The home failed to provide appropriate care and services for a resident who needed ostomy care. Cited February 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 691 — 42 CFR §483.25 — S/S: G
Nursing home report
PILGRIM MANOR
PLYMOUTH, IN · Medicare-certified · 78 beds
In good standing
Government-run
2 of 5 overall
Pilgrim Manor in Plymouth, IN has a 2-star overall rating, with a 1-star health inspection rating and 3-star staffing; reported nurse staffing is 3.51 hours per resident per day, below the 4.1-hour federal benchmark. It has 0 fines in the last 24 months, but recent inspection citations included care and food service issues.
Facility ratings
Health inspections
Staffing
3.5146 hrs/resident/day
Quality measures
Last inspection: February 13, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5146.
Staffing detail
- Registered nurses
- 0.71
- Licensed practical nurses
- 0.52
- Nurse aides
- 2.29
- Weekend nursing
- 3.15
Hours per resident per day.
Total staff turnover: 48%
Registered nurse turnover: 39%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
8%Improving
Residents with a fall causing major injury
3.7%Steady
Residents with pressure ulcers (bedsores)
3.8%Improving
Residents with a urinary tract infection
8.2%Worsening
Residents who lost too much weight
8.8%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
18.8%Improving
Residents whose ability to walk got worse
17.3%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
17.2%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
26.2%Improving
Residents with depressive symptoms
7.1%Worsening
Long-stay residents given the seasonal flu vaccine
97.1%Steady
Long-stay residents given the pneumonia vaccine
96.7%Improving
Short-stay residents given the seasonal flu vaccine
79.2%Steady
Short-stay residents given the pneumonia vaccine
86.3%Improving
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2024 — 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 February 2026 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited February 2026 — widespread issue, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to make sure residents fully understood their health status, care, and treatments. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 552 — 42 CFR §483.10 — 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 11 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Government - County
- Occupancy
- 64.3 residents on an average day (82% of 78 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 58 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.