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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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 is a 280-bed nonprofit skilled nursing and residential community at 28070 CR 24 in Elkhart, Indiana. Operating as a voluntary nonprofit since 1977, the campus is administered by Anne Knouse and holds CMS certification (CCN 155754). The community serves Elkhart County with a multi-level care model including independent living, assisted living, memory care through the Living Wisdom Center, and short-term rehabilitation.
The facility provides licensed medical care under federal Medicare and Medicaid programs, primarily focusing on high-acuity rehabilitation and recovery. CMS awards the nursing center a full 5-star overall rating, ranking it 22nd out of 267 Indiana nursing homes, supported by maximum 5-star sub-ratings for health inspections, staffing, and quality measures. Current 2026 filings show that the facility maintains a citations-per-inspection rate of zero based on the March 2025 complaint investigation. Occupancy for the nursing portion is approximately 86%, with 57 of 66 certified beds currently filled.
Direct bedside support is provided 24/7 by a nursing team with total care hours reaching 4 hours and 44 minutes per resident per day, which is 34% above state norms. Registered Nurse (RN) coverage is particularly robust at 1 hour and 21 minutes daily, more than double the Indiana average. Physical therapist hours run 275% above the Indiana average, supporting a short-stay discharge-to-community rate that is 19% better than the state mean. The Living Wisdom Center provides specialized memory care through private apartments and a residential living model tailored for those with cognitive decline. Clinical stability is a hallmark of the program, with long-stay hospitalizations running 43% better than state averages.
The campus offers residential floor plans ranging from private suites in the Living Wisdom Center to independent retirement cottages. All-inclusive monthly services cover three dietitian-approved meals daily, housekeeping, and personal laundry.
Shared spaces include a library, a beauty salon, the Founder’s Chapel for spiritual services, and communal lounges with fireplaces. The social calendar features an “Intergenerational Experience” program, arts and crafts, and local community outings. For off-site medical appointments, the facility provides scheduled transportation to ensure residents remain connected to the Elkhart area.
Prospective residents seeking high-performing short-term rehabilitation or a specialized memory care environment with robust nursing ratios and a BBB A+ rating may find this setting appropriate. Interested individuals should contact the administrator directly to discuss current availability for the various care levels and schedule a tour to assess the 2026 quality performance firsthand.
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 23rd out of 287 homes in Indiana. 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.
| 1h 21m per day | ▲ 102% 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 36m per day | ▲ 15% 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 55m per day | ▲ 21% 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.
| 15m per day | ▲ 275% 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.
| 1h 2m per day | ▲ 130% State avg: 27m per day · National avg: 28m per day |
Lower than the Indiana average: 68.1%Hubbard Hill Estates Inc is legally operated by Hubbard Hill Estates Inc, and administrated by Anne Knouse.
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. See the nursing homes benchmark below for the typical Indiana score; higher is better.
Well above the Indiana average for nursing homes.
Indiana nursing homes benchmark: C 74/100
Inspection score: 92 out of 100. Letter grade A-. Well above the Indiana average for nursing homes.
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.
| 6 | 36 | This facility has 83% fewer total deficiencies than a typical Indiana nursing home (6 vs. IN avg 36).↓ 83% better |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 1.5 | 9 | This facility has 83% fewer deficiencies per year than a typical Indiana nursing home (1.5 vs. IN avg 9).↓ 83% 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 |
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.
| 13 | 19 | This facility has 32% fewer total visits than a typical Indiana nursing home (13 vs. IN avg 19).↓ 32% better |
|
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.
| 31% | 37% | This facility has 6 percentage points lower inspection deficiency rate than a typical Indiana nursing home (31% vs. IN avg 37%).↓ 6% better |
|
Inspections
Routine, scheduled inspections conducted by state regulators.
| 7 | 13 | This facility has 46% fewer inspections than a typical Indiana nursing home (7 vs. IN avg 13).↓ 46% better |
Complaints & Investigations
| 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 |
|
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 |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsIndiana average 6
Last Health inspection on Sep 2024
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 6 citations resulted from standard inspections.
100% better than Indiana averageIndiana average: 0.2
100% better 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.
2627019% better than Indiana average
9% worse 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.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
689 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| 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 |
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.
10.3
29% worse than Indiana averageIndiana average: 8.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.9
34% 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
21.1%
75% worse than Indiana averageIndiana average: 12.0%
Percent of long-stay residents whose ability to move independently worsened
15.0%
5% worse than Indiana averageIndiana average: 14.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
32.4%
32% worse than Indiana averageIndiana average: 24.6%
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
In line with Indiana averageIndiana average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
3.7%
16% better than Indiana averageIndiana average: 4.4%
Percent of long-stay residents with a urinary tract infection
6.4%
423% worse than Indiana averageIndiana average: 1.2%
Percent of long-stay residents who lose too much weight
8.0%
40% worse 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
9.4%
24% better than Indiana averageIndiana average: 12.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
6% 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.
1.67
In line with Indiana averageIndiana average: 1.60
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.59
60% 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
98.8%
21% 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
99.2%
26% better than Indiana averageIndiana average: 79.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.9%
20% worse than Indiana averageIndiana average: 22.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
10.4%
In line with Indiana averageIndiana average: 10.5%
Percentage of SNF residents who experience falls with major injury during their stay.
0.9%
10% worse than Indiana averageIndiana average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
69.2%
29% better than Indiana averageIndiana average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
60.4%
19% 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.
85% of new residents, usually for short-term rehab.
10% of new residents, often for short stays.
5% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
59Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
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 Hubbard Hill Estates Inc 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 #8 / 290Payroll — State benchmarkedThis home is ranked 8th out of 290 homes in Indiana. 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.
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.
Add your location
Hubbard Hill Estates Inc is located in ELKHART, 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.
| 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 | 21.4% | -69% | 4.73 | +78% | +38% | $0 | 6 | 2.0 | - | 60 | A+ | 0 | Ron Clark | $22.5M | $12.9M | 57.5% | 155754 | ||||
| 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 | 50.5% | -27% | 3.66 | +63% | +7% | $3.3k | 10 | 3.3 | - | 47 | A+ | 11 | Thomas Cook | $12.0M | $6.4M | 53.4% | 155854 | ||||
| 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 | 18.4% | -73% | 4.16 | -50% | +21% | $0 | 6 | 3.0 | - | 38 | A+ | 50 | Pamela Seegers | $35.6M | $17.6M | 49.4% | 155026 | ||||
| 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 | 74.0% | +7% | 4.56 | -1% | +33% | $18.7k | 17 | 2.1 | 2 | 97 | A+ | 2 | 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 | 47.3% | -32% | 3.49 | -29% | +1% | $0 | 76 | 6.9 | 1 | 71 | A+ | 10 | Westside Snf Operations LLC | $14.1M | $7.0M | 49.9% | 155606 |
Katherine Gonsalves is the Director of Nursing at Hubbard Hill Estates Inc.
According to IN state health department records, Hubbard Hill Estates Inc's license number is 25-001131-1.
According to IN state health department records, Hubbard Hill Estates Inc's license expires on December 31, 2025.
Hubbard Hill Estates Inc's occupancy is 21%.
Hubbard Hill Estates Inc is registered as a non-profit in IN.
Anne Knouse is the administrator of Hubbard Hill Estates Inc.
Hubbard Hill Estates Inc has 280 beds.
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