nursing home in Carmel, IN
McGivney Health Care Center
2907 East Smoky Row, Carmel, IN 46033 · (317) 846-0265
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★1
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
McGivney Health Care Center at a glance
McGivney Health Care Center is a 37-bed non-profit nursing home in Carmel, Indiana (Hamilton County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Indiana average of 3.1.
Residents receive about 2.9 hours of nursing care per day (0.1 of them from registered nurses), worse than the state average of 3.7 hours.
Its most recent standard health inspection (August 26, 2025) found 13 health citations. The Indiana average is 7.2.
Federal regulators fined it 1 time in the past three years, totaling $8,189.
Nursing staff turnover is 20% per year (state average 45.9%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 37
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Witham Memorial Hospital
- Medicare-certified since
- August 16, 2017
- Resident/family council
- Resident
- County
- Hamilton County
- CMS Certification Number
- 155855
Ratings
| Measure | This facility | Indiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3.1 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 2.5 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 4.1 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 4.3 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Indiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.91 hrs | 3.69 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.13 hrs | 0.67 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.06 hrs | 2.24 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.91 hrs | 3.25 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 20% | 45.9% | 45.8% | Better |
Inspections
| Measure | This facility | Indiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 13 | 7 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 43 | 49.2 | 80.6 | Better |
Penalties
| Measure | This facility | Indiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 0 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $8,189 | $8,742 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 2 | 0 | 1 | Worse |
Size
| Measure | This facility | Indiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 37 | 96 | 107 | |
| Average residents per day | 34 | 73 | 86 | |
| Occupancy | 92.2% | 76.2% | 80.9% |
Long-stay residents
| Measure | This facility | Indiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 6.6% | 3.9% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 3.1% | 3.6% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 33.3% | 13.6% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.7% | 1.1% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.4% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 27.5% | 11% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 11.5% | 11.9% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 5.2% | 5.5% | 5.2% | Average |
| Long-stay residents with depressive symptoms (lower is better) | 9.9% | 25.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 12.5% | 23.5% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 25.5% | 23.3% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 97% | 95.4% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 89.7% | 93.6% | 93.6% | Average |
Inspection citations
State inspectors cited this home for 43 health deficiencies and 17 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| August 26, 2025 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected November 21, 2025 |
| August 26, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected November 21, 2025 |
| August 26, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected November 21, 2025 |
| August 26, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected November 21, 2025 |
| August 26, 2025 Standard | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Tag F0727 | D Potential harm, isolated | Corrected September 15, 2025 |
| August 26, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected September 16, 2025 |
| August 26, 2025 Standard | 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 Potential harm, isolated | Corrected September 16, 2025 |
| August 26, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected September 16, 2025 |
| August 26, 2025 Standard | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Tag F0912 | D Potential harm, isolated | Corrected September 15, 2025 |
| August 26, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected September 16, 2025 |
| August 26, 2025 Standard | 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 | D Potential harm, isolated | Corrected September 15, 2025 |
| August 26, 2025 Standard | 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 Potential harm, isolated | Corrected September 15, 2025 |
| August 26, 2025 Standard | 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 Potential harm, isolated | Corrected September 15, 2025 |
| August 26, 2025 Standard | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | D Potential harm, isolated | Corrected September 15, 2025 |
| August 26, 2025 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected September 19, 2025 |
| August 26, 2025 Standard | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected September 15, 2025 |
| August 26, 2025 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected September 15, 2025 |
| October 2, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected November 21, 2024 |
| October 2, 2024 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected November 21, 2024 |
| October 2, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected November 21, 2024 |
| October 2, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected December 6, 2024 |
| October 2, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected November 21, 2024 |
| October 2, 2024 Fire safety | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Tag E0041 | C No harm, widespread | Corrected November 21, 2024 |
| October 2, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | C No harm, widespread | Corrected November 21, 2024 |
| October 2, 2024 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected October 24, 2024 |
| October 2, 2024 Standard | 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 | D Potential harm, isolated | Corrected October 24, 2024 |
| October 2, 2024 Standard | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Tag F0912 | D Potential harm, isolated | Corrected October 24, 2024 |
| October 2, 2024 Standard | 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 Potential harm, isolated | Corrected October 24, 2024 |
| October 2, 2024 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected October 24, 2024 |
| September 22, 2023 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected November 6, 2023 |
| September 22, 2023 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected November 6, 2023 |
| September 22, 2023 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected November 6, 2023 |
| September 22, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected November 6, 2023 |
| September 22, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected November 6, 2023 |
| September 22, 2023 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected November 6, 2023 |
| September 22, 2023 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | G Actual harm, isolated | Corrected October 27, 2023 |
| September 22, 2023 Standard | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Tag F0809 | F Potential harm, widespread | Corrected October 27, 2023 |
| September 22, 2023 Standard | 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 Potential harm, widespread | Corrected October 27, 2023 |
| September 22, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected October 27, 2023 |
| September 22, 2023 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | E Potential harm, pattern | Corrected October 27, 2023 |
| September 22, 2023 Standard | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835 | E Potential harm, pattern | Corrected October 27, 2023 |
| September 22, 2023 Standard | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Tag F0882 | E Potential harm, pattern | Corrected October 27, 2023 |
| September 22, 2023 Standard | 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 Potential harm, isolated | Corrected October 27, 2023 |
| September 22, 2023 Standard | 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 Potential harm, isolated | Corrected October 27, 2023 |
| September 22, 2023 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | D Potential harm, isolated | Corrected October 27, 2023 |
| September 22, 2023 Standard | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Tag F0727 | D Potential harm, isolated | Corrected October 27, 2023 |
| September 22, 2023 Standard | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Tag F0730 | D Potential harm, isolated | Corrected October 27, 2023 |
| September 22, 2023 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | D Potential harm, isolated | Corrected October 27, 2023 |
| September 22, 2023 Standard | 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 | D Potential harm, isolated | Corrected October 27, 2023 |
| September 22, 2023 Standard | 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 Potential harm, isolated | Corrected October 27, 2023 |
| September 22, 2023 Standard | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | D Potential harm, isolated | Corrected October 27, 2023 |
| September 22, 2023 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected October 27, 2023 |
| September 22, 2023 Standard | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Tag F0887 | D Potential harm, isolated | Corrected October 27, 2023 |
| September 22, 2023 Standard | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Tag F0912 | D Potential harm, isolated | Waiver has been granted |
| September 22, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected October 27, 2023 |
| September 22, 2023 Standard | 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 Potential harm, isolated | Corrected October 27, 2023 |
| September 22, 2023 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected October 27, 2023 |
| September 22, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected October 27, 2023 |
| September 22, 2023 Standard | 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 Potential harm, isolated | Corrected October 27, 2023 |
| September 22, 2023 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected October 27, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $8,189 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| September 22, 2023 | Payment Denial | 8 days from October 20, 2023 |
| September 22, 2023 | Fine | $8,189 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| WITHAM MEMORIAL HOSPITAL Organization | 5% or greater direct ownership interest | 100% | 04/01/2015 |
| BANKS, JOE Individual | adp of the snf | NOT APPLICABLE | 12/08/2025 |
| SHERA, RANDALL Individual | adp of the snf | NOT APPLICABLE | 12/08/2025 |
| BAYSTON, BRETT Individual | corporate director | NOT APPLICABLE | 01/01/2023 |
| BRAND, JOHN Individual | corporate director | NOT APPLICABLE | 01/01/2015 |
| CASTETTER, ANDREA Individual | corporate director | NOT APPLICABLE | 01/01/2023 |
| COMPTON, JOHN Individual | corporate director | NOT APPLICABLE | 07/01/2015 |
| FUNK, JAMES Individual | corporate director | NOT APPLICABLE | 07/01/2011 |
| HAWKINS, CLAUDE Individual | corporate director | NOT APPLICABLE | 09/01/2013 |
| HORNBECKER, MICHAEL Individual | corporate director | NOT APPLICABLE | 01/01/2024 |
| PATRICK, LORI Individual | corporate director | NOT APPLICABLE | 07/01/2022 |
| REAGAN, JULIE Individual | corporate director | NOT APPLICABLE | 02/21/2025 |
| SCHMITS, FRED Individual | corporate director | NOT APPLICABLE | 07/01/2015 |
| BRAVERMAN, KELLY Individual | corporate officer | NOT APPLICABLE | 12/01/2021 |
| EMMINGER, DEBORAH Individual | corporate officer | NOT APPLICABLE | 07/01/2024 |
| SELLERS, DANIEL Individual | corporate officer | NOT APPLICABLE | 06/24/2024 |
| BANKS, JOE Individual | operational/managerial control | NOT APPLICABLE | 06/27/2024 |
| GIBAULT CARE, INC. Organization | operational/managerial control | NOT APPLICABLE | 04/01/2015 |
| SHERA, RANDALL Individual | operational/managerial control | NOT APPLICABLE | 04/02/2018 |
Other nursing homes near McGivney Health Care Center
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Bridgewater Healthcare Center
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For-profit · 120 beds · Part of Communicare Health
- CMS high performer
★★★★★5Much above averageCarmel Health & Living Community
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★★★★★2Below averageAllisonville Meadows
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Non-profit · 161 beds · Part of American Senior Communities
★★★★★3AverageBarrington of Carmel, the
1335 S Guilford Road, Carmel, IN 46032 · 3.3 mi
Non-profit · 8 beds · Part of Bhi Senior Living
★★★★★5Much above averageMajestic Care of Carmel
12999 N Pennsylvania St, Carmel, IN 46032 · 4 mi
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★★★★★2Below average
Frequently asked questions
What is McGivney Health Care Center's rating?
McGivney Health Care Center has 2 out of 5 stars on the CMS overall star rating. The average for Indiana nursing homes is 3.1 stars.
How many inspection citations did McGivney Health Care Center receive?
Its most recent standard health inspection found 13 citations, compared with a Indiana average of 7.2. Every citation is listed on this page with its severity.
Does McGivney Health Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns McGivney Health Care Center?
It is non profit - corporation and part of Witham Memorial Hospital. The ownership section on this page lists the owners and managers reported to CMS.
Where is McGivney Health Care Center and how do I contact it?
McGivney Health Care Center is at 2907 East Smoky Row, Carmel, IN 46033. Phone: (317) 846-0265.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.