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Nursing Home in Indiana

CMS overall rating Info 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.

Hubbard Hill Estates Inc

Nursing Home in Indiana

CMS overall rating Info 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.

Hubbard Hill Estates Inc

28070 CR 24, ELKHART, IN 46517 View map
Overview of Hubbard Hill Estates INC
Hubbard Hill is a senior community located in Elkhart, Indiana. It offers a range of living options including assisted living, independent living, rehabilitation, and memory care. The facility is known for its intergenerational programs and commitment to resident well-being.
(574) 295-6260

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
5/5
Indiana average: 3.0/5
Health Inspection Info 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.
5/5
Indiana average: 2.7/5
Staffing Info 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.
5/5
Indiana average: 2.6/5
Quality Measures Info 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.
5/5
Indiana average: 4.1/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
4h 44m per day

This home provides 34% more nursing time per resident than the Indiana average.

Indiana average: 3h 32m per day

Capacity and availability

High-capacity home

May provide extensive amenities, services and programs.

Total beds 280

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Indiana average
Occupancy rate 21.4%
Residents per day (avg) 64
Occupancy rate
21.4%
Residents per day (avg)
64

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

85% of new residents, usually for short-term rehab.

Typical stay 15 days

Private pay

10% of new residents, often for short stays.

Typical stay 6 - 7 years

Medicaid

5% of new residents, often for long-term daily care.

Typical stay 1 years

Finances and operations

Voluntary non-profit community
Home revenue
$22.5M
Operating deficit
-$685.7K
Voluntary non-profit community
Home revenue
$22,513,081.00
Operating deficit
$-685,691.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$10.7M
47.7% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$12.5M
Total costs $23.2M
Bed community size
280-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
Years in operation
48 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

Occupancy

Occupancy rate
21%
69% lower than Indiana average

Indiana average: 68%

Occupied beds
60 / 280
Average residents 70 per day

License Details

Facility TypeMixed Facility (nursing + Residential Care)
IssuanceJanuary 1, 2025
ExpirationDecember 31, 2025

Additional Licensing Details

License Number25-001131-1
CMS Certification Number155754

Ownership & Operating Entity

Hubbard Hill Estates Inc is legally operated by Hubbard Hill Estates Inc, and administrated by Anne Knouse.

Profit StatusNON-PROFIT

Type Of Units

SNF/NF (Combined)
66 units
Residential
214 units
Total beds
280 units

Staffing

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

Leadership

Medical DirectorSusan MooreRiesbeck
Director of NursingKATHERINE GONSALVES
ContactPatrick E. Pingel

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

3 services
Skilled Nursing
24-Hour Staffing
Staff-to-Resident Ratio: 1:9

Additional Services

1 service
Rehabilitation

Contact Information

Fax(574) 295-5852

Amenities & Lifestyle

0 amenities
Specific ProgramsAssisted Living, Independent Living, Rehabilitation and Healthcare, Memory Care, Intergenerational Experience
Volunteer ProgramsYes

Pricing & Financial Information

Contact Hubbard Hill Estates Inc

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.

Inspection Overview

13 total visits · Indiana avg: 19

Ranked 116th of 388 in Indiana

7 Inspections Indiana avg: 13 46% below Indiana avg
4 Visits with Citations Indiana avg: 7 43% below Indiana avg
6 Citations Total Indiana avg: 34 82% below Indiana avg Ranked 39th of 385
9 Visits without Citations Indiana avg: 12 25% below Indiana avg

2 complaints

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

Indiana average: 5 complaints

Latest inspection

Date March 14, 2025
Complaint Investigation

6 total citations

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

Indiana average: 34 citations

6 deficiencies

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

Indiana average: 36 deficiencies

Inspection Report Summary for Hubbard Hill Estates Inc

The most recent inspection on March 14, 2025, found no deficiencies related to the complaint investigated. Earlier inspections showed a mix of compliance and some deficiencies, primarily involving resident access to personal funds, oxygen equipment storage, care planning, infection control, and life safety equipment like sprinkler system maintenance. Complaint investigations were mostly unsubstantiated, except for one substantiated complaint in late 2022 related to resident rights during a quarantine, which resulted in cited deficiencies. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s inspection record shows some recurring issues but also periods of compliance, with no clear pattern of worsening or improvement.

Health Inspection History

Inspections
Total health inspections 3

Indiana average 6


Last Health inspection on Sep 2024

Total health citations 6

Indiana average 25

Citations per inspection
2

Indiana average 4.12


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 6 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

6 moderate citations More info Indiana average: 23.8

0 minor citations More info Indiana average: 0.4
Citations history (last 3 years)
Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Sep 10, 2024
Corrected

Resident Rights moderate citation Info Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care. Sep 10, 2024
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Sep 13, 2023
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Sep 13, 2023
Corrected

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

5 facilities compared · CMS & IN Dept. of Health data · Updated Apr 2026

Filter by care type
Hubbard Hill Estates Inc
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.

ELKHART
280
73.2%
+5%
4.73
+57%
+38%
0
6
2.0
0
64
A+
Clark, Ron
$17.1M
$10.7M
62.9%
155754
Adams Woodcrest
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.

DECATUR
143
67.1%
-3%
3.69
-10%
+7%
0
2
2.0
0
108
-
Adams County Memorial Hospital
$12.2M
$5.6M
46.1%
155747
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
60.7%
-13%
4.12
+29%
+20%
0
2
1.0
0
39
A+
Adams County Memorial Hospital
$5.1M
$2.5M
49.1%
155729
Addison Pointe Health & Rehabilitation Center
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.

CHESTERTON
100
93.0%
+34%
3.16
-5%
-8%
1
27
4.5
1
93
-
Dobben, Steven
$15.2M
$5.3M
34.8%
155805
Albany Health Care & Rehabilitation Center
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.

ALBANY
102
75.5%
+9%
3.51
+4%
+2%
0
19
3.2
1
77
-
Troxwell, Melanie
$12.3M
$4.3M
35%
155432

Places of interest near Hubbard Hill Estates Inc

Address 7.6 miles from city center

Address 28070 CR 24, ELKHART, IN 46517

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 141
Employees 134
Contractors 7
Staff to resident ratio 2.39:1
2389731% better than Indiana average

Indiana average ratio: 0.00:1

Avg staff/day 49
Average shift 7.3 hours
5% worse than Indiana average

Indiana average: 7.7 hours

Total staff hours (quarter) 32,404
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 21
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.4 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 17
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 57
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

1.6%

505 contractor hours this quarter

Clinical Nurse Specialist: 2 Occupational Therapy Assistant: 2 Respiratory Therapy Technician: 1 Medical Director: 1 Occupational Therapy Aide: 1
Staff by category
Certified Nursing Assistant5705712,90291100%7.5
Registered Nurse210216,03091100%8.4
Licensed Practical Nurse170174,27091100%7.6
Respiratory Therapy Technician4151,3857785%6.2
Nurse Aide in Training4041,2448695%7.3
Dietitian4041,1467684%6.9
RN Director of Nursing2028886369%8
Physical Therapy Assistant5057087987%5.2
Speech Language Pathologist4046016976%4.9
Physical Therapy Aide3035266875%5.3
Qualified Social Worker2024696673%6.7
Clinical Nurse Specialist2244415358%7.6
Mental Health Service Worker1014405560%8
Nurse Practitioner1014325459%8
Administrator1014245358%8
Occupational Therapy Aide0112022629%7.8
Medication Aide/Technician6061992730%5.8
Medical Director011652629%2.5
Occupational Therapy Assistant022341415%2.4
57 Certified Nursing Assistant
% of Days 100%
21 Registered Nurse
% of Days 100%
17 Licensed Practical Nurse
% of Days 100%
5 Respiratory Therapy Technician
% of Days 85%
4 Nurse Aide in Training
% of Days 95%
4 Dietitian
% of Days 84%
2 RN Director of Nursing
% of Days 69%
5 Physical Therapy Assistant
% of Days 87%
4 Speech Language Pathologist
% of Days 76%
3 Physical Therapy Aide
% of Days 75%
2 Qualified Social Worker
% of Days 73%
4 Clinical Nurse Specialist
% of Days 58%
1 Mental Health Service Worker
% of Days 60%
1 Nurse Practitioner
% of Days 59%
1 Administrator
% of Days 58%
1 Occupational Therapy Aide
% of Days 29%
6 Medication Aide/Technician
% of Days 30%
1 Medical Director
% of Days 29%
2 Occupational Therapy Assistant
% of Days 15%

Facility Characteristics

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

Total census
59 residents
Residents by payment source
Medicare
15 residents (25.4%)
Medicaid
16 residents (27.1%)
Private pay or other
28 residents (47.5%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

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. 10.3
29% 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. 22.9
34% 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 21.1%
75% worse than Indiana average

Indiana average: 12.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 15.0%
5% 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 32.4%
32% 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 3.9%
In line with Indiana average

Indiana average: 3.9%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.7%
16% better than Indiana average

Indiana average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 6.4%
423% worse than Indiana average

Indiana average: 1.2%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 8.0%
40% worse 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 9.4%
24% better than Indiana average

Indiana average: 12.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.4%
6% 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 98.8%
21% 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 99.2%
26% better than Indiana average

Indiana average: 79.0%

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

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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