Paoli Health and Living CommunityCMS ratings, inspections and fines
- Address
- 559 W Longest St, Paoli, IN 47454
- CCN
- 155333
- Ownership type
- Government, county
- Certified beds
- 109
- Chain
- Cardon & Associates
- Residents per day
- 81
- 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 Paoli Health and Living Community an overall rating of 1 of 5 stars. The last standard survey was on 11 Apr 2025. The latest survey cycle has 13 health citations. The median for nursing homes in Indiana is 6. CMS lists 2 fines with a total of $28,138 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 | Orange County median | Indiana median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 5.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 4.0 | 2.0 | 2.9 |
| Quality measure rating | 4 | 5.0 | 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) | 11 Apr 2025 | 13 | 6 |
| Cycle 2 | 13 Feb 2024 | 11 | 6 |
| Cycle 3 | No date | 4 | 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): 13 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 15 Jan 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 2 Feb 2026 |
| 15 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 2 Feb 2026 |
| 15 Jan 2026 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 2 Feb 2026 |
| 11 Apr 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 7 May 2025 |
| 11 Apr 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 7 May 2025 |
| 11 Apr 2025 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard survey | 7 May 2025 |
| 11 Apr 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 7 May 2025 |
| 11 Apr 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 7 May 2025 |
| 11 Apr 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 7 May 2025 |
| 11 Apr 2025 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard survey | 7 May 2025 |
| 11 Apr 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 7 May 2025 |
| 11 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 7 May 2025 |
| 11 Apr 2025 | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | Standard survey | 7 May 2025 |
Survey cycle 2: 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 24 Jan 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 21 Dec 2024 |
| 24 Jan 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 25 Jan 2025 |
| 24 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 27 Dec 2024 |
| 13 Feb 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 1 Mar 2024 |
| 13 Feb 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 1 Mar 2024 |
| 13 Feb 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 1 Mar 2024 |
| 13 Feb 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 1 Mar 2024 |
| 13 Feb 2024 | 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. | E | Standard survey | 1 Mar 2024 |
| 13 Feb 2024 | F0728 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | E | Standard survey | 1 Mar 2024 |
| 13 Feb 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 1 Mar 2024 |
| 13 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 1 Mar 2024 |
Survey cycle 3: 4 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 Jun 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 | Complaint investigation | 28 Jun 2024 |
| 16 Apr 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 29 Apr 2024 |
| 30 Mar 2022 | 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 | 25 Apr 2022 |
| 30 Mar 2022 | 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 | 25 Apr 2022 |
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 |
|---|---|---|---|
| 24 Jan 2025 | Fine | $14,069 | |
| 24 Jan 2025 | Fine | $14,069 |
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 | 3.26 | 3.60 | 3.68 |
| Registered nurses (RN) | 0.56 | 0.60 | 0.67 |
| Licensed practical nurses (LPN) | 0.79 | 0.78 | |
| Nurse aides | 1.91 | 2.23 | |
| All nurse staff, weekends | 2.68 | 3.10 | 3.24 |
- Nurse staff turnover in a year
- 58.0%
- Nurse staff turnover, Indiana median
- 45.4%
- RN turnover in a year
- 30.0%
- Administrators who left in a year
- 3
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 | 13.4% | 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 | 4.1% | 0.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.1% | 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 | 11.0% | 9.3% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.4% | 3.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.4% | 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, county
- Legal business name
- Riverview Hospital
- Chain
- Cardon & Associates (19 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Riverview Hospital | 5% or greater direct ownership interest | 100% | 1 Sep 2011 |
| German American Bank | 5% or greater mortgage interest | 31 Aug 2021 | |
| Cardon and Associates Inc | Operational/managerial control | 23 Aug 2013 | |
| Cardon Management Company LLC | Operational/managerial control | 1 Dec 2011 | |
| Moore Operating Group Inc | Operational/managerial control | 18 May 2020 | |
| Ankura Consulting Group LLC | Adp of the snf | 15 Jun 2022 | |
| Bradley & Associates Inc | Adp of the snf | 1 Jan 2023 | |
| Cardon and Associates Inc | Adp of the snf | 26 Jun 2025 | |
| Cardon Management Company LLC | Adp of the snf | 26 Jun 2025 | |
| Cole Marketing Communications Inc | Adp of the snf | 1 Apr 2015 | |
| Forvis Mazars LLP | Adp of the snf | 1 Jan 2021 | |
| German American Bank | Adp of the snf | 21 Jul 2025 | |
| Healthdrive Podiatry Group PA | Adp of the snf | 7 Mar 2019 | |
| Heart of Cardon LLC | Adp of the snf | 6 Sep 2007 | |
| Lacy Beyl & Company Inc | Adp of the snf | 15 Jul 2015 | |
| Lifespan Therapy LLC | Adp of the snf | 25 Oct 2007 | |
| Mobile Audiology Associates PC | Adp of the snf | 7 Mar 2019 | |
| Paoli H&L Property LLC | Adp of the snf | 11 Sep 2006 | |
| Respiratory Partners Inc | Adp of the snf | 1 Nov 2019 | |
| Third Eye Health Inc | Adp of the snf | 4 Feb 2022 | |
| Vohra Wound Physicians of the West PC | Adp of the snf | 1 Sep 2021 | |
| Vox Global LLC | Adp of the snf | 28 Feb 2019 |
The site shows organisations only. It does not show the names of persons.
Other homes in Orange County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Springs Valley Meadows | French Lick | 5 of 5 | 3 | $0 | 1 May 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 Paoli Health and Living Community (CCN 155333). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/paoli-health-and-living-community-paoli-in-155333/
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 Paoli Health and Living Community last inspected?
- The latest inspection with a citation in the CMS record was on 15 Jan 2026. It was a complaint investigation. It gave 3 citations. The standard survey before the last one was on 13 Feb 2024.
- Who operates Paoli Health and Living Community?
- The CMS record gives the ownership type as government, county. CMS lists the home in the chain Cardon & Associates. The CMS ownership file names 3 organisations for operational or managerial control. This site does not show the names of persons.
- Is Paoli Health and Living Community 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.