AMBASSADOR HEALTHCARE

CCN 155490 · WITHAM MEMORIAL HOSPITAL · For profit - Partnership · 137 certified beds · Wayne · IN


AMBASSADOR HEALTHCARE is a 137-bed nursing home in CENTERVILLE, Indiana. CMS has certified it for Medicare and Medicaid since 1993-06-01. It averages 104.5 residents a day.

What harm was found in the violations cited at AMBASSADOR HEALTHCARE?

CMS lists 41 health-inspection deficiencies for AMBASSADOR HEALTHCARE, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-05-13.

Survey dateTagDeficiencySeverity
2026-05-13F0550, F0561, F0644, F0842Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-08-12F0553, F0584, F0585, F0689, F0842Allow resident to participate in the development and implementation of his or her person-centered plan of care. / 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. / Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-07-18F0609, F0627Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D
2025-04-30F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2025-04-30F0550, F0558, F0584, F0677, F0685, F0686, F0688Honor 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. / 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. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Assist a resident in gaining access to vision and hearing services. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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.D
2025-02-10F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D
2025-01-08F0689, F0842Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-12-09F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2024-09-05F0600, F0609, F0689, F0744Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.D
2024-04-19F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J
2024-04-19F0607, F0609Develop 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.D
2024-02-20F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2024-02-20F0638, F0641, F0657, F0677, F0679, F0684, F0686, F0688, F0689, F0695Assure that each resident’s assessment is updated at least once every 3 months. / Ensure each resident receives an accurate assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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. / 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.D

Why was AMBASSADOR HEALTHCARE fined?

DateTypeAmount
2024-04-19Fine$42,078

How is AMBASSADOR HEALTHCARE staffed?

MeasureThis facilityIN average
Total nurse staffing hours per resident per day4.290093.67961
Total nursing staff turnover (%)33.145.9
Average number of residents per day104.572.5

Who owns AMBASSADOR HEALTHCARE?

AMBASSADOR HEALTHCARE is registered with CMS as For profit - Partnership, operates under the legal business name WITHAM MEMORIAL HOSPITAL.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTWITHAM MEMORIAL HOSPITALsince 07/01/2011
CONTRACTED MANAGING EMPLOYEEMANTOOTH, MELISSAsince 07/01/2019
W-2 MANAGING EMPLOYEEBARDOCZI, STEPHENsince 09/02/2013
CORPORATE DIRECTORBAYSTON, BRETT, BRAND, JOHN, CASTETTER, ANDREA, HAWKINS, CLAUDE, HORNBECKER, MICHAELsince 01/01/2015
CORPORATE OFFICERBRAVERMAN, KELLY, SELLERS, DANIELsince 06/21/2024
OPERATIONAL/MANAGERIAL CONTROLAMBASSADOR CENTERVILLE MANAGEMENT, LLC, FUERST, SHIMON, KOFMAN, MENACHEMsince 05/02/2022

Were you or a family member harmed at AMBASSADOR HEALTHCARE?