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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.
Mcgivney Health Care Center, nestled in Carmel, Indiana, specializes in offering comprehensive long-term care services. With a capacity of 37 beds, this nonprofit facility stands as a dedicated participant in both Medicare and Medicaid programs, providing a vital support system for families in search of quality senior care for their cherished loved ones.
Reviews consistently highlight the center’s excellence, emphasizing its professional and compassionate approach to meeting the needs of seniors and their families.
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 82nd out of 267 homes in Indiana.| Staff type | Hours / day | 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.
| 14m per day | ▼ 65% 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.
| 33m per day | ▼ 28% 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 19m per day | ■ Avg State avg: 2h 16m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
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 12m per day | ■ Avg State avg: 3h 14m per day · National avg: 3h 26m per day |
|
RN (Weekend)
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.
| 14m per day | ▼ 48% State avg: 27m per day · National avg: 29m per day |
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
25% of new residents, usually for short-term rehab.
75% of new residents, often for short stays.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #256 / 267Payroll — state benchmarkedThis home is ranked 256th out of 267 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the Indiana average: 68.1%McGivney Health Care Center is legally operated by Board Of Trustees Of The Flavius J Witham Memorial, and administrated by Randall Shera.
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.
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 are formal regulatory issues recorded during state inspections.
| Metric | This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 73 | 36 | This facility has 103% more total deficiencies than a typical Indiana nursing home (73 vs. IN avg 36).↑ 103% worse |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 18.3 | 9 | This facility has 103% more deficiencies per year than a typical Indiana nursing home (18.3 vs. IN avg 9).↑ 103% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 2.8 | 1.9 | This facility has 47% more deficiencies per inspection than a typical Indiana nursing home (2.8 vs. IN avg 1.9).↑ 47% worse |
State inspections evaluate whether the facility meets health and safety standards.
| Metric | 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.
| 26 | 19 | This facility has 37% more total visits than a typical Indiana nursing home (26 vs. IN avg 19).↑ 37% worse |
|
Inspections with deficiencies
Inspections that resulted in at least one regulatory deficiency.
| 11 | 7 | This facility has 57% more inspections with deficiencies than a typical Indiana nursing home (11 vs. IN avg 7).↑ 57% worse |
|
Inspection deficiency rate
Percentage of inspections that resulted in at least one deficiency.
| 42% | 37% | This facility has 5 percentage points higher inspection deficiency rate than a typical Indiana nursing home (42% vs. IN avg 37%).↑ 5% worse |
|
Inspections
Routine, scheduled inspections conducted by state regulators.
| 12 | 13 | This facility has 8% fewer inspections than a typical Indiana nursing home (12 vs. IN avg 13).↓ 8% better |
Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.
| Metric | 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 |
|
Complaint visits
On-site visits triggered by formal complaints. Formal complaints can result in multiple visits.
| 11 | 8 | This facility has 38% more complaint visits than a typical Indiana nursing home (11 vs. IN avg 8).↑ 38% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on December 17, 2024, found the facility in compliance with Life Safety Code and Medicare/Medicaid participation requirements, with no deficiencies cited. Prior inspections showed a pattern of Life Safety Code issues, particularly related to corridor doors not closing properly and emergency preparedness system maintenance, as well as care plan development, medication monitoring, and food storage concerns. Complaint investigations during this period were mostly unsubstantiated, with no deficiencies related to the allegations, and no fines or enforcement actions were listed in the available reports. Earlier inspections identified deficiencies in resident care documentation, staffing coverage, infection control, and emergency preparedness training. The trend suggests improvement in Life Safety Code compliance and complaint outcomes, although some care planning and environmental issues were noted in prior surveys.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsMcGivney Health Care Center is located in Carmel, Indiana.
Here are the financial assistance programs available to residents in Indiana.
158.0 miles from city center
Estimated distance in miles from Carmel's city center to McGivney Health Care Center's address, calculated via Google Maps.
— 6.24 miles to nearest hospital (Riverview Health Cancer Center)
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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.
The information below is reported by the Indiana Department of Health, Division of Long Term Care.
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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.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Indianapolis (North Willow Farms) | 130 | 57.7% | -17% | 3.66 | +64% | +6% | 0 | 27 | 3.4 | 3 | 86 | A+ | 68 | Cynthia Kump | $13.2M | $4.8M | 36.1% | 155154 | ||||
| Community Nursing and 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. | Indianapolis (Eastside) | 115 | 41.7% | -40% | 3.79 | -4% | +10% | 0 | 47 | 9.4 | 1 | 54 | A+ | 56 | The Health And Hospital Corporation Of Marion County | $6.4M | $3.0M | 46.6% | 155029 |
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McGivney Health Care Center is in the East Smoky Row Road neighborhood of Carmel.
Jody Voelker is the Director of Nursing at McGivney Health Care Center.
The legal owner and operator of McGivney Health Care Center is Board Of Trustees Of The Flavius J Witham Memorial.
McGivney Health Care Center has a walk score of 6. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to IN state health department records, McGivney Health Care Center's license number is 25-000545-1.
According to IN state health department records, McGivney Health Care Center's license expires on March 31, 2026.
McGivney Health Care Center's occupancy is 86%.
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