Pineknoll Rehabilitation Centre
160 N Middle School Rd, Winchester, IN 47394
Pineknoll Rehabilitation Centre is a nursing home in Winchester, 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.
CMS star ratings
- 4 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 4 of 5CMS staffing star rating
- 4 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (765) 584-5084
- Last standard health inspection
- May 27, 2025 (1 year ago)
- Certified beds
- 58
- Residents per day, on average
- 51.5
- Ownership type
- Non profit - Corporation
- Legal business name
- Witham Memorial Hospital
- Chain
- Hcf Management Indiana
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Indiana average (8 vs 23).
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 4 of 5.
CMS update of November 20, 2025
Star rating
The CMS health inspection star rating changed from 3 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 5 of 5 to 4 of 5.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from 3 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 June 25, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5.
2 citations
Health inspection on May 27, 2025
CMS lists this as a standard inspection.
Citation F0839. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Employ staff that are licensed, certified, or registered in accordance with state laws.
CMS lists it as corrected on June 20, 2025.
Citation F0628. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS lists it as corrected on June 20, 2025.
4 citations
Fire safety inspection on May 27, 2025
CMS lists this as a standard inspection.
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 July 18, 2025.
Citation K0100. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Meet other general requirements.
CMS lists it as corrected on July 18, 2025.
Citation K0345. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on July 18, 2025.
CMS has cited this home for K0345 2 times since 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 July 18, 2025.
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 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of July 31, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
1 citation
Health inspection on April 19, 2024
CMS lists this as a standard inspection.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on July 4, 2024.
2 citations
Fire safety inspection on April 19, 2024
CMS lists this as a standard inspection.
Citation K0281. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install proper backup exit lighting.
CMS lists it as corrected on May 20, 2024.
Citation K0345. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on May 20, 2024.
5 citations
Health inspection on February 20, 2023
CMS lists this as a standard inspection.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on March 13, 2023.
Citation F0881. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Implement a program that monitors antibiotic use.
CMS lists it as corrected on March 13, 2023.
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on March 13, 2023.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on March 13, 2023.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on March 13, 2023.
3 citations
Fire safety inspection on February 20, 2023
CMS lists this as a standard inspection.
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 March 21, 2023.
Citation K0222. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
CMS lists it as corrected on March 21, 2023.
Citation K0522. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have an externally vented heating system.
CMS lists it as corrected on March 21, 2023.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- WITHAM MEMORIAL HOSPITAL5% or greater direct ownership interest · 100% · since 12/01/2011
- MAGNOLIA HEALTH MANAGEMENT XXV, LLCOperational/managerial control · not applicable · since 11/01/2011
- REED, STUARTOperational/managerial control · not applicable · since 11/01/2011
- THORN, ROSALINDOperational/managerial control · not applicable · since 10/28/2025
- WATKINS, KENNETHOperational/managerial control · not applicable · since 10/28/2025
Questions
When was Pineknoll Rehabilitation Centre last inspected?
CMS lists May 27, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Pineknoll Rehabilitation Centre have?
CMS lists 8 health citations since February 20, 2023. CMS also calls these deficiencies.
Has Pineknoll Rehabilitation Centre been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Pineknoll Rehabilitation Centre?
Its CMS overall star rating is 4 of 5.
Is Pineknoll Rehabilitation Centre a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.