01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-08-11 | 2 | 2025-08-11 | 1 |
| Cycle 2 | 2024-07-12 | 5 | 2024-07-12 | 4 |
| Cycle 3 | 2022-12-15 | 0 | 2022-12-15 | 0 |
CMS CCN 1553612026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Amber Manor Care Center
801 E Illinois St · Petersburg, IN 47567 · Pike County
Certified beds64CMS provider file
Recent citation rows12current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
12 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-08-11 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2025-09-052025-08-11 · HEALTHF0881Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Correction field: Deficient, Provider has date of correction · 2025-09-052025-08-11 · FIREK0131Severity E · pattern; potential for more than minimal harm
Construction Deficiencies
Meet requirements for sections of health care facilities separated by fire resistive construction.
Correction field: Deficient, Provider has date of correction · 2025-09-052025-01-15 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2025-02-10 · complaint · infection control2025-01-15 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-02-10 · complaint · infection control2024-07-12 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2024-08-052024-07-12 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2024-08-052024-07-12 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-08-052024-07-12 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2024-08-122024-07-12 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-08-122024-07-12 · FIREK0374Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Deficient, Provider has date of correction · 2024-08-122024-07-12 · FIREK0712Severity C · widespread; potential for minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2024-08-1203 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- GOOD SAMARITAN HOSPITALOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 05/01/2015
- TRILOGY HEALTHCARE HOLDINGS INCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 12/01/2015
- TRILOGY REAL ESTATE PETERSBURGH, LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 12/01/2015
- LUMENT REAL ESTATE CAPITAL LLCOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 01/01/2023
- CORBIN, KATHYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/01/2015
- BARNEY, LEIGHIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/20/2021
- MCLIN, ROBERTIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/06/1992
- SCHUCKMAN, MATTHEWIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/15/2021
- THACKER, ADAMIndividual · CORPORATE OFFICERNOT APPLICABLE · since 09/01/2013
- GOOD SAMARITAN HOSPITALOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/01/2015
- TRILOGY HEALTHCARE OF PETERSBURG, LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/01/2014
- TRILOGY OPCO LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/01/2015
- KEEPES, GARYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/01/2014
- LENTS, CINDIIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/01/2014
- MCLIN, ROBERTIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/06/1992
- THACKER, ADAMIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/01/2013
- DAVIS, DAVIDIndividual · LIMITED PARTNERSHIP INTERESTNOT APPLICABLE · since 12/31/2019
- AMERICAN HEALTHCARE REIT HOLDINGS LPOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/01/2015
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.46per resident day
RN hours1.10per resident day
Weekend nurse hours3.00per resident day
Staff turnover30.0%CMS reported field
06 / LOCAL RECORDS
Open the Petersburg ledger →