Occupancy rate
91%
33% higher than Indiana averageIndiana average: 68%
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home in Indiana
CMS overall rating
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.
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.
Northern Lakes Nursing and Rehabilitation Center
Nursing Home in Indiana
CMS overall rating
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.
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.
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
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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
$7.9M
Operating deficit
-$976.9K
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
33% higher than Indiana averageOccupied beds
90 / 99
Average residents
70 per day
Facility TypeNursing Home (skilled Nursing Facility)
IssuanceJanuary 10, 2024
ExpirationSeptember 30, 2025
License Number24-000426-1
CMS Certification Number155449
Northern Lakes Nursing and Rehabilitation Center is legally operated by Pulaski Memorial Hospital, and administrated by Dee Smallman.
Profit StatusOTHER
SNF (Skilled Nursing)
19 units
SNF/NF (Combined)
80 units
Total beds
99 units
Staffing
Key information about the people who lead and staff this community.
Director of NursingKATHY HALL
ContactDee Smallman
Accept Medicaid
Accept Medicare
Rehabilitation Services
Respite Care
Skilled Nursing
24-Hour Staffing
Fax(260) 668-3955
On-Site Beauty/Barber Services
Free Satellite Services
Free Wi-Fi
Planned Meals
Always Available Snacks
Daily Planned Activities
Laundry & Housekeeping Services
Transportation Services
Specific ProgramsSkilled 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 HoursVisitation Open 7 days/week, 7 AM - 7 PM
Food DescriptionTailored diets for residents, accommodating specific food textures and dietary needs.
Meals IncludedYes
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.
Inspection Overview
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
25 total visits · Indiana avg: 19
Ranked 276th of 388 in Indiana
17
Inspections
Indiana avg: 13
31% above Indiana avg
7
Visits with Citations
Indiana avg: 7
0% below Indiana avg
18
Citations Total
Indiana avg: 34
47% below Indiana avg Ranked 122nd of 385
18
Visits without Citations
Indiana avg: 12
50% above Indiana avg
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: 5 complaints
Latest inspection
Date
February 17, 2025
Life Safety18 total citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
Indiana average: 34 citations
18 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Indiana average: 36 deficiencies
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
Indiana average 25
Citations per inspection
2.5
Indiana average 4.12
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
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 17, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 17, 2025
Corrected
Resident Rights critical citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Sep 17, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Sep 17, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Dec 10, 2024
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Dec 10, 2024
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Dec 10, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
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.
Filter by care type
| Adams Woodcrest |
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. | Decatur | 143 | 67.1% | -3% | 3.69 | -10% | +7% | 0 | 2 | 2.0 | 0 | 108 | - | - | Adams County Memorial Hospital | $12.2M | $5.6M | 46.1% | 155747 | ||||
| Adams Heritage |
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. | Monroeville | 61 | 60.7% | -13% | 4.12 | +29% | +20% | 0 | 2 | 1.0 | 0 | 39 | A+ | - | Adams County Memorial Hospital | $5.1M | $2.5M | 49.1% | 155729 | ||||
| Addison Pointe Health & 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. | Chesterton | 100 | 93.0% | +34% | 3.16 | -5% | -8% | 1 | 27 | 4.5 | 1 | 93 | - | - | Dobben, Steven | $15.2M | $5.3M | 34.8% | 155805 | ||||
| Albany Health Care & 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. | Albany | 102 | 75.5% | +9% | 3.51 | +4% | +2% | 0 | 19 | 3.2 | 1 | 77 | - | - | Troxwell, Melanie | $12.3M | $4.3M | 35% | 155432 | ||||
| Northern Lakes 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. | Angola | 99 | 90.9% | +31% | 3.48 | -19% | +1% | 0 | 15 | 2.5 | 3 | 86 | - | - | Angola Healthcare Llc | $7.9M | $4.5M | 57.1% | 155449 |
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
130
Employees
115
Contractors
15
Staff to resident ratio
1.53:1
1529312% better than Indiana averageIndiana average ratio: 0.00:1
Avg staff/day
46
Average shift
7.8 hours
0% compared with Indiana averageIndiana average: 7.7 hours
Total staff hours (quarter)
32,663
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
14
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
41
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
4.9%
1,597 contractor hours this quarter
Speech Language Pathologist: 3
Respiratory Therapy Technician: 2
Physical Therapy Assistant: 2
Qualified Social Worker: 2
Physical Therapy Aide: 1
Occupational Therapy Assistant: 1
Clinical Nurse Specialist: 1
Medical Director: 1
Other Physician: 1
Occupational Therapy Aide: 1
Staff by category
| 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 |
41 Certified Nursing Assistant
% of Days
100%
14 Licensed Practical Nurse
% of Days
100%
10 Medication Aide/Technician
% of Days
100%
10 Registered Nurse
% of Days
100%
18 Other Dietary Services Staff
% of Days
100%
16 Nurse Aide in Training
% of Days
90%
1 Nurse Practitioner
% of Days
80%
1 RN Director of Nursing
% of Days
85%
1 Mental Health Service Worker
% of Days
75%
1 Physical Therapy Aide
% of Days
70%
3 Speech Language Pathologist
% of Days
70%
1 Administrator
% of Days
67%
1 Dietitian
% of Days
60%
2 Clinical Nurse Specialist
% of Days
76%
2 Respiratory Therapy Technician
% of Days
67%
2 Physical Therapy Assistant
% of Days
33%
1 Medical Director
% of Days
14%
1 Other Physician
% of Days
14%
2 Qualified Social Worker
% of Days
32%
1 Occupational Therapy Aide
% of Days
16%
1 Occupational Therapy Assistant
% of Days
26%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
85
Medicare
8
9.4% of residents
Medicaid
45
52.9% of residents
Private pay or other
32
37.6% of residents
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
-$976.9K
↓ ~$1.1M vs 2022
Total Payroll
$5.6M
↑ ~$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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