Hubbard Hill Estates Inc

Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Elkhart, IN

CMS overall rating

28070 Cr 24, Elkhart, IN 46517 View map

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Hubbard Hill Estates Inc accepts Medicare, Medicaid, and private pay.

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Hubbard Hill Estates Inc accepts Medicare, Medicaid, and private pay.

Overview of Hubbard Hill Estates

Hubbard Hill Estates offers nursing home, assisted living, independent living, memory care, and skilled nursing in Elkhart, Indiana. Assisted living helps with daily tasks such as bathing, dressing, and medication while a resident keeps a private living space, while independent living provides private living with community services and no daily care.

Memory care provides a secured setting with supervision. Nursing home and skilled nursing care provide licensed nursing care on site around the clock, and the range of care levels can suit a resident whose needs grow over time without leaving the community.

Respite care provides a short stay when a usual caregiver needs to travel or recover. Short term rehabilitation supports a temporary, recovery focused stay.

Hubbard Hill Estates has 280 beds, accommodating more residents and staff and usually supporting more programming than a smaller community. Total nurse staffing is 4 hours and 31 minutes per resident per day, representing the daily hands on nursing time allocated to each resident. Rehabilitation and Healthcare and the Intergenerational Experience are named programs at the community, and pets are allowed, so a resident may continue living with a pet. Medicare, Medicaid, and private pay are accepted, and Anne Knouse serves as the administrator.

Facility Direct Line (574) 295-6260

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours 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.

Hours per resident per day vs Indiana averages

Total nursing care This home is ranked 26th out of 276 homes we track 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.

4h 31m

31% above state avg

Staff type

Hours / day / resident

vs state avg

Registered Nurse (RN)

1h 19m

LPN / LVN

44m

Nurse Aide

2h 27m

Weekend Total Nursing

3h 52m

Physical Therapist

15m

Weekend RN

47m

1 of 6 metrics below state avg

By The Numbers

Community insights.

Bed count 280

High-capacity home · May provide extensive amenities, services and programs.

Years of operating

49 years

Occupancy rate

21.4% This home usually has availability

Lower than the Indiana average: 66.8%

Occupied beds

60 / 280

Avg. Length of Stay

90 days

BBB Rating

A+ Not Accredited

How BBB ratings work

About this community

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

StatusActive

IssuanceJanuary 1, 2025

ExpirationDecember 31, 2026

License Number25-001131-1

CMS Certification Number155754

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

Profit StatusNonprofit

SNF/NF (Combined)

66 units

Residential

214 units

Total beds

280 units

Staffing

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

Medical DirectorSusan Moore-Riesbeck

Director of NursingKatherine Gonsalves

Rehabilitation Services

Respite Care

Short-Term Rehab

24-Hour Staffing

Staff-to-Resident Ratio: 1:9

Fax(574) 295-5852

Volunteer Program

This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.

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.

Overall vs. IN average

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.	6	33	This facility has 82% fewer total deficiencies than a typical Indiana nursing home (6 vs. IN avg 33).↓ 82% better Rank #42 / 318 Total deficiencies — State benchmarked This home is ranked 42nd out of 318 homes we track in Indiana for deficiencies. Shows this facility's deficiencies compared to the Indiana average among 318 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in Indiana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Deficiencies per inspection Average deficiencies per inspection.	0.9	2.47	This facility has 64% fewer deficiencies per inspection than a typical Indiana nursing home (0.9 vs. IN avg 2.47).↓ 64% better Rank #45 / 309 Deficiencies per inspection — State benchmarked This home is ranked 45th out of 309 homes we track in Indiana for deficiencies per inspection. Shows this facility's deficiencies per inspection compared to the Indiana average among 309 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in Indiana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.

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.	7	19	This facility has had 63% fewer total visits than the Indiana average (7 vs. IN avg 19). More inspections can mean more regulatory scrutiny rather than worse care.↓ 63% fewer
Inspections with deficiencies Inspections that resulted in at least one regulatory deficiency.	4	7	This facility has 43% fewer inspections with deficiencies than a typical Indiana nursing home (4 vs. IN avg 7).↓ 43% better
Inspection deficiency rate Percentage of inspections that resulted in at least one deficiency.	57%	58%	This facility has 1 percentage point lower inspection deficiency rate than a typical Indiana nursing home (57% vs. IN avg 58%).↓ 1% better
Inspections Routine, scheduled inspections conducted by state regulators.	7	13	This facility has had 46% fewer inspections than the Indiana average (7 vs. IN avg 13). More inspections can mean more regulatory scrutiny rather than worse care.↓ 46% fewer

Complaints & Investigations Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.	This Facility	IN Average	vs. IN Avg
Total complaints Formal expressions of concern made by residents, families, or staff.	2	5	This facility has 60% fewer total complaints than a typical Indiana nursing home (2 vs. IN avg 5).↓ 60% better Rank #44 / 290 Total complaints — State benchmarked This home is ranked 44th out of 290 homes we track in Indiana for total complaints. Shows this facility's total complaints compared to the Indiana average among 290 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in Indiana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Complaints per year Average complaints per year since 2022.	0.5	1.3	This facility has 62% fewer complaints per year than a typical Indiana nursing home (0.5 vs. IN avg 1.3).↓ 62% better

Show Inspection Reports

Inspections Since 2023 · 3 years of data

Includes all CMS health inspection records for this property, which could include management/ownership changes.

Total health inspections 3

State average 5.9

Last Health inspection on Dec 2025

Total health citations

State average 23.3

Citations per inspection

1.67

State average 3.86

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

All 5 citations resulted from standard inspections.

Breakdown of citation severity (last 3 years)

Critical health citations

100% better than State average

State average: 0.2

Serious health citations

100% better than State average

State average: 0.5

0 critical citations State average: 0.2

0 serious citations State average: 0.5

5 moderate citations State average: 22.2

0 minor citations State average: 0.3

Citations history (last 3 years)

Quality of Care moderate citation Dec 15, 2025

Corrected

Quality of Care moderate citation Sep 10, 2024

Corrected

Resident Rights moderate citation Sep 10, 2024

Corrected

Infection Control moderate citation Sep 13, 2023

Corrected

Total staff 155

Employees 148

Contractors 7

Staff to resident ratio 2.63 : 1

2627019% more staff per resident than Indiana average

Avg staff/day 52

Average shift 7 hours

9% worse than Indiana average

Total staff hours (quarter) 33,247

Nursing staff breakdown

7.9 hours

7.4 hours

7.3 hours

Contractor staffing

689 contractor hours this quarter

Physician Assistant: 2 Respiratory Therapy Technician: 1 Medical Director: 1 Occupational Therapy Aide: 1 Clinical Nurse Specialist: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	70	0	70	14,813	92	100%	7.3
Registered Nurse	27	0	27	6,339	92	100%	7.9
Licensed Practical Nurse	14	0	14	3,601	92	100%	7.4
Respiratory Therapy Technician	4	1	5	1,444	86	93%	6.1
Dietitian	4	0	4	1,301	76	83%	5.1
RN Director of Nursing	2	0	2	920	63	68%	8
Physical Therapy Assistant	7	0	7	708	78	85%	5
Speech Language Pathologist	4	0	4	617	63	68%	5.2
Qualified Social Worker	2	0	2	524	64	70%	7
Mental Health Service Worker	1	0	1	464	58	63%	8
Nurse Practitioner	1	0	1	456	57	62%	8
Physical Therapy Aide	3	0	3	427	68	74%	5.5
Medication Aide/Technician	5	0	5	388	45	49%	7.1
Administrator	2	0	2	362	55	60%	6.6
Clinical Nurse Specialist	1	1	2	354	44	48%	7.2
Occupational Therapy Aide	0	1	1	192	24	26%	8
Physician Assistant	0	2	2	185	37	40%	5
Medical Director	0	1	1	67	27	29%	2.5
Nurse Aide in Training	1	0	1	54	8	9%	6.7
Occupational Therapy Assistant	0	1	1	33	16	17%	2.1

70 Certified Nursing Assistant

% of Days 100%

27 Registered Nurse

% of Days 100%

14 Licensed Practical Nurse

% of Days 100%

5 Respiratory Therapy Technician

% of Days 93%

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 10.3

29% worse than Indiana average

Indiana average: 8.0

Functional decline score 22.9

34% worse than Indiana average

Indiana average: 17.1

Long-stay resident measures

Average Indiana avg: 4.1

Need for Help with Daily Activities Increased 21.1%

75% worse than Indiana average

Indiana average: 12.0%

Walking Ability Worsened 15.0%

5% worse than Indiana average

Indiana average: 14.4%

Low Risk Residents with Bowel/Bladder Incontinence 32.4%

32% worse than Indiana average

Indiana average: 24.6%

Falls with Major Injury 3.9%

In line with Indiana average

Indiana average: 3.9%

High Risk Residents with Pressure Ulcers 3.7%

16% better than Indiana average

Indiana average: 4.4%

Urinary Tract Infection 6.4%

423% worse than Indiana average

Indiana average: 1.2%

Lost Too Much Weight 8.0%

40% worse than Indiana average

Indiana average: 5.7%

Depressive Symptoms 0.0%

100% better than Indiana average

Indiana average: 24.1%

Antipsychotic Use 9.4%

24% better than Indiana average

Indiana average: 12.4%

Pneumococcal Vaccine 99.4%

6% better than Indiana average

Indiana average: 93.7%

Influenza Vaccine 100.0%

5% better than Indiana average

Indiana average: 95.4%

Hospitalizations per 1,000 days 1.67

In line with Indiana average

Indiana average: 1.60

ED visits per 1,000 days 0.59

60% better than Indiana average

Indiana average: 1.48

Short-stay resident measures

Significantly above average Indiana avg: 2.9

Pneumococcal Vaccine 98.8%

21% better than Indiana average

Indiana average: 81.7%

Antipsychotic medication increase 0.0%

100% better than Indiana average

Indiana average: 1.4%

Influenza Vaccine 99.2%

26% better than Indiana average

Indiana average: 79.0%

Re-hospitalized after SNF stay 26.9%

20% worse than Indiana average

Indiana average: 22.4%

Emergency department visits 10.4%

In line with Indiana average

Indiana average: 10.5%

Falls with major injury 0.9%

10% worse than Indiana average

Indiana average: 0.8%

Ability to care for self at discharge 69.2%

29% better than Indiana average

Indiana average: 53.7%

Successful return to home or community 60.4%

19% better than Indiana average

Indiana average: 50.6%

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

Total residents 59

Medicare

25.4% of residents

Medicaid

27.1% of residents

Private pay or other

47.5% of residents

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.

Financial Trends

Historical financial and operational data for Hubbard Hill Estates Inc from 2012–2024, based on CMS SNF Cost Reports. Includes all financial data for this property, which could include management/ownership changes.

Key figures below are for fiscal year ending in 06/2024.

Net Patient Income -$6.1M ↑ ~$340.7K vs 2023

Payroll Costs $11.8M ↑ ~$1.8M vs 2023

Operating Margin -41.1% ↑ 7.2pp vs 2023

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023	2024
Occupancy %	81.8%	88.7%	89.6%	75.2%	73.3%	72.6%	76.4%	71.0%	65.1%	57.7%	62.4%	61.8%	67.2%
Beds	171	171	171	214	214	214	214	280	280	280	280	280	280
Net Income	$117,768	$690,374	$882,939	$176,106	$44,261	$471,184	$941,287	$212,354	$2,019,719	-$2,104,580	$716,027	$2,051,851	-$685,691
Gross Revenue	$11,355,627	$12,170,828	$12,173,366	$12,478,619	$12,931,958	$12,967,975	$12,933,282	$13,084,143	$14,736,605	$14,520,700	$13,679,659	$15,085,343	$17,053,444
Operating Expenses	$10,789,767	$11,029,410	$11,055,052	$11,581,622	$11,920,460	$11,804,877	$11,715,026	$12,745,305	$15,614,391	$17,083,357	$16,636,824	$19,917,198	$21,089,858
Net Patient Income	-$962,717	-$774,838	-$808,531	-$1,141,782	-$1,233,019	-$1,114,446	-$817,666	-$1,709,554	-$2,626,268	-$3,710,280	-$4,351,512	-$6,486,022	-$6,145,328
Net Patient Revenue	$9,827,050	$10,254,572	$10,246,521	$10,439,840	$10,687,441	$10,690,431	$10,897,360	$11,035,751	$12,988,123	$13,373,077	$12,285,312	$13,431,176	$14,944,530
Payroll Costs	$5,537,791	$5,631,771	$5,793,874	$6,009,730	$5,582,604	$5,995,325	$6,748,973	$7,051,613	$8,567,283	$8,413,954	$8,342,771	$10,044,585	$11,841,800
Operating Margin %	-9.8%	-7.6%	-7.9%	-10.9%	-11.5%	-10.4%	-7.5%	-15.5%	-20.2%	-27.7%	-35.4%	-48.3%	-41.1%
Medicare %	12.2%	11.7%	13.4%	12.3%	10.8%	10.4%	8.6%	6.9%	4.7%	4.2%	2.5%	4.1%	4.4%
Medicaid %	0.0%	0.0%	0.0%	0.0%	0.0%	5.7%	7.2%	8.2%	8.5%	7.8%	7.6%	6.8%	6.9%
Private %	87.8%	88.3%	86.6%	87.7%	89.2%	83.9%	84.1%	84.9%	86.8%	88.0%	89.9%	89.1%	88.6%
Net Patient Revenue/Day	$192	$185	$183	$178	$186	$188	$183	$185	$195	$227	$193	$213	$217
Cost/Day	$211	$199	$198	$197	$208	$208	$196	$214	$234	$290	$261	$316	$306
Avg Length of Stay	72.8 days	69.0 days	65.1 days	63.7 days	48.0 days	44.5 days	57.2 days	59.7 days	74.8 days	139.8 days	152.0 days	79.0 days	90.2 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

Net patient revenue

$14.9M

Net patient income

-$6.1M

Nonprofit Operated by a nonprofit corporation.

Net patient revenue

$14.9M

Net patient income

-$6.1M

Other income

$5.5M

Payroll costs

$11.8M 79.2% of net patient revenue

Other operating costs

$9.2M

Total costs

$21.1M

What does this home offer?

Pets Allowed

TYPE OF STAY

Mostly short-term rehab stays

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

Most new residents arrive under Medicare (85% of admissions), and a typical Medicare stay runs around 15 days.

Coverage residents most often arrive under.

Medicare 85%

Private pay 10%

Medicaid 5%

Coverage residents most often leave under.

Medicare 40%

Private pay 57%

Medicaid 3%

7.6 miles from city center Estimated distance in miles from Elkhart's city center to Hubbard Hill Estates Inc's address, calculated via Google Maps.

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Rank badges are statewide: each nursing home is ranked against every IN nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities

Nursing Home Explorer

Who is the Director of Nursing at Hubbard Hill Estates Inc?

Katherine Gonsalves is the Director of Nursing at Hubbard Hill Estates Inc.

What is the license number of Hubbard Hill Estates Inc?

According to IN state health department records, Hubbard Hill Estates Inc's license number is 25-001131-1.

When does Hubbard Hill Estates Inc's license expire?

According to IN state health department records, Hubbard Hill Estates Inc's license expires on December 31, 2026.

What is the occupancy rate at Hubbard Hill Estates Inc?

Hubbard Hill Estates Inc's occupancy is 21.4%.

How long has Hubbard Hill Estates Inc been in business?

Hubbard Hill Estates Inc has been operating for approximately 49 years, based on available licensing and registration records.

Are pets allowed at Hubbard Hill Estates Inc?

Yes, Hubbard Hill Estates Inc allows residents to bring their pets.

Does Hubbard Hill Estates Inc operate as a for-profit or non-profit?

Hubbard Hill Estates Inc is registered as a non-profit in IN.

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Hubbard Hill Estates Inc

Overview of Hubbard Hill Estates

Quality ratings

Community insights.

About this community

License Details

Ownership & Operating Entity

Type Of Units

Staffing

Leadership

Therapy & Rehabilitation

Staffing & Medical

Contact Information

Amenities & Lifestyle

Contact Hubbard Hill Estates Inc

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.

Complaints & Investigations Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.

CMS Health Inspection History

Inspections Since 2023 · 3 years of data

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

70 Certified Nursing Assistant

27 Registered Nurse

14 Licensed Practical Nurse

5 Respiratory Therapy Technician

4 Dietitian

2 RN Director of Nursing

7 Physical Therapy Assistant

4 Speech Language Pathologist

2 Qualified Social Worker

1 Mental Health Service Worker

1 Nurse Practitioner

3 Physical Therapy Aide

5 Medication Aide/Technician

2 Administrator

2 Clinical Nurse Specialist

1 Occupational Therapy Aide

2 Physician Assistant

1 Medical Director

1 Nurse Aide in Training

1 Occupational Therapy Assistant

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

CCRC

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

What does this home offer?

Who this home usually serves

Mostly short-term rehab stays

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