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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
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.
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.
This home is ranked 105th out of 287 homes in Indiana. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 56m per day | ▼ 9% State avg: 3h 14m per day · National avg: 3h 26m per day |
Higher than the Indiana average: 68.1%Northern Lakes Nursing and Rehabilitation Center is legally operated by Pulaski Memorial Hospital, and administrated by Dee Smallman.
Key information about the people who lead and staff this community.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Indiana state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 18 | 36 | This facility has 50% fewer total deficiencies than a typical Indiana nursing home (18 vs. IN avg 36).↓ 50% better |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 4.5 | 9 | This facility has 50% fewer deficiencies per year than a typical Indiana nursing home (4.5 vs. IN avg 9).↓ 50% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 0.7 | 1.9 | This facility has 63% fewer deficiencies per inspection than a typical Indiana nursing home (0.7 vs. IN avg 1.9).↓ 63% better |
Inspections
| This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total visits
Combined count of all on-site visits — routine inspections, complaint visits, follow-ups, and other focused visits.
| 25 | 19 | This facility has 32% more total visits than a typical Indiana nursing home (25 vs. IN avg 19).↑ 32% worse |
|
Inspections with deficiencies
Inspections that resulted in at least one regulatory deficiency.
| 7 | 7 | This facility has inspections with deficiencies in line with the Indiana average (7 vs. IN avg 7).— At avg |
|
Inspection deficiency rate
Percentage of inspections that resulted in at least one deficiency.
| 28% | 37% | This facility has 9 percentage points lower inspection deficiency rate than a typical Indiana nursing home (28% vs. IN avg 37%).↓ 9% better |
|
Inspections
Routine, scheduled inspections conducted by state regulators.
| 17 | 13 | This facility has 31% more inspections than a typical Indiana nursing home (17 vs. IN avg 13).↑ 31% worse |
Complaints & Investigations
| This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 4 | 5 | This facility has 20% fewer total complaints than a typical Indiana nursing home (4 vs. IN avg 5).↓ 20% better |
|
Complaints per year
Average complaints per year since 2022.
| 1 | 1.3 | This facility has 23% fewer complaints per year than a typical Indiana nursing home (1 vs. IN avg 1.3).↓ 23% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on February 17, 2025, found Northern Lakes Nursing and Rehabilitation Center in compliance with Life Safety Code requirements and no deficiencies were cited. Earlier inspections showed a mixed pattern with some deficiencies related to Life Safety Code issues such as locked exit doors and hazardous storage areas, as well as resident care concerns including verbal abuse, improper restraint use, medication administration, and documentation. Complaint investigations were mostly unsubstantiated, except for one substantiated case involving failure to notify a physician of a significant change in a resident’s condition, which led to cited deficiencies but no enforcement actions or fines were listed in the available reports. No fines, immediate jeopardy findings, or license suspensions were noted in the reports. The trend suggests improvement in compliance with Life Safety Code requirements and resident care issues in the most recent inspections compared to earlier findings.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsIndiana average 6
Last Health inspection on Sep 2025
Indiana average 25
Indiana average 4.12
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
9 of 15 citations resulted from standard inspections; 5 of 15 resulted from complaint investigations; and 1 of 15 came from combined inspections (standard and complaint).
900% worse than Indiana averageIndiana average: 0.2
67% worse than Indiana averageIndiana average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
1411665% better than Indiana average
0% compared with Indiana average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,591 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 41 | 0 | 41 | 11,880 | 92 | 100% | 7.8 |
| Medication Aide/Technician | 13 | 0 | 13 | 4,624 | 92 | 100% | 8.7 |
| Licensed Practical Nurse | 13 | 0 | 13 | 4,243 | 92 | 100% | 9.7 |
| Registered Nurse | 10 | 0 | 10 | 3,202 | 92 | 100% | 8.9 |
| Other Dietary Services Staff | 13 | 0 | 13 | 2,282 | 92 | 100% | 5.7 |
| Nurse Aide in Training | 6 | 0 | 6 | 1,039 | 74 | 80% | 6.5 |
| Nurse Practitioner | 1 | 0 | 1 | 852 | 80 | 87% | 10.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 704 | 82 | 89% | 8.6 |
| RN Director of Nursing | 1 | 2 | 3 | 626 | 77 | 84% | 7.3 |
| Speech Language Pathologist | 0 | 2 | 2 | 505 | 64 | 70% | 7.9 |
| Physical Therapy Aide | 0 | 1 | 1 | 475 | 60 | 65% | 7.9 |
| Dietitian | 1 | 0 | 1 | 466 | 63 | 68% | 7.4 |
| Dental Services Staff | 1 | 0 | 1 | 407 | 46 | 50% | 8.9 |
| Administrator | 1 | 0 | 1 | 376 | 55 | 60% | 6.8 |
| Qualified Social Worker | 0 | 2 | 2 | 93 | 30 | 33% | 3.1 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 92 | 58 | 63% | 1.6 |
| Physical Therapy Assistant | 0 | 3 | 3 | 91 | 35 | 38% | 2.6 |
| Medical Director | 0 | 1 | 1 | 84 | 14 | 15% | 6 |
| Other Physician | 0 | 1 | 1 | 78 | 13 | 14% | 6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 51 | 9 | 10% | 5.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 44 | 14 | 15% | 3.2 |
| Clinical Nurse Specialist | 0 | 2 | 2 | 43 | 10 | 11% | 4.3 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.0
38% worse than Indiana averageIndiana average: 8.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.2
36% worse than Indiana averageIndiana average: 17.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
22.6%
87% worse than Indiana averageIndiana average: 12.0%
Percent of long-stay residents whose ability to move independently worsened
22.0%
53% worse than Indiana averageIndiana average: 14.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.2%
In line with Indiana averageIndiana average: 24.6%
Percent of long-stay residents experiencing one or more falls with major injury
2.9%
24% better than Indiana averageIndiana average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
2.1%
53% better than Indiana averageIndiana average: 4.4%
Percent of long-stay residents with a urinary tract infection
4.3%
251% worse than Indiana averageIndiana average: 1.2%
Percent of long-stay residents who lose too much weight
5.6%
In line with Indiana averageIndiana average: 5.7%
Percent of long-stay residents who have depressive symptoms
2.4%
90% better than Indiana averageIndiana average: 24.1%
Percent of long-stay residents who received an antipsychotic medication
17.7%
42% worse than Indiana averageIndiana average: 12.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.8%
In line with Indiana averageIndiana average: 93.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.2%
In line with Indiana averageIndiana average: 95.4%
Number of hospitalizations per 1,000 long-stay resident days.
0.41
74% better than Indiana averageIndiana average: 1.60
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.50
66% better than Indiana averageIndiana average: 1.48
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
74.0%
10% worse than Indiana averageIndiana average: 81.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Indiana averageIndiana average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
75.8%
In line with Indiana averageIndiana average: 79.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.3%
In line with Indiana averageIndiana average: 22.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
3.5%
67% better than Indiana averageIndiana average: 10.5%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Indiana averageIndiana average: 0.8%
Rate of successful return to home or community from a skilled nursing facility.
54.3%
7% better than Indiana averageIndiana average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
60% of new residents, usually for short-term rehab.
22% of new residents, often for short stays.
17% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
85Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
Historical financial and operational data for Northern Lakes Nursing and Rehabilitation Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #134 / 290Payroll — State benchmarkedThis home is ranked 134th out of 290 homes in Indiana. Shows total annual staff payroll benchmarked to the Indiana average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
0.0 miles from city center
Estimated distance in miles from Angola's city center to Northern Lakes Nursing and Rehabilitation Center's address, calculated via Google Maps.
Add your location
Northern Lakes Nursing and Rehabilitation Center is located in ANGOLA, Indiana.
Here are the financial assistance programs available to residents in Indiana.
The information below is reported by the Indiana Department of Health, Division of Long Term Care.
| North River Health Campus |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Evansville (East Baseline Road) | 95 | 50.5% | -27% | 3.66 | +63% | +7% | $3.3k | 10 | 3.3 | - | 47 | A+ | 11 | Thomas Cook | $12.0M | $6.4M | 53.4% | 155854 | ||||
| Greenwood Village South |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Greenwood | 207 | 18.4% | -73% | 4.16 | -50% | +21% | $0 | 6 | 3.0 | - | 38 | A+ | 50 | Pamela Seegers | $35.6M | $17.6M | 49.4% | 155026 | ||||
| West River Health Campus |
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.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Evansville (Westside) | 131 | 74.0% | +7% | 4.56 | -1% | +33% | $18.7k | 17 | 2.1 | 2 | 97 | A+ | 2 | Carla Baker | $11.1M | $5.9M | 53% | 155785 | ||||
| Westside Garden Plaza |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Indianapolis (Chapel Hill / Ben Davis) | 150 | 47.3% | -32% | 3.49 | -29% | +1% | $0 | 76 | 6.9 | 1 | 71 | A+ | 10 | Westside Snf Operations LLC | $14.1M | $7.0M | 49.9% | 155606 | ||||
| Northern Lakes Nursing and 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. | Angola (3075) | 99 | 90.9% | +31% | 3.48 | -15% | +1% | $0 | 15 | 2.5 | 3 | 90 | - | 78 | Angola Healthcare LLC | $7.9M | $5.6M | 70.8% | 155449 |
Northern Lakes Nursing and Rehabilitation Center is in the 3075 neighborhood of ANGOLA.
Kathy Hall is the Director of Nursing at Northern Lakes Nursing and Rehabilitation Center.
The legal owner and operator of Northern Lakes Nursing and Rehabilitation Center is Pulaski Memorial Hospital.
Northern Lakes Nursing and Rehabilitation Center has a walk score of 78. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to IN state health department records, Northern Lakes Nursing and Rehabilitation Center's license number is 24-000426-1.
According to IN state health department records, Northern Lakes Nursing and Rehabilitation Center's license expires on September 30, 2025.
Northern Lakes Nursing and Rehabilitation Center's occupancy is 91%.
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