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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.
Dyer Nursing and Rehabilitation Center is a 211-bed skilled nursing facility in Dyer, Indiana, offering 24-hour skilled nursing, post-acute rehabilitation, memory care, and respiratory services, with physical, occupational, and speech therapy available on site. The non-profit community is operated by DLS Financial Consulting, LLC, and it accepts Medicare and Medicaid.
The facility carries a 1-star CMS overall rating, driven by an inspection record that stands significantly below Indiana norms. Across the seven-year review window, the facility recorded 79 total citations — roughly 29.8 per year, compared with an Indiana average of 4.2 — placing it 284th out of 288 Indiana skilled nursing facilities in health citations. The most serious finding came in April 2024, when a complaint investigation identified Immediate Jeopardy conditions related to falls and inadequate supervision. Nurse staffing averages 3 hours and 26 minutes per resident per day, essentially in line with the Indiana average.
The facility’s occupancy rate is 57%, below the Indiana average of 68.1%, reflecting current availability across the 211-bed building. It also provides behavioral management and psychological services alongside its clinical care programs. Respite stays are available.
Dyer Nursing and Rehabilitation Center is best suited for residents in Lake County, Indiana, who require short- to medium-term post-acute care, skilled nursing, or rehabilitation services, with current capacity for Medicare and Medicaid admissions. However, families should review the facility’s extensive inspection history and Immediate Jeopardy findings before making a placement decision.
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 128th 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 |
|---|---|---|
|
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 19m per day | ■ Avg State avg: 3h 14m per day · National avg: 3h 26m per day |
Lower than the Indiana average: 68.1%Dyer Nursing and Rehabilitation Center is legally operated by Major Hospital, and administrated by Bradley Macklin.
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.
15 points below the Indiana average for nursing homes (83/100)
Inspection score: 68 out of 100. Letter grade D+. 15 points below 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.
| 203 | 36 | This facility has 464% more total deficiencies than a typical Indiana nursing home (203 vs. IN avg 36).↑ 464% worse Rank #385 / 386 Total deficiencies — State benchmarked This home is ranked 385th 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.
| 50.8 | 9 | This facility has 464% more deficiencies per year than a typical Indiana nursing home (50.8 vs. IN avg 9).↑ 464% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 6.2 | 1.9 | This facility has 226% more deficiencies per inspection than a typical Indiana nursing home (6.2 vs. IN avg 1.9).↑ 226% worse Rank #359 / 386 Deficiencies per inspection — State benchmarked This home is ranked 359th 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.
| 33 | 19 | This facility has 74% more total visits than a typical Indiana nursing home (33 vs. IN avg 19).↑ 74% worse |
|
Inspections with deficiencies
Inspections that resulted in at least one regulatory deficiency.
| 16 | 7 | This facility has 129% more inspections with deficiencies than a typical Indiana nursing home (16 vs. IN avg 7).↑ 129% worse |
|
Inspection deficiency rate
Percentage of inspections that resulted in at least one deficiency.
| 48% | 37% | This facility has 11 percentage points higher inspection deficiency rate than a typical Indiana nursing home (48% vs. IN avg 37%).↑ 11% worse |
|
Inspections
Routine, scheduled inspections conducted by state regulators.
| 25 | 13 | This facility has 92% more inspections than a typical Indiana nursing home (25 vs. IN avg 13).↑ 92% worse |
Complaints & Investigations
| This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 12 | 5 | This facility has 140% more total complaints than a typical Indiana nursing home (12 vs. IN avg 5).↑ 140% worse Rank #341 / 352 Total complaints — State benchmarked This home is ranked 341st 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.
| 3 | 1.3 | This facility has 131% more complaints per year than a typical Indiana nursing home (3 vs. IN avg 1.3).↑ 131% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Indiana average 6
Last Health inspection on Aug 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.
46 of 79 citations resulted from standard inspections; 30 of 79 resulted from complaint investigations; and 3 of 79 came from combined inspections (standard and complaint).
400% 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.
1683661% more staff per resident than Indiana average
9% better than 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 12 RN Staff are full-time employees. No contractors work on this role.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursAssists with medical care and medications.
27 total: 22 full-time employees and 5 contractors.
27
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursHelps with daily care and mobility.
111 total: 68 full-time employees and 43 contractors.
111
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,789 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 68 | 43 | 111 | 21,917 | 92 | 100% | 8.5 |
| Licensed Practical Nurse | 22 | 5 | 27 | 8,150 | 92 | 100% | 8.3 |
| Medication Aide/Technician | 10 | 3 | 13 | 4,641 | 92 | 100% | 9.2 |
| Registered Nurse | 12 | 0 | 12 | 4,633 | 92 | 100% | 9.6 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,829 | 90 | 98% | 7.9 |
| RN Director of Nursing | 5 | 1 | 6 | 1,537 | 82 | 89% | 8.2 |
| Speech Language Pathologist | 4 | 0 | 4 | 980 | 73 | 79% | 7.5 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 599 | 72 | 78% | 7.4 |
| Physical Therapy Aide | 4 | 0 | 4 | 589 | 71 | 77% | 5.8 |
| Qualified Social Worker | 2 | 0 | 2 | 584 | 66 | 72% | 6.6 |
| Mental Health Service Worker | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Physical Therapy Assistant | 2 | 0 | 2 | 414 | 61 | 66% | 6.6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 201 | 39 | 42% | 5.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 80 | 23 | 25% | 3.5 |
| Medical Director | 1 | 0 | 1 | 26 | 13 | 14% | 2 |
| Qualified Activities Professional | 1 | 0 | 1 | 17 | 2 | 2% | 8.5 |
Includes penalties issued in 2024
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 (Data as of Jan 2026)
15% lower than Indiana averageIndiana average: $27K
44% more fines than Indiana averageIndiana average: 1.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Indiana averageIndiana average: 0.4
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 5, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 5, 2024Last updated: Jan 2026
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.
8.4
In line with Indiana averageIndiana average: 8.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.8
10% 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
13.0%
8% worse than Indiana averageIndiana average: 12.0%
Percent of long-stay residents whose ability to move independently worsened
16.1%
12% worse than Indiana averageIndiana average: 14.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.2%
11% worse than Indiana averageIndiana average: 24.6%
Percent of long-stay residents experiencing one or more falls with major injury
4.3%
12% worse than Indiana averageIndiana average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
7.0%
61% worse than Indiana averageIndiana average: 4.4%
Percent of long-stay residents with a urinary tract infection
2.8%
127% worse than Indiana averageIndiana average: 1.2%
Percent of long-stay residents who lose too much weight
1.3%
77% better than Indiana averageIndiana average: 5.7%
Percent of long-stay residents who have depressive symptoms
39.5%
64% worse than Indiana averageIndiana average: 24.1%
Percent of long-stay residents who received an antipsychotic medication
17.7%
43% worse than Indiana averageIndiana average: 12.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
79.6%
15% worse than Indiana averageIndiana average: 93.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
84.8%
11% worse than Indiana averageIndiana average: 95.4%
Number of hospitalizations per 1,000 long-stay resident days.
1.21
24% better than Indiana averageIndiana average: 1.60
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.07
28% 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
73.5%
10% worse than Indiana averageIndiana average: 81.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
53% better than Indiana averageIndiana average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
72.1%
9% worse than Indiana averageIndiana average: 79.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
30.9%
38% worse than Indiana averageIndiana average: 22.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
5.4%
49% better than Indiana averageIndiana average: 10.5%
Percentage of SNF residents who experience falls with major injury during their stay.
1.2%
55% worse than Indiana averageIndiana average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
25.5%
53% worse than Indiana averageIndiana average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
46.5%
8% worse 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.
42% of new residents, usually for short-term rehab.
23% of new residents, often for short stays.
36% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
117Residents 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 Dyer 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 #53 / 290Payroll — State benchmarkedThis home is ranked 53rd 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.
Most residents typically stay for a few weeks or months before returning home or moving on.
0.9 miles from city center
Estimated distance in miles from Dyer's city center to Dyer Nursing and Rehabilitation Center's address, calculated via Google Maps.
Add your location
Dyer Nursing and Rehabilitation Center is located in DYER, Indiana.
Here are the financial assistance programs available to residents in Indiana.
Tencree Crawford is the Director of Nursing at Dyer Nursing and Rehabilitation Center.
The legal owner and operator of Dyer Nursing and Rehabilitation Center is Major Hospital.
Dyer Nursing and Rehabilitation Center has a walk score of 19. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to IN state health department records, Dyer Nursing and Rehabilitation Center's license number is 25-000125-1.
According to IN state health department records, Dyer Nursing and Rehabilitation Center's license expires on February 28, 2026.
Dyer Nursing and Rehabilitation Center's occupancy is 57%.
Yes — see the floorplan options available at Dyer Nursing and Rehabilitation Center on this page.
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