Waters Edge Village
Muncie · 1.2 mi · 74 beds
Citations0Substantiated0
Woodlands the
3820 W JACKSON ST, Muncie, IN, 47304
Nursing home108 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 7 deficiencies against Woodlands the in Muncie, Indiana at its most recent standard inspection on 2025-03-07. Medicare rates it 2 out of 5 overall.
2 / 5Medicare overall rating
108certified beds
7deficiencies at the last inspection
0immediate-jeopardy findings on record
0actual-harm findings on record
0federal fines
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.28
Potential for minimal harmThe least serious band.1
Most recentDDDFEDDDDCFDDEEEDDDE
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0607 · 2025-05-07 · from a complaint · No actual harm, potential for more than minimal harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · F0561 · 2025-04-01 · from a complaint · No actual harm, potential for more than minimal harm
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0603 · 2025-04-01 · from a complaint · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2025-03-07 · standard survey · No actual harm, potential for more than minimal harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · F0758 · 2025-03-07 · standard survey · No actual harm, potential for more than minimal harm
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights Deficiencies · F0568 · 2025-03-07 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2025-03-07 · standard survey · No actual harm, potential for more than minimal harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · F0761 · 2025-03-07 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-03-07 · standard survey · No actual harm, potential for more than minimal harm
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · F0732 · 2025-03-07 · standard survey · No actual harm, potential for minimal harm
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies · F0801 · 2025-02-06 · from a complaint · No actual harm, potential for more than minimal harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0602 · 2025-02-06 · from a complaint · No actual harm, potential for more than minimal harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · F0758 · 2024-05-16 · from a complaint · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2024-02-23 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · F0565 · 2024-02-23 · standard survey · No actual harm, potential for more than minimal harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · F0761 · 2024-02-23 · standard survey · No actual harm, potential for more than minimal harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · F0698 · 2024-02-23 · standard survey · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2024-02-23 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2024-02-23 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · F0584 · 2024-02-23 · from a complaint · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below2 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are3 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS3.46907
Nursing staff turnoverShare of nursing staff who left in a year44.4%
Ownership
Who owns Woodlands the
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| ENGELS, ERIN | Individual | NOT APPLICABLE | since 12/01/2018 |
| GENTRY, MARK | Individual | NOT APPLICABLE | since 01/12/2022 |
| STARKEY, TYLER | Individual | NOT APPLICABLE | since 08/01/2020 |
| WAITE, JOHN | Individual | NOT APPLICABLE | since 08/01/2020 |
| WHICKER, TIMOTHY | Individual | NOT APPLICABLE | since 01/12/2022 |
| FENOUGHTY, DEANNA | Individual | NOT APPLICABLE | since 07/10/2023 |
| LIFE CARE CENTERS OF AMERICA, INC. | Organization | NOT APPLICABLE | since 12/01/2018 |
| MUNCIE MEDICAL INVESTORS LIMITED PARTNERSHIP | Organization | NOT APPLICABLE | since 12/01/2018 |
| FENOUGHTY, DEANNA | Individual | NOT APPLICABLE | since 07/10/2023 |
| FLETCHER, TODD | Individual | NOT APPLICABLE | since 12/01/2018 |
| HENRY, TERRY | Individual | NOT APPLICABLE | since 12/01/2018 |
| HILTZ, JEFFREY | Individual | NOT APPLICABLE | since 01/01/2024 |
Part of the LIFE CARE CENTERS OF AMERICA group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Brickyard Healthcare - Muncie Care Center
Muncie · 1.6 mi · 117 beds
Citations0Substantiated0
Bethel Pointe Health and Rehab
Muncie · 1.7 mi · 114 beds
Citations0Substantiated0
Morrison Woods Health Campus
Muncie · 2.4 mi · 68 beds
Citations0Substantiated0
Westminster Village Muncie INC
Muncie · 2.6 mi · 76 beds
Citations0Substantiated0
Waters of Muncie, the
Muncie · 2.9 mi · 72 beds
Citations0Substantiated0
Contact
Ask Woodlands the a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 155229.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction