Skilled Nursing

MCGIVNEY HEALTH CARE CENTER

2907 EAST SMOKY ROW, CARMEL, IN 46033

37beds
Skilled Nursingcare types
2/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

2.4h

Hrs/resident · weekday

Expected: 2.5h

2.5h

Hrs/resident · weekend

vs 2.4h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
LPNs
CNAs
27%

Health Inspection Deficiencies · Last 3 Years

43 standard deficiencies in the last 3 years

View all
0912Severity DAug 26, 2025

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

0880Severity DAug 26, 2025

Provide and implement an infection prevention and control program.

0812Severity DAug 26, 2025

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

0727Severity DAug 26, 2025

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.

0695Severity DAug 26, 2025

Provide safe and appropriate respiratory care for a resident when needed.

0690Severity DAug 26, 2025

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

0684Severity DAug 26, 2025

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

0657Severity DAug 26, 2025

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

0656Severity DAug 26, 2025

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

0644Severity DAug 26, 2025

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

0628Severity DAug 26, 2025

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

0605Severity DAug 26, 2025

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

0578Severity DAug 26, 2025

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.

0912Severity DOct 2, 2024

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

0812Severity DOct 2, 2024

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

0758Severity DOct 2, 2024

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.

0757Severity DOct 2, 2024

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0656Severity DOct 2, 2024

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

0921Severity DSep 22, 2023

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0912Severity DSep 22, 2023

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

0887Severity DSep 22, 2023

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.

0883Severity DSep 22, 2023

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0882Severity ESep 22, 2023

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

0881Severity ESep 22, 2023

Implement a program that monitors antibiotic use.

0880Severity ESep 22, 2023

Provide and implement an infection prevention and control program.

0867Severity DSep 22, 2023

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0842Severity DSep 22, 2023

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0835Severity ESep 22, 2023

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

0812Severity FSep 22, 2023

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

0809Severity FSep 22, 2023

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.

0761Severity DSep 22, 2023

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.

0760Severity GSep 22, 2023

Ensure that residents are free from significant medication errors.

0732Severity DSep 22, 2023

Post nurse staffing information every day.

0730Severity DSep 22, 2023

Observe each nurse aide's job performance and give regular training.

0727Severity DSep 22, 2023

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.

0725Severity DSep 22, 2023

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0690Severity DSep 22, 2023

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

0689Severity DSep 22, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0656Severity DSep 22, 2023

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

0644Severity DSep 22, 2023

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

0641Severity DSep 22, 2023

Ensure each resident receives an accurate assessment.

0609Severity DSep 22, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0580Severity DSep 22, 2023

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

WITHAM MEMORIAL HOSPITAL· Non profit - Corporation

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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