Castleton Health Care Center
Indianapolis, Marion County, Indiana · CCN 155245 · For-profit (Corporation) · not part of a chain
CMS rates Castleton Health Care Center 1 of 5 overall as of August 2026. 109 certified beds, 80 residents a day on average. 59 citations on record from the current inspection cycles, 2 involving actual harm; no fines on record and 1 payment denial.
On record
- Special Focus Facility candidate. On CMS’s list of facilities that qualify for the program but are not yet in it.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★☆☆☆☆ 1 of 5 |
|---|---|
| Health inspections | ★☆☆☆☆ 1 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 4 / 1 of 5 |
Staffing
| Total nurse staffing | 3.2765 hours per resident per day |
|---|---|
| Registered nurses | 0.29577 hours per resident per day |
| Weekend total | 2.94021 hours per resident per day |
| Nursing staff turnover | 67.8% (registered nurses 81.8%) |
| Administrators who left | 2 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-04-27 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-04-29 |
| 2026-03-06 complaint survey |
Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0602 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-17 |
| 2026-03-06 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-17 |
| 2026-03-06 complaint survey |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-17 |
| 2026-03-06 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-17 |
| 2025-11-07 complaint survey |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-11-09 |
| 2025-11-07 complaint survey |
Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-11-09 |
| 2025-09-23 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2025-10-21 |
| 2025-09-23 complaint survey |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-11-09 |
| 2025-09-23 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-10-21 |
| 2025-09-23 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-10-21 |
| 2025-09-23 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-10-21 |
| 2025-09-23 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-10-21 |
| 2025-09-23 complaint survey |
Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-10-21 |
| 2025-09-23 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · tag F0561 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-10-21 |
| 2025-09-23 | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · tag F0567 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-10-21 |
| 2025-09-23 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · tag F0584 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-10-21 |
| 2025-09-23 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · tag F0637 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-10-21 |
| 2025-09-23 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-10-21 |
| 2025-09-23 complaint survey |
Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-11-09 |
| 2025-09-23 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-11-09 |
| 2025-09-23 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-10-21 |
| 2025-09-23 complaint survey |
Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-10-21 |
| 2025-09-23 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0698 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-11-09 |
| 2025-09-23 | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · tag F0745 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-10-21 |
| 2025-09-23 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-10-21 |
| 2025-09-23 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · tag F0756 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-10-21 |
| 2025-09-23 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-10-21 |
| 2025-09-23 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-10-21 |
| 2025-09-23 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-10-21 |
| 2025-09-23 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-10-21 |
| 2025-08-05 complaint survey |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · tag F0921 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-08-07 |
| 2025-08-05 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-07 |
| 2025-08-05 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-07 |
| 2025-08-05 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-07 |
| 2025-07-18 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-30 |
| 2025-07-18 complaint survey |
Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · tag F0770 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-30 |
| 2025-07-18 complaint survey |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-30 |
| 2025-06-12 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 2025-02-21 |
| 2024-09-13 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-09-23 |
| 2024-09-13 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · tag F0881 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-09-23 |
| 2024-09-13 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-23 |
| 2024-09-13 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · tag F0740 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-23 |
| 2024-09-13 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-23 |
| 2024-09-13 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-23 |
| 2024-02-10 complaint survey |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-22 |
| 2023-09-29 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2023-10-24 |
| 2023-09-29 complaint survey |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-10-24 |
| 2023-09-29 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · tag F0565 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-24 |
| 2023-09-29 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-24 |
| 2023-09-29 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-24 |
| 2023-09-29 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-24 |
| 2023-09-29 complaint survey |
Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-24 |
| 2023-09-29 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-24 |
| 2023-09-29 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · tag F0849 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-24 |
| 2023-09-29 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-24 |
| 2023-09-29 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · tag F0921 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-24 |
| 2023-09-29 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2023-10-24 |
| 2023-09-29 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2023-10-24 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-09-23 | Payment denial for 18 days from 2025-10-22 | — |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| 7630 E 86th Street In LLC Organization | 5% or greater mortgage interest | — | 2024-03-01 |
| Frontier Realty Investors LLC Organization | 5% or greater mortgage interest | — | 2024-03-01 |
| Gibraltar Trust Organization | 5% or greater mortgage interest | — | 2024-03-01 |
| Scooper Realty, LLC Organization | 5% or greater mortgage interest | — | 2024-03-01 |
| Windsor Square Realty, LLC Organization | 5% or greater mortgage interest | — | 2024-03-01 |
| Oregon Realty, LLC Organization | 5% or greater security interest | — | 2024-03-01 |
| 7630 E 86th Street In LLC Organization | adp of the snf | — | 2024-03-01 |
| Azalea Investors LLC Organization | adp of the snf | — | 2024-03-01 |
| Castleton Care Center, LLC Organization | adp of the snf | — | 2024-03-01 |
| Crossroads Senior Living Group LLC Organization | adp of the snf | — | 2024-03-01 |
| Esdov Investments LLC Organization | adp of the snf | — | 2024-03-01 |
| Forvis Mazars LLP Organization | adp of the snf | — | 2023-06-01 |
| Frontier Realty Investors LLC Organization | adp of the snf | — | 2024-03-01 |
| Gibraltar Trust Organization | adp of the snf | — | 2024-03-01 |
| Jubilee Master Holdings LLC Organization | adp of the snf | — | 2024-03-01 |
| Ltc Consulting Services LLC Organization | adp of the snf | — | 2024-03-01 |
| Magnolia Realty, LLC Organization | adp of the snf | — | 2024-03-01 |
| Millennial Acquisitions, LLC Organization | adp of the snf | — | 2024-03-01 |
| Opco Ca Skilled Mgmt Inc. Organization | adp of the snf | — | 2024-03-01 |
| Opco In Skilled Mgmt LLC Organization | adp of the snf | — | 2024-03-01 |
| Oregon Realty, LLC Organization | adp of the snf | — | 2024-03-01 |
| Pease Bell Cpas LLC Organization | adp of the snf | — | 2018-06-14 |
| Scooper Realty, LLC Organization | adp of the snf | — | 2024-03-01 |
| Windsor Square Realty, LLC Organization | adp of the snf | — | 2024-03-01 |
| Azalea Investors LLC Organization | operational/managerial control | — | 2024-03-01 |
| Castleton Care Center, LLC Organization | operational/managerial control | — | 2024-03-01 |
| Crossroads Senior Living Group LLC Organization | operational/managerial control | — | 2024-03-01 |
| Forvis Mazars LLP Organization | operational/managerial control | — | 2023-06-01 |
| Ltc Consulting Services LLC Organization | operational/managerial control | — | 2024-03-01 |
| Opco Ca Skilled Mgmt Inc. Organization | operational/managerial control | — | 2024-03-01 |
| Pease Bell Cpas LLC Organization | operational/managerial control | — | 2018-06-14 |
| Engels, Erin Individual | 5% or greater mortgage interest | — | 2012-10-22 |
| Garetz, David Individual | adp of the snf | — | 2024-03-01 |
| Kaplan, Mosha Individual | adp of the snf | — | 2024-03-01 |
| Pike, James Individual | adp of the snf | — | 2024-03-01 |
| Engels, Erin Individual | corporate director | — | 2013-11-01 |
| Gentry, Mark Individual | corporate director | — | 2022-01-12 |
| Starkey, Tyler Individual | corporate director | — | 2020-08-01 |
| Waite, John Individual | corporate director | — | 2020-08-01 |
| Whicker, Timothy Individual | corporate director | — | 2022-01-12 |
| Fenoughty, Deanna Individual | corporate officer | — | 2023-07-10 |
| Gurwitz, Solomon Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2026-02-20 |
| Kaplan, Esther Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2026-04-08 |
| Sternshein, Jennifer Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2026-02-20 |
| Unger, Jeffrey Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2026-02-20 |
| Zimmerman, Caroline Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2026-02-20 |
| Engels, Erin Individual | managing control - governing body | — | 2012-10-12 |
| Fenoughty, Deanna Individual | managing control - governing body | — | 2023-07-10 |
| Gentry, Mark Individual | managing control - governing body | — | 2022-01-12 |
| Starkey, Tyler Individual | managing control - governing body | — | 2020-08-01 |
| Waite, John Individual | managing control - governing body | — | 2020-08-01 |
| Whicker, Timothy Individual | managing control - governing body | — | 2022-01-12 |
| Fenoughty, Deanna Individual | operational/managerial control | — | 2023-07-10 |
| Garetz, David Individual | operational/managerial control | — | 2024-03-01 |
| Johnson, Anita Individual | operational/managerial control | — | 2026-01-09 |
| Kaplan, Mosha Individual | operational/managerial control | — | 2024-03-01 |
| Pike, James Individual | operational/managerial control | — | 2024-03-01 |
| Engels, Erin Individual | trustee of the snf | — | 2012-10-12 |
| Fenoughty, Deanna Individual | trustee of the snf | — | 2023-07-10 |
| Gentry, Mark Individual | trustee of the snf | — | 2022-01-12 |
| Starkey, Tyler Individual | trustee of the snf | — | 2020-08-01 |
| Waite, John Individual | trustee of the snf | — | 2020-08-01 |
| Whicker, Timothy Individual | trustee of the snf | — | 2022-01-12 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Castleton Health Care Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Marion County.