Shady Nook Care Center

36 Village Drive · Lawrenceburg, IN · 47025 · 8125370930

94 certified beds For profit - Corporation Chain: Adams County Memorial Hospital

Why this verdict

  • Staffing levels are well below research benchmarks for safe care.
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 59
Serious harm & abuse 20% 94
Staffing 20% 20
Federal penalties 15% 100
Trend 10% 67
Context 5% 100

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

CMS ratings & staffing

Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.48 min · 4.1 strong
RN hours / resident-day0.55–0.75
Weekend hours / resident-day≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)none

Inspection citations (20 in the current record)

  • Potential for harm · D January 23, 2026 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected January 26, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 23, 2026 · found via complaint

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Corrected January 26, 2026 · Quality of Life and Care

  • Potential for harm · D January 6, 2026

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected January 20, 2026 · Quality of Life and Care

  • Potential for harm · D January 6, 2026

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected January 20, 2026 · Pharmacy Service

  • Potential for harm · D January 6, 2026

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

    Corrected January 20, 2026 · Resident Assessment and Care Planning

  • Actual harm · G November 20, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Past Non-Compliance · Pharmacy Service

  • Potential for harm · D February 19, 2025 · found via complaint

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected March 1, 2025 · Quality of Life and Care

  • Potential for harm · D November 13, 2024

    Ensure each resident receives an accurate assessment.

    Corrected November 14, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D November 13, 2024

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected November 14, 2024 · Quality of Life and Care

  • Potential for harm · D November 13, 2024

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected November 14, 2024 · Quality of Life and Care

  • Potential for harm · D November 13, 2024

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected November 14, 2024 · Pharmacy Service

  • Potential for harm · D November 13, 2024

    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 November 14, 2024 · Pharmacy Service

  • Potential for harm · F November 13, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected November 14, 2024 · Nutrition and Dietary

  • Potential for harm · D June 5, 2024 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected July 4, 2024 · Pharmacy Service

  • Potential for harm · D September 25, 2023 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected October 16, 2023 · Quality of Life and Care

  • Potential for harm · D September 25, 2023

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected October 16, 2023 · Quality of Life and Care

  • Potential for harm · D September 25, 2023

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

    Corrected October 16, 2023 · Quality of Life and Care

  • Potential for harm · D September 25, 2023

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

    Corrected October 16, 2023 · Quality of Life and Care

  • Potential for harm · D September 25, 2023

    Ensure that residents are free from significant medication errors.

    Corrected October 16, 2023 · Pharmacy Service

  • Potential for harm · D September 25, 2023 · found via complaint

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

    Corrected October 16, 2023 · Quality of Life and Care

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 155525 · certified since May 9, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.