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

CEDARS THE

LEO, IN · 65 certified beds · Last Life Safety survey September 2, 2025

CMS Certification Number 155796 · first certified March 2012

Ownership

Operated by ADAMS COUNTY MEMORIAL HOSPITAL · Non profit - Other

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

24
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
3
Inspection & testing records
Of the citations on file

Position within IN

24 citations — more than 75% 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 1 citation; 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 is open now: August 2026 to October 2026. This facility’s last Life Safety survey was September 2025. 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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Which alerts

Emergency preparedness

4 of the 24 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)

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 24 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.

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 facility24IN median15National median11
Citations on file over three years, compared
MeasureCitations
This facility24
Median facility in IN15
Median facility nationally11

Survey history

Citations at each Life Safety survey
122023-09112024-0912025-09
Citations at each Life Safety survey
Survey dateCitations
September 8, 202312
September 13, 202411
September 2, 20251

Most-cited tags

Most-cited tags at this facility
K-01312K-02112K-09202K-03411K-07611K-03241K-03211K-07111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0131Meet requirements for sections of health care facilities separated by fire resistive construction.22024-09-13
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.22024-09-13
K-0920Ensure proper usage of power strips and extension cords.22024-09-13
K-0341Install a fire alarm system that can be heard throughout the facility.12023-09-08
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12024-09-13
K-0324Provide properly protected cooking facilities.12024-09-13
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12023-09-08
K-0711Provide a written emergency evacuation plan.12024-09-13

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 7
  • Egress Deficiencies 5
  • Emergency Preparedness Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Other 5
Citations by CMS category
CategoryCitations
Smoke Deficiencies7
Egress Deficiencies5
Emergency Preparedness Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies3
Miscellaneous Deficiencies3
Construction Deficiencies2

Every citation on file

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

September 2, 2025 — 1 citation

Citations issued on September 2, 2025
TagWhat the surveyor checksStatus
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (November 7, 2025)

September 13, 2024 — 11 citations

Citations issued on September 13, 2024
TagWhat the surveyor checksStatus
K-0131Meet requirements for sections of health care facilities separated by fire resistive construction.Deficient, Provider has date of correction (November 10, 2024)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (November 10, 2024)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (November 10, 2024)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (November 10, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (November 10, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (November 10, 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 (November 10, 2024)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (November 10, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (November 10, 2024)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (November 10, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (November 10, 2024)

September 8, 2023 — 12 citations

Citations issued on September 8, 2023
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (November 20, 2023)
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (November 20, 2023)
E-0029Develop a communication plan.Deficient, Provider has date of correction (November 20, 2023)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (November 20, 2023)
K-0131Meet requirements for sections of health care facilities separated by fire resistive construction.Waiver has been granted (February 4, 2024)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (November 20, 2023)
K-0232Have corridors or aisles that are unobstructed and are at least 8 feet in width.Deficient, Provider has date of correction (November 20, 2023)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (November 20, 2023)
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 (November 20, 2023)
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.Deficient, Provider has date of correction (November 20, 2023)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (November 20, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (November 20, 2023)

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