Pilgrim Manor
Nursing Home · Plymouth, IN
CMS certification number155073
Contact & location
222 Parkview STPlymouth, IN 46563
Marshall County
- Phone
- (574) 936-9943
- ZIP code
- 46563 – all care providers
Facility details
- Certified beds
- 78
- Residents per day
- 64.7 (83% occupied)
- Ownership
- Government - County
- Legal name
- Adams County Memorial Hospital
- Medicare certified since
- May 22, 1968
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.43 (state 3.68 · U.S. 3.86)
- Registered nurses (RN)
- 0.62 (state 0.67 · U.S. 0.69)
- Licensed practical nurses
- 0.52 (state 0.78 · U.S. 0.86)
- Nurse aides
- 2.29 (state 2.23 · U.S. 2.32)
- Weekend total
- 3.08 (state 3.24 · U.S. 3.42)
- Nursing staff turnover
- 39.1 (state 45.9 · U.S. 45.8)%
- RN turnover
- 42.9 (state 40.3 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- February 13, 2026
- Health deficiencies (last cycle)
- 14.0 (state 7.2 · U.S. 9.3)
- From complaints
- 3
- Citations on record (3 years)
- 33 health · 16 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-06-01 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-10 |
| 2026-06-01 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-10 |
| 2026-04-16 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Past Non-Compliance |
| 2026-02-13 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. F0691 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2026-03-19 |
| 2026-02-13 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-03-13 |
| 2026-02-13 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-03-19 |
| 2026-02-13 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-19 |
| 2026-02-13 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-13 |
| 2026-02-13 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-13 |
| 2026-02-13 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-19 |
| 2026-02-13 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-13 |
| 2026-02-13 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. F0688 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-13 |
| 2026-02-13 | Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-13 |
| 2026-02-13 | Keep all essential equipment working safely. F0908 · Environmental Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-13 |
| 2024-11-27 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-12-27 |
| 2024-11-27 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-27 |
| 2024-11-27 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-27 |
| 2024-11-27 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-27 |
| 2024-11-27 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-27 |
| 2024-11-27 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-27 |
| 2024-11-27 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-27 |
| 2024-11-27 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-27 |
| 2024-11-27 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-04 |
| 2024-11-27 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-04 |
| 2024-11-27 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-27 |
| 2024-08-28 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-21 |
| 2024-08-28 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-21 |
| 2024-08-28 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-21 |
| 2024-08-28 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-21 |
| 2024-08-28 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-21 |
| 2023-12-22 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-01-15 |
| 2023-12-22 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-15 |
| 2023-12-22 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-15 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $45,580 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-02-13 | Fine | $45,580 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| NBH Bank (organization) | 5%+ Mortgage Interest · NOT APPLICABLE | |
| 222 Parkview Propco LLC (organization) | Administrator · NOT APPLICABLE | |
| Advanced Care Consultants LLC (organization) | Administrator · NOT APPLICABLE | |
| Blue Management Services LLC (organization) | Administrator · NOT APPLICABLE | |
| Clinical Consulting Services LLC (organization) | Administrator · NOT APPLICABLE | |
| Combs, James (individual) | Administrator · NOT APPLICABLE | |
| First Bank of Berne (organization) | Administrator · NOT APPLICABLE | |
| Holm, Byron (individual) | Administrator · NOT APPLICABLE | |
| Pilgrim Manor Operations (organization) | Administrator · NOT APPLICABLE | |
| Summation Financial Services LLC (organization) | Administrator · NOT APPLICABLE | |
| Greatorex, Tina (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Schiowitz, Marc (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Sebbag, Gabriel (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Borne-Bauman, Candice (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Flueckiger, Russell (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Lehman, Scott (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Macklin, Larry (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| McIntire, David (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Adams County Memorial Hospital (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Borne-Bauman, Candice (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Combs, James (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Flueckiger, Russell (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Holm, Byron (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Lehman, Scott (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Macklin, Larry (individual) | Operational/managerial Control · NOT APPLICABLE | |
| McIntire, David (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Pilgrim Manor Operations (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Smith, Scott (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Sprunger, Kyle (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Wheeler, Dane (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Pilgrim Manor?
Pilgrim Manor has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Indiana.
How many beds does Pilgrim Manor have?
It has 78 certified beds and cares for about 65 residents per day.
Has Pilgrim Manor been fined?
Yes. CMS lists 1 penalty totaling $45,580 in the last three years.
What is the phone number of Pilgrim Manor?
(574) 936-9943. The facility is located at 222 Parkview ST, Plymouth, IN 46563.
Other nursing homes in Plymouth
-
Miller's Merry Manor
Nursing Home · Plymouth, IN · 131 beds
★★★★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.