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
Data as of July 1, 2026
1 of 5 overall
CASTLETON HEALTH CARE CENTER has an overall rating of 1 out of 5 stars, with 1-star health inspection and staffing ratings and 3-star quality measures. It is a special focus candidate/facility, reported nurse staffing is 3.28 hours per resident per day versus the 4.1 federal benchmark, and there were $0 fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.2765 hrs/resident/day
Quality measures
Last inspection: April 27, 2026Penalties, last 24 months: $0special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2765.
Staffing detail
- Registered nurses
- 0.30
- Licensed practical nurses
- 1.04
- Nurse aides
- 1.94
- Weekend nursing
- 2.94
Hours per resident per day.
Total staff turnover: 68%
Registered nurse turnover: 82%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
11.8%35%Worsening
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
8.1%4.1%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
5.7%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
4%1.8%Improving
Residents whose ability to walk got worse
9.3%19%Worsening
Long-stay residents on antianxiety or sleep medication
20.8%37.5%Worsening
Short-stay residents newly given an antipsychotic
0%3%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
24.7%25.2%Worsening
Residents with depressive symptoms
57.9%86.8%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—58.1%—
Long-stay residents given the pneumonia vaccine
66.7%100%Improving
Short-stay residents given the seasonal flu vaccine
—23.1%—
Short-stay residents given the pneumonia vaccine
32.2%71.8%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 provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — 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 1 health deficiency.
See what inspectors found
- 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.
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- PENALTY
A federal payment denial was recorded.
- INSPECTION
Health inspection found 24 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 payment denial.
- 18 days
Medicare/Medicaid payment denial
Sep 23, 2025
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 80.1 residents on an average day (73% 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.