Waldron Rehabilitation and Healthcare Center
Nursing Home, Hospice Care, Memory Care, Nursing Care & Respite Care · Waldron, 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.

Waldron Rehabilitation and Healthcare Center

Nursing Home, Hospice Care, Memory Care, Nursing Care & Respite Care · Waldron, 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.
Calculator: See prices in your area
Waldron Rehabilitation and Healthcare Center accepts Medicare, Medicaid, and private pay.

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 82 deficiencies 7 complaints 28 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.

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

Rank #341 / 384 in Indiana Inspection Score — State benchmarked This home is ranked 341st out of 384 homes in Indiana. Shows this facility's inspection score compared to the Indiana average among 384 comparable communities in the ranking pool. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking. Inspection score: 69 out of 100. Letter grade D+. 14 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 9 Worse Metrics worse than Indiana average:
• Total deficiencies (128% above)
• Deficiencies per year (128% above)
• Deficiencies per inspection (53% above)
• Total visits (47% above)
• Inspections with deficiencies (57% above)
• Inspection deficiency rate (5% above)
• Inspections (54% above)
• Total complaints (40% above)
• Complaints per year (35% above)
0 Better No metrics in this bucket.
Latest Inspection December 5, 2025 Routine

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. 8236 This facility has 128% more total deficiencies than a typical Indiana assisted living residence (82 vs. IN avg 36).↑ 128% worse Rank #311 / 386 Total deficiencies — State benchmarked This home is ranked 311th out of 386 homes in Indiana. Shows this facility's deficiencies compared to the Indiana average among 386 comparable communities in the ranking pool. 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 Info Average deficiencies per year since 2023. 27.312 This facility has 128% more deficiencies per year than a typical Indiana assisted living residence (27.3 vs. IN avg 12).↑ 128% worse
Deficiencies per inspection Info Average deficiencies per inspection. 2.91.9 This facility has 53% more deficiencies per inspection than a typical Indiana assisted living residence (2.9 vs. IN avg 1.9).↑ 53% worse Rank #276 / 386 Deficiencies per inspection — State benchmarked This home is ranked 276th out of 386 homes in Indiana. Shows this facility's deficiencies per inspection compared to the Indiana average among 386 comparable communities in the ranking pool. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.

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. 2819 This facility has 47% more total visits than a typical Indiana assisted living residence (28 vs. IN avg 19).↑ 47% worse
Inspections with deficiencies Info Inspections that resulted in at least one regulatory deficiency. 117 This facility has 57% more inspections with deficiencies than a typical Indiana assisted living residence (11 vs. IN avg 7).↑ 57% worse
Inspection deficiency rate Info Percentage of inspections that resulted in at least one deficiency. 39%37% This facility has 2 percentage points higher inspection deficiency rate than a typical Indiana assisted living residence (39% vs. IN avg 37%).↑ 2% worse
Inspections Info Routine, scheduled inspections conducted by state regulators. 2013 This facility has 54% more inspections than a typical Indiana assisted living residence (20 vs. IN avg 13).↑ 54% worse

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. 75 This facility has 40% more total complaints than a typical Indiana assisted living residence (7 vs. IN avg 5).↑ 40% worse Rank #266 / 352 Total complaints — State benchmarked This home is ranked 266th out of 352 homes in Indiana. Shows this facility's total complaints compared to the Indiana average among 352 comparable communities in the ranking pool. 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 Info Average complaints per year since 2023. 2.31.7 This facility has 35% more complaints per year than a typical Indiana assisted living residence (2.3 vs. IN avg 1.7).↑ 35% worse

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 June 30, 2025 found no deficiencies and confirmed correction of two prior substantiated complaints related to documentation.
  • The October 9, 2024 annual inspection cited seven deficiencies including lack of RN coverage, fall-related injuries due to missing assistive devices, and food safety violations.
  • Multiple complaint investigations from 2023 to 2025 found isolated issues with misappropriation of narcotics and resident funds, care planning, and environment cleanliness, with some deficiencies corrected on follow-up.

Health Inspection History

Inspections since 2022
Total health inspections 11

State average N/A


Last Health inspection on Aug 2025

Total health citations
44 Rank #251 / 292Health citations — State benchmarkedThis home is ranked 251st out of 292 homes in Indiana. Shows this facility's total health deficiency citations benchmarked to the Indiana State average, with a ranking across all 292 IN facilities. Lower citation counts earn a better 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.

State average N/A

Citations per inspection
4 Rank #153 / 292Citations per inspection — State benchmarkedThis home is ranked 153rd out of 292 homes in Indiana. Shows average deficiency citations per CMS inspection for this facility versus the Indiana mean across 292 facilities with citation data. Lower is better.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.

State average N/A


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

29 of 44 citations resulted from standard inspections; and 15 of 44 resulted from complaint investigations.

Breakdown of citation severity (last 4 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

44 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 4 years)
Quality of Care moderate citation Aug 19, 2025
Corrected

Care Planning moderate citation May 28, 2025
Corrected

Nursing Services moderate citation Oct 09, 2024
Corrected

Nutrition moderate citation Oct 09, 2024
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 72
Employees 70
Contractors 2
Staff to resident ratio 1.53 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 23
Average shift 7.7 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 16,375

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 6 RN Staff are full-time employees. No contractors work on this role. 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 6 LPN Staff are full-time employees. No contractors work on this role. 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.4 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 40 CNA Staff are full-time employees. No contractors work on this role. 40
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

0.9%

144 contractor hours this quarter

Clinical Nurse Specialist: 2

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant400407,17992100%7.6
Medication Aide/Technician7072,39192100%8.1
Registered Nurse6062,11392100%8.3
Licensed Practical Nurse6061,86992100%8.4
Other Dietary Services Staff3035176571%7.2
Dietitian1014926571%7.6
Physical Therapist2024885661%6.4
Administrator1014625964%7.8
Nurse Practitioner1014305863%7.4
Mental Health Service Worker2022653538%7.6
Clinical Nurse Specialist0221441314%8
RN Director of Nursing1012644%6.5
40 Certified Nursing Assistant
% of Days 100%
7 Medication Aide/Technician
% of Days 100%
6 Registered Nurse
% of Days 100%
6 Licensed Practical Nurse
% of Days 100%
3 Other Dietary Services Staff
% of Days 71%
1 Dietitian
% of Days 71%
2 Physical Therapist
% of Days 61%
1 Administrator
% of Days 64%
1 Nurse Practitioner
% of Days 63%
2 Mental Health Service Worker
% of Days 38%
2 Clinical Nurse Specialist
% of Days 14%
1 RN Director of Nursing
% of Days 4%

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 (Data as of Jan 2026)

Total fines amount $0 Rank #1 / 293Federal fines — State benchmarkedThis home is ranked 1st out of 293 homes in Indiana. Shows this facility's cumulative CMS federal fine dollars versus the Indiana average among facilities with fines, and where it ranks among 293 facilities in the pool. Lower total dollars mean a better 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.
100% lower than State average

State average: $27K

Number of fines 0
100% fewer fines than State average

State average: 1.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 1
152% more payment denials than State average

State average: 0.4

Fines amount comparison
Fines amount comparison
This facility $0
State average $27K

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.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 7.7
In line with State average

State average: 8.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 13.0
24% better than State average

State average: 17.1

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.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 4.1%
66% better than State average

State average: 12.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 15.2%
6% worse than State average

State average: 14.4%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 19.8%
19% better than State average

State average: 24.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 5.5%
43% worse than State average

State average: 3.9%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.9%
36% worse than State average

State average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.7%
38% worse than State average

State average: 1.2%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.7%
36% worse than State average

State average: 5.7%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 26.2%
9% worse than State average

State average: 24.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 16.7%
34% worse than State average

State average: 12.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
7% better than State average

State average: 93.7%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
5% better than State average

State average: 95.4%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.00
25% worse than State average

State average: 1.60

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.16
46% worse than State average

State average: 1.48

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 87.7%
7% better than State average

State average: 81.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.9%
40% worse than State average

State average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 87.5%
11% better than State average

State average: 79.0%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than State average

State average: 0.8%

Breakdown by payment type

Medicare

31% of new residents, usually for short-term rehab.

Typical stay 26 days

Private pay

42% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

27% of new residents, often for long-term daily care.

Typical stay 10 - 11 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 47
Medicaid
35
74.5% of residents
Private pay or other
12
25.5% 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.

Finances and operations

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

For-profit
Corporation
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."
$8.6M
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."
$871.3K
For-profit Corporation
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."
$8.6M Rank #165 / 294Revenue — State benchmarkedThis home is ranked 165th out of 294 homes in Indiana. Shows this facility's annual revenue compared to the Indiana average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.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."
$871.3K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$221.8K
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 #229 / 294Payroll — State benchmarkedThis home is ranked 229th out of 294 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.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.
$3.2M 36.5% 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 #279 / 294Payroll % — State benchmarkedThis home is ranked 279th out of 294 homes in Indiana. 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.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).
$4.6M
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).
$7.8M

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

New residents most often arrive under private pay (42% of admissions), and a typical private pay stay runs around 1 - 2 months.

Admissions
165 total

Coverage residents most often arrive under.

Medicare 31%
Private pay 42%
Medicaid 27%
Discharges
166 total

Coverage residents most often leave under.

Medicare 14%
Private pay 40%
Medicaid 46%

Places of interest near Waldron Rehabilitation and Healthcare Center

Address 0.0 miles from city center Info Estimated distance in miles from Waldron's city center to Waldron Rehabilitation and Healthcare Center's address, calculated via Google Maps.

Calculate Travel Distance to Waldron Rehabilitation and Healthcare Center

Add your location

Address

Compare Nursing Homes around the area

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

Waldron Rehabilitation and Healthcare Center
NH
HC
MC
NC
RC
Waldron -71 A 19 -
The Barrington of Carmel
NH
AL
IL
MC
Carmel -154 A+ 39 Studio / 1 Bed / 2 Bed
Greenwood Village South
NH
AL
IL
MC
Greenwood -207 A+ 50 Apartment / Cottage
The Restoracy of Carmel
NH
MC
Carmel (Carmel Arts & Design District) -72 A+ 77 Studio / 1 Bed
North River Health Campus
NH
ADC
AL
IL
MC
Evansville (East Baseline Road) -95 A+ 11 studio

Frequently Asked Questions about Waldron Rehabilitation and Healthcare Center

Who is the Director of Nursing at Waldron Rehabilitation and Healthcare Center?

Brenda Comer is the Director of Nursing at Waldron Rehabilitation and Healthcare Center.

Who is the owner of Waldron Rehabilitation and Healthcare Center?

Waldron Rehabilitation and Healthcare Center is legally operated by Major Hospital, and administered by Nicole Clapp.

Is Waldron Rehabilitation and Healthcare Center in a walkable area?

Waldron Rehabilitation and Healthcare Center has a walk score of 19. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Waldron Rehabilitation and Healthcare Center?

According to IN state health department records, Waldron Rehabilitation and Healthcare Center's license number is 25-000423-1.

When does Waldron Rehabilitation and Healthcare Center's license expire?

According to IN state health department records, Waldron Rehabilitation and Healthcare Center's license expires on November 30, 2026.

What is the occupancy rate at Waldron Rehabilitation and Healthcare Center?

Waldron Rehabilitation and Healthcare Center's occupancy is 65%.

Does Waldron Rehabilitation and Healthcare Center operate as a for-profit or non-profit?

Waldron Rehabilitation and Healthcare Center is registered as a for-profit in IN.

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance