Shady Nook Care Center

Nursing Home, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Lawrenceburg, IN

CMS overall rating

36 Village Drive, Lawrenceburg, IN 47025 View map

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Shady Nook Care Center accepts Medicare, Medicaid, and private pay.

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Shady Nook Care Center accepts Medicare, Medicaid, and private pay.

Overview of Shady Nook Care Center

Shady Nook Care Center is a 94-bed skilled nursing facility on Village Drive in Lawrenceburg, Indiana. Run by Adams County Memorial Hospital and managed by administrator Lindsey Boltz, the building stays about 90 percent full. It handles Medicare, Medicaid, and private pay options. The average resident stay is 161 days, which reflects a combination of short-term rehabilitation patients and long-term nursing residents.

Direct clinical care averages 2 hours and 40 minutes per resident each day. This time is divided among registered nurses at 39 minutes, nurse aides at 1 hour and 47 minutes, and licensed practical nurses at 27 minutes. The facility provides post-hospital rehabilitation and respite stays alongside everyday services like complimentary Wi-Fi, housekeeping, laundry, organized transportation, outdoor spaces, and social entertainment.

The immediate neighborhood has a walkability score of 64 out of 100, meaning some nearby errands can be done on foot. State records note that the facility has a citations-per-inspection rate of zero. Interested individuals can contact the Lawrenceburg office directly to ask about current admission requirements, clarify insurance coverage pathways, or plan a tour of the campus.

Facility Direct Line (812) 537-0930

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

2h 40m per day

vs avg

5 of 5 metrics below state avg

Staff type	Hours / Day / Resident	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.	39m per day	▼ 3% 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.	27m per day	▼ 41% 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.	1h 47m per day	▼ 21% State avg: 2h 16m per day · National avg: 2h 20m per day
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 28m per day	▼ 24% State avg: 3h 14m per day · National avg: 3h 26m per day
Weekend RN 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.	26m per day	▼ 4% State avg: 27m per day · National avg: 28m per day

Capacity and availability

161 days

94-bed community

A larger shared setting that may offer more common spaces and organized community services.

10 years in operation

A community with a solid operating history and experience delivering ongoing care.

Walk Score: 64 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

90%

Higher than the Indiana average: 68.1%

Occupied beds

85 / 94

Average occupied beds in Indiana homes 70 beds

Facility TypeNursing Home / Skilled Nursing Facility / Nursing Facility Dually Certified

StatusActive

IssuanceSeptember 1, 2024

ExpirationAugust 31, 2026

License Number24-000304-2

CMS Certification Number155525

Shady Nook Care Center is legally operated by Adams County Memorial Hospital, and administered by Lindsey Boltz.

Profit StatusFor-profit

SNF/NF (Combined)

94 units

Total beds

94 units

Staffing

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

Medical DirectorPragneshkumar Radadiya

Director of NursingMargaret West

ContactMr. Matthew Jones, Owner (per BBB, record updated Jul 2026)

Rehabilitation Services

Respite Care

Short-Term Rehab

Short Term Rehabilitation

Fax(812) 537-0326

Pets not allowed

Complimentary Wifi

Daily Housekeeping

Laundry Services

Facility Transportation

Beautiful Outdoor Areas

Live Entertainment

Since 2022 · 4 years of data 87 deficiencies 5 complaints 27 inspections

Inspection Score

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

Inspection Scorecard 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 2022 vs. Indiana state average

Overall vs. IN average

Latest Inspection January 23, 2026 Complaint Investigation

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	IN Average	vs. IN Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	87	36	This facility has 142% more total deficiencies than a typical Indiana assisted living residence (87 vs. IN avg 36).↑ 142% worse Rank #273 / 317 Total deficiencies — State benchmarked This home is ranked 273rd out of 317 homes in Indiana for Deficiencies. Shows this facility's deficiencies compared to the Indiana average among 317 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.
Deficiencies per year Average deficiencies per year since 2022.	21.8	9	This facility has 142% more deficiencies per year than a typical Indiana assisted living residence (21.8 vs. IN avg 9).↑ 142% worse
Deficiencies per inspection Average deficiencies per inspection.	3.2	1.9	This facility has 68% more deficiencies per inspection than a typical Indiana assisted living residence (3.2 vs. IN avg 1.9).↑ 68% worse Rank #235 / 317 Deficiencies per inspection — State benchmarked This home is ranked 235th out of 317 homes in Indiana for Deficiencies per inspection. Shows this facility's deficiencies per inspection compared to the Indiana average among 317 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.

Inspections State inspections evaluate whether the facility meets health and safety standards.	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.	27	19	This facility has had 42% more total visits than the Indiana average (27 vs. IN avg 19). More inspections can mean more regulatory scrutiny rather than worse care.↑ 42% more
Inspections with deficiencies Inspections that resulted in at least one regulatory deficiency.	10	7	This facility has 43% more inspections with deficiencies than a typical Indiana assisted living residence (10 vs. IN avg 7).↑ 43% worse
Inspection deficiency rate Percentage of inspections that resulted in at least one deficiency.	37%	37%	This facility has inspection deficiency rate in line with the Indiana average (37 vs. IN avg 37).— At avg
Inspections Routine, scheduled inspections conducted by state regulators.	19	13	This facility has 46% more inspections than a typical Indiana assisted living residence (19 vs. IN avg 13).↑ 46% worse

Complaints & Investigations Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.	This Facility	IN Average	vs. IN Avg
Total complaints Formal expressions of concern made by residents, families, or staff.	5	5	This facility has total complaints in line with the Indiana average (5 vs. IN avg 5).— At avg Rank #172 / 293 Total complaints — State benchmarked This home is ranked 172nd out of 293 homes in Indiana for Total complaints. Shows this facility's total complaints compared to the Indiana average among 293 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.
Complaints per year Average complaints per year since 2022.	1.3	1.3	This facility has complaints per year in line with the Indiana average (1.3 vs. IN avg 1.3).— At avg

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

The most recent inspection on March 25, 2025, found the facility in compliance with no deficiencies related to the complaint investigated.
The December 5, 2024 Life Safety Code survey cited 7 deficiencies including obstructed egress, sprinkler maintenance failures, improper oxygen cylinder storage, and HVAC return air use in corridors.
Multiple medication administration deficiencies were cited, including untimely insulin and other medications in June 2024 and May 2023, with substantiated complaints and repeated failures to follow physician orders.

Show Inspection Reports

Inspections since 2022

Total health inspections 6

State average N/A

Last Health inspection on Feb 2025

Total health citations

State average N/A

Citations per inspection

3.33

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

15 of 20 citations resulted from standard inspections; 4 of 20 resulted from complaint investigations; and 1 of 20 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 4 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

20 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 4 years)

Quality of Care moderate citation Feb 19, 2025

Corrected

Nutrition moderate citation Nov 13, 2024

Corrected

Pharmacy moderate citation Nov 13, 2024

Corrected

Pharmacy moderate citation Nov 13, 2024

Corrected

Total staff 101

Employees 98

Contractors 3

Staff to resident ratio 1.25 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 34

Average shift 8.5 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 26,509

Nursing staff breakdown

8.4 hours

8.9 hours

8.8 hours

Contractor staffing

161 contractor hours this quarter

Occupational Therapy Aide: 2 Medical Director: 1

Staff by category


Certified Nursing Assistant	38	0	38	11,376	92	100%	8.8
Registered Nurse	12	0	12	3,404	92	100%	8.4
Licensed Practical Nurse	8	0	8	2,871	92	100%	8.9
Medication Aide/Technician	11	0	11	2,339	80	87%	9.6
Clinical Nurse Specialist	4	0	4	1,283	84	91%	7.8
Other Dietary Services Staff	5	0	5	877	71	77%	7.6
RN Director of Nursing	2	0	2	758	58	63%	7.5
Nurse Aide in Training	2	0	2	577	64	70%	8.5
Administrator	1	0	1	512	64	70%	8
Therapeutic Recreation Specialist	3	0	3	505	65	71%	7.2
Nurse Practitioner	1	0	1	464	58	63%	8
Mental Health Service Worker	1	0	1	448	56	61%	8
Qualified Social Worker	2	0	2	373	61	66%	6.1
Physical Therapy Assistant	3	0	3	344	50	54%	6.9
Dietitian	1	0	1	184	23	25%	8
Occupational Therapy Aide	0	2	2	135	51	55%	2.5
Respiratory Therapist	2	0	2	27	10	11%	2.7
Medical Director	0	1	1	26	15	16%	1.7
Respiratory Therapy Technician	2	0	2	6	3	3%	2.1

38 Certified Nursing Assistant

% of Days 100%

12 Registered Nurse

% of Days 100%

8 Licensed Practical Nurse

% of Days 100%

11 Medication Aide/Technician

% of Days 87%

4 Clinical Nurse Specialist

% of Days 91%

5 Other Dietary Services Staff

% of Days 77%

2 RN Director of Nursing

% of Days 63%

2 Nurse Aide in Training

% of Days 70%

1 Administrator

% of Days 70%

3 Therapeutic Recreation Specialist

% of Days 71%

1 Nurse Practitioner

% of Days 63%

1 Mental Health Service Worker

% of Days 61%

2 Qualified Social Worker

% of Days 66%

3 Physical Therapy Assistant

% of Days 54%

1 Dietitian

% of Days 25%

2 Occupational Therapy Aide

% of Days 55%

2 Respiratory Therapist

% of Days 11%

1 Medical Director

% of Days 16%

2 Respiratory Therapy Technician

% of Days 3%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 10.3

28% worse than State average

State average: 8.0

Functional decline score 19.9

16% worse than State average

State average: 17.1

Long-stay resident measures

Average State avg: 4.1

Need for Help with Daily Activities Increased 16.0%

33% worse than State average

State average: 12.0%

Walking Ability Worsened 20.8%

45% worse than State average

State average: 14.4%

Low Risk Residents with Bowel/Bladder Incontinence 22.7%

8% better than State average

State average: 24.6%

Falls with Major Injury 6.3%

63% worse than State average

State average: 3.9%

High Risk Residents with Pressure Ulcers 3.1%

29% better than State average

State average: 4.4%

Urinary Tract Infection 1.6%

29% worse than State average

State average: 1.2%

Lost Too Much Weight 5.1%

11% better than State average

State average: 5.7%

Depressive Symptoms 19.9%

17% better than State average

State average: 24.1%

Antipsychotic Use 10.7%

14% better than State average

State average: 12.4%

Pneumococcal Vaccine 92.1%

In line with State average

State average: 93.7%

Influenza Vaccine 95.4%

In line with State average

State average: 95.4%

Hospitalizations per 1,000 days 2.20

38% worse than State average

State average: 1.60

ED visits per 1,000 days 0.64

57% better than State average

State average: 1.48

Short-stay resident measures

Average State avg: 2.9

Pneumococcal Vaccine 86.4%

6% better than State average

State average: 81.7%

Antipsychotic medication increase 3.1%

128% worse than State average

State average: 1.4%

Influenza Vaccine 75.4%

5% worse than State average

State average: 79.0%

Re-hospitalized after SNF stay 16.5%

26% better than State average

State average: 22.4%

Emergency department visits 6.7%

36% better than State average

State average: 10.5%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Ability to care for self at discharge 35.0%

35% worse than State average

State average: 53.7%

Successful return to home or community 47.5%

6% worse than State average

State average: 50.6%

Breakdown by payment type

Medicare

72% of new residents, usually for short-term rehab.

Typical stay 20 days

Private pay

8% of new residents, often for short stays.

Typical stay 10 - 11 months

Medicaid

20% of new residents, often for long-term daily care.

Typical stay 2 - 3 years

Total residents 81

Medicare

1.2% of residents

Medicaid

79% of residents

Private pay or other

19.8% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Shady Nook Care Center from 2013–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 84.9% ↑ 4.3pp vs 2022

Net Patient Income $2.5M ↓ ~$811.3K vs 2022

Payroll Costs $3.6M ↑ ~$646.8K vs 2022

Operating Margin 24.8% ↓ 8.4pp vs 2022

Metric	2013	2014	2015	2016	2017	2018	2019	2021	2022	2023
Occupancy %	72.0%	71.7%	75.7%	70.0%	76.8%	68.1%	66.7%	75.3%	80.6%	84.9%
Beds	94	94	94	94	94	94	94	94	94	94
Net Income	N/A	N/A	N/A	$397,798	$725,495	$868,555	$1,129,450	$4,848,449	$3,943,660	$2,552,898
Gross Revenue	$7,671,538	$8,756,982	$8,914,753	$6,861,556	$8,266,461	$7,519,334	$7,805,456	$11,348,054	$12,318,638	$13,329,532
Operating Expenses	$6,033,876	$6,852,626	$6,873,596	$6,463,740	$6,682,076	$6,061,079	$6,398,448	$4,656,909	$6,683,194	$7,630,249
Net Patient Income	-$10,187	-$16,209	-$6,027	$397,816	$725,467	$868,179	$1,129,429	$4,615,849	$3,324,346	$2,513,015
Net Patient Revenue	$6,023,689	$6,836,417	$6,867,569	$6,861,556	$7,407,543	$6,929,258	$7,527,877	$9,272,758	$10,007,540	$10,143,264
Payroll Costs	$3,202,513	$3,349,850	$3,322,630	$3,341,417	$3,486,144	$3,140,414	$3,190,803	$3,019,507	$2,937,185	$3,583,937
Operating Margin %	-0.2%	-0.2%	-0.1%	5.8%	9.8%	12.5%	15.0%	49.8%	33.2%	24.8%
Medicare %	12.9%	16.3%	13.6%	10.5%	8.7%	6.2%	3.0%	9.6%	9.0%	6.9%
Medicaid %	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	78.6%	81.1%	81.0%
Private %	87.1%	83.7%	86.4%	89.5%	91.3%	93.8%	97.0%	11.7%	9.9%	12.1%
Net Patient Revenue/Day	$244	$278	$264	$285	$281	$297	$329	$359	$362	$348
Cost/Day	$244	$279	$265	$268	$254	$259	$280	$180	$242	$262
Avg Length of Stay	147.9 days	145.6 days	122.0 days	160.6 days	215.9 days	226.8 days	476.7 days	172.3 days	169.6 days	161.0 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$10.1M

Net patient income

$2.5M

For-profit Corporation

Net patient revenue

$10.1M

Net patient income

$2.5M

Other income

$39.9K

Payroll costs

$3.6M 35.3% of net patient revenue

Other operating costs

$4.0M

Total costs

$7.6M

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 (72% of admissions), and a typical Medicare stay runs around 20 days.

Coverage residents most often arrive under.

Medicare 72%

Private pay 8%

Medicaid 20%

Coverage residents most often leave under.

Medicare 22%

Private pay 34%

Medicaid 45%

0.0 miles from city center Estimated distance in miles from Lawrenceburg's city center to Shady Nook Care Center's address, calculated via Google Maps.

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The information below is reported by the Indiana Department of Health, Division of Long Term Care.


The Barrington of Carmel	NH AL IL MC SNF	Carmel	-	154	A+	39	Studio / 1 Bed / 2 Bed
Westminster Village Muncie	NH AL IL SNF	Muncie	-	303	A+	6	Studio / 1 Bed / 2 Bed
Greenwood Village South	NH AL IL MC SNF	Greenwood	-	207	A+	50	Apartment / Cottage
Christian Care Retirement Community	NH AL IL MC SNF	Bluffton (Toll Gate Heights)	-	145	-	4	1 Bed / 2 Bed / 3 Bed
Shady Nook Care Center	NH MC PC RC SNF	Lawrenceburg	-	94	-	64	-

Nursing Home Explorer

Who is the Director of Nursing at Shady Nook Care Center?

Margaret West is the Director of Nursing at Shady Nook Care Center.

Who is the owner of Shady Nook Care Center?

Shady Nook Care Center is legally operated by Adams County Memorial Hospital, and administered by Lindsey Boltz.

Is Shady Nook Care Center in a walkable area?

Shady Nook Care Center has a walk score of 64. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Shady Nook Care Center?

According to IN state health department records, Shady Nook Care Center's license number is 24-000304-2.

When does Shady Nook Care Center's license expire?

According to IN state health department records, Shady Nook Care Center's license expires on August 31, 2026.

What is the occupancy rate at Shady Nook Care Center?

Shady Nook Care Center's occupancy is 90%.

Are pets allowed at Shady Nook Care Center?

No, Shady Nook Care Center has a no-pet policy.

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Shady Nook Care Center

Overview of Shady Nook Care Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Staffing

Leadership

Therapy & Rehabilitation

Additional Services

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact Shady Nook Care Center

Inspection History

Inspection Scorecard 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.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

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

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

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

Health Inspection History

Inspections since 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

38 Certified Nursing Assistant

12 Registered Nurse

8 Licensed Practical Nurse

11 Medication Aide/Technician

4 Clinical Nurse Specialist

5 Other Dietary Services Staff

2 RN Director of Nursing

2 Nurse Aide in Training

1 Administrator

3 Therapeutic Recreation Specialist

1 Nurse Practitioner

1 Mental Health Service Worker

2 Qualified Social Worker

3 Physical Therapy Assistant

1 Dietitian

2 Occupational Therapy Aide

2 Respiratory Therapist

1 Medical Director

2 Respiratory Therapy Technician

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

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