Indiana › Hamilton County › Carmel
Mcgivney Health Care Center
2907 East Smoky Row, Carmel, IN 46033
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 37 beds, Mcgivney Health Care Center serves Carmel in Hamilton County, Indiana and has taken Medicare and Medicaid residents since 2017.
CMS gives it 2 of 5 stars overall, below the Indiana median of 3; the health inspection rating is 3, staffing 1 and quality measures 3.
Inspectors recorded 43 health deficiencies across the three most recent survey cycles (13, 5, 25 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 116.2 per 100 beds, more than the state median of 22.9.
CMS lists 2 penalties in the period covered: fines totalling $8K and 1 payment denial.
Reported nurse staffing is 2.9 hours per resident per day (0.1 RN), close to the Indiana median of 3.6; nursing staff turnover is 20.0%.
Compared with county, state and nation
| Measure | This facility | Hamilton Co. median | Indiana median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 43 | 21 | 19 | 28.7 |
| Citations per 100 beds | 116.2 | 19.9 | 22.9 | 26.8 |
| Total nurse hours per resident day | 2.9 | 3.6 | 3.6 | 3.9 |
| RN hours per resident day | 0.1 | 0.6 | 0.6 | 0.7 |
| Nursing staff turnover | 20.0% | 49.2% | 45.4% | 45.8% |
| Fines listed | $8,189 | $0 | $0 | — |
County and state figures are medians across facilities (17 in the county, 507 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Indiana average per facility for the same cycle, as published by CMS. Standard health survey dates: 26 Aug 2025, 2 Oct 2024.
Severity mix: G ×1 D ×36 E ×4 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 26 Aug 2025 | F0578 | 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. | D | Standard survey | 15 Sep 2025 |
| 26 Aug 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 19 Sep 2025 |
| 26 Aug 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 15 Sep 2025 |
| 26 Aug 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 15 Sep 2025 |
| 26 Aug 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 15 Sep 2025 |
| 26 Aug 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 15 Sep 2025 |
| 26 Aug 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 16 Sep 2025 |
| 26 Aug 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 16 Sep 2025 |
| 26 Aug 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 16 Sep 2025 |
| 26 Aug 2025 | F0727 | 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. | D | Standard survey | 15 Sep 2025 |
| 26 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 15 Sep 2025 |
| 26 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 16 Sep 2025 |
| 26 Aug 2025 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | D | Standard survey | 15 Sep 2025 |
| 2 Oct 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 24 Oct 2024 |
| 2 Oct 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 24 Oct 2024 |
| 2 Oct 2024 | F0758 | 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. | D | Standard survey | 24 Oct 2024 |
| 2 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 24 Oct 2024 |
| 2 Oct 2024 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | D | Standard survey | 24 Oct 2024 |
| 22 Sep 2023 | F0760 | Ensure that residents are free from significant medication errors. | G | Standard survey | 27 Oct 2023 |
| 22 Sep 2023 | F0809 | 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. | F | Standard survey | 27 Oct 2023 |
| 22 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 27 Oct 2023 |
| 22 Sep 2023 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Standard survey | 27 Oct 2023 |
| 22 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 27 Oct 2023 |
| 22 Sep 2023 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 27 Oct 2023 |
| 22 Sep 2023 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | Standard survey | 27 Oct 2023 |
| 22 Sep 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 27 Oct 2023 |
| 22 Sep 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 27 Oct 2023 |
| 22 Sep 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 27 Oct 2023 |
| 22 Sep 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 27 Oct 2023 |
| 22 Sep 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 27 Oct 2023 |
| 22 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 27 Oct 2023 |
| 22 Sep 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 27 Oct 2023 |
| 22 Sep 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Standard survey | 27 Oct 2023 |
| 22 Sep 2023 | F0727 | 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. | D | Standard survey | 27 Oct 2023 |
| 22 Sep 2023 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 27 Oct 2023 |
| 22 Sep 2023 | F0732 | Post nurse staffing information every day. | D | Standard survey | 27 Oct 2023 |
| 22 Sep 2023 | F0761 | 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. | D | Standard survey | 27 Oct 2023 |
| 22 Sep 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 27 Oct 2023 |
| 22 Sep 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard survey | 27 Oct 2023 |
| 22 Sep 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 27 Oct 2023 |
| 22 Sep 2023 | F0887 | 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. | D | Standard survey | 27 Oct 2023 |
| 22 Sep 2023 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | D | Standard survey | Waiver has been granted |
| 22 Sep 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 27 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 22 Sep 2023 | Payment denial | — | 8 days |
| 22 Sep 2023 | Fine | $8,189 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Indiana average. Turnover: nursing staff 20.0%, RNs —; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Indiana median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 27.5% | 8.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.7% | 0.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.6% | 3.6% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.5% | 9.3% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.1% | 3.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 33.3% | 11.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Witham Memorial Hospital.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Witham Memorial Hospital | 5% or greater direct ownership interest | 100% | 04/01/2015 |
| Gibault Care, Inc. | Operational/managerial control | NOT APPLICABLE | 04/01/2015 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Hamilton County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Barrington of Carmel, The | Carmel | 8 | 5 | 5 | 4 | 4 | 50.0 | — | 9 Jun 2023 |
| Bridgewater Healthcare Center | Carmel | 120 | 5 | 4 | 3 | 18 | 15.0 | — | 11 Jun 2026 |
| Majestic Care of Sheridan | Sheridan | 80 | 5 | 4 | 2 | 8 | 10.0 | — | 10 Apr 2026 |
| Prairie Lakes Health Campus | Noblesville | 61 | 5 | 4 | 2 | 7 | 11.5 | — | 29 Jan 2026 |
| Wellbrooke of Westfield | Westfield | 70 | 5 | 4 | 4 | 19 | 27.1 | — | 17 Mar 2026 |
| Harbour Manor Health & Living Community | Noblesville | 129 | 4 | 3 | 3 | 17 | 13.2 | — | 19 May 2026 |
| Restoracy of Carmel | Carmel | 72 | 4 | 3 | 3 | 23 | 31.9 | — | 20 Feb 2026 |
| Retreat At the Stratford, The | Carmel | 18 | 4 | 4 | 4 | 12 | 66.7 | — | 12 Feb 2026 |
All 17 facilities in Hamilton County
Questions and answers
How many deficiencies has Mcgivney Health Care Center been cited for?
43 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Indiana median is 19 per facility.
Has Mcgivney Health Care Center been fined?
Yes. CMS lists fines totalling $8K in the period covered, plus 1 payment denial.
How does staffing at Mcgivney Health Care Center compare?
Reported total nurse staffing is 2.9 hours per resident per day against a Indiana median of 3.6 and a national average of 3.9.
Who operates Mcgivney Health Care Center?
Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Witham Memorial Hospital and Gibault Care, Inc.. Individual owners and managers are not listed on this site.
When was Mcgivney Health Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 26 Aug 2025; the most recent standard health survey was 26 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.