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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.
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 43rd 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.
| 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 |
Lower than the Indiana average: 68.1%Adams Heritage is legally operated by Adams County Memorial Hospital, and administrated by Natasha Graves.
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 nursing home score (the benchmark); higher is better.
7 points above the Indiana average for nursing homes (83/100)
Inspection score: 90 out of 100. Letter grade A-. 7 points above the Indiana average for nursing homes (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.
| 11 | 36 | This facility has 69% fewer total deficiencies than a typical Indiana nursing home (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. |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 2.8 | 9 | This facility has 69% fewer deficiencies per year than a typical Indiana nursing home (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 nursing home (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. |
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.
| 22 | 19 | This facility has 16% more total visits than a typical Indiana nursing home (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 nursing home (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 nursing home (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 nursing home (9 vs. IN avg 13).↓ 31% better |
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.
All 2 citations resulted from standard inspections.
100% better than Indiana averageIndiana average: 0.2
100% better than Indiana averageIndiana average: 0.6
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
2783684% 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.
13 total: 6 full-time employees and 7 contractors.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursAssists with medical care and medications.
14 total: 2 full-time employees and 12 contractors.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursHelps with daily care and mobility.
46 total: 23 full-time employees and 23 contractors.
46
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,183 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| 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 |
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.
9.9
24% worse than Indiana averageIndiana average: 8.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.8
45% 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
19.7%
64% worse than Indiana averageIndiana average: 12.0%
Percent of long-stay residents whose ability to move independently worsened
18.0%
26% worse than Indiana averageIndiana average: 14.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
36.6%
49% worse than Indiana averageIndiana average: 24.6%
Percent of long-stay residents experiencing one or more falls with major injury
3.5%
11% better than Indiana averageIndiana average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
7.6%
74% worse than Indiana averageIndiana average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Indiana averageIndiana average: 1.2%
Percent of long-stay residents who lose too much weight
0.7%
87% better than Indiana averageIndiana average: 5.7%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Indiana averageIndiana average: 24.1%
Percent of long-stay residents who received an antipsychotic medication
4.1%
67% better than Indiana averageIndiana average: 12.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
7% better than Indiana averageIndiana average: 93.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Indiana averageIndiana average: 95.4%
Number of hospitalizations per 1,000 long-stay resident days.
1.14
29% better than Indiana averageIndiana average: 1.60
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.98
34% 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
100.0%
22% better 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
100.0%
27% better than Indiana averageIndiana average: 79.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
10.4%
54% better than Indiana averageIndiana average: 22.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
0.0%
100% better than Indiana averageIndiana average: 10.5%
Percentage of SNF residents who experience falls with major injury during their stay.
3.9%
400% worse than Indiana averageIndiana average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
73.9%
38% better than Indiana averageIndiana average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
52.9%
5% 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.
32% of new residents, usually for short-term rehab.
53% of new residents, often for short stays.
15% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
37Residents 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 Adams Heritage 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 #218 / 290Payroll — State benchmarkedThis home is ranked 218th out of 290 homes in Indiana for payroll. 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.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
0.0 miles from city center
Estimated distance in miles from Monroeville's city center to Adams Heritage's address, calculated via Google Maps.
Add your location
Adams Heritage is located in MONROEVILLE, 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.
| 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
Facility
207
IN AVG
117
Rank
#29 / 437 | - | - | 4.16 | -50% | +21% | $0 | 6 | 3.0 | - | 38 | A+ |
50
Facility
50
IN AVG
37
Rank
#205 / 587 | Pamela Seegers | $35.6M | $17.6M | 49.4% | 155026 | ||||
| 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
Facility
95
IN AVG
117
Rank
#273 / 437 | 50.5% | -27% | 3.66 | +63% | +7% | $0 | 10 | 3.3 | - | 53 | A+ |
11
Facility
11
IN AVG
37
Rank
#456 / 587 | Thomas Cook | $12.0M | $6.4M | 53.4% | 155854 | ||||
| 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
Facility
61
IN AVG
117
Rank
#373 / 437 | 60.7% | -13% | 4.12 | +29% | +20% | $0 | 2 | 1.0 | - | 33 | A+ |
40
Facility
40
IN AVG
37
Rank
#271 / 587 | Adams County Memorial Hospital | $5.5M | $3.8M | 69.2% | 155729 | ||||
| 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
Facility
131
IN AVG
117
Rank
#142 / 437 | 74.0% | +7% | 4.56 | -1% | +33% | $18.7k | 17 | 2.1 | 2 | 97 | A+ |
2
Facility
2
IN AVG
37
Rank
#546 / 587 | 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
Facility
150
IN AVG
117
Rank
#91 / 437 | 47.3% | -32% | 3.49 | -29% | +1% | $0 | 76 | 6.9 | 1 | 71 | A+ |
10
Facility
10
IN AVG
37
Rank
#467 / 587 | Westside Snf Operations LLC | $14.1M | $7.0M | 49.9% | 155606 |
Leslie Salway is the Director of Nursing at Adams Heritage.
The legal owner and operator of Adams Heritage is Adams County Memorial Hospital.
Adams Heritage has a walk score of 40. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to IN state health department records, Adams Heritage's license number is 25-002549-1.
According to IN state health department records, Adams Heritage's license expires on February 28, 2026.
Adams Heritage's occupancy is 61%.
Natasha Graves is the administrator of Adams Heritage.
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