About Pilgrim Manor
Pilgrim Manor, located in PLYMOUTH, IN, is a government owned organization that accepts Medicare and Medicaid.
Why Families Choose Pilgrim Manor
Key Performance Indicators
- CMS Overall Rating 2 Stars
- Nursing Hours 3.51 hrs
- Safety Record Clean
Chain Affiliations & Network
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
Pilgrim Manor provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 2 |
|
| Health Inspection | 1 |
|
| Quality Measures | 5 |
|
| Staffing | 3 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 92 | Feb 13, 2026 |
| Weighted Average | 101 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 16.6% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 5.1% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 1.1% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 1.0% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 18.8% |
| Percentage of long-stay residents who lose too much weight (QM404) | 8.8% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.0% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 8.2% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 7.1% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 3.7% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 96.7% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 86.3% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 0.0% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 17.3% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 17.2% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 97.1% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 79.2% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 3.8% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 26.2% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 8.0% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2024: 8 complaints
- 2025: 1 complaint
- Total: 9 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Jan 04, 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. |
| Dec 27, 2024 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Sep 21, 2024 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. |
| Sep 21, 2024 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. |
| Sep 21, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Sep 21, 2024 | Respond appropriately to all alleged violations. |
| Sep 21, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Feb 12, 2024 | Provide a written emergency evacuation plan. |
| Feb 12, 2024 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. |
Nearby Hospitals
NORTHWEST HEALTH - STARKE
KNOX, IN
SAINT JOSEPH REGIONAL MEDICAL CENTER
MISHAWAKA, IN
MEMORIAL HOSPITAL OF SOUTH BEND
SOUTH BEND, IN
NORTHWEST HEALTH-LA PORTE
LA PORTE, IN
GOSHEN HOSPITAL
GOSHEN, IN
WOODLAWN HOSPITAL
ROCHESTER, IN
ELKHART GENERAL HOSPITAL
ELKHART, IN
SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH
PLYMOUTH, IN
UNITY PHYSICIANS HOSPITAL
MISHAWAKA, IN
COMMUNITY HOSPITAL OF BREMEN INC
BREMEN, IN
PULASKI MEMORIAL HOSPITAL
WINAMAC, IN
OAKLAWN PSYCHIATRIC CENTER INC
GOSHEN, IN
MICHIANA BEHAVIORAL HEALTH CENTER
PLYMOUTH, IN
DOCTORS NEUROPSYCHIATRIC HOSPITAL
BREMEN, IN
MEDICAL BEHAVIORAL HOSPITAL - MISHAWAKA
MISHAWAKA, IN
Owner & Operator Information
Business Entity
ADAMS COUNTY MEMORIAL HOSPITAL
Ownership Structure
Management & Direction
- 222 PARKVIEW PROPCO LLC ADP OF THE SNF
- ADAMS COUNTY MEMORIAL HOSPITAL OPERATIONAL/MANAGERIAL CONTROL
- ADVANCED CARE CONSULTANTS LLC ADP OF THE SNF
- BLUE MANAGEMENT SERVICES LLC ADP OF THE SNF
- CANDICE BORNE-BAUMAN MANAGING CONTROL - GOVERNING BODY
- CANDICE BORNE-BAUMAN OPERATIONAL/MANAGERIAL CONTROL
- CLINICAL CONSULTING SERVICES LLC ADP OF THE SNF
- JAMES COMBS ADP OF THE SNF
- JAMES COMBS OPERATIONAL/MANAGERIAL CONTROL
- FIRST BANK OF BERNE ADP OF THE SNF
- RUSSELL FLUECKIGER MANAGING CONTROL - GOVERNING BODY
- RUSSELL FLUECKIGER OPERATIONAL/MANAGERIAL CONTROL
- TINA GREATOREX INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
- BYRON HOLM ADP OF THE SNF
- BYRON HOLM OPERATIONAL/MANAGERIAL CONTROL
- SCOTT LEHMAN OPERATIONAL/MANAGERIAL CONTROL
- SCOTT LEHMAN MANAGING CONTROL - GOVERNING BODY
- LARRY MACKLIN OPERATIONAL/MANAGERIAL CONTROL
- LARRY MACKLIN MANAGING CONTROL - GOVERNING BODY
- DAVID MCINTIRE OPERATIONAL/MANAGERIAL CONTROL
- DAVID MCINTIRE MANAGING CONTROL - GOVERNING BODY
- PILGRIM MANOR OPERATIONS OPERATIONAL/MANAGERIAL CONTROL
- PILGRIM MANOR OPERATIONS ADP OF THE SNF
- MARC SCHIOWITZ INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
- GABRIEL SEBBAG INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
- SCOTT SMITH OPERATIONAL/MANAGERIAL CONTROL
- KYLE SPRUNGER OPERATIONAL/MANAGERIAL CONTROL
- SUMMATION FINANCIAL SERVICES LLC ADP OF THE SNF
- DANE WHEELER OPERATIONAL/MANAGERIAL CONTROL
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Cardinal Nursing and Rehabilitation Center | N/A | 5 |
| Elkhart Meadows | N/A | 5 |
| Hubbard Hill Estates Inc | N/A | 5 |
| Paddock Springs | N/A | 5 |
| Miller's Merry Manor | N/A | 4 |
| Holy Cross Village at Notre Dame Inc | N/A | 5 |
| East Lake Nursing and Rehabilitation Center | N/A | 5 |
| The Milton Home | N/A | 5 |
| Brickyard Healthcare - Knox Care Center | N/A | 5 |
| Miller's Merry Manor | N/A | 5 |
Related Analysis
Best Nursing Homes in PLYMOUTH, IN
Compare Pilgrim Manor to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Pilgrim Manor directly at 5749369943. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.