The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited September 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
CASTLETON HEALTH CARE CENTER
INDIANAPOLIS, IN · Medicare-certified · 109 beds
Needs attention
Special Focus candidateFor-profit
1 of 5 overall
CASTLETON HEALTH CARE CENTER has a 1-out-of-5 overall rating, with 1-star health inspection and staffing ratings, and it is a Special Focus Facility candidate. Reported nurse staffing is 3.32 hours per resident per day, below the federal benchmark of 4.1, and its recent inspection cited pressure ulcer care, treatment and care orders, and food handling issues; there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.3214 hrs/resident/day
Quality measures
Last inspection: March 6, 2026Penalties, last 24 months: $0special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3214.
Staffing detail
- Registered nurses
- 0.34
- Licensed practical nurses
- 1.06
- Nurse aides
- 1.92
- Weekend nursing
- 2.99
Hours per resident per day.
Total staff turnover: 69%
Registered nurse turnover: 89%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
10.6%Worsening
Residents with a fall causing major injury
0%Steady
Residents with pressure ulcers (bedsores)
6.2%Improving
Residents with a urinary tract infection
0.4%Steady
Residents who lost too much weight
4.4%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
9.1%Improving
Residents whose ability to walk got worse
10.3%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
25.2%Worsening
Short-stay residents newly given an antipsychotic
1.4%Worsening
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
27.2%Improving
Residents with depressive symptoms
64.4%Steady
Long-stay residents given the seasonal flu vaccine
58.1%Steady
Long-stay residents given the pneumonia vaccine
77.1%Improving
Short-stay residents given the seasonal flu vaccine
23.1%Steady
Short-stay residents given the pneumonia vaccine
54.6%Improving
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited September 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to monitor antibiotic use properly. Cited September 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 881 — 42 CFR §483.80 — S/S: F
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited November 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 24 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 73.1 residents on an average day (67% of 109 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 41 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.