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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.
Jewel Place Senior Living is a 47-bed assisted living and respite community at 607 Virginia Avenue in Madison, Indiana. Operated by Embolden Senior Living LLC, this facility is located in a historic riverfront district and focuses on “aging in place” for Jefferson County residents. The building supports seniors who require routine physical assistance but wish to remain in a home-like environment rather than a high-acuity clinical setting.
The community operates as a state-licensed Residential Care Facility (RCF) and provides 24-hour medical oversight. While it does not hold a federal CMS star rating, 2026 filings show a citations-per-inspection rate of zero based on its most recent standard licensure survey. Current occupancy stands at 66%, and the facility accepts the Indiana Medicaid PathWays for Aging Waiver (formerly A&D) to improve financial accessibility. Monthly costs for a private studio start at approximately $2,283, positioned below the regional average of $4,366.
A full-time licensed nurse oversees a 24/7 team of certified aides to manage medication administration and diabetic monitoring. The clinical team coordinates specialized services, including on-site podiatry and hospice care, ensuring residents can receive end-of-life support in their own apartments. Unique to this facility is an “Urgent Placement” process capable of admitting new residents in a single day when safety parameters are met. Daily “Live Well” programs emphasize mobility through chair yoga and walking groups to maintain resident independence.
The facility offers studio and one-bedroom apartments equipped with kitchenettes and 24-hour emergency pull cords in both living areas and bathrooms. Rent includes weekly housekeeping, personal laundry, and three nutritionist-approved meals daily.
Shared community spaces include a large historic front porch overlooking the Madison riverfront district and a protected outdoor garden with walking paths. The interior features an on-site hair salon, a library, and multipurpose lounges for social gatherings. The social calendar provides daily exercise classes, book clubs, bingo, and planned excursions to downtown Madison attractions.
The facility is very walkable and provides van service for medical trips to King’s Daughters’ Hospital, located roughly one mile away. Those seeking a Medicaid-eligible environment with a clean regulatory record and rapid admission options may find this setting appropriate. Interested parties should contact the administrator to discuss specific staff certification tracking and current apartment availability.
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 86th 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 |
|---|---|---|
|
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.
| 2h 57m per day |
Similar to the Indiana average: 68.1%Jewel Place Senior Living is legally operated by Embolden Senior Living Llc, and administrated by Cassandra Trueblood.
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.
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.
| 2 | 36 | This facility has 94% fewer total deficiencies than a typical Indiana nursing home (2 vs. IN avg 36).↓ 94% better |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 0.5 | 9 | This facility has 94% fewer deficiencies per year than a typical Indiana nursing home (0.5 vs. IN avg 9).↓ 94% 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.
| 4 | 19 | This facility has 79% fewer total visits than a typical Indiana nursing home (4 vs. IN avg 19).↓ 79% better |
|
Inspections with deficiencies
Inspections that resulted in at least one regulatory deficiency.
| 2 | 7 | This facility has 71% fewer inspections with deficiencies than a typical Indiana nursing home (2 vs. IN avg 7).↓ 71% better |
|
Inspection deficiency rate
Percentage of inspections that resulted in at least one deficiency.
| 50% | 37% | This facility has 13 percentage points higher inspection deficiency rate than a typical Indiana nursing home (50% vs. IN avg 37%).↑ 13% worse |
|
Inspections
Routine, scheduled inspections conducted by state regulators.
| 1 | 13 | This facility has 92% fewer inspections than a typical Indiana nursing home (1 vs. IN avg 13).↓ 92% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on June 6, 2025, found no deficiencies related to the complaint investigated. Earlier inspections showed some issues, including a medication aide working with an expired certification in March 2025 and missing required audible fire drills on all shifts in October 2022. These deficiencies involved staff certification and safety procedure compliance. No fines, enforcement actions, or license suspensions were listed in the available reports. The facility appears to have addressed prior concerns, with the latest complaint investigation showing compliance.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsIndiana average 6
Last Health inspection on May 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.
17 of 18 citations resulted from standard inspections; and 1 of 18 resulted from complaint investigations.
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.
1568321% better than Indiana average
0% compared with 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.
8.2 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.
8.6 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.
7.8 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,439 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 65 | 3 | 68 | 15,770 | 92 | 100% | 7.8 |
| Licensed Practical Nurse | 18 | 0 | 18 | 6,117 | 92 | 100% | 8.6 |
| Medication Aide/Technician | 7 | 0 | 7 | 2,989 | 91 | 99% | 7.6 |
| Registered Nurse | 9 | 0 | 9 | 2,145 | 91 | 99% | 8.2 |
| Clinical Nurse Specialist | 8 | 0 | 8 | 1,588 | 70 | 76% | 7.4 |
| Speech Language Pathologist | 0 | 6 | 6 | 1,519 | 78 | 85% | 6.9 |
| Physical Therapy Aide | 0 | 7 | 7 | 1,052 | 74 | 80% | 7.3 |
| Dental Services Staff | 2 | 0 | 2 | 833 | 62 | 67% | 8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 687 | 69 | 75% | 7.5 |
| Other Dietary Services Staff | 2 | 0 | 2 | 535 | 67 | 73% | 7.5 |
| Qualified Social Worker | 0 | 4 | 4 | 516 | 69 | 75% | 6.7 |
| Nurse Practitioner | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Administrator | 1 | 0 | 1 | 448 | 56 | 61% | 8 |
| Dietitian | 1 | 0 | 1 | 435 | 53 | 58% | 8.2 |
| Physical Therapy Assistant | 0 | 5 | 5 | 400 | 55 | 60% | 6.3 |
| Occupational Therapy Aide | 1 | 0 | 1 | 122 | 61 | 66% | 2 |
| Nurse Aide in Training | 2 | 0 | 2 | 120 | 16 | 17% | 6.3 |
| RN Director of Nursing | 4 | 0 | 4 | 32 | 6 | 7% | 4.6 |
| Qualified Activities Professional | 0 | 1 | 1 | 23 | 3 | 3% | 7.7 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
88% lower than Indiana averageIndiana average: $27K
28% fewer fines than Indiana averageIndiana average: 1.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Indiana averageIndiana average: 0.4
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.
10.1
27% worse than Indiana averageIndiana average: 8.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.5
15% better than Indiana averageIndiana average: 17.1
Percent of long-stay residents whose need for help with daily activities has increased
10.3%
14% better than Indiana averageIndiana average: 12.0%
Percent of long-stay residents whose ability to move independently worsened
11.7%
18% better than Indiana averageIndiana average: 14.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.3%
13% better than Indiana averageIndiana average: 24.6%
Percent of long-stay residents experiencing one or more falls with major injury
7.8%
102% worse than Indiana averageIndiana average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
8.8%
101% worse than Indiana averageIndiana average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.6%
48% better than Indiana averageIndiana average: 1.2%
Percent of long-stay residents who lose too much weight
12.1%
113% worse than Indiana averageIndiana average: 5.7%
Percent of long-stay residents who have depressive symptoms
7.3%
70% better than Indiana averageIndiana average: 24.1%
Percent of long-stay residents who received an antipsychotic medication
9.4%
25% 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%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.9%
20% better than Indiana averageIndiana average: 81.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
43% better than Indiana averageIndiana average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.2%
22% better than Indiana averageIndiana average: 79.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
51% of new residents, usually for short-term rehab.
48% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
95Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Jewel Place Senior Living 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 #61 / 290Payroll — State benchmarkedThis home is ranked 61st 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.
0.0 miles from city center
Estimated distance in miles from Madison's city center to Jewel Place Senior Living's address, calculated via Google Maps.
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Jewel Place Senior Living is located in MADISON, Indiana.
Here are the financial assistance programs available to residents in Indiana.
The legal owner and operator of Jewel Place Senior Living is Embolden Senior Living Llc.
Jewel Place Senior Living has a walk score of 80. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to IN state health department records, Jewel Place Senior Living's license number is 24-004352-1.
According to IN state health department records, Jewel Place Senior Living's license expires on October 31, 2025.
Jewel Place Senior Living's occupancy is 66%.
Yes — see the floorplan options available at Jewel Place Senior Living on this page.
Cassandra Trueblood is the administrator of Jewel Place Senior Living.
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