Brooke Knoll Village

1108 Kingwood Drive · Avon, IN · 46123 · 3172717052

117 certified beds Government - County Chain: Hcf Management Indiana

  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

61% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 58
Serious harm & abuse 20% 100
Staffing 20% 64
Federal penalties 15% 100
Trend 10% 65
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.813.48 min · 4.1 strong
RN hours / resident-day0.540.55–0.75
Weekend hours / resident-day3.15≈ weekday level
Nursing turnover / year61%median 45%
Fines (3-yr window)none

Inspection citations (29 in the current record)

  • Potential for harm · D April 9, 2026

    Ensure each resident receives an accurate assessment.

    Corrected May 9, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D April 9, 2026

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected May 16, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D April 9, 2026

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected May 16, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D April 9, 2026

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected May 16, 2026 · Quality of Life and Care

  • Potential for harm · D April 9, 2026

    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.

    Corrected May 16, 2026 · Pharmacy Service

  • Potential for harm · D April 9, 2026

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

    Corrected May 16, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E April 9, 2026

    Provide and implement an infection prevention and control program.

    Corrected May 16, 2026 · Infection Control

  • Potential for harm · D February 2, 2026 · found via complaint

    Provide enough food/fluids to maintain a resident's health.

    Corrected February 27, 2026 · Quality of Life and Care

  • Potential for harm · D February 2, 2026 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected February 27, 2026 · Infection Control

  • Potential for harm · D August 13, 2025 · found via complaint

    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.

    Corrected September 2, 2025 · Pharmacy Service

  • Potential for harm · E March 27, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected April 18, 2025 · Resident Rights

  • Potential for harm · D March 27, 2025

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected April 18, 2025 · Resident Rights

  • Potential for harm · D March 27, 2025

    Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

    Corrected April 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 27, 2025

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Corrected April 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 27, 2025

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

    Corrected April 18, 2025 · Quality of Life and Care

  • Potential for harm · D March 27, 2025

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected April 18, 2025 · Quality of Life and Care

  • Potential for harm · D March 27, 2025

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected April 18, 2025 · Pharmacy Service

  • Potential for harm · E March 27, 2025

    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.

    Corrected April 18, 2025 · Pharmacy Service

  • Potential for harm · E March 27, 2025

    Provide and implement an infection prevention and control program.

    Corrected April 18, 2025 · Infection Control

  • Potential for harm · D March 12, 2024 · found via complaint

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

    Corrected February 22, 2024 · Quality of Life and Care

  • Potential for harm · E January 25, 2024

    Reasonably accommodate the needs and preferences of each resident.

    Corrected January 26, 2024 · Resident Rights

  • Potential for harm · D January 25, 2024

    Ensure each resident receives an accurate assessment.

    Corrected January 26, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D January 25, 2024

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected January 26, 2024 · Quality of Life and Care

  • Potential for harm · D January 25, 2024

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

    Corrected January 26, 2024 · Quality of Life and Care

  • Potential for harm · D January 25, 2024

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected January 26, 2024 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 155814 · certified since February 24, 2014. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.