CMS data shows Northern Lakes Nursing And Rehabilitation Center earning a D grade with a score of 40/100, placing it below most facilities in Indiana. Prospective residents and families should carefully review the specific areas of concern detailed below.
Recent CMS inspections identified 13 deficiencies at Northern Lakes Nursing And Rehabilitation Center, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: provide and implement an infection prevention and control program..
Score Breakdown
🏥 Staffing Details
Staffing hours data not available for this facility.
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Dec 3, 2025 · Infection Control Deficiencies
- Tag 0550 Severity DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Dec 3, 2025 · Resident Rights Deficiencies
- Tag 0698 Severity DProvide safe, appropriate dialysis care/services for a resident who requires such services.Dec 3, 2025 · Quality of Life and Care Deficiencies
- Tag 0921 Severity DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Dec 3, 2025 · Environmental Deficiencies
- Tag 0580 Severity JImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Sep 16, 2025 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 2.3% | 4.5% | Better |
| Falls with major injury | 3.2% | 3.0% | Average |
| On antipsychotic medication | 16.4% | 14.5% | Worse |
| Urinary tract infections | 3.5% | 2.5% | Worse |
| ADL decline (daily activities) | 21.8% | 14.0% | Worse |
| Excessive weight loss | 5.4% | 7.5% | Better |
| New/worsened incontinence | 21.7% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of D is based on a score of 40 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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