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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeIndianaPilgrim Manor

Pilgrim Manor

222 Parkview St, Plymouth, IN 465635749369943
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
2/5
Quality
5/5
Beds
78
certified

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 78 certified beds with an average of 65.1 residents per day (83% occupancy)

• Last health inspection found 11 deficiencies (inspected Nov 27, 2024)

• No fines on record

• Total nursing staff: 3.25 hours per resident per day

• Staff turnover rate: 48.7%

Pilgrim Manor is a 2-star Medicare and Medicaid certified nursing home in Plymouth, Indiana with 78 certified beds. It has been operating since 1968. The facility scored below average compared to Indiana facilities.

Beds
78
Avg Residents/Day
65.1
Ownership
Government - County
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
May 22, 1968
Sprinklers
Yes
Council
Resident
County
Marshall
Last Inspection
Nov 27, 2024
Deficiencies (Cycle 1)
11
Weighted Score
86.0
Infection Citations
0

Deficiency Citations (26)

F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Nov 27, 2024Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Nov 27, 2024Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Nov 27, 2024Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Nov 27, 2024Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Nov 27, 2024Corrected: NoCycle: 1
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Nov 27, 2024Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Nov 27, 2024Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Nov 27, 2024Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 27, 2024Corrected: NoCycle: 1
F0684Actual Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Nov 27, 2024Corrected: NoCycle: 1
F0761Potential for Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey: Nov 27, 2024Corrected: NoCycle: 1
F0604Potential for Harm

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Survey: Aug 28, 2024Corrected: NoCycle: 2
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Aug 28, 2024Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Aug 28, 2024Corrected: NoCycle: 2
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Aug 28, 2024Corrected: NoCycle: 2
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Aug 28, 2024Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Dec 22, 2023Corrected: NoCycle: 2
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Dec 22, 2023Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Dec 22, 2023Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Feb 15, 2023Corrected: NoCycle: 3
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Feb 15, 2023Corrected: NoCycle: 3
F0758Potential for Harm

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Survey: Feb 15, 2023Corrected: NoCycle: 3
F0761Potential for Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey: Feb 15, 2023Corrected: NoCycle: 3
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Feb 15, 2023Corrected: NoCycle: 3
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Feb 15, 2023Corrected: NoCycle: 3
F0693Potential for Harm

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Survey: Feb 15, 2023Corrected: NoCycle: 3
Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.13 hrs
National avg: 2.35 hrs
LPN0.48 hrs
National avg: 0.86 hrs
RN0.65 hrs
National avg: 0.68 hrs
Total Nursing3.25 hrs
National avg: 3.89 hrs
Weekend Total2.89 hrs
National avg: 0.00 hrs
Physical Therapist0.06 hrs
National avg: 0.07 hrs
Total Turnover
48.7%
RN Turnover
50.0%
Administrators Left
2

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Government - County
Recent Change
No

Owners & Managers (14)

NameRoleTypeOwnership %Since
ADAMS COUNTY MEMORIAL HOSPITAL5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jul 1, 2024
ADAMS COUNTY MEMORIAL HOSPITALOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJan 1, 2025
PILGRIM MANOR OPERATIONSOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJan 1, 2025
BORNE-BAUMAN, CANDICEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 1, 2024
COMBS, JAMESOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 10, 2024
FLUECKIGER, RUSSELLOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 1, 2024
HOLM, BYRONOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 1, 2024
LEHMAN, SCOTTOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 1, 2024
MACKLIN, LARRYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 1, 2024
MCINTIRE, DAVIDOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 1, 2024
SMITH, SCOTTOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 1, 2024
SPRUNGER, KYLEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 1, 2024
WHEELER, DANEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 1, 2024
NBH BANK5% OR GREATER MORTGAGE INTERESTOrganizationN/AJul 1, 2024

Nearby Nursing Homes

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Miller's Merry Manor

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Health
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Frequently Asked Questions

What is the CMS rating for Pilgrim Manor?▾
Pilgrim Manor has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 2/5, and quality measures rating of 5/5. This facility is rated below average.
Has Pilgrim Manor had any health inspection violations?▾
Pilgrim Manor had 11 deficiency citations in its most recent health inspection (Nov 27, 2024). The facility has no fines on record.
What are the staffing levels at Pilgrim Manor?▾
Pilgrim Manor provides 3.25 total nursing staff hours per resident per day, including 0.65 RN hours, 0.48 LPN hours, and 2.13 nurse aide hours. The total staff turnover rate is 48.7%.
How many beds does Pilgrim Manor have?▾
Pilgrim Manor has 78 certified beds with an average of 65.1 residents per day, resulting in approximately 83% occupancy. The facility is Government - County owned.
Are there other nursing homes near Pilgrim Manor?▾
Yes, there are 1 other nursing home in Plymouth, Indiana with an average rating of 3/5. You can compare all facilities on the Plymouth nursing homes page.