Northern Lakes Nursing and Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 516 N Williams St, Angola, IN 46703
- CCN
- 155449
- Ownership type
- Government, hospital district
- Certified beds
- 99
- Chain
- None in the CMS record
- Residents per day
- 83
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Northern Lakes Nursing and Rehabilitation Center an overall rating of 1 of 5 stars. The last standard survey was on 4 Dec 2025. The latest survey cycle has 6 health citations. The median for nursing homes in Indiana is 6. CMS lists 1 fine of $174,525 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Steuben County median | Indiana median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 4 | 4.0 | 2.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 5.0 | 3.6 |
A median is the middle value of the homes in the group: 2 homes in the county, 507 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Indiana median |
|---|---|---|---|
| Cycle 1 (latest) | 4 Dec 2025 | 6 | 6 |
| Cycle 2 | 10 Dec 2024 | 4 | 6 |
| Cycle 3 | No date | 2 | 7 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 6 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 4 Dec 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 2 Jan 2026 |
| 4 Dec 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 2 Jan 2026 |
| 4 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 2 Jan 2026 |
| 4 Dec 2025 | 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 | 2 Jan 2026 |
| 17 Sep 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Complaint investigation | 10 Oct 2025 |
| 17 Sep 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 10 Oct 2025 |
Survey cycle 2: 4 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 10 Dec 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 8 Jan 2025 |
| 10 Dec 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 8 Jan 2025 |
| 10 Dec 2024 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 8 Jan 2025 |
| 10 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 8 Jan 2025 |
Survey cycle 3: 2 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 11 Dec 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 4 Jan 2024 |
| 11 Dec 2023 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard survey | 4 Jan 2024 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 17 Sep 2025 | Fine | $174,525 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Indiana median | Indiana average (CMS) |
|---|---|---|---|
| All nurse staff | 3.39 | 3.60 | 3.68 |
| Registered nurses (RN) | 0.60 | 0.60 | 0.67 |
| Licensed practical nurses (LPN) | 0.57 | 0.78 | |
| Nurse aides | 2.21 | 2.23 | |
| All nurse staff, weekends | 2.96 | 3.10 | 3.24 |
- Nurse staff turnover in a year
- 38.1%
- Nurse staff turnover, Indiana median
- 45.4%
- RN turnover in a year
- 27.3%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Indiana median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 24.4% | 8.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.8% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.5% | 0.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.7% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.7% | 9.3% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.7% | 3.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.3% | 11.4% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- Government, hospital district
- Legal business name
- Pulaski Memorial Hospital
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Angola Healthcare LLC | Operational/managerial control | 1 Oct 2015 | |
| Pulaski Memorial Hospital | Operational/managerial control | 1 Oct 2015 |
The site shows organisations only. It does not show the names of persons.
Other homes in Steuben County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Lakeland Rehab and Healthcare Center | Angola | 2 of 5 | 4 | $0 | 1 Jun 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Northern Lakes Nursing and Rehabilitation Center (CCN 155449). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/northern-lakes-nursing-and-rehabilitation-center-angola-in-155449/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Northern Lakes Nursing and Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 4 Dec 2025. It was a standard survey. It gave 4 citations. The standard survey before the last one was on 10 Dec 2024.
- Who operates Northern Lakes Nursing and Rehabilitation Center?
- The CMS record gives the ownership type as government, hospital district. CMS lists no chain for the home. The CMS ownership file names Angola Healthcare LLC and Pulaski Memorial Hospital for operational or managerial control. This site does not show the names of persons.
- Is Northern Lakes Nursing and Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 3 homes in Indiana as Special Focus Facilities and 15 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.