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

ADAMS HERITAGE

MONROEVILLE, IN · 61 certified beds · Last Life Safety survey June 1, 2026

CMS Certification Number 155729 · first certified April 2004

Ownership

Independently operated (no chain recorded by CMS) · Government - City/county

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

11
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within IN

11 citations — more than 34% 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

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

The latest survey found 6 citations; the earlier surveys in the window averaged 2.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens May 2027 — about 7 months from now. This facility’s last Life Safety survey was June 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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Which alerts

1 inspection-and-testing tag has 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

2 of the 11 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

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 facility11IN median15National median11
Citations on file over three years, compared
MeasureCitations
This facility11
Median facility in IN15
Median facility nationally11

Survey history

Citations at each Life Safety survey
12024-0742025-0562026-06
Citations at each Life Safety survey
Survey dateCitations
July 30, 20241
May 28, 20254
June 1, 20266

Most-cited tags

Most-cited tags at this facility
K-03532K-09202K-09211K-02221E-00061K-09181K-05111K-03241
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22026-06-01
K-0920Ensure proper usage of power strips and extension cords.22026-06-01
K-0921Ensure that testing and maintenance of electrical equipment is performed.12025-05-28
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.12025-05-28
E-0006Conduct risk assessment and an All-Hazards approach.12026-06-01
K-0918Have generator or other power source capable of supplying service within 10 seconds.12026-06-01
K-0511Have properly installed electrical wiring and gas equipment.12026-06-01
K-0324Provide properly protected cooking facilities.12025-05-28

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Smoke Deficiencies 3
  • Emergency Preparedness Deficiencies 2
  • Services Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies4
Smoke Deficiencies3
Emergency Preparedness Deficiencies2
Services Deficiencies1
Egress Deficiencies1

Every citation on file

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

June 1, 2026 — 6 citations

Citations issued on June 1, 2026
TagWhat the surveyor checksStatus
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (July 14, 2026)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (July 14, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 14, 2026)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (July 14, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (July 14, 2026)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (July 14, 2026)

May 28, 2025 — 4 citations

Citations issued on May 28, 2025
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (July 18, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (July 18, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (July 18, 2025)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (July 18, 2025)

July 30, 2024 — 1 citation

Citations issued on July 30, 2024
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (September 4, 2024)

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