Adams Heritage

Nursing Home
Overview of 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.
(260) 623-6440

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
5/5
Indiana average: 3.1/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
4/5
Indiana average: 2.8/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
4/5
Indiana average: 2.5/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
5/5
Indiana average: 4.1/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
4h 7m per day

This home provides 20% more nursing time per resident than the state average.

Indiana average: 3h 26m per day

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.

Lower demand than the Indiana average
Occupancy rate 71.6%
Residents per day (avg) 39
Occupancy rate
71.6%
Residents per day (avg)
39

Who this home usually serves

TYPE OF STAY

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.

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 home
County
Home revenue
$5.5M
Surplus of revenue
$21.4K
Governmental home County
Home revenue
$5,549,774.00
Surplus of revenue
$21,371.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.5M
44.8% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.0M
Total costs $5.5M
Bed community size
61-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
1 year in operation
A newer community that may feature more recent facilities and programs.

About this community

Occupancy Rate
61%
Occupied Beds
37 of 61
Percentage of available beds currently in use by residents.
License Status
Active
Facility Type
NURSING HOME (Skilled Nursing Facility)
License Date
March 1, 2025

Additional licensing details

License number: 25-002549-1
CMS Certification Number: 155729
Awards: 2026 Best Nursing Home by U.S. News & World Report, 2023 AHCA/NCAL Silver National Quality Award, 2021 AHCA/NCAL Bronze National Quality Award

Ownership & operating entity

Adams Heritage is administrated by NATASHA GRAVES.

Profit status: OTHER

Safety & Compliance

Staffing

Key information about the people who lead and staff this community.

Leadership

Director of Nursing: LESLIE SALWAY

Care Services

Accepts Medicare
Doctor on Staff
Nursing Services
Rehabilitation Services
Respite Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab

All Levels of Care

Skilled Nursing
Short-Term Rehabilitation
Outpatient Rehabilitation

Contact Information

Fax: (260) 623-6870

Amenities & Lifestyle

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

Programs & Activities

Specific Programs
24-Hour Nursing Care, Short-Term Rehabilitation, Outpatient Rehabilitation, Therapy Services, Events, Volunteer Opportunities
Religious Services
Yes
Volunteer Programs
Yes
Operating Hours
Monday-Friday: 8am-5pm, Saturday: 9am-3pm, Sunday: Closed

Dining & Nutrition

Food Description
Adams 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 Included
Yes

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.

Payment & Funding Options

Medicare

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.

13 visits/inspections

Results

6 with citations

0 without citations

0 complaints

Formal expressions of dissatisfaction or concern made by residents, or their families regarding various aspects of the care, services, and environment provided.

Latest inspection

Date:June 16, 2025
Type:Annual Inspection

6 total citations

Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.

9 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Compare Nursing Homes around Indiana

The information below is reported by the Indiana Department of Health, Division of Long Term Care.
Adams Woodcrest
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IN 46733
143
No
-
71.4%
$12,192,260.00
$5,615,054.00
46.1%
108.40
5/5
3.6901
5/5
3/5
5/5
-
2
-
-10%
+7%
+3%
Adams Heritage
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IN 46773
61
No
-
71.6%
$5,068,983.00
$2,488,962.00
49.1%
39.10
5/5
4.1205
4/5
4/5
5/5
-
2
-
+29%
+20%
+3%
Addison Pointe Health & Rehabilitation Center
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IN 46304
100
No
DOBBEN, STEVEN
92.5%
$15,225,564.00
$5,306,023.00
34.8%
92.50
3/5
3.1554
2/5
3/5
5/5
1
27
1
-5%
-8%
+33%
Alexandria Care Center
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IN 46001
70
No
MAGNOLIA HEALTH MANAGEMENT I LLC
56.3%
$6,033,081.00
$2,152,640.00
35.7%
55.70
2/5
3.1891
4/5
1/5
1/5
-
16
-
-24%
-7%
-19%
Albany Health Care & Rehabilitation Center
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IN 47320
102
No
TROXWELL, MELANIE
75.6%
$12,342,683.00
$4,315,019.00
35%
77.20
2/5
3.5110
2/5
3/5
3/5
-
19
1
+4%
+2%
+9%

Places of interest near Adams Heritage

Address 0.0 miles from city center

Address MONROEVILLE, IN 46773

Calculate Travel Distance to Adams Heritage

Add your location

Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

139
Total Staff
81
Employees
58
Contractors
17,056
Total Hours (Quarter)
26
Avg Staff/Day
7.2
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse178.1 Yes
Licensed Practical Nurse167.4 Yes
Certified Nursing Assistant687.3 Yes
Staff by Category
Administration
2 staff
7.7hs shift avg
Nursing Staff
101 staff
7.4hs shift avg
Physicians & Practitioners
2 staff
7.7hs shift avg
Therapy Services
26 staff
4.1hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
4 staff
3.3hs shift avg
Dietary Services
3 staff
7.4hs shift avg
Other Services
1 staff
7.8hs shift avg
Contractor Analysis
20.8%
of total hours from contractors
3,550 contractor hours this quarter
Certified Nursing Assistant: 34 Licensed Practical Nurse: 14 Registered Nurse: 9 Occupational Therapy Aide: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant3434689,12991100%7.3
Registered Nurse89172,33091100%8.1
Licensed Practical Nurse214161,4889099%7.4
Other Dietary Services Staff2028468391%7.9
Physical Therapy Aide5054887380%5.8
Clinical Nurse Specialist1014836167%7.9
Mental Health Service Worker1014635965%7.8
Dietitian1014637077%6.6
Administrator1014506066%7.5
Nurse Practitioner1014506066%7.5
Qualified Social Worker4041233640%3.3
Respiratory Therapy Technician7071053235%3.3
Physical Therapy Assistant404773336%2.3
Occupational Therapy Aide011641820%3.5
Speech Language Pathologist909612629%2.4
Medical Director1013633%12

Health Inspection History

Inspections
Total health inspections 2

Indiana average 6


Last Health inspection on May 2025

Total health citations 2
Citations per inspection
1

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 More info 0
100% better than Indiana average

Indiana average: 0.2


Serious Health citations More info 0
100% better than Indiana average

Indiana average: 0.6

0 critical citations More info Indiana average: 0.2

0 serious citations More info Indiana average: 0.6

2 moderate citations More info Indiana average: 23.8

0 minor citations More info Indiana average: 0.4
Citations history (last 3 years)
Nutrition moderate citation May 28, 2025
Corrected

Pharmacy moderate citation Jul 30, 2024
Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: City/County Government
Part of: Adams Co. Mem. Hospital
Resident Census by Payment Source
37 Total Residents
Medicare 2 (5.4%)
Medicaid 24 (64.9%)
Private Pay/Other 11 (29.7%)
Programs & Services
Residents' Group
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

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 Info 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 average

Indiana average: 8.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 24.8
45% worse than Indiana average

Indiana average: 17.1

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 19.7%
64% worse than Indiana average

Indiana average: 12.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 18.0%
26% worse than Indiana average

Indiana average: 14.4%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 36.6%
49% worse than Indiana average

Indiana average: 24.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.5%
11% better than Indiana average

Indiana average: 3.9%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 7.6%
74% worse than Indiana average

Indiana average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Indiana average

Indiana average: 1.2%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 0.7%
87% better than Indiana average

Indiana average: 5.7%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Indiana average

Indiana average: 24.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 4.1%
67% better than Indiana average

Indiana average: 12.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
7% better than Indiana average

Indiana average: 93.7%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
5% better than Indiana average

Indiana average: 95.4%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
22% better than Indiana average

Indiana average: 81.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Indiana average

Indiana average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
27% better than Indiana average

Indiana average: 79.0%

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Financial Aid for Indiana Seniors

Get financial aid guidance

Aged and Disabled Waiver

Indiana Medicaid A&D Waiver

Age 65+ or disabled, Indiana resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Requires level-of-care determination.

CHOICE Program

Indiana CHOICE

Age 60+, Indiana resident, at risk of nursing home.

~$2,000/month (varies).

$10,000 (individual).

Limited funding; regional variation.

Residential Care Assistance Program (RCAP)

Indiana Residential Care Assistance Program

Age 65+, or blind, or disabled, Indiana resident, in approved facility, low-income or SSI recipient.

~$1,004/month (including SSI).

$2,000 (individual), $3,000 (couple).

~50 facilities statewide; per diem rate set by FSSA.

Medicare Savings Program (MSP)

Indiana Medicare Savings Program

Age 65+ or disabled, Indiana resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist.

National Family Caregiver Support Program (NFCSP) Respite

Indiana NFCSP Respite Care

Caregivers of 60+ needing care or 55+ caregivers of others; Indiana resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

16 AAAs; prioritizes low-income, rural caregivers.

Senior Community Service Employment Program (SCSEP)

Indiana SCSEP

Age 55+, unemployed, low-income, Indiana resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents.

VA Aid and Attendance (A&A) and Housebound Benefits

Indiana VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Indiana resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand statewide.

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