Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
CLOVERLEAF OF KNIGHTSVILLE
KNIGHTSVILLE, IN · 102 certified beds · Last Life Safety survey February 13, 2026
CMS Certification Number 155542 · first certified October 1994
Ownership
Operated by IDE MANAGEMENT GROUP · For profit - Individual
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within IN
16 citations — more than 52% 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
The latest survey found 3 citations; the earlier surveys in the window averaged 6.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens January 2027 — about 4 months from now. This facility’s last Life Safety survey was February 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
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Emergency preparedness
1 of the 16 citations on file is 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)
2 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 16 Life Safety citations above. The Physical Environment Index
- F-0880 Provide and implement an infection prevention and control program.
How that compares
Compared with the median facility in IN, and nationally. Surveyors differ markedly between states, so the IN figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 16 |
| Median facility in IN | 15 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| November 3, 2023 | 11 |
| December 18, 2024 | 2 |
| February 13, 2026 | 3 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0920 | Ensure proper usage of power strips and extension cords. | 2 | 2026-02-13 |
| K-0331 | Construct fire resistant interior walls. | 1 | 2023-11-03 |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | 1 | 2026-02-13 |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | 1 | 2026-02-13 |
| K-0281 | Install proper backup exit lighting. | 1 | 2023-11-03 |
| E-0037 | Establish staff and initial training requirements. | 1 | 2023-11-03 |
| K-0363 | Install corridor and hallway doors that block smoke. | 1 | 2023-11-03 |
| K-0271 | Have exits that are accessible at all times. | 1 | 2023-11-03 |
What the citations cover
- Smoke Deficiencies 5
- Egress Deficiencies 4
- Services Deficiencies 3
- Gas, Vacuum, and Electrical Systems Deficiencies 2
- Other 2
| Category | Citations |
|---|---|
| Smoke Deficiencies | 5 |
| Egress Deficiencies | 4 |
| Services Deficiencies | 3 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 2 |
| Miscellaneous Deficiencies | 1 |
| Emergency Preparedness Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
February 13, 2026 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | Deficient, Provider has date of correction (March 13, 2026) |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (March 13, 2026) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (March 13, 2026) |
December 18, 2024 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0300 | Meet other general requirements that are deficient. | Deficient, Provider has date of correction (February 27, 2025) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (February 27, 2025) |
November 3, 2023 — 11 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (December 14, 2023) |
| K-0271 | Have exits that are accessible at all times. | Deficient, Provider has date of correction (December 27, 2023) |
| K-0281 | Install proper backup exit lighting. | Deficient, Provider has date of correction (December 14, 2023) |
| K-0331 | Construct fire resistant interior walls. | Deficient, Provider has date of correction (December 14, 2023) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (December 14, 2023) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (December 14, 2023) |
| K-0511 | Have properly installed electrical wiring and gas equipment. | Deficient, Provider has date of correction (December 14, 2023) |
| K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Deficient, Provider has date of correction (December 14, 2023) |
| K-0522 | Have an externally vented heating system. | Deficient, Provider has date of correction (December 27, 2023) |
| K-0781 | Have restrictions on the use of portable space heaters. | Deficient, Provider has date of correction (December 14, 2023) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (December 14, 2023) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.