ElderGrade
D

51.8/100

Below average

Signature Healthcare Of Bremen

316 Woodies Lane, Bremen, IN 46506

CMS 3/5 stars #4 of 4 in Marshall County (574) 546-3494
Certified beds
73
Occupancy
79%
Ownership
Government
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.

How this grade was calculated

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

Inspection 10.8/30 Staffing 10/30 Stability 9/15 Outcomes 12/15 Enforcement 10/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

10.8/30

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

  • -10 for 1 immediate-jeopardy citation(s) in the last 3 years
  • -9.2 for 43 total citations against a national median of 17

Staffing

10/30

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

  • 3.26 total nurse hours per resident per day (national median 3.77)
  • 0.79 RN hours per resident per day
  • Weekend staffing drops 13% against weekdays

Staff stability

9/15

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

  • 50% of nursing staff left in the last year

Resident outcomes

12/15

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

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

Enforcement history

10/10

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

  • No federal fines on record

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

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 3.37 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.79 hrs
National average 0.69 hrs Better than average

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

Weekend nurse hours 2.94 hrs
National average 3.42 hrs Below average

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

Nursing staff turnover 50.00%
National average 45.80% Below average

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

Recent inspection findings

All 43 citations

Last standard health inspection: May 21, 2026 (3 months ago).

J May 21, 2026 F0678 From a complaint

Quality of Life and Care Deficiencies

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Immediate jeopardy to resident health or safety

D May 21, 2026 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 May 21, 2026 F0693

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

No actual harm, potential for more than minimal harm

D Oct 10, 2025 F0656 From a complaint

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 Oct 10, 2025 F0686 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

No actual harm, potential for more than minimal harm

F Feb 17, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

E Feb 17, 2025 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

D Feb 17, 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

Who owns this home

Full record

Part of SIGNATURE HEALTHCARE, which operates 68 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
MIDCAP FUNDING IV TRUST Organization 5% OR GREATER SECURITY INTEREST
BEVERS, SUSAN Individual MANAGING CONTROL - GOVERNING BODY
FISH, ERIC Individual MANAGING CONTROL - GOVERNING BODY
GILLILAND, TERRENCE Individual MANAGING CONTROL - GOVERNING BODY
HARPE, BRANDON Individual MANAGING CONTROL - GOVERNING BODY
KLEBER, COURTNEY Individual MANAGING CONTROL - GOVERNING BODY
MANN, DEBORAH Individual MANAGING CONTROL - GOVERNING BODY
MARKEL, ANDREW Individual MANAGING CONTROL - GOVERNING BODY
MCCORY, JACK Individual MANAGING CONTROL - GOVERNING BODY
REEDY, MATTHEW Individual MANAGING CONTROL - GOVERNING BODY
SMITH, RICK Individual MANAGING CONTROL - GOVERNING BODY
STOREY, MARC Individual MANAGING CONTROL - GOVERNING BODY

What families say

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Common questions about Signature Healthcare Of Bremen

What is the ElderGrade for Signature Healthcare Of Bremen? +

Signature Healthcare Of Bremen holds an ElderGrade of D (51.8 out of 100), which we describe as "below 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 Signature Healthcare Of Bremen? +

Residents receive an average of 3.37 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Signature Healthcare Of Bremen 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 Signature Healthcare Of Bremen accept Medicaid? +

Yes, Signature Healthcare Of Bremen 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.