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.

Calculator: See prices in your area

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

Overview of Hubbard Hill Estates

Hubbard Hill Estates 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.

Facility Direct Line (574) 295-6260

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

4h 44m per day

vs avg

0 of 6 metrics below state avg

Standout metric Physical Therapist is +265% above state avg

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 12m per day	▲ 81% 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.	46m per day	■ Avg 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 34m per day	▲ 14% 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 56m 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	▲ 265% 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.	47m per day	▲ 73% State avg: 27m per day · National avg: 28m per day

Capacity and availability

90 days

280-bed community

A large-scale community that may provide a wide range of amenities, services, and structured programs.

48 years in operation

A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

Walk Score: 0 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

BBB Rating: A+ (Not Accredited)

An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
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About this community

Occupancy

Occupancy rate

21%

Lower than the Indiana average: 68.1%

Occupied beds

60 / 280

Average occupied beds in Indiana homes 70 beds

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

ContactMr. Patrick E. Pingel, Executive Director (per BBB, record updated Jun 2026)

Rehabilitation Services

Respite Care

Short-Term Rehab

24-Hour Staffing

Staff-to-Resident Ratio: 1:9

Fax(574) 295-5852

Volunteer Program

Since 2022 · 4 years of data 12 deficiencies 2 complaints 13 inspections

Inspection Score

12 points above the Indiana average for assisted living residences (83/100)

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.

Since 2022 vs. Indiana state average

Overall vs. IN average

Latest Inspection March 14, 2025 Annual Inspection

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.	12	36	This facility has 67% fewer total deficiencies than a typical Indiana assisted living residence (12 vs. IN avg 36).↓ 67% better Rank #75 / 317 Total deficiencies — State benchmarked This home is ranked 75th out of 317 homes in Indiana for Deficiencies. Shows this facility's deficiencies compared to the Indiana average among 317 comparable communities in the ranking pool. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.
Deficiencies per year Average deficiencies per year since 2022.	3	9	This facility has 67% fewer deficiencies per year than a typical Indiana assisted living residence (3 vs. IN avg 9).↓ 67% better
Deficiencies per inspection Average deficiencies per inspection.	0.9	1.9	This facility has 53% fewer deficiencies per inspection than a typical Indiana assisted living residence (0.9 vs. IN avg 1.9).↓ 53% better Rank #92 / 317 Deficiencies per inspection — State benchmarked This home is ranked 92nd out of 317 homes in Indiana for Deficiencies per inspection. Shows this facility's deficiencies per inspection compared to the Indiana average among 317 comparable communities in the ranking pool. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.

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.	13	19	This facility has had 32% fewer total visits than the Indiana average (13 vs. IN avg 19). More inspections can mean more regulatory scrutiny rather than worse care.↓ 32% 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 assisted living residence (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 assisted living residence (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 assisted living residence (7 vs. IN avg 13).↓ 46% better

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 assisted living residence (2 vs. IN avg 5).↓ 60% better Rank #45 / 293 Total complaints — State benchmarked This home is ranked 45th out of 293 homes in Indiana for Total complaints. Shows this facility's total complaints compared to the Indiana average among 293 comparable communities in the ranking pool. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.
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 assisted living residence (0.5 vs. IN avg 1.3).↓ 62% better

Inspection Reports Summary 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, confirming compliance with applicable regulations.
The September 10, 2024, annual survey cited two deficiencies involving resident access to personal funds outside business hours and improper oxygen tubing storage.
A December 21, 2022, complaint investigation substantiated a resident rights violation in the memory care unit related to quarantine and leave of absence restrictions.

Show Inspection Reports

Inspections since 2022

Total health inspections 3

State average N/A

Last Health inspection on Sep 2024

Total health citations

State average N/A

Citations per inspection

State average N/A

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 4 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

6 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 4 years)

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

Care Planning moderate citation Sep 13, 2023

Corrected

Total staff 155

Employees 148

Contractors 7

Staff to resident ratio 2.63 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 52

Average shift 7 hours

0% compared with State average

State average: 0 hours

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%

4 Dietitian

% of Days 83%

2 RN Director of Nursing

% of Days 68%

7 Physical Therapy Assistant

% of Days 85%

4 Speech Language Pathologist

% of Days 68%

2 Qualified Social Worker

% of Days 70%

1 Mental Health Service Worker

% of Days 63%

1 Nurse Practitioner

% of Days 62%

3 Physical Therapy Aide

% of Days 74%

5 Medication Aide/Technician

% of Days 49%

2 Administrator

% of Days 60%

2 Clinical Nurse Specialist

% of Days 48%

1 Occupational Therapy Aide

% of Days 26%

2 Physician Assistant

% of Days 40%

1 Medical Director

% of Days 29%

1 Nurse Aide in Training

% of Days 9%

1 Occupational Therapy Assistant

% of Days 17%

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 State average

State average: 8.0

Functional decline score 22.9

34% worse than State average

State average: 17.1

Long-stay resident measures

Above average State avg: 4.1

Need for Help with Daily Activities Increased 21.1%

75% worse than State average

State average: 12.0%

Walking Ability Worsened 15.0%

5% worse than State average

State average: 14.4%

Low Risk Residents with Bowel/Bladder Incontinence 32.4%

32% worse than State average

State average: 24.6%

Falls with Major Injury 3.9%

In line with State average

State average: 3.9%

High Risk Residents with Pressure Ulcers 3.7%

16% better than State average

State average: 4.4%

Urinary Tract Infection 6.4%

423% worse than State average

State average: 1.2%

Lost Too Much Weight 8.0%

40% worse than State average

State average: 5.7%

Depressive Symptoms 0.0%

100% better than State average

State average: 24.1%

Antipsychotic Use 9.4%

24% better than State average

State average: 12.4%

Pneumococcal Vaccine 99.4%

6% better than State average

State average: 93.7%

Influenza Vaccine 100.0%

5% better than State average

State average: 95.4%

Hospitalizations per 1,000 days 1.67

In line with State average

State average: 1.60

ED visits per 1,000 days 0.59

60% better than State average

State average: 1.48

Short-stay resident measures

Above average State avg: 2.9

Pneumococcal Vaccine 98.8%

21% better than State average

State average: 81.7%

Antipsychotic medication increase 0.0%

100% better than State average

State average: 1.4%

Influenza Vaccine 99.2%

26% better than State average

State average: 79.0%

Re-hospitalized after SNF stay 26.9%

20% worse than State average

State average: 22.4%

Emergency department visits 10.4%

In line with State average

State average: 10.5%

Falls with major injury 0.9%

10% worse than State average

State average: 0.8%

Ability to care for self at discharge 69.2%

29% better than State average

State average: 53.7%

Successful return to home or community 60.4%

19% better than State average

State 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.

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

Occupancy Rate 67.2% ↑ 5.5pp vs 2023

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 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

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


Westminster Village Muncie	NH AL IL SNF	Muncie	-	303	A+	6	Studio / 1 Bed / 2 Bed
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Hubbard Hill Estates Inc	NH AL IL MC SNF	Elkhart	-	280	A+	0	-

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%.

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.

Who is the administrator of Hubbard Hill Estates Inc?

Anne Knouse is the administrator of Hubbard Hill Estates Inc.

How many beds does Hubbard Hill Estates Inc have?

Hubbard Hill Estates Inc has 280 beds.

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Hubbard Hill Estates Inc

Overview of Hubbard Hill Estates

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

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.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 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

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

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