Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

NORTHWEST MANOR HEALTH CARE CENTER

INDIANAPOLIS, IN · 126 certified beds · Last Life Safety survey May 13, 2026

CMS Certification Number 155041 · first certified January 1967

Ownership

Operated by ADAMS COUNTY MEMORIAL HOSPITAL · Government - County

No change of ownership on CMS record since January 1, 2016, when the records begin.

25
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
9
Inspection & testing records
Of the citations on file

Position within IN

25 citations — more than 78% of the 507 certified nursing homes in IN. Compared within IN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 11.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens April 2027 — about 7 months from now. This facility’s last Life Safety survey was May 2026. Facilities in IN are typically surveyed 11–14 months after the last one (median 13), measured over 883 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

Get an email about NORTHWEST MANOR HEALTH CARE CENTER

One email when it happens. No account; stop it any time with one click.

Which alerts

3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

5 of the 25 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 25 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in IN, and nationally. Surveyors differ markedly between states, so the IN figure is the meaningful one.

This facility25IN median15National median11
Citations on file over three years, compared
MeasureCitations
This facility25
Median facility in IN15
Median facility nationally11

Survey history

Citations at each Life Safety survey
172024-0462025-0622026-05
Citations at each Life Safety survey
Survey dateCitations
April 4, 202417
June 11, 20256
May 13, 20262

Most-cited tags

Most-cited tags at this facility
K-03632K-03452K-03612K-03532E-00391E-00221E-00251K-03741
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0363Install corridor and hallway doors that block smoke.22025-06-11
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22025-06-11
K-0361Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.22025-06-11
K-0353Inspect, test, and maintain automatic sprinkler systems.22026-05-13
E-0039Conduct testing and exercise requirements.12024-04-04
E-0022Establish policies and procedures for sheltering.12024-04-04
E-0025Create arrangements with other facilities to receive patients.12024-04-04
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.12025-06-11

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 12
  • Emergency Preparedness Deficiencies 5
  • Egress Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies12
Emergency Preparedness Deficiencies5
Egress Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies3
Miscellaneous Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

May 13, 2026 — 2 citations

Citations issued on May 13, 2026
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has plan of correction (June 10, 2026)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has plan of correction (June 12, 2026)

June 11, 2025 — 6 citations

Citations issued on June 11, 2025
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (August 12, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (August 13, 2025)
K-0361Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.Deficient, Provider has date of correction (August 14, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (August 18, 2025)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (August 15, 2025)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (August 31, 2025)

April 4, 2024 — 17 citations

Citations issued on April 4, 2024
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (July 6, 2024)
E-0022Establish policies and procedures for sheltering.Deficient, Provider has date of correction (July 6, 2024)
E-0024Establish policies and procedures for volunteers.Deficient, Provider has date of correction (July 6, 2024)
E-0025Create arrangements with other facilities to receive patients.Deficient, Provider has date of correction (July 6, 2024)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (July 6, 2024)
K-0200Meet other general requirements.Deficient, Provider has date of correction (July 6, 2024)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (July 6, 2024)
K-0232Have corridors or aisles that are unobstructed and are at least 8 feet in width.Deficient, Provider has date of correction (July 6, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (July 6, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (July 6, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (July 6, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (July 6, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Waiver has been granted (October 1, 2024)
K-0361Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.Deficient, Provider has date of correction (July 6, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (July 6, 2024)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (July 6, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (July 6, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.