CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 1552452026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Castleton Health Care Center

7630 E 86Th St · Indianapolis, IN 46256 · Marion County

CMS OVERALL RATING★☆☆☆☆1/5CMS field—not our score or recommendation
Certified beds109CMS provider file
Recent citation rows82current CMS citation release
Penalty rows1current 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.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-09-23352025-09-235
Cycle 22024-09-13102024-09-1314
Cycle 32023-09-29142023-09-294
02 / CITATION DETAIL

82 rows in the current release

2 rows carry G–L scope/severity codes; 0 carry J–L. 16 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-04-27 · HEALTHF0755Severity E · pattern; potential for more than minimal harm

Pharmacy Service Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-04-29 · complaint
2026-03-06 · HEALTHF0602Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-03-17 · complaint
2026-03-06 · HEALTHF0609Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-03-17 · complaint
2026-03-06 · HEALTHF0656Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-03-17 · complaint
2026-03-06 · HEALTHF0755Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-03-17 · complaint
2025-11-07 · HEALTHF0550Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-11-09 · complaint
2025-11-07 · HEALTHF0677Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-11-09 · complaint
2025-09-23 · FIREE0039Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

Correction field: Deficient, Provider has date of correction · 2025-12-29
2025-09-23 · HEALTHF0550Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-11-09 · complaint
2025-09-23 · HEALTHF0554Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-10-21
2025-09-23 · HEALTHF0558Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

Correction field: Deficient, Provider has date of correction · 2025-10-21 · complaint
2025-09-23 · HEALTHF0561Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-10-21
2025-09-23 · HEALTHF0567Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-10-21
2025-09-23 · HEALTHF0584Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2025-10-21
2025-09-23 · HEALTHF0637Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

Correction field: Deficient, Provider has date of correction · 2025-10-21
2025-09-23 · HEALTHF0657Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-10-21
2025-09-23 · HEALTHF0677Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-11-09 · complaint
2025-09-23 · HEALTHF0684Severity E · pattern; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-10-21
2025-09-23 · HEALTHF0686Severity G · isolated actual harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-10-21
2025-09-23 · 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 · 2025-11-09
2025-09-23 · 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 · 2025-10-21
2025-09-23 · HEALTHF0697Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-10-21 · complaint
2025-09-23 · HEALTHF0698Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-11-09
2025-09-23 · HEALTHF0745Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-10-21
03 / 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.

DateTypeFine amountPayment-denial days
2025-09-23Payment Denial$018
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • 7630 E 86TH STREET IN LLCOrganization · 5% OR GREATER MORTGAGE INTEREST
    NOT APPLICABLE · since 03/01/2024
  • FRONTIER REALTY INVESTORS LLCOrganization · 5% OR GREATER MORTGAGE INTEREST
    NOT APPLICABLE · since 03/01/2024
  • GIBRALTAR TRUSTOrganization · 5% OR GREATER MORTGAGE INTEREST
    NOT APPLICABLE · since 03/01/2024
  • SCOOPER REALTY, LLCOrganization · 5% OR GREATER MORTGAGE INTEREST
    NOT APPLICABLE · since 03/01/2024
  • WINDSOR SQUARE REALTY, LLCOrganization · 5% OR GREATER MORTGAGE INTEREST
    NOT APPLICABLE · since 03/01/2024
  • ENGELS, ERINIndividual · 5% OR GREATER MORTGAGE INTEREST
    NOT APPLICABLE · since 10/22/2012
  • OREGON REALTY, LLCOrganization · 5% OR GREATER SECURITY INTEREST
    NOT APPLICABLE · since 03/01/2024
  • ENGELS, ERINIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 10/12/2012
  • FENOUGHTY, DEANNAIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 07/10/2023
  • GENTRY, MARKIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 01/12/2022
  • STARKEY, TYLERIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 08/01/2020
  • WAITE, JOHNIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 08/01/2020
  • WHICKER, TIMOTHYIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 01/12/2022
  • ENGELS, ERINIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 11/01/2013
  • GENTRY, MARKIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/12/2022
  • STARKEY, TYLERIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 08/01/2020
  • WAITE, JOHNIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 08/01/2020
  • WHICKER, TIMOTHYIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/12/2022

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 hours3.28per resident day
RN hours0.30per resident day
Weekend nurse hours2.94per resident day
Staff turnover67.8%CMS reported field
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.