Southpointe Healthcare Center
4904 War Admiral Drive, Indianapolis, IN 46237
Southpointe Healthcare Center is a nursing home in Indianapolis, Indiana. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating5 of 5
- Last standard health inspectionMarch 3, 2026 (8 months ago)
- Health citations since January 9, 20246 (Indiana average 23)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
Get an email when CMS publishes something new about this home
One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
CMS update of March 25, 2026
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
Health inspection on March 3, 2026
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation F0554. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Allow residents to self-administer drugs if determined clinically appropriate.
CMS lists it as corrected on March 13, 2026.
Fire safety inspection on March 3, 2026
12 citationsCMS lists this as a standard inspection.
Show the 12 citations
Citation K0291. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install emergency lighting that can last at least 1 1/2 hours.
CMS lists it as corrected on April 17, 2026.
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on April 17, 2026.
Citation K0761. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on April 17, 2026.
Citation K0914. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
CMS lists it as corrected on April 17, 2026.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on April 17, 2026.
CMS has cited this home for K0918 2 times since 2024.
Citation K0921. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure that testing and maintenance of electrical equipment is performed.
CMS lists it as corrected on April 17, 2026.
Citation K0355. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on April 17, 2026.
Citation K0363. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on April 17, 2026.
Citation K0905. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that gas containers are correctly designed and tested, and in locations that are labeled.
CMS lists it as corrected on April 17, 2026.
Citation K0907. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure medical gas and vacuum systems have documented maintenance programs.
CMS lists it as corrected on April 17, 2026.
CMS has cited this home for K0907 2 times since 2024.
Citation K0920. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on April 17, 2026.
Citation K0324. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on April 17, 2026.
CMS has cited this home for K0324 2 times since 2024.
CMS update of February 25, 2026
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
CMS update of July 30, 2025
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS update of April 30, 2025
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of February 26, 2025
Star rating
The CMS quality measures star rating changed from 5 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Health inspection on February 12, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0690. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on March 3, 2025.
Health inspection on December 6, 2024
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on January 2, 2025.
Citation F0883. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS lists it as corrected on January 2, 2025.
Fire safety inspection on December 6, 2024
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on January 22, 2025.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on January 22, 2025.
Citation K0211. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on January 22, 2025.
Citation K0321. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on January 22, 2025.
Citation K0907. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure medical gas and vacuum systems have documented maintenance programs.
CMS lists it as corrected on January 22, 2025.
Citation K0324. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on January 22, 2025.
Health inspection on May 22, 2024
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on June 10, 2024.
CMS update of April 25, 2024
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
CMS update of February 29, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
Health inspection on January 9, 2024
1 citationCMS lists this as a standard inspection and a complaint inspection.
Show the 1 citation
Citation F0694. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
CMS lists it as corrected on January 24, 2024.
Fire safety inspection on January 9, 2024
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0916. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have a battery powered remote alarm panel in a location accessible by operating personnel.
CMS lists it as corrected on February 9, 2024.
Citation K0374. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install smoke barrier doors that can resist smoke for at least 20 minutes.
CMS lists it as corrected on February 6, 2024.
CMS star ratings
- 5 of 5CMS overall star rating
- 5 of 5CMS health inspection star rating
- 2 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (317) 885-3333
- Last standard health inspection
- March 3, 2026 (8 months ago)
- Certified beds
- 100
- Residents per day, on average
- 92.5
- Ownership type
- Non profit - Corporation
- Legal business name
- Hancock Regional Hospital
- Chain
- Communicare Health
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Indiana average (6 vs 23).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- HANCOCK REGIONAL HOSPITAL5% or greater direct ownership interest · 100% · since 03/01/2016
- HANCOCK REGIONAL HOSPITAL5% or greater indirect ownership interest · 100% · since 03/01/2016
- WAR ADMIRAL MGT CO LLCOperational/managerial control · not applicable · since 09/01/2017
- KELLEY, SARAOperational/managerial control · not applicable · since 10/24/2022
- LONG, STEVENOperational/managerial control · not applicable · since 11/14/2018
Show 2 more
- ODENTHAL, RICHARDOperational/managerial control · not applicable · since 09/01/2017
- SWEENY, BRENDANOperational/managerial control · not applicable · since 01/01/2024
Questions
When was Southpointe Healthcare Center last inspected?
CMS lists March 3, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Southpointe Healthcare Center have?
CMS lists 6 health citations since January 9, 2024. CMS also calls these deficiencies.
Has Southpointe Healthcare Center been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Southpointe Healthcare Center?
Its CMS overall star rating is 5 of 5.
Is Southpointe Healthcare Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.
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- Brickyard Healthcare - Churchman Care Center
- Brickyard Healthcare - Willow Springs Care Center
- Chalet Rehabilitation and Healthcare Center