Occupancy rate
90%
33% 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.
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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.
Shady Nook Care Center
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.
Shady Nook Care Center
Shady Nook Care Center is located in Lawrenceburg, Indiana. It offers short-term rehabilitation, long-term care, and accommodations. The facility is known for its compassionate care and proven outcomes.
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
94
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
90.4%
Residents per day (avg)
88
Occupancy rate
90.4%
Residents per day (avg)
88
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
72% of new residents, usually for short-term rehab.
Typical stay
20 days
Private pay
8% of new residents, often for short stays.
Typical stay
10 - 11 months
Medicaid
20% of new residents, often for long-term daily care.
Typical stay
2 - 3 years
Finances and operations
Governmental community
Operated by county authorities.
Home revenue
$13.4M
Surplus of revenue
$2.6M
Governmental community
Operated by county authorities.
Home revenue
$13.4M
Surplus of revenue
$2.6M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.2M
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.
$7.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$10.8M
94-bed community
A larger shared setting that may offer more common spaces and organized community services.
10 years in operation
A community with a solid operating history and experience delivering ongoing care.
About this community
Occupancy
33% higher than Indiana averageOccupied beds
85 / 94
Average residents
70 per day
Facility TypeNursing Home (skilled Nursing Facility)
IssuanceJanuary 9, 2024
ExpirationAugust 31, 2025
License Number24-000304-2
CMS Certification Number155525
Shady Nook Care Center is legally operated by Adams County Memorial Hospital, and administrated by Lindsey Boltz.
Profit StatusNON-PROFIT
SNF/NF (Combined)
94 units
Total beds
94 units
Staffing
Key information about the people who lead and staff this community.
Medical DirectorPragneshkumar Radadiya
Director of NursingMARGARET WEST
ContactMatthew Jones
Rehabilitation Services
Respite Care
Short-Term Rehab
Short Term Rehabilitation
Long Term Care
Fax(812) 537-0326
Complimentary Wifi
Cable Tv
Daily Housekeeping
Laundry Services
Facility Transportation
Beautiful Outdoor Areas
Live Entertainment
Specific ProgramsShort Term Rehabilitation, Long Term Care, Accommodations
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.
27 total visits · Indiana avg: 19
Ranked 304th of 388 in Indiana
19
Inspections
Indiana avg: 13
46% above Indiana avg
10
Visits with Citations
Indiana avg: 7
43% above Indiana avg
64
Citations Total
Indiana avg: 34
88% above Indiana avg Ranked 334th of 385
17
Visits without Citations
Indiana avg: 12
42% above 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
March 25, 2025
Complaint Investigation64 total citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
Indiana average: 34 citations
65 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Indiana average: 36 deficiencies
Inspection Report Summary for Shady Nook Care Center
The most recent inspection on March 25, 2025, found the facility in compliance based on a paper review of a complaint investigation. Earlier inspections showed a pattern of deficiencies primarily related to medication administration timeliness, urinary incontinence care, and Life Safety Code compliance including fire safety and HVAC issues. Complaint investigations were mostly unsubstantiated, though some were substantiated with deficiencies cited for medication and continence care. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s inspection history shows some improvement in recent months with the latest inspections showing no new deficiencies.
Health Inspection History
Inspections
Total health inspections
6
Indiana average 6
Last Health inspection on Feb 2025
Total health citations
20
Indiana average 25
Citations per inspection
3.33
Indiana average 4.12
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
15 of 20 citations resulted from standard inspections; 4 of 20 resulted from complaint investigations; and 1 of 20 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
0
0
100% better than Indiana averageIndiana average: 0.6
0 critical citations
0 serious citations
20 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Feb 19, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Feb 19, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Nov 13, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Nov 13, 2024
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Nov 13, 2024
Issues related to medication management, including how drugs are stored, administered, and monitored.
Nov 13, 2024
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Nov 13, 2024
Issues related to medication management, including how drugs are stored, administered, and monitored.
Nov 13, 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 | ||||
| Shady Nook 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. | Lawrenceburg | 94 | 92.6% | +33% | 2.67 | +54% | -22% | 0 | 20 | 3.3 | 0 | 88 | - | - | Boltz, Lindsey | $13.3M | $3.2M | 24.3% | 155525 | ||||
| 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 |
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
82
Employees
82
Contractors
0
Staff to resident ratio
1.01:1
1012246% better than Indiana averageIndiana average ratio: 0.00:1
Avg staff/day
36
Average shift
8.2 hours
6% better than Indiana averageIndiana average: 7.7 hours
Total staff hours (quarter)
26,965
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
12
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
33
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0%
0 contractor hours this quarter
No contractor roles were reported this quarter.
Staff by category
| Certified Nursing Assistant | 33 | 0 | 33 | 13,707 | 91 | 100% | 8.7 |
| Licensed Practical Nurse | 10 | 0 | 10 | 3,187 | 91 | 100% | 10 |
| Registered Nurse | 12 | 0 | 12 | 3,062 | 91 | 100% | 7.9 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,395 | 82 | 90% | 7.7 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,231 | 87 | 96% | 7.7 |
| RN Director of Nursing | 2 | 0 | 2 | 752 | 63 | 69% | 8 |
| Medication Aide/Technician | 2 | 0 | 2 | 667 | 69 | 76% | 8.9 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Therapeutic Recreation Specialist | 4 | 0 | 4 | 498 | 69 | 76% | 7.2 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Dietitian | 1 | 0 | 1 | 448 | 56 | 62% | 8 |
| Qualified Social Worker | 2 | 0 | 2 | 336 | 59 | 65% | 5.6 |
| Physical Therapy Assistant | 3 | 0 | 3 | 117 | 28 | 31% | 4.2 |
| Respiratory Therapist | 1 | 0 | 1 | 104 | 47 | 52% | 2.2 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 8 | 2 | 2% | 4.1 |
33 Certified Nursing Assistant
% of Days
100%
10 Licensed Practical Nurse
% of Days
100%
12 Registered Nurse
% of Days
100%
3 Clinical Nurse Specialist
% of Days
90%
4 Other Dietary Services Staff
% of Days
96%
2 RN Director of Nursing
% of Days
69%
2 Medication Aide/Technician
% of Days
76%
1 Nurse Practitioner
% of Days
70%
4 Therapeutic Recreation Specialist
% of Days
76%
1 Administrator
% of Days
65%
1 Mental Health Service Worker
% of Days
65%
1 Dietitian
% of Days
62%
2 Qualified Social Worker
% of Days
65%
3 Physical Therapy Assistant
% of Days
31%
1 Respiratory Therapist
% of Days
52%
2 Respiratory Therapy Technician
% of Days
2%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
81
Medicare
1
1.2% of residents
Medicaid
64
79% of residents
Private pay or other
16
19.8% 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.
10.3
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.3
28% 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.
19.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.9
16% 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
16.0%
Percent of long-stay residents whose need for help with daily activities has increased
16.0%
33% worse than Indiana averageIndiana average: 12.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
20.8%
Percent of long-stay residents whose ability to move independently worsened
20.8%
45% 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
22.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.7%
8% better than Indiana averageIndiana average: 24.6%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.3%
Percent of long-stay residents experiencing one or more falls with major injury
6.3%
63% worse than Indiana averageIndiana average: 3.9%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.1%
Percent of long-stay high risk residents with pressure ulcers
3.1%
29% better than Indiana averageIndiana average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.6%
Percent of long-stay residents with a urinary tract infection
1.6%
29% worse than Indiana averageIndiana average: 1.2%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.1%
Percent of long-stay residents who lose too much weight
5.1%
11% better than Indiana averageIndiana average: 5.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
19.9%
Percent of long-stay residents who have depressive symptoms
19.9%
17% better than Indiana averageIndiana average: 24.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
10.7%
Percent of long-stay residents who received an antipsychotic medication
10.7%
14% better than Indiana averageIndiana average: 12.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.1%
In line with Indiana averageIndiana average: 93.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.4%
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
86.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.4%
6% better than Indiana averageIndiana average: 81.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.1%
Percent of short-stay residents who newly received an antipsychotic medication
3.1%
128% worse than Indiana averageIndiana average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
75.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
75.4%
5% worse 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 Shady Nook Care Center based on CMS SNF Cost Reports.
Occupancy Rate
84.9%
↑ 4.3pp vs 2022
Net Income
$2.6M
↓ ~$1.4M vs 2022
Total Payroll
$4.1M
↑ ~$549.6K vs 2022
Profit Margin
19.2%
↓ 12.9pp vs 2022
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Guides for Better Senior Living
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