Elder Care Record

Indiana › Marshall County › Plymouth

Pilgrim Manor

222 Parkview St, Plymouth, IN 46563

CCN 155073 · Government, county · 78 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

Pilgrim Manor is a Government, county nursing home in Plymouth, Indiana, certified for 78 beds and caring for about 65 residents a day.

CMS gives it 2 of 5 stars overall, below the Indiana median of 3; the health inspection rating is 1, staffing 2 and quality measures 5.

Inspectors recorded 33 health deficiencies across the three most recent survey cycles (14, 16, 3 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 42.3 per 100 beds, more than the state median of 22.9.

CMS lists 1 penalty in the period covered: fines totalling $46K.

Reported nurse staffing is 3.4 hours per resident per day (0.6 RN), close to the Indiana median of 3.6; nursing staff turnover is 39.1%.

33health deficiencies, 3 survey cycles2 at actual harm or worse
$46Kfines listed by CMS1 penalty in period
3.4nurse hours per resident per daystate median 3.6
83%occupancy (residents ÷ beds)65 residents a day

Compared with county, state and nation

MeasureThis facilityMarshall Co. medianIndiana medianUS average
Overall star rating2333.0
Health citations, 3 cycles33331928.7
Citations per 100 beds42.342.322.926.8
Total nurse hours per resident day3.43.53.63.9
RN hours per resident day0.60.80.60.7
Nursing staff turnover39.1%50.0%45.4%45.8%
Fines listed$45,580$0$0—

County and state figures are medians across facilities (4 in the county, 507 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)14
Cycle 216
Cycle 33

Dark bar: this facility. Grey bar: Indiana average per facility for the same cycle, as published by CMS. Standard health survey dates: 13 Feb 2026, 27 Nov 2024.

Severity mix: G ×2 D ×25 E ×3 F ×3

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
1 Jun 2026F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DComplaint investigation10 Jun 2026
1 Jun 2026F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation10 Jun 2026
16 Apr 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigationPast Non-Compliance
13 Feb 2026F0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.GStandard survey19 Mar 2026
13 Feb 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey13 Mar 2026
13 Feb 2026F0880Provide and implement an infection prevention and control program.FStandard survey19 Mar 2026
13 Feb 2026F0552Ensure that residents are fully informed and understand their health status, care and treatments.EStandard survey19 Mar 2026
13 Feb 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey13 Mar 2026
13 Feb 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey13 Mar 2026
13 Feb 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey19 Mar 2026
13 Feb 2026F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard survey13 Mar 2026
13 Feb 2026F0688Provide 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.DStandard survey13 Mar 2026
13 Feb 2026F0881Implement a program that monitors antibiotic use.DStandard survey13 Mar 2026
13 Feb 2026F0908Keep all essential equipment working safely.DStandard survey13 Mar 2026
27 Nov 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation27 Dec 2024
27 Nov 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey27 Dec 2024
27 Nov 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey27 Dec 2024
27 Nov 2024F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey27 Dec 2024
27 Nov 2024F0641Ensure each resident receives an accurate assessment.DStandard survey27 Dec 2024
27 Nov 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey27 Dec 2024
27 Nov 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey27 Dec 2024
27 Nov 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey27 Dec 2024
27 Nov 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey4 Jan 2025
27 Nov 2024F0761Ensure 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.DComplaint investigation4 Jan 2025
27 Nov 2024F0880Provide and implement an infection prevention and control program.DStandard survey27 Dec 2024
28 Aug 2024F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint investigation21 Sep 2024
28 Aug 2024F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint investigation21 Sep 2024
28 Aug 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation21 Sep 2024
28 Aug 2024F0610Respond appropriately to all alleged violations.DComplaint investigation21 Sep 2024
28 Aug 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation21 Sep 2024
22 Dec 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey15 Jan 2024
22 Dec 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey15 Jan 2024
22 Dec 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey15 Jan 2024

Penalties

DateTypeAmountDetail
13 Feb 2026Fine$45,580

Staffing

Total nursing3.43 h
Nurse aides2.29 h
LPN0.52 h
RN0.62 h
Weekend total3.08 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Indiana average. Turnover: nursing staff 39.1%, RNs 42.9%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityIndiana medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay18.9%8.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.4%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay8.9%0.5%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.4%3.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay22.1%9.3%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.7%3.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay8.1%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: government, county. Legal business name: Adams County Memorial Hospital.

OrganisationRole in the CMS recordInterestSince
Nbh Bank5% or greater mortgage interestNOT APPLICABLE07/01/2024
Adams County Memorial HospitalOperational/managerial controlNOT APPLICABLE01/01/2025
Pilgrim Manor OperationsOperational/managerial controlNOT APPLICABLE01/01/2025
222 Parkview Propco LLCAdp of the snfNOT APPLICABLE07/01/2024
Advanced Care Consultants LLCAdp of the snfNOT APPLICABLE07/01/2024
Blue Management Services LLCAdp of the snfNOT APPLICABLE07/01/2024
Clinical Consulting Services LLCAdp of the snfNOT APPLICABLE07/01/2024
First Bank of BerneAdp of the snfNOT APPLICABLE07/01/2024
Pilgrim Manor OperationsAdp of the snfNOT APPLICABLE01/01/2025
Summation Financial Services LLCAdp of the snfNOT APPLICABLE07/01/2024

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 Marshall County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Miller'S Merry ManorPlymouth1314342015.3—7 Feb 2025
Miller'S Merry ManorCulver663331116.7—4 Mar 2026
Signature Healthcare of BremenBremen731134865.8—10 Oct 2025

All 4 facilities in Marshall County

Questions and answers

How many deficiencies has Pilgrim Manor been cited for?

33 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Indiana median is 19 per facility.

Has Pilgrim Manor been fined?

Yes. CMS lists fines totalling $46K in the period covered.

How does staffing at Pilgrim Manor compare?

Reported total nurse staffing is 3.4 hours per resident per day against a Indiana median of 3.6 and a national average of 3.9.

Who operates Pilgrim Manor?

Ownership type is government, county. Organisations in the CMS ownership record include Adams County Memorial Hospital and Pilgrim Manor Operations. Individual owners and managers are not listed on this site.

When was Pilgrim Manor last inspected?

The most recent survey or investigation in the CMS record is dated 1 Jun 2026; the most recent standard health survey was 13 Feb 2026.

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.