01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-12-22 | 4 | 2025-12-22 | 2 |
| Cycle 2 | 2024-09-11 | 4 | 2024-09-11 | 9 |
| Cycle 3 | 2023-07-31 | 3 | 2023-07-31 | 6 |
CMS CCN 1553572026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Rawlins House Health & Living Community
300 J H Walker Dr · Pendleton, IN 46064 · Madison County
Certified beds110CMS provider file
Recent citation rows28current 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
28 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-12-22 · HEALTHF0605Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2026-01-132025-12-22 · HEALTHF0628Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2026-01-132025-12-22 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2026-01-132025-12-22 · HEALTHF0887Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Correction field: Deficient, Provider has date of correction · 2026-01-132025-12-22 · 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 · 2026-01-272025-12-22 · FIREK0511Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2026-01-272024-09-11 · FIREE0041Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Correction field: Deficient, Provider has date of correction · 2024-10-012024-09-11 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-09-302024-09-11 · HEALTHF0803Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Correction field: Deficient, Provider has date of correction · 2024-09-302024-09-11 · HEALTHF0806Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Correction field: Deficient, Provider has date of correction · 2024-09-302024-09-11 · 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 · 2024-09-302024-09-11 · FIREK0222Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2024-10-012024-09-11 · FIREK0324Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-10-012024-09-11 · FIREK0341Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Correction field: Deficient, Provider has date of correction · 2024-10-012024-09-11 · FIREK0363Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2024-10-012024-09-11 · FIREK0521Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2024-10-012024-09-11 · 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 · 2024-10-012024-09-11 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2024-10-012024-09-11 · FIREK0920Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2024-10-012023-07-31 · 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 · 2023-08-162023-07-31 · 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 · 2023-08-162023-07-31 · HEALTHF0686Severity D · isolated; potential for more than minimal 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 · 2023-08-162023-07-31 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2023-09-182023-07-31 · 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 · 2023-09-1803 / 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
- RIVERVIEW HOSPITALOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 06/01/2011
- LUMENT REAL ESTATE CAPITAL LLCOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 11/18/2010
- BALLA, MATTHEWIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/23/2022
- CATTELL, ZACHARYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/25/2022
- FAUTH, KENDRAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 12/26/2021
- GORMAL, GREGGIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/01/2016
- HAUG, AMYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/04/2022
- LOPOSSA, LYNNIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 12/17/2023
- MCCLARNON, DANIELLEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/01/2024
- MCCLELLAND, THOMASIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 12/26/2021
- MCCOSKEY, CATHERINEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 09/24/2018
- SPENCER, LEAANNIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/18/2018
- FRIEND, JAYNAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/01/2021
- HYATT, DAVIDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/27/2023
- CARDON AND ASSOCIATES INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/23/2013
- CARDON MANAGEMENT COMPANY LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/01/2011
- MOORE OPERATING GROUP INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/18/2020
- BALLA, MATTHEWIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/23/2022
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 hours3.26per resident day
RN hours0.84per resident day
Weekend nurse hours2.97per resident day
Staff turnover44.8%CMS reported field
06 / LOCAL RECORDS
Open the Indiana ledger →Other published facilities nearby
No second facility in the same city met the directory rule.