Adams Heritage

Nursing Home, Hospice Care & Respite Care · Monroeville, IN

CMS overall rating

Adams Heritage

Nursing Home, Hospice Care & Respite Care · Monroeville, IN

CMS overall rating

12011 Whittern Rd, Monroeville, IN 46773 View map

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Adams Heritage accepts Medicare, Medicaid, and private pay.

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Adams Heritage accepts Medicare, Medicaid, and private pay.

Overview of Adams Heritage

Adams Heritage is a 61-bed skilled nursing home in Monroeville, Indiana, run by administrator Natasha Graves under Adams County Memorial Hospital. The facility has been in operation for 14 years and currently sits at about 61 percent capacity. They accept Medicare, Medicaid, and private pay. Stays here average around 249 days, indicating that the population mostly consists of permanent residents alongside some individuals there for shorter rehabilitation stints.

The medical staff delivers about 4 hours and 7 minutes of direct care to each resident daily, with registered nurses covering 55 minutes of that total. An on-site physician and nurse practitioner oversee the 24-hour nursing team, which manages physical rehabilitation, outpatient therapy, and short-term respite care. For day-to-day amenities, the building has an on-site beauty and barber shop, laundry service, a bird aviary, walking paths, and gardens. Meals are served restaurant-style according to dietary needs. The surrounding rural area has a walkability score of 40 out of 100, meaning you will generally need a vehicle for errands.

State inspectors focused primarily on facility maintenance and food handling during their recent reviews. The facility was found to be in full compliance with all regulations, leaving it with a citation rate of zero.

Interested individuals can get in touch with the main office to check on current bed availability, ask about the outpatient therapy schedules, or plan a visit to the grounds. The front desk staff can also answer questions about the entry process and clarify how Medicare or Medicaid applies to the monthly costs.

Facility Direct Line (260) 623-6440

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

4h 7m per day

vs avg

1 of 6 metrics below state avg

Standout metric Weekend RN is +83% above state avg

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.	55m per day	▲ 37% State avg: 40m 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.	41m per day	▼ 11% State avg: 46m 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.	2h 18m per day	■ Avg State avg: 2h 16m 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 53m per day	▲ 20% State avg: 3h 14m per day · National avg: 3h 26m 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.	6m per day	▲ 47% 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.	49m per day	▲ 83% State avg: 27m per day · National avg: 28m per day

Capacity and availability

249 days

61-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

14 years in operation

A community with a solid operating history and experience delivering ongoing care.

Walk Score: 40 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

BBB Rating: A+ (Not Accredited)

An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
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About this community

Occupancy

Occupancy rate

61%

Lower than the Indiana average: 68.1%

Occupied beds

37 / 61

Average occupied beds in Indiana homes 70 beds

2026 Best Nursing Home by U.S. News & World Report

2023 AHCA/NCAL Silver National Quality Award

2021 AHCA/NCAL Bronze National Quality Award

Facility TypeNursing Home / Skilled Nursing Facility / Nursing Facility Dually Certified

StatusActive

IssuanceMarch 1, 2025

ExpirationFebruary 28, 2027

License Number25-002549-1

CMS Certification Number155729

Adams Heritage is legally operated by Adams County Memorial Hospital, and administered by Natasha Graves.

Profit StatusGovernment

SNF/NF (Combined)

61 units

Total beds

61 units

Staffing

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

Medical DirectorMark Gresla

Director of NursingLeslie Salway

ContactMs. Carmela Tuttle, Administrator

Accept Medicare

Rehabilitation Services

Respite Care

Short-Term Rehab

Doctor on Staff

24-Hour Staffing

Short-Term Rehabilitation

Outpatient Rehabilitation

Fax(260) 623-6870

Restaurant-Style Dining

On-Site Beauty And Barber Shop

Community Room

Bird Aviary

Outdoor Walking Paths

Beautiful Gardens

Daily Housekeeping

Laundry Services

Cable

State-Of-The-Art Response System

Coordination Of Transportation For Medical Appointments

Religious Services

Volunteer Program

Touring HoursMonday-Friday: 8am-5pm, Saturday: 9am-3pm, Sunday: Closed

Get floorplan photos & videos Schedule a home tour Get detailed pricing Check availability Get brochure

Since 2022 · 4 years of data 11 deficiencies 22 inspections

Inspection Score

7 points above the Indiana average for assisted living residences (83/100)

Inspection Scorecard This scorecard compares key inspection, deficiency, 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.

Since 2022 vs. Indiana state average

Overall vs. IN average

Latest Inspection June 16, 2025 Annual Inspection

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	IN Average	vs. IN Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	11	36	This facility has 69% fewer total deficiencies than a typical Indiana assisted living residence (11 vs. IN avg 36).↓ 69% better Rank #76 / 386 Total deficiencies — State benchmarked This home is ranked 76th out of 386 homes in Indiana. Shows this facility's deficiencies compared to the Indiana average among 386 comparable communities in the ranking pool. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.
Deficiencies per year Average deficiencies per year since 2022.	2.8	9	This facility has 69% fewer deficiencies per year than a typical Indiana assisted living residence (2.8 vs. IN avg 9).↓ 69% better
Deficiencies per inspection Average deficiencies per inspection.	0.5	1.9	This facility has 74% fewer deficiencies per inspection than a typical Indiana assisted living residence (0.5 vs. IN avg 1.9).↓ 74% better Rank #75 / 386 Deficiencies per inspection — State benchmarked This home is ranked 75th 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. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.

Inspections State inspections evaluate whether the facility meets health and safety standards.	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.	22	19	This facility has 16% more total visits than a typical Indiana assisted living residence (22 vs. IN avg 19).↑ 16% worse
Inspections with deficiencies Inspections that resulted in at least one regulatory deficiency.	6	7	This facility has 14% fewer inspections with deficiencies than a typical Indiana assisted living residence (6 vs. IN avg 7).↓ 14% better
Inspection deficiency rate Percentage of inspections that resulted in at least one deficiency.	27%	37%	This facility has 10 percentage points lower inspection deficiency rate than a typical Indiana assisted living residence (27% vs. IN avg 37%).↓ 10% better
Inspections Routine, scheduled inspections conducted by state regulators.	9	13	This facility has 31% fewer inspections than a typical Indiana assisted living residence (9 vs. IN avg 13).↓ 31% better

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The most recent inspection on June 16, 2025, found Adams Heritage in full compliance with all applicable regulations and no deficiencies.
The May 21, 2025, survey cited one deficiency for multiple unlabeled or expired food items in the kitchen serving all 37 residents.
Life Safety Code surveys in 2023 and 2024 repeatedly found sprinkler system maintenance issues, including corroded heads and missed hydrostatic flushes, with corrective actions completed after each finding.

Show Inspection Reports

Inspections since 2024

Total health inspections 2

State average N/A

Last Health inspection on May 2025

Total health citations

State average N/A

Citations per inspection

State average N/A

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 2 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

2 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 2 years)

Nutrition moderate citation May 28, 2025

Corrected

Pharmacy moderate citation Jul 30, 2024

Corrected

Total staff 103

Employees 60

Contractors 43

Staff to resident ratio 2.78 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 22

Average shift 7.4 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 14,942

Nursing staff breakdown

8.5 hours

7.3 hours

7.6 hours

Contractor staffing

2,183 contractor hours this quarter

Certified Nursing Assistant: 23 Licensed Practical Nurse: 12 Registered Nurse: 7 Occupational Therapy Aide: 1

Staff by category


Certified Nursing Assistant	23	23	46	6,860	92	100%	7.6
Licensed Practical Nurse	2	12	14	2,042	91	99%	7.3
Registered Nurse	6	7	13	1,668	92	100%	8.5
Other Dietary Services Staff	2	0	2	973	90	98%	7.8
Nurse Practitioner	3	0	3	738	63	68%	7.4
Physical Therapy Aide	5	0	5	476	73	79%	6.5
Mental Health Service Worker	1	0	1	468	60	65%	7.8
Dietitian	1	0	1	440	65	71%	6.8
Administrator	1	0	1	405	54	59%	7.5
Clinical Nurse Specialist	1	0	1	334	40	43%	8.4
Respiratory Therapy Technician	3	0	3	294	44	48%	6.7
Physical Therapy Assistant	3	0	3	94	44	48%	2
Occupational Therapy Aide	0	1	1	53	22	24%	2.4
Speech Language Pathologist	6	0	6	50	17	18%	2.9
Medical Director	2	0	2	36	3	3%	12
Qualified Social Worker	1	0	1	14	7	8%	1.9

46 Certified Nursing Assistant

% of Days 100%

14 Licensed Practical Nurse

% of Days 99%

13 Registered Nurse

% of Days 100%

2 Other Dietary Services Staff

% of Days 98%

3 Nurse Practitioner

% of Days 68%

5 Physical Therapy Aide

% of Days 79%

1 Mental Health Service Worker

% of Days 65%

1 Dietitian

% of Days 71%

1 Administrator

% of Days 59%

1 Clinical Nurse Specialist

% of Days 43%

3 Respiratory Therapy Technician

% of Days 48%

3 Physical Therapy Assistant

% of Days 48%

1 Occupational Therapy Aide

% of Days 24%

6 Speech Language Pathologist

% of Days 18%

2 Medical Director

% of Days 3%

1 Qualified Social Worker

% of Days 8%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 9.9

24% worse than State average

State average: 8.0

Functional decline score 24.8

45% worse than State average

State average: 17.1

Long-stay resident measures

Significantly above average State avg: 4.1

Need for Help with Daily Activities Increased 19.7%

64% worse than State average

State average: 12.0%

Walking Ability Worsened 18.0%

26% worse than State average

State average: 14.4%

Low Risk Residents with Bowel/Bladder Incontinence 36.6%

49% worse than State average

State average: 24.6%

Falls with Major Injury 3.5%

11% better than State average

State average: 3.9%

High Risk Residents with Pressure Ulcers 7.6%

74% worse than State average

State average: 4.4%

Urinary Tract Infection 0.0%

100% better than State average

State average: 1.2%

Lost Too Much Weight 0.7%

87% better than State average

State average: 5.7%

Depressive Symptoms 0.0%

100% better than State average

State average: 24.1%

Antipsychotic Use 4.1%

67% better than State average

State average: 12.4%

Pneumococcal Vaccine 100.0%

7% better than State average

State average: 93.7%

Influenza Vaccine 100.0%

5% better than State average

State average: 95.4%

Hospitalizations per 1,000 days 1.14

29% better than State average

State average: 1.60

ED visits per 1,000 days 0.98

34% better than State average

State average: 1.48

Short-stay resident measures

Significantly above average State avg: 2.9

Pneumococcal Vaccine 100.0%

22% better than State average

State average: 81.7%

Antipsychotic medication increase 0.0%

100% better than State average

State average: 1.4%

Influenza Vaccine 100.0%

27% better than State average

State average: 79.0%

Re-hospitalized after SNF stay 10.4%

54% better than State average

State average: 22.4%

Emergency department visits 0.0%

100% better than State average

State average: 10.5%

Falls with major injury 3.9%

400% worse than State average

State average: 0.8%

Ability to care for self at discharge 73.9%

38% better than State average

State average: 53.7%

Successful return to home or community 52.9%

5% better than State average

State average: 50.6%

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

Total residents 37

Medicare

5.4% of residents

Medicaid

64.9% of residents

Private pay or other

29.7% 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.

Financial Trends

Historical financial and operational data for Adams Heritage from 2011–2023, based on CMS SNF Cost Reports.

Occupancy Rate 71.6% ↓ 6.3pp vs 2022

Net Patient Income -$459.4K ↓ ~$244.4K vs 2022

Payroll Costs $3.1M ↑ ~$364.5K vs 2022

Operating Margin -9.0% ↓ 5.1pp vs 2022

Financial Performance

Net patient revenue Operating expenses Net patient income

Salaries Wage Costs Contract Labor

Medicare Medicaid Private Pay/Other

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	96.0%	96.6%	87.3%	81.0%	78.6%	77.5%	79.9%	79.3%	75.8%	71.6%	66.3%	77.9%	71.6%
Beds	61	61	61	61	61	61	61	61	61	61	61	61	61
Net Income	$1,753,512	$1,617,311	$1,112,173	$487,346	$715,753	$654,962	$838,535	$489,161	$70,637	$694,047	$483,030	-$185,438	$21,371
Gross Revenue	$5,550,780	$5,306,922	$5,781,629	$5,528,776	$5,547,796	$5,251,780	$5,026,099	$4,945,788	$5,032,976	$4,997,712	$5,005,705	$5,562,368	$5,068,983
Operating Expenses	$3,311,844	$3,378,838	$3,517,966	$3,850,243	$3,871,701	$3,873,165	$3,945,889	$4,147,132	$4,556,852	$4,579,778	$4,481,543	$5,646,501	$5,554,639
Net Patient Income	$1,722,387	$1,596,983	$1,296,168	$699,548	$733,215	$555,146	$782,065	$432,834	$23,265	$366,316	$340,761	-$215,008	-$459,420
Net Patient Revenue	$5,034,231	$4,975,821	$4,814,134	$4,549,791	$4,604,916	$4,428,311	$4,727,954	$4,579,966	$4,580,117	$4,946,094	$4,822,304	$5,431,493	$5,095,219
Payroll Costs	$2,461,575	$2,509,435	$2,650,998	$2,780,512	$2,366,557	$2,290,303	$2,505,116	$2,601,218	$3,009,894	$3,086,050	$2,722,185	$2,702,533	$3,067,005
Operating Margin %	34.2%	32.1%	26.9%	15.4%	15.9%	12.5%	16.5%	9.5%	0.5%	7.4%	7.1%	-4.0%	-9.0%
Medicare %	5.6%	3.2%	2.7%	2.7%	5.0%	4.5%	5.4%	5.3%	6.2%	7.9%	6.5%	5.3%	5.1%
Medicaid %	61.8%	64.6%	72.7%	33.7%	56.7%	51.5%	48.4%	55.8%	54.6%	58.1%	51.3%	53.8%	52.5%
Private %	32.6%	32.2%	24.6%	63.6%	38.3%	44.0%	46.2%	38.9%	39.2%	34.0%	42.2%	40.9%	42.4%
Net Patient Revenue/Day	$236	$231	$248	$252	$263	$256	$266	$259	$271	$309	$326	$313	$320
Cost/Day	$155	$157	$181	$213	$221	$224	$222	$235	$270	$287	$303	$326	$348
Avg Length of Stay	411.0 days	634.4 days	335.1 days	281.9 days	257.2 days	303.4 days	306.7 days	220.8 days	205.8 days	175.6 days	139.3 days	199.4 days	249.1 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$5.1M

Net patient income

-$459.4K

Government City/County

Net patient revenue

$5.1M

Net patient income

-$459.4K

Other income

$480.8K

Payroll costs

$3.1M 60.2% of net patient revenue

Other operating costs

$2.5M

Total costs

$5.6M

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.

Most new residents arrive under private pay (53% of admissions), and a typical private pay stay runs around 8 months.

Coverage residents most often arrive under.

Medicare 32%

Private pay 53%

Medicaid 15%

Coverage residents most often leave under.

Medicare 17%

Private pay 75%

Medicaid 8%

0.0 miles from city center Estimated distance in miles from Monroeville's city center to Adams Heritage's address, calculated via Google Maps.

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


Adams Heritage	NH HC RC	Monroeville	-	61	A+	40	-
The Barrington of Carmel	NH AL IL MC	Carmel	-	154	A+	39	Studio / 1 Bed / 2 Bed
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Nursing Home Explorer

Who is the Director of Nursing at Adams Heritage?

Leslie Salway is the Director of Nursing at Adams Heritage.

Who is the owner of Adams Heritage?

Adams Heritage is legally operated by Adams County Memorial Hospital, and administered by Natasha Graves.

Is Adams Heritage in a walkable area?

Adams Heritage has a walk score of 40. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Adams Heritage?

According to IN state health department records, Adams Heritage's license number is 25-002549-1.

When does Adams Heritage's license expire?

According to IN state health department records, Adams Heritage's license expires on February 28, 2027.

What is the occupancy rate at Adams Heritage?

Adams Heritage's occupancy is 61%.

Is Adams Heritage a government-operated facility?

Adams Heritage is a government-operated nursing facility in IN.

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Adams Heritage

Overview of Adams Heritage

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

Awards

License Details

Ownership & Operating Entity

Type Of Units

Staffing

Leadership

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Additional Services

Contact Information

Amenities & Lifestyle

Contact Adams Heritage

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, 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 Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2024

Breakdown of citation severity (last 2 years)

Citations history (last 2 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

46 Certified Nursing Assistant

14 Licensed Practical Nurse

13 Registered Nurse

2 Other Dietary Services Staff

3 Nurse Practitioner

5 Physical Therapy Aide

1 Mental Health Service Worker

1 Dietitian

1 Administrator

1 Clinical Nurse Specialist

3 Respiratory Therapy Technician

3 Physical Therapy Assistant

1 Occupational Therapy Aide

6 Speech Language Pathologist

2 Medical Director

1 Qualified Social Worker

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

Places of interest near Adams Heritage

Calculate Travel Distance to Adams Heritage

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