ElderGrade
C

55.8/100

Average

Mcgivney Health Care Center

2907 East Smoky Row, Carmel, IN 46033

CMS 2/5 stars #16 of 17 in Hamilton County (317) 846-0265
Certified beds
37
Occupancy
92%
Ownership
Non-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $8,189 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

16.8/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -9.2 for 43 total citations against a national median of 17

Staffing

9/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 2.98 total nurse hours per resident per day (national median 3.77)
  • 0.13 RN hours per resident per day
  • Weekend staffing holds steady

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 20% of nursing staff left in the last year

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

6/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $8,189 in federal fines across 1 action(s)
  • -2 for 1 denial(s) of Medicare payment for new admissions

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 2.91 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.13 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.91 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 20.00%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 43 citations

Last standard health inspection: August 26, 2025 (11 months ago).

D Aug 26, 2025 F0578

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

D Aug 26, 2025 F0605

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

No actual harm, potential for more than minimal harm

D Aug 26, 2025 F0628

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

No actual harm, potential for more than minimal harm

D Aug 26, 2025 F0644

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

No actual harm, potential for more than minimal harm

D Aug 26, 2025 F0656

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

No actual harm, potential for more than minimal harm

D Aug 26, 2025 F0657

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

No actual harm, potential for more than minimal harm

D Aug 26, 2025 F0684

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

No actual harm, potential for more than minimal harm

D Aug 26, 2025 F0690

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
BAYSTON, BRETT Individual CORPORATE DIRECTOR
BRAND, JOHN Individual CORPORATE DIRECTOR
CASTETTER, ANDREA Individual CORPORATE DIRECTOR
COMPTON, JOHN Individual CORPORATE DIRECTOR
FUNK, JAMES Individual CORPORATE DIRECTOR
HAWKINS, CLAUDE Individual CORPORATE DIRECTOR
HORNBECKER, MICHAEL Individual CORPORATE DIRECTOR
PATRICK, LORI Individual CORPORATE DIRECTOR
REAGAN, JULIE Individual CORPORATE DIRECTOR
SCHMITS, FRED Individual CORPORATE DIRECTOR
BRAVERMAN, KELLY Individual CORPORATE OFFICER
EMMINGER, DEBORAH Individual CORPORATE OFFICER

What families say

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Common questions about Mcgivney Health Care Center

What is the ElderGrade for Mcgivney Health Care Center? +

Mcgivney Health Care Center holds an ElderGrade of C (55.8 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Mcgivney Health Care Center? +

Residents receive an average of 2.91 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Mcgivney Health Care Center been cited for harming residents? +

Yes. 1 of the 43 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Mcgivney Health Care Center accept Medicaid? +

Yes, Mcgivney Health Care Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.