Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Ascension Living Sacred Heart Village during CMS and state inspections, most recent first.
The facility failed to ensure safe and sanitary food storage and handling practices, affecting all 74 residents. Observations revealed unlabeled and expired food items, improper food handling by dietary aides without changing gloves or performing hand hygiene, and unsanitary conditions in food preparation areas. Staff interviews confirmed non-compliance with facility policies on food safety and hygiene.
The facility breached the privacy of two residents' health information. A resident's catheter bag was visible from the hallway, and another resident's need to use the restroom was loudly communicated in a public area. The facility lacked a specific policy for covering catheter bags, and staff acknowledged the need for private communication of residents' personal needs.
A resident with multiple diagnoses experienced a decline in condition without adequate documentation or assessment by the facility. Despite changes in symptoms and increased confusion, there was a lack of communication with the physician, leading to the resident being sent to the emergency room for low blood pressure and sepsis.
A resident with Alzheimer's and muscle contractures was observed in a Broda chair with their head leaning forward, requiring manual support during feeding. The care plan did not address this positioning issue, despite previous OT recommendations. Staff were unaware of the need for assistive equipment, leading to a deficiency in maintaining the resident's range of motion and comfort.
A resident's catheter bag was observed in contact with the floor, contrary to facility policy and best practices for infection prevention. The resident, diagnosed with obstructive and reflux uropathy, required a Foley catheter and maximal assistance with lower body activities. The facility's policy mandates that catheter bags be kept off the floor, a standard not met in this instance.
Deficiencies in Food Storage and Handling Practices
Penalty
Summary
The facility failed to maintain safe and sanitary food storage and serving practices, as observed during multiple inspections. Observations revealed several issues, including a countertop with open slotted drains and a brown, murky liquid puddle underneath. In Freezer 1, an opened bag of french fries and bread were not dated, while Freezer 2 contained whipped cream in an unsealed bag that was not labeled or dated. The dry pantry had an opened bag of macaroni that was not dated, and Refrigerator 1 contained expired swiss cheese. Additionally, two of five stacked metal pans had moisture between them, and the stand mixer had a dry, yellow flaky material on the paddle. During food distribution, Dietary Aide 4 was observed handling food and utensils without changing gloves or performing hand hygiene, even after touching potentially contaminated surfaces. Similarly, Dietary Aide 11 continued to assemble meal trays after picking up a plastic wrap box from the floor without changing gloves or performing hand hygiene. Interviews with staff, including the Dietary Shift Supervisor, Certified Nurse Aide, Registered Nurse, and Director of Nursing, confirmed that the facility's practices did not align with their policies. The Dietary Shift Supervisor acknowledged that bread should be used within a week and that the mixer should not have any residue. The CNA and RN indicated that meals and food items should be labeled and dated, and expired food should not be present in storage areas. The facility's policies on food preparation, storage, and hand hygiene were not adhered to, as evidenced by the presence of expired and unlabeled food items, improper food handling, and lack of hand hygiene practices. These deficiencies affected all 74 residents who consumed food prepared in the facility's kitchen.
Privacy Breach in Resident Health Information
Penalty
Summary
The facility failed to ensure the privacy of health information for two residents. In the first instance, a resident was observed sitting in her room with a catheter bag attached to her wheelchair, visible from the hallway. The Weekend Supervisor confirmed that the urine in the catheter bag should not be visible to passersby. The Director of Nursing (DON) later indicated that catheter bags should be covered to prevent visibility, but the facility lacked a specific policy on how to maintain the privacy of catheter bag contents. The resident's medical records showed cognitive impairment and a need for maximal assistance with daily living activities. In the second instance, a Certified Nurse Aide (CNA) loudly communicated a resident's need to use the restroom to other staff members across a dining area, where other residents, staff, and a family member were present and could hear the conversation. The CNA acknowledged that staff should communicate residents' personal needs in low tones and private areas. The DON confirmed that staff should discuss resident needs privately and not disclose personal information in populated areas. The facility's policy on confidentiality, dated December 2019, stated that all resident information should be treated confidentially.
Failure to Document and Assess Resident's Changing Condition
Penalty
Summary
The facility failed to ensure ongoing assessment for a change in condition for a resident diagnosed with cerebral infarction, diabetes, high blood pressure, and osteoarthritis. The resident's medical records revealed a lack of documentation and assessment regarding changes in their condition over a series of days. Initially, orders for blood tests were obtained without documented reasons or assessments. Subsequently, the resident was placed on medications such as Robitussin and Invanz without adequate documentation of symptoms or assessments, such as breath sounds or urinary symptoms. Despite the resident's afebrile status, there was no documentation of other symptoms of infection or changes in urine characteristics. As the resident's condition progressed, there were further lapses in documentation and communication. The resident experienced increased confusion, changes in urine characteristics, and decreased food intake, yet there was no documentation of notifying the physician about these changes. The resident's condition continued to decline, with increased confusion and changes in urinary output, culminating in a physician's order to send the resident to the emergency room due to low blood pressure and sepsis. An LPN interviewed confirmed that staff should assess residents for changes indicating improvement or decline, highlighting the deficiency in ongoing assessment and documentation for this resident.
Failure to Ensure Proper Positioning for Resident
Penalty
Summary
The facility failed to ensure proper functional and comfortable positioning for Resident 12, who was observed sitting in a Broda chair with their head leaning forward, approximately one inch from their chest. This positioning was noted during meal times, where staff had to manually lift the resident's head to feed them. The resident's care plan did not address this specific issue, despite the resident's known diagnoses of Alzheimer's, muscle weakness, and multiple sites of muscle contractures. Resident 12's care plan included interventions for other areas such as passive range of motion and nutritional needs, but it did not mention the forward-leaning head position. The Director of Nursing (DON) acknowledged awareness of the resident's head positioning issue but indicated it was not a new occurrence. The resident had previously received occupational therapy (OT) services, which had focused on improving Broda chair positioning to prevent contractures and improve comfort. However, the care plan and CNA worksheets did not reflect the OT recommendations for head and neck positioning. Interviews with staff revealed a lack of awareness regarding the assistive equipment recommended by therapy for Resident 12's head and neck positioning. The facility's policy required that each resident's care plan reflect their specific positioning needs, but this was not adhered to in Resident 12's case. The deficiency was identified as a failure to provide appropriate care to maintain or improve the resident's range of motion and comfort, as required by the facility's policies.
Deficiency in Catheter Bag Handling
Penalty
Summary
The facility failed to ensure the sanitary handling of a catheter bag for a resident, leading to a deficiency. During an observation, a resident was seen sitting in a wheelchair with a catheter bag attached to the wheelchair frame. The catheter bag, containing approximately 200 ml of yellow fluid, was in contact with the floor. This observation was confirmed by the Weekend Supervisor, who acknowledged that the urine bag should be secured to prevent contact with the floor, as such contact could increase the risk of infection. The resident involved had a diagnosis of obstructive and reflux uropathy and required maximal assistance with lower body activities of daily living. The resident's care plan included maintaining a closed drainage system, and physician orders specified the use of a 16 French 10 ml Foley catheter. The Director of Nursing confirmed that catheter bags should not contact the floor, aligning with the facility's policy dated December 2017, which mandates that catheter tubing and bags be kept off the floor.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Avilla
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Kendallville Manor | 4.8 mi | — | 5 | 0 |
| Lutheran Life Villages | 5 mi | — | 2 | 0 |
| Orchard Pointe Health Campus | 6 mi | — | 7 | 0 |
| Miller's Merry Manor | 6.2 mi | — | 11 | 0 |
| Betz Nursing Home | 9.8 mi | — | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.