Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before 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 Elkhart Meadows during CMS and state inspections, most recent first.
The facility failed to maintain clean and sanitary food preparation and storage areas, affecting all residents whose food was prepared by the kitchen. Observations revealed food spills in the microwave and undated food in the refrigerator and freezer, with personal items belonging to staff. The Maintenance Supervisor noted that housekeeping was responsible for cleaning these areas, and staff should not store personal food there. Policies for cleaning were provided by the Executive Director.
A facility failed to complete an Annual MDS assessment for a resident with vascular dementia and obsessive-compulsive disorder. The assessment, dated June 4, 2024, was missing Section C. The Memory Care Support Specialist admitted the oversight, noting that Section C is usually completed on the 6th or 7th day after admission.
A facility failed to complete a Quarterly MDS assessment for a resident with major depressive disorder, anxiety disorder, and dementia. An Admission MDS was completed, but no Quarterly MDS was documented between March and August. The MDS Coordinator confirmed the oversight, noting the facility lacked a specific policy and followed the RAI guide.
A long-term care facility was found to have a medication error rate of 8%, exceeding the acceptable 5% threshold. An LPN failed to prime an insulin pen and did not leave the needle in place for the required time, resulting in an incorrect dosage for a diabetic resident. Additionally, a QMA administered polyethylene glycol 3350 powder with insufficient water to another resident, contrary to the physician's order. The facility lacked a policy on following physician orders, contributing to these errors.
Unsanitary Food Preparation and Storage Areas
Penalty
Summary
The facility failed to maintain clean and sanitary food preparation and storage areas, which had the potential to affect all 51 residents whose food was prepared by the kitchen. During an observation of the dining room kitchen area, it was noted that the microwave had food spilled on the turntable and door. Additionally, the reach-in refrigerator and freezer contained undated food and liquids belonging to staff members, and there was a yellow liquid spilled at the bottom of the freezer. The Maintenance Supervisor indicated that housekeeping staff were responsible for cleaning the dining room microwave and refrigerator and that staff should not have kept personal food in these areas. The Executive Director provided current policies for cleaning the microwave oven and refrigerators, dated 7/15/2024. The microwave cleaning policy outlined steps to remove the glass tray, wash, rinse, sanitize, and allow it to air dry, as well as wiping the interior with hot soapy water. The refrigerator cleaning policy included removing all food, cleaning and sanitizing shelves and drawers, and washing the walls and base with warm detergent water, followed by rinsing and sanitizing.
Incomplete Annual MDS Assessment for a Resident
Penalty
Summary
The facility failed to complete an Annual Minimum Data Set (MDS) assessment for one of the residents reviewed, identified as Resident 107. During a record review conducted on August 28, 2024, it was found that the Annual MDS assessment dated June 4, 2024, for Resident 107 was incomplete, specifically missing Section C. Resident 107 had diagnoses including vascular dementia and obsessive-compulsive disorder. In an interview on the same day, the Memory Care Support Specialist acknowledged that Section C was not completed and stated that she typically completed this section on the 6th or 7th day after admission.
Failure to Complete Quarterly MDS Assessment
Penalty
Summary
The facility failed to complete a Quarterly Minimum Data Set (MDS) assessment for one of the residents reviewed, identified as Resident 25. The resident's medical history includes major depressive disorder, anxiety disorder, and dementia. An Admission MDS assessment was completed on March 19, 2024. However, there was no documentation indicating that a Quarterly MDS assessment was completed between March 19, 2024, and August 29, 2024. During an interview, the MDS Coordinator confirmed that the resident had not received a quarterly MDS assessment by the due date of June 19, 2024. The facility did not have a specific policy for completing MDS assessments but relied on the Resident Assessment Instrument (RAI) as a guide.
Medication Errors Exceeding 5% in LTC Facility
Penalty
Summary
The facility failed to maintain a medication error rate below 5 percent, as evidenced by two medication errors observed during a medication pass for two residents. In the first instance, an LPN administered insulin to a resident without priming the insulin pen and did not leave the needle in the arm for the required 5-10 seconds after administration. This resulted in an incorrect dosage being delivered. The resident had a diagnosis of type 2 diabetes mellitus with diabetic chronic kidney disease and was prescribed Humalog KwikPen U-100, 10 units subcutaneously three times a day. The LPN acknowledged the error during an interview, and the Director of Nursing confirmed the correct procedure was not followed. In the second instance, a QMA administered polyethylene glycol 3350 powder to another resident using only 5 ounces of water instead of the prescribed 8 ounces. The resident had a diagnosis of unspecified constipation and was at risk due to decreased mobility. The QMA confirmed the error during an interview, noting the facility did not have 8-ounce cups available. The Director of Nursing indicated there was no facility policy on following physician orders, which contributed to the medication error.
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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 Elkhart
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Valley View Healthcare Center | 0.8 mi | — | 2 | 1 |
| Brickyard Healthcare - Elkhart Care Center | 1.1 mi | — | 12 | 0 |
| Riverside Village | 1.9 mi | — | 8 | 0 |
| Greenleaf Health Campus | 2.5 mi | — | 7 | 0 |
| Woodland Manor | 2.6 mi | — | 14 | 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.