Nursing HomeInspections

McGivney Health Care Center

Nursing home in Carmel, IN

Medicare & Medicaid certified2★ overall (CMS)

Call (317) 846-0265Send a messageMap ↗

Public-record details

Address
2907 East Smoky Row, Carmel, IN 46033
Phone
(317) 846-0265
Listed under
Nonprofit
Medicare CCN
155855
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
3 of 5
Staffing rating
1 of 5
Quality measures rating
3 of 5
Certified beds
37
Average residents per day
34
Ownership
Nonprofit, corporation
Legal business name
Witham Memorial Hospital
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Aug 16, 2017
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 155855. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 26, 2025. CMS lists 43 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 22, 2023 to Aug 26, 2025): 0 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Aug 26, 2025Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance…
Resident Rights		D
Potential for more than minimal harm, isolated
Aug 26, 2025Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Aug 26, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights		D
Potential for more than minimal harm, isolated
Aug 26, 2025Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Aug 26, 2025Develop 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		D
Potential for more than minimal harm, isolated
Aug 26, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Aug 26, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 26, 2025Provide 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		D
Potential for more than minimal harm, isolated
Aug 26, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 26, 2025Have 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		D
Potential for more than minimal harm, isolated
Aug 26, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Aug 26, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 43. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $8,189 and 1 denial of Medicare payment for new admissions in the last three years.

Sep 22, 2023Fine: $8,189
Sep 22, 2023Payment denial for 8 days from Oct 20, 2023

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.91 hours
Registered nurse (RN) time per resident per day
0.13 hours
Nurse aide time per resident per day
2.06 hours
Total nurse staffing on weekends
2.91 hours
Nursing staff turnover (yearly)
20%

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Carmel

Bridgewater Healthcare Center14751 Carey Road · Carmel, IN 46033 · (317) 575-2208 · For-profit18 health citations in 3 inspection cycles · last standard inspection May 13, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)The Barrington of Carmel1335 S Guilford Road · Carmel, IN 46032 · (317) 810-1800 · Nonprofit4 health citations in 3 inspection cycles · last standard inspection Sep 5, 2025 · no CMS fines in 3 yrsMedicare-certified5★ overall (CMS)Restoracy of Carmel616 Green House Way · Carmel, IN 46032 · (317) 401-8888 · For-profit23 health citations in 3 inspection cycles · last standard inspection Feb 20, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)The Retreat at the Stratford2460 Glebe St · Carmel, IN 46032 · (317) 733-9560 · For-profit12 health citations in 3 inspection cycles · last standard inspection Feb 12, 2026 · no CMS fines in 3 yrsMedicare-certified4★ overall (CMS)Wellbrooke of Carmel12315 Pennsylvania Street · Carmel, IN 46032 · (317) 569-7200 · For-profit25 health citations in 3 inspection cycles · last standard inspection Jan 21, 2026 · $15,646 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)Carmel Health & Living Community118 Medical Dr · Carmel, IN 46032 · (317) 844-4211 · Government-owned30 health citations in 3 inspection cycles · last standard inspection Sep 25, 2025 · $14,015 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)Majestic Care of Carmel12999 N Pennsylvania St · Carmel, IN 46032 · (317) 848-2448 · For-profit24 health citations in 3 inspection cycles · last standard inspection Jul 28, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified2★ overall (CMS)

All 8 in Carmel →