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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Hamilton Trace, located in Fishers, Indiana, offers the perfect blend of independent living with the comforts of home. Nestled in the heart of Fishers, The Reserve is a community designed to adapt to your lifestyle, not the other way around. Independent living residents have access to a host of amenities that enhance their daily lives. Moreover, staying active is a breeze at Hamilton Trace. From painting classes and book clubs to exercise sessions and community volunteering, there’s many possibilities to explore. The community fosters a vibrant and dynamic environment where the potential for engagement and enjoyment knows no bounds.
Residents have the choice between apartment homes or standalone cottages, ranging from one bedroom to three, allowing them to tailor their living space to their preferences. Here, the worries of yard work and laundry are a thing of the past, as dedicated staff ensure that all such chores are taken care of. Dining is a delightful experience with extraordinary meal plans, featuring new and delicious creations crafted by their talented chef. Should residents choose to venture beyond the community, the town center is conveniently nearby. For those seeking an extra hand, the on-site concierge service is readily available to assist with personal requests.
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 61st out of 287 homes in Indiana for nurse hours. 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 |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 41m per day | ▲ 4% State avg: 39m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 16m per day | ▲ 62% State avg: 47m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 42m per day | ▼ 25% State avg: 2h 15m per day · National avg: 2h 20m per day |
|
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.
| 3h 10m per day | ▼ 3% State avg: 3h 16m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 7m per day | ▲ 85% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 24m per day | ▼ 11% State avg: 27m per day · National avg: 29m per day |
Lower than the Indiana average: 68.1%Hamilton Trace is legally operated by Hendricks County Hospital, and administrated by Allie Craycraft III.
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.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the Indiana state average. The score below shows how many points this facility sits above or below the typical Indiana assisted living residence score (the benchmark); higher is better.
8 points below the Indiana average for assisted living residences (83/100)
Rank #256 / 384 in Indiana Inspection Score — State benchmarked This home is ranked 256th out of 384 homes in Indiana. Shows this facility's inspection score compared to the Indiana average among 384 comparable communities in the ranking pool. Inspection score: 75 out of 100. Letter grade C. 8 points below the Indiana average for assisted living residences (83/100)
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.
| 49 | 36 | This facility has 36% more total deficiencies than a typical Indiana assisted living residence (49 vs. IN avg 36).↑ 36% worse Rank #239 / 386 Total deficiencies — State benchmarked This home is ranked 239th out of 386 homes in Indiana. Shows this facility's deficiencies compared to the Indiana average among 386 comparable communities in the ranking pool. |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 12.3 | 9 | This facility has 37% more deficiencies per year than a typical Indiana assisted living residence (12.3 vs. IN avg 9).↑ 37% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 2.6 | 1.9 | This facility has 37% more deficiencies per inspection than a typical Indiana assisted living residence (2.6 vs. IN avg 1.9).↑ 37% worse Rank #187 / 386 Deficiencies per inspection — State benchmarked This home is ranked 187th out of 386 homes in Indiana. Shows this facility's deficiencies per inspection compared to the Indiana average among 386 comparable communities in the ranking pool. |
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.
| 19 | 19 | This facility has total visits in line with the Indiana average (19 vs. IN avg 19).— At avg |
|
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.
| 37% | 37% | This facility has inspection deficiency rate in line with the Indiana average (37 vs. IN avg 37).— At avg |
|
Inspections
Routine, scheduled inspections conducted by state regulators.
| 13 | 13 | This facility has inspections in line with the Indiana average (13 vs. IN avg 13).— At avg |
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 assisted living residence (4 vs. IN avg 5).↓ 20% better Rank #140 / 352 Total complaints — State benchmarked This home is ranked 140th out of 352 homes in Indiana. Shows this facility's total complaints compared to the Indiana average among 352 comparable communities in the ranking pool. |
|
Complaints per year
Average complaints per year since 2022.
| 1 | 1.3 | This facility has 23% fewer complaints per year than a typical Indiana assisted living residence (1 vs. IN avg 1.3).↓ 23% better |
|
Complaint visits
On-site visits triggered by formal complaints. Formal complaints can result in multiple visits.
| 13 | 8 | This facility has 63% more complaint visits than a typical Indiana assisted living residence (13 vs. IN avg 8).↑ 63% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Indiana average 6
Last Health inspection on May 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.
19 of 24 citations resulted from standard inspections; 1 of 24 resulted from complaint investigations; and 4 of 24 came from combined inspections (standard and complaint).
100% better than Indiana averageIndiana average: 0.2
100% better 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.
2051446% more staff per resident 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.
All 10 RN Staff are full-time employees. No contractors work on this role.
10
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hoursAssists with medical care and medications.
All 31 LPN Staff are full-time employees. No contractors work on this role.
31
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursHelps with daily care and mobility.
All 55 CNA Staff are full-time employees. No contractors work on this role.
55
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
7,066 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 55 | 0 | 55 | 14,736 | 92 | 100% | 7.7 |
| Licensed Practical Nurse | 31 | 0 | 31 | 11,024 | 92 | 100% | 9.3 |
| Registered Nurse | 10 | 0 | 10 | 4,626 | 92 | 100% | 10.2 |
| Other Dietary Services Staff | 18 | 0 | 18 | 2,354 | 92 | 100% | 6.9 |
| Physical Therapy Assistant | 0 | 12 | 12 | 1,754 | 87 | 95% | 6.2 |
| Physical Therapy Aide | 0 | 12 | 12 | 1,504 | 80 | 87% | 5.8 |
| Speech Language Pathologist | 0 | 11 | 11 | 1,463 | 86 | 93% | 5.4 |
| Clinical Nurse Specialist | 9 | 0 | 9 | 1,446 | 67 | 73% | 7.7 |
| Medication Aide/Technician | 8 | 0 | 8 | 1,133 | 81 | 88% | 7.1 |
| RN Director of Nursing | 6 | 0 | 6 | 1,119 | 64 | 70% | 8.7 |
| Qualified Social Worker | 0 | 8 | 8 | 1,115 | 67 | 73% | 6.2 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 1,091 | 84 | 91% | 5.6 |
| Dental Services Staff | 2 | 0 | 2 | 982 | 66 | 72% | 8.2 |
| Dietitian | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Administrator | 1 | 0 | 1 | 448 | 56 | 61% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Nurse Aide in Training | 3 | 0 | 3 | 346 | 41 | 45% | 7.7 |
| Qualified Activities Professional | 0 | 4 | 4 | 140 | 20 | 22% | 5.8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 122 | 61 | 66% | 2 |
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.
9.6
19% worse than Indiana averageIndiana average: 8.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.0
11% worse than Indiana averageIndiana average: 17.1
Percent of long-stay residents whose need for help with daily activities has increased
13.4%
11% worse than Indiana averageIndiana average: 12.0%
Percent of long-stay residents whose ability to move independently worsened
16.7%
17% worse than Indiana averageIndiana average: 14.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.8%
9% worse than Indiana averageIndiana average: 24.6%
Percent of long-stay residents experiencing one or more falls with major injury
3.4%
12% better than Indiana averageIndiana average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
4.2%
In line with Indiana averageIndiana average: 4.4%
Percent of long-stay residents with a urinary tract infection
2.3%
87% worse than Indiana averageIndiana average: 1.2%
Percent of long-stay residents who lose too much weight
10.0%
76% worse than Indiana averageIndiana average: 5.7%
Percent of long-stay residents who have depressive symptoms
1.2%
95% better than Indiana averageIndiana average: 24.1%
Percent of long-stay residents who received an antipsychotic medication
9.7%
22% better than Indiana averageIndiana average: 12.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.5%
5% better than Indiana averageIndiana average: 93.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
In line with Indiana averageIndiana average: 95.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.0%
13% better than Indiana averageIndiana average: 81.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.5%
61% better than Indiana averageIndiana average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.9%
14% 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.
39% of new residents, usually for short-term rehab.
60% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
97Residents meet regularly to discuss policies, care quality, and activities
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 Hamilton Trace 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 #17 / 290Payroll — State benchmarkedThis home is ranked 17th 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.
Housing Options: Private Rooms
Building Type: Two-story
Transportation Services
Fitness and Recreation
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
163.0 miles from city center
Estimated distance in miles from Fishers's city center to Hamilton Trace's address, calculated via Google Maps.
— 3.78 miles to nearest hospital (IU Health Fishers)
Add your location
Hamilton Trace is located in Fishers, Indiana.
Here are the financial assistance programs available to residents in Indiana.
| Hamilton Trace |
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.
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. | Fishers | - | 210
Facility
210
IN AVG
116
Rank
#26 / 437 |
33
Facility
33
IN AVG
37
Rank
#313 / 587 | Private Rooms |
| Five Star Residences of Clearwater |
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.
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.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Indianapolis (Allisonville) | - | 81
Facility
81
IN AVG
116
Rank
#326 / 437 |
55
Facility
55
IN AVG
37
Rank
#180 / 587 | 1 Bed / 2 Bed |
Robert Stewart is the Director of Nursing at Hamilton Trace.
The legal owner and operator of Hamilton Trace is Hendricks County Hospital.
Hamilton Trace has a walk score of 33. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to IN state health department records, Hamilton Trace's license number is 24-012644-1.
According to IN state health department records, Hamilton Trace's license expires on November 30, 2025.
Hamilton Trace's occupancy is 49%.
Allie Craycraft Iii is the administrator of Hamilton Trace.
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