Woodland Manor
343 S Nappanee St · Elkhart, IN · 46514 · 5742950096
80 certified beds For profit - Corporation Chain: Adams County Memorial Hospital
Why this verdict
- Federal penalties on record: $79,284 in fines in the last 24 months.
- 5 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$79,284 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
73% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.53 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.34 | 0.55–0.75 |
| Weekend hours / resident-day | 3.18 | ≈ weekday level |
| Nursing turnover / year | 73% | median 45% |
| Fines (3-yr window) | 2 · $114,339 |
Inspection citations (50 in the current record)
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Potential for harm · D November 21, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 24, 2025 · Resident Rights
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Potential for harm · D November 21, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected December 24, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 21, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 21, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 24, 2025 · Quality of Life and Care
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Potential for harm · D November 21, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected December 24, 2025 · Pharmacy Service
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Potential for harm · D November 21, 2025
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected December 24, 2025 · Administration
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Potential for harm · D November 21, 2025
Provide or obtain dental services for each resident.
Corrected December 24, 2025 · Quality of Life and Care
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Potential for harm · D November 21, 2025
Provide and implement an infection prevention and control program.
Corrected December 24, 2025 · Infection Control
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Potential for harm · E November 21, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected December 24, 2025 · Environmental
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Potential for harm · D September 15, 2025 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected September 26, 2025 · Quality of Life and Care
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Potential for harm · D May 5, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected May 23, 2025 · Resident Rights
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Potential for harm · D May 5, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 23, 2025 · Quality of Life and Care
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Potential for harm · D May 5, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 23, 2025 · Quality of Life and Care
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Potential for harm · D May 5, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 23, 2025 · Quality of Life and Care
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Potential for harm · D May 5, 2025
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected May 23, 2025 · Pharmacy Service
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Potential for harm · D May 5, 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 May 23, 2025 · Pharmacy Service
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No harm found · C May 5, 2025
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected May 23, 2025 · Resident Rights
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Actual harm · G February 28, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G February 28, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 28, 2025 · Quality of Life and Care
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Actual harm · G February 28, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected March 21, 2025 · Nursing and Physician Services
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Potential for harm · D February 28, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 21, 2025 · Resident Rights
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Potential for harm · D February 28, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 28, 2025 · Infection Control
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Potential for harm · D November 14, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 24, 2025 · Quality of Life and Care
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Potential for harm · D November 14, 2024
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected December 14, 2024 · Resident Rights
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Potential for harm · E November 14, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected December 14, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 28, 2025 | Fine | $79,284 |
| May 17, 2024 | Fine | $35,055 |
| May 17, 2024 | Payment Denial | 29 days |
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 155086 · certified since February 12, 1969. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.