RETREAT AT THE STRATFORD, THE
Open-data reference.
RETREAT AT THE STRATFORD, THE is a for profit - limited liability company facility in CARMEL, IN with 18 certified beds and a 3-star overall CMS rating. The facility has 16 deficiency records on file.
2460 GLEBE ST, CARMEL, IN 46032
Phone: 3177339560
Overall Rating
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 155794
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare
- Beds
- 18
- Residents
- 10
- In Hospital
- No
- County
- Hamilton
- Last Inspection
- Mar 7, 2025
Staffing Data
- RN Hours
- 1.87 (nat'l avg: 0.68)
- LPN Hours
- 1.52
- CNA Hours
- 3.87
- Total Nursing Hours
- 7.25 (nat'l avg: 3.89)
- PT Hours
- 0.23
- Nursing Turnover
- 64.3%
- RN Turnover
- 80.0%
What the CMS Record Reveals About RETREAT AT THE STRATFORD, THE
RETREAT AT THE STRATFORD, THE operates 18 certified beds in CARMEL, IN with approximately 10 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (4★), and quality measures (2★). 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.
The inspection file contains 16 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 7.25 total nursing hours per resident day (national average 3.89), with RN coverage at 1.87 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare" provider, RETREAT AT THE STRATFORD, THE falls into a category where comparative context matters. 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. Reported nursing turnover at this facility is 64.3%, above the level where continuity of care typically begins to suffer. 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 details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (16 most recent)
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: May 25, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Category: Resident Rights Deficiencies
Corrected: Jun 16, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Category: Nutrition and Dietary Deficiencies
Corrected: Apr 2, 2025
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: Apr 2, 2025
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 2, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 2, 2025
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: Apr 2, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Category: Resident Rights Deficiencies
Corrected: Apr 2, 2025
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: May 15, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 21, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: May 15, 2024
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: Apr 28, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 28, 2023
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: Apr 28, 2023
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Category: Resident Rights Deficiencies
Corrected: Apr 28, 2023
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Category: Resident Rights Deficiencies
Corrected: Apr 28, 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 | N/A | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | N/A | No |
| 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 | 0.0% | Yes |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 0.0% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 72.7% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 49.8% | No |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.9% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | N/A | Yes |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | N/A | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | N/A | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 82.4% | No |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.7% | Yes |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 24.7% | No |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | N/A | Yes |
Penalty History
| Date | Type | Amount |
|---|---|---|
| Mar 27, 2025 | Payment Denial | - |
Nearby Nursing Homes in IN
ADAMS HERITAGE
MONROEVILLE, IN
ADAMS WOODCREST
DECATUR, IN
ADDISON POINTE HEALTH & REHABILITATION CENTER
CHESTERTON, IN
ALBANY HEALTH CARE & REHABILITATION CENTER
ALBANY, IN
ALEXANDRIA CARE CENTER
ALEXANDRIA, IN
ALLISON POINTE HEALTHCARE CENTER
INDIANAPOLIS, IN
Understanding Nursing Home Data
Related Data from Other Sources
Doctors Nearby
Find physicians and specialists in CARMEL, IN on PlainDoctor
Hospitals Nearby
Hospital quality ratings and safety data for CARMEL, IN on PlainHospital
Medicare Plans
Compare Medicare plans and coverage options near CARMEL, IN on PlainMedicare
County Health Data
Health outcomes, access, and quality metrics for Hamilton on PlainHealth
Frequently Asked Questions
What is the overall CMS rating for RETREAT AT THE STRATFORD, THE?
What are the staffing levels at RETREAT AT THE STRATFORD, THE?
How many beds does RETREAT AT THE STRATFORD, THE have?
Does RETREAT AT THE STRATFORD, THE have any deficiencies on record?
Has RETREAT AT THE STRATFORD, THE received any fines or penalties?
Who owns RETREAT AT THE STRATFORD, THE?
When was RETREAT AT THE STRATFORD, THE last inspected?
What quality measures are tracked for RETREAT AT THE STRATFORD, THE?
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. Always verify information directly with the facility or your state health department.
Read our methodology — how this data is sourced, computed, and verified.