigations; and 6 of 26 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Indiana averageIndiana average: 0.2
Serious Health citations
1
1
67% worse than Indiana averageIndiana average: 0.6
0 critical citations
1 serious citation
25 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Nov 27, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Nov 27, 2024
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Nov 27, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Nov 27, 2024
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Nov 27, 2024
Issues related to medication management, including how drugs are stored, administered, and monitored.
Nov 27, 2024
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Nov 27, 2024
Issues related to medication management, including how drugs are stored, administered, and monitored.
Nov 27, 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 | -10% | +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 | +29% | +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 | -5% | -8% | 1 | 27 | 4.5 | 1 | 93 | - | - | Dobben, Steven | $15.2M | $5.3M | 34.8% | 155805 | ||||
| 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 | +4% | +2% | 0 | 19 | 3.2 | 1 | 77 | - | - | Troxwell, Melanie | $12.3M | $4.3M | 35% | 155432 | ||||
| Pilgrim Manor |
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. | Plymouth | 78 | 82.1% | +18% | 3.42 | -3% | 0% | 0 | 26 | 6.5 | 1 | 65 | - | - | Adams County Memorial Hospital | $3.2M | $2.2M | 68.2% | 155073 |
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
98
Employees
95
Contractors
3
Staff to resident ratio
1.31:1
1306567% better than Indiana averageIndiana average ratio: 0.00:1
Avg staff/day
37
Average shift
7.3 hours
5% worse than Indiana averageIndiana average: 7.7 hours
Total staff hours (quarter)
24,442
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
9
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
14
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
35
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 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0.3%
86 contractor hours this quarter
Registered Nurse: 1
Medical Director: 1
Occupational Therapy Aide: 1
Staff by category
| Certified Nursing Assistant | 35 | 0 | 35 | 8,777 | 91 | 100% | 7.4 |
| Medication Aide/Technician | 11 | 0 | 11 | 3,199 | 91 | 100% | 7 |
| Registered Nurse | 8 | 1 | 9 | 2,611 | 91 | 100% | 8.1 |
| Licensed Practical Nurse | 14 | 0 | 14 | 2,330 | 91 | 100% | 7.7 |
| Other Dietary Services Staff | 2 | 0 | 2 | 990 | 89 | 98% | 7.8 |
| RN Director of Nursing | 2 | 0 | 2 | 982 | 64 | 70% | 7.9 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 976 | 64 | 70% | 8 |
| Physical Therapy Assistant | 4 | 0 | 4 | 685 | 66 | 73% | 6.2 |
| Therapeutic Recreation Specialist | 4 | 0 | 4 | 642 | 74 | 81% | 6 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Respiratory Therapist | 2 | 0 | 2 | 471 | 69 | 76% | 6.8 |
| Dietitian | 1 | 0 | 1 | 448 | 56 | 62% | 8 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 335 | 63 | 69% | 5.2 |
| Nurse Aide in Training | 2 | 0 | 2 | 319 | 39 | 43% | 7.6 |
| Qualified Social Worker | 1 | 0 | 1 | 125 | 45 | 49% | 2.8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 49 | 10 | 11% | 4.9 |
| Medical Director | 0 | 1 | 1 | 15 | 9 | 10% | 1.7 |
35 Certified Nursing Assistant
% of Days
100%
11 Medication Aide/Technician
% of Days
100%
9 Registered Nurse
% of Days
100%
14 Licensed Practical Nurse
% of Days
100%
2 Other Dietary Services Staff
% of Days
98%
2 RN Director of Nursing
% of Days
70%
3 Clinical Nurse Specialist
% of Days
70%
4 Physical Therapy Assistant
% of Days
73%
4 Therapeutic Recreation Specialist
% of Days
81%
1 Nurse Practitioner
% of Days
70%
1 Administrator
% of Days
68%
1 Mental Health Service Worker
% of Days
66%
2 Respiratory Therapist
% of Days
76%
1 Dietitian
% of Days
62%
3 Respiratory Therapy Technician
% of Days
69%
2 Nurse Aide in Training
% of Days
43%
1 Qualified Social Worker
% of Days
49%
1 Occupational Therapy Aide
% of Days
11%
1 Medical Director
% of Days
10%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
75
Medicare
6
8% of residents
Medicaid
49
65.3% of residents
Private pay or other
20
26.7% of residents
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.
14.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.5
81% 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.
28.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.9
70% 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
28.4%
Percent of long-stay residents whose need for help with daily activities has increased
28.4%
135% worse than Indiana averageIndiana average: 12.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
27.5%
Percent of long-stay residents whose ability to move independently worsened
27.5%
92% 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
30.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.9%
26% worse than Indiana averageIndiana average: 24.6%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.7%
Percent of long-stay residents experiencing one or more falls with major injury
3.7%
5% better than Indiana averageIndiana average: 3.9%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.1%
Percent of long-stay high risk residents with pressure ulcers
4.1%
6% better than Indiana averageIndiana average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.7%
Percent of long-stay residents with a urinary tract infection
3.7%
201% worse than Indiana averageIndiana average: 1.2%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
8.9%
Percent of long-stay residents who lose too much weight
8.9%
57% worse than Indiana averageIndiana average: 5.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
6.6%
Percent of long-stay residents who have depressive symptoms
6.6%
73% better than Indiana averageIndiana average: 24.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
4.7%
Percent of long-stay residents who received an antipsychotic medication
4.7%
63% better than Indiana averageIndiana average: 12.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.1%
In line with Indiana averageIndiana average: 93.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.1%
In line with Indiana averageIndiana average: 95.4%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
68.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
68.2%
17% worse than Indiana averageIndiana average: 81.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
42% better than Indiana averageIndiana average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
79.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
79.2%
In line with 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 Pilgrim Manor based on CMS SNF Cost Reports.
Occupancy Rate
76.1%
↑ 12.4pp vs 2022
Net Income
-$417.4K
↑ ~$2.3M vs 2022
Total Payroll
$2.5M
↓ ~$2.1M vs 2022
Profit Margin
-13.0%
↑ 36.6pp vs 2022
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