PlainNursing
CMS Nursing Home Compare · August 2026

Castleton Health Care Center

7630 E 86th St, Indianapolis, IN 46256

Castleton Health Care Center, a 109-bed for profit - corporation nursing facility in Indianapolis, IN, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #481 of 504 rated homes in IN on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 3178450032

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1 / 5
Much below average · CMS overall · nat'l 3.0
#481 of 504
In-state rank among rated IN homes
3.28
Well below average · nurse hrs/day · nat'l 3.86
50
Inspection findings · 1 serious

The verdict

Castleton Health Care Center, a 109-bed for profit - corporation nursing facility in Indianapolis, IN, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #481 of 504 rated homes in IN on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#481 of 504
In-state rank among rated IN homes
3.28
Nurse hrs/resident-day · national 3.86
50
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 507 IN nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

1/5

Staffing

1/5

Quality Measures

3/5

Long-Stay Quality

4/5

Facility Information

Provider Number
155245
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
109
Residents
80
In Hospital
No
County
Marion
Last Inspection
Sep 23, 2025
Special Focus
SFF Candidate

Staffing Data

How the 3.28 total nursing hours per resident-day are staffed:

RN Hours
0.30 (nat'l avg: 0.69)
LPN Hours
1.04
CNA Hours
1.94
Total Nursing Hours
3.28 (nat'l avg: 3.86)
PT Hours
0.03
Nursing Turnover
67.8%
RN Turnover
81.8%

What the CMS Record Reveals About Castleton Health Care Center

According to CMS Nursing Home Compare, Castleton Health Care Center ranks #481 of 504 rated nursing homes in IN on overall stars (tie-broken by health+staffing+quality, then fewer fines). Castleton Health Care Center operates 109 certified beds in Indianapolis, IN with approximately 80 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 1★ · quality 3★).

The inspection file contains 50 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider's enforcement record shows no fines or payment denials to date. Staffing is reported at 3.28 total nursing hours per resident day (national average 3.86), with RN coverage at 0.30 per resident day. This facility is flagged as an SFF Candidate, a larger pool of providers eligible for the Special Focus Facility program but not currently selected (states have a limited number of active SFF slots); it remains under normal, not enhanced, oversight.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Castleton Health Care Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 67.8% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

E - Pattern - Minimal harm Apr 27, 2026 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Apr 29, 2026

D - Isolated - Minimal harm Mar 6, 2026 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Mar 17, 2026

D - Isolated - Minimal harm Mar 6, 2026 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 17, 2026

D - Isolated - Minimal harm Mar 6, 2026 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 17, 2026

D - Isolated - Minimal harm Mar 6, 2026 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 17, 2026

D - Isolated - Minimal harm Nov 7, 2025 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 9, 2025

E - Pattern - Minimal harm Nov 7, 2025 Tag: 0550

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

Category: Resident Rights Deficiencies

Corrected: Nov 9, 2025

D - Isolated - Minimal harm Sep 23, 2025 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Oct 21, 2025

D - Isolated - Minimal harm Sep 23, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 21, 2025

D - Isolated - Minimal harm Sep 23, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Oct 21, 2025

D - Isolated - Minimal harm Sep 23, 2025 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Oct 21, 2025

D - Isolated - Minimal harm Sep 23, 2025 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Oct 21, 2025

D - Isolated - Minimal harm Sep 23, 2025 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Oct 21, 2025

D - Isolated - Minimal harm Sep 23, 2025 Tag: 0745

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 21, 2025

D - Isolated - Minimal harm Sep 23, 2025 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 9, 2025

D - Isolated - Minimal harm Sep 23, 2025 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 21, 2025

D - Isolated - Minimal harm Sep 23, 2025 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 21, 2025

D - Isolated - Minimal harm Sep 23, 2025 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 9, 2025

D - Isolated - Minimal harm Sep 23, 2025 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 9, 2025

D - Isolated - Minimal harm Sep 23, 2025 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 21, 2025

D - Isolated - Minimal harm Sep 23, 2025 Tag: 0637

Assess the resident when there is a significant change in condition

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 21, 2025

D - Isolated - Minimal harm Sep 23, 2025 Tag: 0584

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category: Resident Rights Deficiencies

Corrected: Oct 21, 2025

D - Isolated - Minimal harm Sep 23, 2025 Tag: 0567

Honor the resident's right to manage his or her financial affairs.

Category: Resident Rights Deficiencies

Corrected: Oct 21, 2025

D - Isolated - Minimal harm Sep 23, 2025 Tag: 0561

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Category: Resident Rights Deficiencies

Corrected: Oct 21, 2025

D - Isolated - Minimal harm Sep 23, 2025 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Oct 21, 2025

D - Isolated - Minimal harm Sep 23, 2025 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Oct 21, 2025

E - Pattern - Minimal harm Sep 23, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 21, 2025

E - Pattern - Minimal harm Sep 23, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Oct 21, 2025

E - Pattern - Minimal harm Sep 23, 2025 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 21, 2025

E - Pattern - Minimal harm Sep 23, 2025 Tag: 0550

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

Category: Resident Rights Deficiencies

Corrected: Nov 9, 2025

G - Isolated - Actual harm Sep 23, 2025 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 21, 2025

D - Isolated - Minimal harm Aug 5, 2025 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Aug 7, 2025

D - Isolated - Minimal harm Aug 5, 2025 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 7, 2025

D - Isolated - Minimal harm Aug 5, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 7, 2025

E - Pattern - Minimal harm Aug 5, 2025 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Aug 7, 2025

D - Isolated - Minimal harm Jul 18, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 30, 2025

D - Isolated - Minimal harm Jul 18, 2025 Tag: 0770

Provide timely, quality laboratory services/tests to meet the needs of residents.

Category: Administration Deficiencies

Corrected: Jul 30, 2025

D - Isolated - Minimal harm Jul 18, 2025 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 30, 2025

D - Isolated - Minimal harm Jun 12, 2025 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Feb 21, 2025

D - Isolated - Minimal harm Sep 13, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 23, 2024

D - Isolated - Minimal harm Sep 13, 2024 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Sep 23, 2024

D - Isolated - Minimal harm Sep 13, 2024 Tag: 0740

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 23, 2024

D - Isolated - Minimal harm Sep 13, 2024 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 23, 2024

F - Widespread - Minimal harm Sep 13, 2024 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Sep 23, 2024

F - Widespread - Minimal harm Sep 13, 2024 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 23, 2024

D - Isolated - Minimal harm Feb 10, 2024 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Feb 22, 2024

C - Widespread - No harm Sep 29, 2023 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 24, 2023

C - Widespread - No harm Sep 29, 2023 Tag: 0607

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 24, 2023

D - Isolated - Minimal harm Sep 29, 2023 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Oct 24, 2023

D - Isolated - Minimal harm Sep 29, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 24, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 5.9% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.4% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 11.1% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 5.4% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 18.7% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 2.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.8% No
Percentage of long-stay residents who have depressive symptoms Long Stay 69.4% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 86.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 30.5% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 58.1% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 26.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 62.3% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 23.1% No

Penalty History

Date Type Amount
Sep 23, 2025 Payment Denial -

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Castleton Health Care Center, both outside IN so the neighborhoods are not the same-state geography list below.

What the CMS records show for Castleton Health Care Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The IN registry aggregates state averages and the highest-rated homes in this cohort. View IN registry
  • Peer homes near 109 beds show how CMS stars vary at a similar scale in IN. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Castleton Health Care Center?
Castleton Health Care Center has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (1★), and quality measures (3★).
Where does Castleton Health Care Center rank among nursing homes in IN?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Castleton Health Care Center ranks 481st among 504 rated nursing homes in IN (#481 of 504). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Castleton Health Care Center?
Castleton Health Care Center reports 3.28 total nursing hours per resident day (national average: 3.86). RN hours are 0.30 per resident day (national average: 0.69). Nursing staff turnover is 67.8%.
How many beds does Castleton Health Care Center have?
Castleton Health Care Center has 109 certified beds with approximately 80 residents. The facility is located at 7630 E 86th St, Indianapolis, IN 46256.
Does Castleton Health Care Center have any deficiencies on record?
Yes, Castleton Health Care Center has 50 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Castleton Health Care Center received any fines or penalties?
No, Castleton Health Care Center has no fines or penalties on record.
Who owns Castleton Health Care Center?
Castleton Health Care Center is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Castleton Health Care Center last inspected?
The most recent health inspection for Castleton Health Care Center was on Sep 23, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Castleton Health Care Center?
Castleton Health Care Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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