Occupancy rate
91%
32% higher than Indiana averageIndiana average: 69%
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Nursing Home
Northern Lakes Nursing and Rehabilitation Center
Northern Lakes Nursing and Rehabilitation Center is a skilled nursing facility located in Angola, Indiana. It offers a range of services including skilled nursing, physical therapy, and memory care. The center is dedicated to providing high-quality care and rehabilitation services to its residents.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
99
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
90.9%
Residents per day (avg)
86
Occupancy rate
90.9%
Residents per day (avg)
86
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
60% of new residents, usually for short-term rehab.
Typical stay
10 days
Private pay
22% of new residents, often for short stays.
Typical stay
9 - 10 months
Medicaid
17% of new residents, often for long-term daily care.
Typical stay
2 years
Finances and operations
Governmental community
Operated by county authorities.
Home revenue
$7.9M
Operating deficit
-$976.9K
Governmental community
Operated by county authorities.
Home revenue
$7,856,673.00
Operating deficit
$-976,896.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.8M
99-bed community
A larger shared setting that may offer more common spaces and organized community services.
46 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
Occupancy
32% higher than Indiana averageOccupied beds
90 / 99
Average residents
70 per day
License details
Facility type
Nursing Home (skilled Nursing Facility)
Status
Active
Issuance
October 1, 2024
Additional licensing details
License number:
24-000426-1
CMS Certification Number:
155449
Ownership & operating entity
Northern Lakes Nursing and Rehabilitation Center is administrated by DEE SMALLMAN.
Profit status:
OTHER
Safety & Compliance
Staffing
Key information about the people who lead and staff this community.
Leadership
Director of Nursing:
KATHY HALL
Contact:
Dee Smallman
Care Services
Accepts Medicaid
Accepts Medicare
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Independent Living
Skilled Nursing
24-Hour Staffing
Contact Information
Fax:
(260) 668-3955
Amenities & Lifestyle
Programs & Activities
Specific Programs
Skilled Nursing, Physical Therapy, Occupational Therapy, Speech Therapy, Respiratory Therapy, Memory Care, Secure Alzheimer's Unit, 2-Tier Rehab Program, Pain & Wound Management, Cardiac & Stroke Recovery, Parkinson’s Therapy, Respite Care, Long-term Care, Adult Day Care, Post-Discharge Home Visit Wellness Program, Hospice Services
Operating Hours
Visitation Open 7 days/week, 7 AM - 7 PM
Pricing & Financial Information
Dining & Nutrition
Food Description
Tailored diets for residents, accommodating specific food textures and dietary needs.
Meals Included
Yes
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
Inspection History
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.
8 visits/inspections
Results
1 with citations
0 without citations
Indiana average: 8 complaint visits
Indiana average: 3 inspections with citations
Show Inspection Reports
4 complaints
Formal expressions of dissatisfaction or concern made by residents, or their families regarding various aspects of the care, services, and environment provided.
Indiana average: 4 complaints
Latest inspection
Date:February 17, 2025
Type:Life Safety
13 total citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
Indiana average: 26 citations
18 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for Northern Lakes Nursing and Rehabilitation Center
The most recent inspection on February 17, 2025, found Northern Lakes Nursing and Rehabilitation Center in compliance with Life Safety Code requirements and no deficiencies were cited. Earlier inspections showed a mixed pattern with some deficiencies related to Life Safety Code issues such as locked exit doors and hazardous storage areas, as well as resident care concerns including verbal abuse, improper restraint use, medication administration, and documentation. Complaint investigations were mostly unsubstantiated, except for one substantiated case involving failure to notify a physician of a significant change in a resident’s condition, which led to cited deficiencies but no enforcement actions or fines were listed in the available reports. No fines, immediate jeopardy findings, or license suspensions were noted in the reports. The trend suggests improvement in compliance with Life Safety Code requirements and resident care issues in the most recent inspections compared to earlier findings.
Health Inspection History
Inspections
Total health inspections
6
Indiana average 6
Last Health inspection on Sep 2025
Total health citations
15
Citations per inspection
2.5
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
9 of 15 citations resulted from standard inspections; 5 of 15 resulted from complaint investigations; and 1 of 15 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
900% worse than Indiana averageIndiana average: 0.2
Serious Health citations
1
1
67% worse than Indiana averageIndiana average: 0.6
2 critical citations
1 serious citation
12 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care critical citation
Sep 17, 2025
Corrected
Resident Rights critical citation
Sep 17, 2025
Corrected
Abuse/Neglect moderate citation
Dec 10, 2024
Corrected
Infection Control moderate citation
Dec 10, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Indiana
The information below is reported by the Indiana Department of Health, Division of Long Term Care.
Adams Woodcrest
-10%
+7%
+3%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IN 46733
143
-
-
71.4%
$12,192,260.00
$5,615,054.00
46.1%
108
3.6901
-
2
-
-10%+7%+3%
Adams Heritage
+29%
+20%
+3%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IN 46773
61
A+
-
71.6%
$5,068,983.00
$2,488,962.00
49.1%
39
4.1205
-
2
-
+29%+20%+3%
Addison Pointe Health & Rehabilitation Center
-5%
-8%
+33%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IN 46304
100
-
DOBBEN, STEVEN
92.5%
$15,225,564.00
$5,306,023.00
34.8%
92.50
3.1554
1
27
1
-5%-8%+33%
Albany Health Care & Rehabilitation Center
+4%
+2%
+9%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IN 47320
102
-
TROXWELL, MELANIE
75.6%
$12,342,683.00
$4,315,019.00
35%
77.20
3.5110
-
19
1
+4%+2%+9%
Northern Lakes Nursing and Rehabilitation Center
-19%
+1%
+17%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IN 46703
99
-
ANGOLA HEALTHCARE LLC
80.9%
$7,860,771.00
$4,487,334.00
57.1%
86.30
3.4830
-
15
3
-19%+1%+17%
Adams Woodcrest
Type of care:
SNF
AL
Community:
IN 46733
Bed Count:
143
CCN:
155747
Occupancy:
71.4%
Home Revenue:
$12,192,260.00
Payroll Costs:
$5,615,054.00
Payroll %:
46.1%
Avg Residents/Day:
108
Overall Rating:
Adj Nurse Hours:
3.6901
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
2
RN share vs State Avg:
-10%
-10%
Staffing vs State Avg:
+7%
+7%
Occupancy vs State Avg:
+3%
+3%
Adams Heritage
Type of care:
SNF
AL
Community:
IN 46773
Bed Count:
61
CCN:
155729
Occupancy:
71.6%
Home Revenue:
$5,068,983.00
Payroll Costs:
$2,488,962.00
Payroll %:
49.1%
Avg Residents/Day:
39
Overall Rating:
Adj Nurse Hours:
4.1205
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
2
RN share vs State Avg:
+29%
+29%
Staffing vs State Avg:
+20%
+20%
Occupancy vs State Avg:
+3%
+3%
Addison Pointe Health & Rehabilitation Center
Type of care:
SNF
AL
Community:
IN 46304
Bed Count:
100
Operator:
DOBBEN, STEVEN
CCN:
155805
Occupancy:
92.5%
Home Revenue:
$15,225,564.00
Payroll Costs:
$5,306,023.00
Payroll %:
34.8%
Avg Residents/Day:
92.50
Overall Rating:
Adj Nurse Hours:
3.1554
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
27
Severe Citations:
1
RN share vs State Avg:
-5%
-5%
Staffing vs State Avg:
-8%
-8%
Occupancy vs State Avg:
+33%
+33%
Albany Health Care & Rehabilitation Center
Type of care:
SNF
AL
Community:
IN 47320
Bed Count:
102
Operator:
TROXWELL, MELANIE
CCN:
155432
Occupancy:
75.6%
Home Revenue:
$12,342,683.00
Payroll Costs:
$4,315,019.00
Payroll %:
35%
Avg Residents/Day:
77.20
Overall Rating:
Adj Nurse Hours:
3.5110
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
19
Severe Citations:
1
RN share vs State Avg:
+4%
+4%
Staffing vs State Avg:
+2%
+2%
Occupancy vs State Avg:
+9%
+9%
Northern Lakes Nursing and Rehabilitation Center
Type of care:
SNF
AL
Community:
IN 46703
Bed Count:
99
Operator:
ANGOLA HEALTHCARE LLC
CCN:
155449
Occupancy:
80.9%
Home Revenue:
$7,860,771.00
Payroll Costs:
$4,487,334.00
Payroll %:
57.1%
Avg Residents/Day:
86.30
Overall Rating:
Adj Nurse Hours:
3.4830
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
15
Severe Citations:
3
RN share vs State Avg:
-19%
-19%
Staffing vs State Avg:
+1%
+1%
Occupancy vs State Avg:
+17%
+17%Places of interest near Northern Lakes Nursing and Rehabilitation Center
0.0 miles from city center
ANGOLA, IN 46703
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
130
Total Staff
115
Employees
15
Contractors
32,663
Total Hours (Quarter)
46
Avg Staff/Day
7.8
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 10 | 8.9 | No |
| Licensed Practical Nurse | 14 | 9.6 | No |
| Certified Nursing Assistant | 41 | 7.9 | No |
Staff by Category
Administration ⓘ
2 staff
7.6hs shift avg
Nursing Staff ⓘ
92 staff
8.3hs shift avg
Physicians & Practitioners ⓘ
4 staff
7hs shift avg
Therapy Services ⓘ
10 staff
5.2hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
2.7hs shift avg
Dietary Services ⓘ
19 staff
6.3hs shift avg
Other Services ⓘ
1 staff
7.8hs shift avg
Contractor Analysis
4.9%
of total hours from contractors
1,597 contractor hours this quarter
Respiratory Therapy Technician: 2
Physical Therapy Aide: 1
Occupational Therapy Assistant: 1
Physical Therapy Assistant: 2
Speech Language Pathologist: 3
Clinical Nurse Specialist: 1
Medical Director: 1
Qualified Social Worker: 2
Other Physician: 1
Occupational Therapy Aide: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 41 | 0 | 41 | 13,161 | 91 | 100% | 7.9 |
| Licensed Practical Nurse | 14 | 0 | 14 | 4,254 | 91 | 100% | 9.6 |
| Medication Aide/Technician | 10 | 0 | 10 | 3,058 | 91 | 100% | 8.9 |
| Registered Nurse | 10 | 0 | 10 | 2,966 | 91 | 100% | 8.9 |
| Other Dietary Services Staff | 18 | 0 | 18 | 2,525 | 91 | 100% | 6.2 |
| Nurse Aide in Training | 16 | 0 | 16 | 2,056 | 82 | 90% | 7.3 |
| Nurse Practitioner | 1 | 0 | 1 | 759 | 73 | 80% | 10.4 |
| RN Director of Nursing | 1 | 0 | 1 | 615 | 77 | 85% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 531 | 68 | 75% | 7.8 |
| Physical Therapy Aide | 0 | 1 | 1 | 505 | 64 | 70% | 7.9 |
| Speech Language Pathologist | 0 | 3 | 3 | 502 | 64 | 70% | 7.9 |
| Administrator | 1 | 0 | 1 | 484 | 61 | 67% | 7.9 |
| Dietitian | 1 | 0 | 1 | 400 | 55 | 60% | 7.3 |
| Clinical Nurse Specialist | 1 | 1 | 2 | 290 | 69 | 76% | 3.8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 116 | 61 | 67% | 1.9 |
| Physical Therapy Assistant | 0 | 2 | 2 | 103 | 30 | 33% | 3.4 |
| Medical Director | 0 | 1 | 1 | 78 | 13 | 14% | 6 |
| Other Physician | 0 | 1 | 1 | 78 | 13 | 14% | 6 |
| Qualified Social Worker | 0 | 2 | 2 | 77 | 29 | 32% | 2.7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 59 | 15 | 16% | 3.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 49 | 24 | 26% | 2 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
85 residents
Residents by payment source
Medicare
8 residents (9.4%)
Medicaid
45 residents (52.9%)
Private pay or other
32 residents (37.6%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.0
38% worse than Indiana averageIndiana average: 8.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.2
36% worse than Indiana averageIndiana average: 17.1
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
22.6%
Percent of long-stay residents whose need for help with daily activities has increased
22.6%
87% worse than Indiana averageIndiana average: 12.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
22.0%
Percent of long-stay residents whose ability to move independently worsened
22.0%
53% worse than Indiana averageIndiana average: 14.4%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.2%
In line with Indiana averageIndiana average: 24.6%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.9%
Percent of long-stay residents experiencing one or more falls with major injury
2.9%
24% better than Indiana averageIndiana average: 3.9%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.1%
Percent of long-stay high risk residents with pressure ulcers
2.1%
53% better than Indiana averageIndiana average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
4.3%
Percent of long-stay residents with a urinary tract infection
4.3%
251% worse than Indiana averageIndiana average: 1.2%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.6%
Percent of long-stay residents who lose too much weight
5.6%
In line with Indiana averageIndiana average: 5.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.4%
Percent of long-stay residents who have depressive symptoms
2.4%
90% better than Indiana averageIndiana average: 24.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
17.7%
Percent of long-stay residents who received an antipsychotic medication
17.7%
42% worse than Indiana averageIndiana average: 12.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.8%
In line with Indiana averageIndiana average: 93.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.2%
In line with Indiana averageIndiana average: 95.4%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
74.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
74.0%
10% worse than Indiana averageIndiana average: 81.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Indiana averageIndiana average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
75.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
75.8%
In line with Indiana averageIndiana average: 79.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Northern Lakes Nursing and Rehabilitation Center based on CMS SNF Cost Reports.
Occupancy Rate
80.9%
↑ 3.5pp vs 2022
Net Income
-$976,896
↓ ~$1.1M vs 2022
Total Payroll
$5,562,564
↑ ~$1.0M vs 2022
Profit Margin
-12.4%
↓ 13.6pp vs 2022
Loading trend charts...
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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