Orange County, Indiana · Nursing home
Paoli Health and Living Community
1 of 5 overall from CMS
559 W Longest St, Paoli, IN 47454
At a glance
- Overall rating 1 of 5 Below the state average of 3.1
- Nurse time per resident, per day 3.26 hours Below the state average of 3.69
- Nursing staff who left in a year 58.0% Above the state average of 45.9%
- Health citations, last 3 inspection cycles 28 2 at the harm level or above
- Fines in 3 years $28,138 2 fines
- Certified beds in use 74.4% of 109 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Paoli Health and Living Community is a 109-bed nursing home in Paoli, Indiana (Orange County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.26 nurse staffing hours per resident per day, below the Indiana average of 3.69. CMS lists 2 fines totaling $28,138 in the past three years.
- Certified beds
- 109
- Residents per day (average)
- 81.1
- Certified since
- 1989 (37 yrs)
Government - County Participates in Medicare and MedicaidPart of Cardon & Associates (19 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Paoli Health and Living Community
Chosen from this home's public data.
- CMS lists 2 fines totaling $28,138 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 13 health deficiencies in the latest inspection cycle (the standard inspection on Apr 11, 2025 plus complaint and infection-control inspections); the Indiana average is 7.2. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 58.0%, above the Indiana average of 45.9%. How often would the same aides care for my relative?Turnover in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Indiana average 3.1
- Health inspections 1 of 5 Indiana average 2.8
- Staffing 2 of 5 Indiana average 2.5
- Quality measures 4 of 5 Indiana average 4.1
The vertical line marks the Indiana average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.26 h Indiana average 3.69
- Nurse aides 1.91 h Indiana average 2.24
- Licensed practical nurses 0.79 h Indiana average 0.78
- Registered nurses 0.56 h Indiana average 0.67
- All staff, weekends 2.68 h Indiana average 3.25
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Indiana average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover58.0%
- Indiana average45.9%
- Registered nurse turnover30.0%
- Indiana average40.3%
- Administrators who left3
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Indiana and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Indiana | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 13.4% | 11.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 7.7% | 5.5% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 0.4% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 4.1% | 1.1% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 13.2% | 25.2% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 4.1% | 3.9% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.1% | 93.6% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 11.0% | 11.9% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 31.9% | 23.5% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.4% | 95.4% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 3.4% | 3.6% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.8% | 23.3% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 7.4% | 13.6% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.08 | 1.61 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 2.47 | 1.44 | 1.78 |
Short-stay residents
| Measure | This home | Indiana | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.5% | 81.8% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% | 1.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 81.8% | 79.0% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.9% | 22.2% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 8.7% | 10.8% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 28 health deficiencies in the three most recent inspection cycles. Of these, 2 were at the immediate jeopardy level; the rest were graded as no actual harm. 8 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jan 24, 2025: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Apr 11, 2025 | 13 | 4 |
| Feb 13, 2024 | 11 | 9 |
| Mar 30, 2022 | 4 | 7 |
Indiana homes averaged 7.2 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (28)
-
EPotential for more than minimal harm, pattern
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Feb 2, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Feb 2, 2026)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Feb 2, 2026)
-
EPotential for more than minimal harm, pattern
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights · Deficient, Provider has date of correction (May 7, 2025)
-
EPotential for more than minimal harm, pattern
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 7, 2025)
Show 23 more
-
EPotential for more than minimal harm, pattern
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 7, 2025)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (May 7, 2025)
-
DPotential for more than minimal harm, isolated
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights · Deficient, Provider has date of correction (May 7, 2025)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (May 7, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (May 7, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care · Deficient, Provider has date of correction (May 7, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (May 7, 2025)
-
DPotential for more than minimal harm, isolated
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Administration · Deficient, Provider has date of correction (May 7, 2025)
-
JImmediate jeopardy, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Past Non-Compliance (Dec 21, 2024)
-
JImmediate jeopardy, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Past Non-Compliance (Dec 27, 2024)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jan 25, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 28, 2024)
-
DPotential for more than minimal harm, isolated
Keep residents' personal and medical records private and confidential.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Apr 29, 2024)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Mar 1, 2024)
-
EPotential for more than minimal harm, pattern
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services · Deficient, Provider has date of correction (Mar 1, 2024)
-
EPotential for more than minimal harm, pattern
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Nursing and Physician Services · Deficient, Provider has date of correction (Mar 1, 2024)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Mar 1, 2024)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Mar 1, 2024)
-
DPotential for more than minimal harm, isolated
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights · Deficient, Provider has date of correction (Mar 1, 2024)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 1, 2024)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 1, 2024)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · Deficient, Provider has date of correction (Apr 25, 2022)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Apr 25, 2022)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Jan 24, 2025 | Fine | $14,069 |
| Jan 24, 2025 | Fine | $14,069 |
Indiana homes averaged 0.3 fines and $8,742 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Indiana
- Size168 of 507 by certified beds
- Indiana average residents per day72.5
- ChainCardon & Associates
- Chain average overall rating3.7 of 5
- Resident or family councilResident
- Homes in Orange County2
Common questions
What is the CMS star rating for Paoli Health and Living Community?
Paoli Health and Living Community has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 2 and quality measures is 4.
How many beds does Paoli Health and Living Community have?
Paoli Health and Living Community has 109 certified beds. It averages 81.1 residents per day, about 74.4% of its certified beds.
How much nursing care do residents get at Paoli Health and Living Community?
The home reports 3.26 hours of nurse staffing per resident per day, including 0.56 hours from registered nurses. The Indiana average is 3.69 hours and 0.67 hours from registered nurses.
Has Paoli Health and Living Community been fined?
Yes. CMS lists 2 fines totaling $28,138 in the past three years.
Does Paoli Health and Living Community accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Springs Valley Meadows 74beds 94.5%in use 3.54nurse hours a day
- 3 of 5 Mitchell Manor 120beds 61.4%in use 3.35nurse hours a day
- 4 of 5 White River Lodge 74beds 46.5%in use 4.09nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Orange County
Who to call in Indiana
These offices serve residents of every nursing home in Indiana.
- Long-term care ombudsman Indiana Long-Term Care Ombudsman Program 1-800-622-4484 (Also 317-232-7134. Email: LongTermCareOmbudsman@ombudsman.IN.gov) An advocate for residents and their families.
- File a complaint about a nursing home Indiana Department of Health complaint intake (health care facility complaints) 1-800-246-8909 (Voicemail line for people without internet or email access; IDOH says the online complaint form is the best way to file.) The state agency that inspects nursing homes.
Indiana staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 155333. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.