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Nursing Home in Indiana

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Pilgrim Manor

Nursing Home in Indiana

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Pilgrim Manor

PLYMOUTH, IN 46563 View map
Overview of Pilgrim Manor
Pilgrim Manor is a senior living facility located in Plymouth, Indiana. It offers short-term rehabilitation and long-term care services in a homelike environment. The facility has been serving the community for over 50 years, providing personalized care plans and a variety of social activities for residents.
(574) 936-9943

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
1/5
Indiana average: 3.0/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
1/5
Indiana average: 2.7/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
2/5
Indiana average: 2.6/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
4/5
Indiana average: 4.0/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 25m per day

This home provides 3% less nursing time per resident than the Indiana average.

Indiana average: 3h 32m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 78

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the Indiana average
Occupancy rate 85.9%
Residents per day (avg) 65
Occupancy rate
85.9%
Residents per day (avg)
65

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

54% of new residents, usually for short-term rehab.

Typical stay 28 days

Private pay

35% of new residents, often for short stays.

Typical stay 10 - 11 months

Medicaid

12% of new residents, often for long-term daily care.

Typical stay 6 - 7 years

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$3.2M
Operating loss
-$417.4K
Privately-owned community Operated by a business corporation.
Home revenue
$3,233,829.00
Operating loss
$-417,430.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.2M
67.5% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.5M
Total costs $3.6M
Bed community size
78-bed community
A larger shared setting that may offer more common spaces and organized community services.

About this community

Occupancy

Occupancy rate
86%
25% higher than Indiana average

Indiana average: 69%

Occupied beds
67 / 78
Average residents 70 per day

License details

Facility type
Nursing Home (skilled Nursing Facility)
Status Active
Issuance July 1, 2025

Additional licensing details

License number: 25-000030-1
CMS Certification Number: 155073

Ownership & operating entity

Pilgrim Manor is administrated by JAMES COMBS.

Profit status: OTHER

Staffing

Key information about the people who lead and staff this community.

Leadership

Director of Nursing: CONNIE BENNETT
Contact: Lori Smith

Care Services

Nursing Services
Rehabilitation Services
Licensed Nurses/CNAs
Short-Term Rehab

All Levels of Care

Short Term Rehab
Long Term Care

Contact Information

Fax: (574) 936-4310

Programs & Activities

Specific Programs
Short Term Rehab, Long Term Care, Accommodations, Testimonials, Careers, Contact, Payments
Contact Pilgrim Manor

Inspection History

In Indiana, the Department of Health, Division of Long Term Care is the primary regulatory body that performs onsite inspections and quality of care reviews for all licensed facilities.

Inspection Overview

2 total visits

2 Visits with Citations Indiana avg: 3 33% below Indiana avg
33 Citations Total Indiana avg: 26 27% above Indiana avg

5 complaints

Formal expressions of dissatisfaction or concern made by residents, or their families regarding various aspects of the care, services, and environment provided.

Indiana average: 4 complaints

Latest inspection

Date May 16, 2025
Complaint Investigation

33 total citations

Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.

Indiana average: 26 citations

39 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Inspection Report Summary for Pilgrim Manor

The most recent inspection on May 16, 2025, found no deficiencies related to the complaint investigated. Earlier inspections showed a pattern of deficiencies primarily involving medication management, medication storage, and Life Safety Code compliance, including issues with sprinkler maintenance and fire safety procedures. Complaint investigations substantiated some concerns about resident care, such as improper use of restraints and failure to monitor hot liquid temperatures, as well as medication documentation and storage. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history shows some improvement in recent visits, with the latest inspection free of cited deficiencies.

Health Inspection History

Inspections
Total health inspections 4

Indiana average 6


Last Health inspection on Nov 2024

Total health citations 26

Indiana average 25

Citations per inspection
6.5

Indiana average 4.12


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

15 of 26 citations resulted from standard inspections; 5 of 26 resulted from complaint investigations; and 6 of 26 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Indiana average

Indiana average: 0.2


Serious Health citations More info 1
67% worse than Indiana average

Indiana average: 0.6

0 critical citations More info Indiana average: 0.2

1 serious citation More info Indiana average: 0.6

25 moderate citations More info Indiana average: 23.8

0 minor citations More info Indiana average: 0.4
Citations history (last 3 years)
Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Nov 27, 2024
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Nov 27, 2024
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Nov 27, 2024
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Nov 27, 2024
Corrected

Compare Nursing Homes around Indiana The information below is reported by the Indiana Department of Health, Division of Long Term Care.

5 facilities compared · CMS & IN Dept. of Health data · Updated Apr 2026

Filter by care type
Adams Woodcrest
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

DECATUR
143
71.4%
+3%
3.69
-10%
+7%
0
2
2.0
0
108
-
-
$12.2M
$5.6M
46.1%
155747
Adams Heritage
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MONROEVILLE
61
71.6%
+3%
4.12
+29%
+20%
0
2
1.0
0
39
A+
-
$5.1M
$2.5M
49.1%
155729
Addison Pointe Health & Rehabilitation Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

CHESTERTON
100
92.5%
+33%
3.16
-5%
-8%
1
27
4.5
1
93
-
Dobben, Steven
$15.2M
$5.3M
34.8%
155805
Albany Health Care & Rehabilitation Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

ALBANY
102
75.6%
+9%
3.51
+4%
+2%
0
19
3.2
1
77
-
Troxwell, Melanie
$12.3M
$4.3M
35%
155432
Pilgrim Manor
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

PLYMOUTH
78
76.1%
+10%
3.42
-3%
0%
0
26
6.5
1
65
-
-
$3.2M
$2.2M
68.2%
155073

Places of interest near Pilgrim Manor

Address 0.0 miles from city center

Address PLYMOUTH, IN 46563

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 98
Employees 95
Contractors 3
Staff to resident ratio 1.31:1
1306567% better than Indiana average

Indiana average ratio: 0.00:1

Avg staff/day 37
Average shift 7.3 hours
5% worse than Indiana average

Indiana average: 7.7 hours

Total staff hours (quarter) 24,442
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 14
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 35
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.4 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

0.3%

86 contractor hours this quarter

Registered Nurse: 1 Medical Director: 1 Occupational Therapy Aide: 1
Staff by category
Certified Nursing Assistant350358,77791100%7.4
Medication Aide/Technician110113,19991100%7
Registered Nurse8192,61191100%8.1
Licensed Practical Nurse140142,33091100%7.7
Other Dietary Services Staff2029908998%7.8
RN Director of Nursing2029826470%7.9
Clinical Nurse Specialist3039766470%8
Physical Therapy Assistant4046856673%6.2
Therapeutic Recreation Specialist4046427481%6
Nurse Practitioner1015126470%8
Administrator1014966268%8
Mental Health Service Worker1014806066%8
Respiratory Therapist2024716976%6.8
Dietitian1014485662%8
Respiratory Therapy Technician3033356369%5.2
Nurse Aide in Training2023193943%7.6
Qualified Social Worker1011254549%2.8
Occupational Therapy Aide011491011%4.9
Medical Director01115910%1.7
35 Certified Nursing Assistant
% of Days 100%
11 Medication Aide/Technician
% of Days 100%
9 Registered Nurse
% of Days 100%
14 Licensed Practical Nurse
% of Days 100%
2 Other Dietary Services Staff
% of Days 98%
2 RN Director of Nursing
% of Days 70%
3 Clinical Nurse Specialist
% of Days 70%
4 Physical Therapy Assistant
% of Days 73%
4 Therapeutic Recreation Specialist
% of Days 81%
1 Nurse Practitioner
% of Days 70%
1 Administrator
% of Days 68%
1 Mental Health Service Worker
% of Days 66%
2 Respiratory Therapist
% of Days 76%
1 Dietitian
% of Days 62%
3 Respiratory Therapy Technician
% of Days 69%
2 Nurse Aide in Training
% of Days 43%
1 Qualified Social Worker
% of Days 49%
1 Occupational Therapy Aide
% of Days 11%
1 Medical Director
% of Days 10%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
75 residents
Residents by payment source
Medicare
6 residents (8%)
Medicaid
49 residents (65.3%)
Private pay or other
20 residents (26.7%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 14.5
81% worse than Indiana average

Indiana average: 8.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 28.9
70% worse than Indiana average

Indiana average: 17.1

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 28.4%
135% worse than Indiana average

Indiana average: 12.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 27.5%
92% worse than Indiana average

Indiana average: 14.4%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 30.9%
26% worse than Indiana average

Indiana average: 24.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.7%
5% better than Indiana average

Indiana average: 3.9%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.1%
6% better than Indiana average

Indiana average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.7%
201% worse than Indiana average

Indiana average: 1.2%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 8.9%
57% worse than Indiana average

Indiana average: 5.7%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 6.6%
73% better than Indiana average

Indiana average: 24.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 4.7%
63% better than Indiana average

Indiana average: 12.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 93.1%
In line with Indiana average

Indiana average: 93.7%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.1%
In line with Indiana average

Indiana average: 95.4%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 68.2%
17% worse than Indiana average

Indiana average: 81.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.8%
42% better than Indiana average

Indiana average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 79.2%
In line with Indiana average

Indiana average: 79.0%

Guides for Better Senior Living

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Financial Aid for Indiana Seniors

Get financial aid guidance

Aged and Disabled Waiver

Indiana Medicaid A&D Waiver

Age 65+ or disabled, Indiana resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Requires level-of-care determination.

CHOICE Program

Indiana CHOICE

Age 60+, Indiana resident, at risk of nursing home.

~$2,000/month (varies).

$10,000 (individual).

Limited funding; regional variation.

Residential Care Assistance Program (RCAP)

Indiana Residential Care Assistance Program

Age 65+, or blind, or disabled, Indiana resident, in approved facility, low-income or SSI recipient.

~$1,004/month (including SSI).

$2,000 (individual), $3,000 (couple).

~50 facilities statewide; per diem rate set by FSSA.

Medicare Savings Program (MSP)

Indiana Medicare Savings Program

Age 65+ or disabled, Indiana resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist.

National Family Caregiver Support Program (NFCSP) Respite

Indiana NFCSP Respite Care

Caregivers of 60+ needing care or 55+ caregivers of others; Indiana resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

16 AAAs; prioritizes low-income, rural caregivers.

Senior Community Service Employment Program (SCSEP)

Indiana SCSEP

Age 55+, unemployed, low-income, Indiana resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents.

VA Aid and Attendance (A&A) and Housebound Benefits

Indiana VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Indiana resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand statewide.

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