PILGRIM MANOR, PLYMOUTH

CCN 155073 · ADAMS COUNTY MEMORIAL HOSPITAL · Government - County · 78 certified beds · Marshall · IN


PILGRIM MANOR, PLYMOUTH is a 78-bed nursing home in PLYMOUTH, Indiana. CMS has certified it for Medicare and Medicaid since 1968-05-22. It averages 64.7 residents a day.

What harm was found in the violations cited at PILGRIM MANOR, PLYMOUTH?

CMS lists 33 health-inspection deficiencies for PILGRIM MANOR, PLYMOUTH, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-06-01.

Survey dateTagDeficiencySeverity
2026-06-01F0605, F0690Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2026-04-16F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2026-02-13F0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.G
2026-02-13F0812, F0880Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.F
2026-02-13F0552, F0755Ensure that residents are fully informed and understand their health status, care and treatments. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2026-02-13F0550, F0580, F0604, F0688, F0881, F0908Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Implement a program that monitors antibiotic use. / Keep all essential equipment working safely.D
2024-11-27F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G
2024-11-27F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2024-11-27F0550, F0558, F0641, F0656, F0689, F0695, F0755, F0761, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Provide and implement an infection prevention and control program.D
2024-08-28F0604, F0607, F0609, F0610, F0689Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2023-12-22F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2023-12-22F0656, F0686Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate pressure ulcer care and prevent new ulcers from developing.D

Why was PILGRIM MANOR, PLYMOUTH fined?

DateTypeAmount
2026-02-13Fine$45,580

How is PILGRIM MANOR, PLYMOUTH staffed relative to the IN average?

MeasureThis facilityIN average
Total nurse staffing hours per resident per day3.433453.67961
Total nursing staff turnover (%)39.145.9
Average number of residents per day64.772.5

Who owns PILGRIM MANOR, PLYMOUTH?

PILGRIM MANOR, PLYMOUTH is registered with CMS as Government - County, operates under the legal business name ADAMS COUNTY MEMORIAL HOSPITAL.

RoleOwnerAssociation date
5% OR GREATER MORTGAGE INTERESTNBH BANKsince 07/01/2024
MANAGING CONTROL - GOVERNING BODYBORNE-BAUMAN, CANDICE, FLUECKIGER, RUSSELL, LEHMAN, SCOTT, MACKLIN, LARRY, MCINTIRE, DAVIDsince 07/01/2024
OPERATIONAL/MANAGERIAL CONTROLADAMS COUNTY MEMORIAL HOSPITAL, PILGRIM MANOR OPERATIONS, BORNE-BAUMAN, CANDICE, COMBS, JAMES, FLUECKIGER, RUSSELL, HOLM, BYRON, LEHMAN, SCOTT, MACKLIN, LARRY, MCINTIRE, DAVID, SMITH, SCOTT, SPRUNGER, KYLE, WHEELER, DANEsince 01/01/2025
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFGREATOREX, TINA, SCHIOWITZ, MARC, SEBBAG, GABRIELsince 08/06/2025
ADP OF THE SNF222 PARKVIEW PROPCO LLC, ADVANCED CARE CONSULTANTS LLC, BLUE MANAGEMENT SERVICES LLC, CLINICAL CONSULTING SERVICES LLC, FIRST BANK OF BERNE, PILGRIM MANOR OPERATIONS, SUMMATION FINANCIAL SERVICES LLC, COMBS, JAMES, HOLM, BYRONsince 01/01/2025

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