Prairie Lakes Health Campus
Noblesville · 2.5 mi · 61 beds
Citations0Substantiated0
Hamilton Trace of Fishers
11851 CUMBERLAND RD, Fishers, IN, 46037
Nursing home108 licensed beds0 citations on record
5 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 15 deficiencies against Hamilton Trace of Fishers in Fishers, Indiana at its most recent standard inspection on 2025-05-12, 5 of them arising from complaints. Medicare rates it 3 out of 5 overall.
3 / 5Medicare overall rating
108certified beds
15deficiencies 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.25
Potential for minimal harmThe least serious band.1
Most recentDDFEEDDDDDDDDDCDDDDD
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.
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2026-02-10 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · F0690 · 2026-01-30 · 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 · 2025-05-12 · standard survey · 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 · 2025-05-12 · standard survey · No actual harm, potential for more than minimal harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · F0804 · 2025-05-12 · standard survey · No actual harm, potential for more than minimal harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · F0583 · 2025-05-12 · from a complaint · No actual harm, potential for more than minimal harm
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies · F0585 · 2025-05-12 · standard survey · No actual harm, potential for more than minimal harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · F0645 · 2025-05-12 · standard survey · No actual harm, potential for more than minimal harm
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Assessment and Care Planning Deficiencies · F0661 · 2025-05-12 · from a complaint · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2025-05-12 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-05-12 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · F0757 · 2025-05-12 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · F0805 · 2025-05-12 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-05-12 · standard survey · No actual harm, potential for more than minimal harm
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies · F0577 · 2025-05-12 · standard survey · No actual harm, potential for minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2024-03-08 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2024-03-08 · 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 · 2024-03-08 · from a complaint · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2024-03-08 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2023-07-27 · 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 below3 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are4 of 5
Quality measuresResident outcomes reported by the home5 of 5
Nurse hours per resident per dayReported by the home to CMS3.74038
Nursing staff turnoverShare of nursing staff who left in a year36.2%
Ownership
Who owns Hamilton Trace of Fishers
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 |
|---|---|---|---|
| LUMENT REAL ESTATE CAPITAL LLC | Organization | NOT APPLICABLE | since 04/22/2015 |
| ORIX REAL ESTATE CAPITAL LLC | Organization | NOT APPLICABLE | since 04/22/2015 |
| ENGELS, ERIN | Individual | NOT APPLICABLE | since 10/12/2012 |
| FENOUGHTY, DEANNA | Individual | NOT APPLICABLE | since 07/10/2023 |
| 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 |
| ENGELS, ERIN | Individual | NOT APPLICABLE | since 12/01/2014 |
| 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 |
Part of the CARDON & ASSOCIATES group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Allisonville Meadows
Fishers · 3.8 mi · 161 beds
Citations0Substantiated0
Castleton Health Care Center
Indianapolis · 4.1 mi · 109 beds
Citations0Substantiated0
Clearvista Lake Health Campus
Indianapolis · 4.3 mi · 70 beds
Citations0Substantiated0
Waters of Castleton Skilled Nursing Facility, the
Indianapolis · 4.3 mi · 114 beds
Citations0Substantiated0
Contact
Ask Hamilton Trace of Fishers a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 155793.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction