Pilgrim Manor
Nursing Home, Adult Day Care, Hospice Care, Respite Care & Skilled Nursing · Plymouth, IN
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Pilgrim Manor

Nursing Home, Adult Day Care, Hospice Care, Respite Care & Skilled Nursing · Plymouth, IN
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Pilgrim Manor accepts Medicare, Medicaid, and private pay.

Overview of Pilgrim Manor

Pilgrim Manor is a 78-bed skilled nursing facility located on Parkview Street in Plymouth, Indiana. Run by Adams County Memorial Hospital under the direction of administrator James Combs and Nursing Director Connie Bennett, the building stays about 86 percent full. It handles Medicare, Medicaid, and private pay options, with residents staying an average of 331 days for either long-term clinical care or short-term rehab.

The care team delivers an average of 3 hours and 25 minutes of direct nursing care per resident each day, which includes 43 minutes from registered nurses and 2 hours and 17 minutes from nurse aides. This clinical setup primarily supports the facility’s post-hospital surgical recovery and general rehabilitation programs. The Plymouth neighborhood carries a high walkability score of 83 out of 100, allowing visitors to easily manage errands on foot, while the home’s proximity to local healthcare providers helps coordinate medical appointments.

Prospective residents can get in touch with the admissions office to review the rehabilitation schedules, check current bed availability, or set up a time to view the campus.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
Health Inspection Info 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.
Staffing Info 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.
Quality Measures Info 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.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to state averages

Total nursing care / resident Info 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.
3h 25m per day
Rank #130 / 290Nurse hours — State benchmarkedThis home is ranked 130th out of 290 homes in Indiana for Nurse Hours. Shows adjusted nurse hours per resident per day benchmarked to the Indiana average, with a ranking across 290 Indiana facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg

3 of 6 metrics below state avg

Standout metric Weekend RN is +8% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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. 43m per day ■ Avg State avg: 42m per day · National avg: 41m per day
LPN / LVN Info 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. 31m per day ▼ 38% State avg: 50m per day · National avg: 52m per day
Nurse Aide Info 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 17m per day ■ Avg State avg: 2h 17m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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 9m per day ▼ 8% State avg: 3h 25m per day · National avg: 3h 26m per day
Physical Therapist Info 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. 2m per day ▼ 69% State avg: 5m per day · National avg: 4m per day
Weekend RN Info 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. 30m per day ▲ 8% State avg: 28m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
331 days
Bed community size
78-bed community Rank #333 / 435Bed count — State benchmarkedThis home is ranked 333rd out of 435 homes in Indiana for Bed Count. Shows this facility's certified or reported bed count compared to other Indiana facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 83 / 100 Rank #5 / 587Walk Score — State benchmarkedThis home is ranked 5th out of 587 homes in Indiana for Walk Score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Indiana facilities. Higher scores benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate
86%
Rank #57 / 425Occupancy rate — State benchmarkedThis home is ranked 57th out of 425 homes in Indiana for Occupancy. Shows this facility's occupancy rate versus the Indiana average, with its Statewide rank out of 425. Higher occupancy signals strong local demand and financial stability.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Indiana average: 68.1%
Occupied beds
67 / 78
Average occupied beds in Indiana homes 70 beds

License Details

Facility TypeNursing Home / Skilled Nursing Facility / Nursing Facility Distinct Part
StatusActive
IssuanceJuly 1, 2025
ExpirationJune 30, 2027
License Number25-000030-1
CMS Certification Number155073

Ownership & Operating Entity

Pilgrim Manor is legally operated by Adams County Memorial Hospital, and administered by James Combs.

Profit StatusGovernment

Type Of Units

Medicare (SNF)
6 units
SNF/NF (Combined)
72 units
Total beds
78 units

Staffing

Key information about the people who lead and staff this community.

Leadership

Medical DirectorByron Holm, Jr.
Director of NursingConnie Bennett
ContactMs. Lori Smith, Manager (per BBB, record updated Jul 2026)

Therapy & Rehabilitation

2 services
Rehabilitation Services
Short-Term Rehab

Contact Information

Fax(574) 936-4310

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Specific ProgramsAccommodations

Contact Pilgrim Manor

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.

Since 2023 · 3 years of data 39 deficiencies 5 complaints 19 inspections
Inspection Score Info A composite 0–100 score combining this facility's inspections, deficiencies, complaints, and enforcement actions relative to the Indiana state average. The score below shows how many points this facility sits above or below the typical Indiana assisted living residence score (the benchmark); higher is better.This is a proprietary Assisted Living Magazine score.

6 points below the Indiana average for assisted living residences (83/100)

Rank #234 / 392 in Indiana Inspection Score — State benchmarked This home is ranked 234th out of 392 homes in Indiana for Inspection Score. Shows this facility's inspection score compared to the Indiana average among 392 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking. This is a proprietary Assisted Living Magazine score. Inspection score: 77 out of 100. Letter grade C+. 6 points below the Indiana average for assisted living residences (83/100)

Inspection Scorecard Info 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 2023 vs. Indiana state average
Overall vs. IN average 5 Worse Metrics worse than Indiana average:
• Total deficiencies (8% above)
• Deficiencies per year (8% above)
• Deficiencies per inspection (11% above)
• Inspections with deficiencies (29% above)
• Inspection deficiency rate (27% above)
2 At Avg Metrics at Indiana average:
• Total complaints (at IN avg)
• Complaints per year (at IN avg)
1 Better Metrics better than Indiana average:
• Inspections (15% below)
Latest Inspection May 16, 2025 Complaint Investigation

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityIN Averagevs. IN Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 3936 This facility has 8% more total deficiencies than a typical Indiana assisted living residence (39 vs. IN avg 36).↑ 8% worse
Deficiencies per year Info Average deficiencies per year since 2023. 1312 This facility has 8% more deficiencies per year than a typical Indiana assisted living residence (13 vs. IN avg 12).↑ 8% worse
Deficiencies per inspection Info Average deficiencies per inspection. 2.11.9 This facility has 11% more deficiencies per inspection than a typical Indiana assisted living residence (2.1 vs. IN avg 1.9).↑ 11% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityIN Averagevs. IN Avg
Total visits Info Combined count of all on-site visits — routine inspections, complaint visits, follow-ups, and other focused visits. 1919 This facility has total visits in line with the Indiana average (19 vs. IN avg 19).— At avg
Inspections with deficiencies Info Inspections that resulted in at least one regulatory deficiency. 97 This facility has 29% more inspections with deficiencies than a typical Indiana assisted living residence (9 vs. IN avg 7).↑ 29% worse
Inspection deficiency rate Info Percentage of inspections that resulted in at least one deficiency. 47%37% This facility has 10 percentage points higher inspection deficiency rate than a typical Indiana assisted living residence (47% vs. IN avg 37%).↑ 10% worse
Inspections Info Routine, scheduled inspections conducted by state regulators. 1113 This facility has 15% fewer inspections than a typical Indiana assisted living residence (11 vs. IN avg 13).↓ 15% better

Complaints & Investigations Info Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.

This FacilityIN Averagevs. IN Avg
Total complaints Info Formal expressions of concern made by residents, families, or staff. 55 This facility has total complaints in line with the Indiana average (5 vs. IN avg 5).— At avg
Complaints per year Info Average complaints per year since 2023. 1.71.7 This facility has complaints per year in line with the Indiana average (1.7 vs. IN avg 1.7).— At avg

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

  • The most recent inspection on May 16, 2025 found no deficiencies related to the complaint investigated and the facility was in compliance with regulations.
  • The January 2, 2025 re-inspection cited failures in narcotic counts every shift and unsecured, unlabeled medications on carts, with no systemic plan of correction implemented.
  • The November 27, 2024 annual survey found 11 deficiencies including resident rights violations, medication errors, infection control lapses, and food safety issues affecting several residents.

Penalties and fines

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.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

Long-stay resident measures
Above average State avg: 4.1 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.12
47% better than State average

State average: 2.10

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.14
91% better than State average

State average: 1.53

Short-stay resident measures
Significantly above average State avg: 2.9 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 25.1%
In line with State average

State average: 25.0%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 8.6%
23% better than State average

State average: 11.1%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 1.8%
136% worse than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 54.9%
In line with State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 58.4%
15% better than State average

State average: 50.6%

Breakdown by payment type

Medicare

54% of new residents, usually for short-term rehab.

Typical stay 28 days

Private pay

35% of new residents, often for short stays.

Typical stay 10 - 11 months

Medicaid

12% of new residents, often for long-term daily care.

Typical stay 6 - 7 years

Finances and operations

Based on the home's most recent complete CMS SNF Cost Report — fiscal year ending in 12/2022. This is an older period than most facilities report, so compare with that in mind.

Government
Operated by federal authorities.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.4M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.9M
Government Operated by federal authorities.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.4M Rank #257 / 294Revenue — State benchmarkedThis home is ranked 257th out of 294 homes in Indiana for Revenue. Shows this facility's annual revenue compared to the Indiana average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.9M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #194 / 294Payroll — State benchmarkedThis home is ranked 194th out of 294 homes in Indiana for Payroll. 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.8M 86.7% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #7 / 294Payroll % — State benchmarkedThis home is ranked 7th out of 294 homes in Indiana for Payroll %. Shows payroll as a percentage of revenue versus the Indiana average. Well-run Indiana facilities typically land around 54–68% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.5M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$6.3M

Who this home usually serves

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 (54% of admissions), and a typical Medicare stay runs around 28 days.

Admissions
26 total

Coverage residents most often arrive under.

Medicare 54%
Private pay 35%
Medicaid 12%
Discharges
33 total

Coverage residents most often leave under.

Medicare 18%
Private pay 48%
Medicaid 33%

Places of interest near Pilgrim Manor

Address 0.0 miles from city center Info Estimated distance in miles from Plymouth's city center to Pilgrim Manor's address, calculated via Google Maps.

Calculate Travel Distance to Pilgrim Manor

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Address

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Frequently Asked Questions about Pilgrim Manor

Who is the Director of Nursing at Pilgrim Manor?

Connie Bennett is the Director of Nursing at Pilgrim Manor.

Who is the owner of Pilgrim Manor?

Pilgrim Manor is legally operated by Adams County Memorial Hospital, and administered by James Combs.

Is Pilgrim Manor in a walkable area?

Pilgrim Manor has a walk score of 83. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of Pilgrim Manor?

According to IN state health department records, Pilgrim Manor's license number is 25-000030-1.

When does Pilgrim Manor's license expire?

According to IN state health department records, Pilgrim Manor's license expires on June 30, 2027.

What is the occupancy rate at Pilgrim Manor?

Pilgrim Manor's occupancy is 86%.

Are pets allowed at Pilgrim Manor?

No, Pilgrim Manor has a no-pet policy.

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