CLOVERLEAF OF KNIGHTSVILLE

9325 N CRAWFORD ST
KNIGHTSVILLE, IN, 47857
8124462309
CCN: 155542
3
Overall
3
Health
2
Staffing
2
Quality
ChainIDE MANAGEMENT GROUP
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
ADAMS COUNTY MEMORIAL HOSPITAL5% OR GREATER DIRECT OWNERSHIP INTEREST100%
CIBC BANK USA5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
CLOVERLEAF NURSIG AND REHAB LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ABBOTT, ALEXAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BORNE-BAUMAN, CANDICEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FLUECKIGER, RUSSELLOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
JOHNSON, CRAIGOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
LEHMAN, SCOTTOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MACKLIN, LARRYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MCINTIRE, DAVIDOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SMITH, SCOTTOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SPRUNGER, KYLEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WHEELER, DANEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ADAMS COUNTY MEMORIAL HOSPITALOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (26)
2024-12-18 · Health
D
F881 · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
D
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F803 · Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
D
F761 · Pharmacy Service Deficiencies
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.
D
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F740 · Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
F698 · Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2023-11-03 · Health
D
F912 · Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
D
F881 · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F761 · Pharmacy Service Deficiencies
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.
D
F756 · Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F580 · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2022-08-04 · Health
D
F912 · Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F761 · Pharmacy Service Deficiencies
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.
D
F758 · Pharmacy Service Deficiencies
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.
D
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
D
F688 · Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.16
3.68
RN Hrs/Resident/Day
0.75
0.54
LPN Hrs/Resident/Day
0.54
0.81
CNA Hrs/Resident/Day
1.88
2.33
PT Hrs/Resident/Day
0.01
0.12
Data as of 2026-03-01