CCN 155073 · Marshall County, Indiana
Pilgrim Manor
222 Parkview St, Plymouth, IN 46563
Pilgrim Manor is a 78-bed government-owned nursing home in Plymouth, Indiana, first certified for Medicare or Medicaid in 1968. CMS rates it 2 out of 5 stars overall in its September 2026 data, and it averaged 64.7 residents a day, about 83% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 78
- Average residents per day
- 64.7 (82.9% of beds)
- Ownership type
- Government - County
- Certification
- Medicare and Medicaid
- Legal business name
- Adams County Memorial Hospital
- Certified since
- May 22, 1968
- Chain or affiliated group
- None listed by CMS
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Indiana median | US median |
|---|---|---|---|
| Overall rating | 2 of 5 | State spread: 90 at 1, 99 at 2, 83 at 3, 113 at 4, 119 at 5 | |
| Health inspections | 1 of 5 | ||
| Quality measures | 5 of 5 | ||
| Staffing | 2 of 5 | ||
| Total nurse hours per resident per day | 3.43 | 3.55 | 3.68 |
| RN hours per resident per day | 0.62 | 0.60 | 0.58 |
| Weekend nurse hours per resident per day | 3.08 | ||
| Nursing staff turnover | 39.1% | 45.3% | 44.9% |
| Occupancy (residents / beds) | 82.9% | 78.6% | 85.7% |
| Fines reported by CMS | 1 totaling $45,580 | ||
| Health deficiencies, latest standard survey | 14 (Feb 13, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Pilgrim Manor does not meet it today: health inspection rating 1. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Nbh BankOrganization | Mortgage Interest | n/a | 07/01/2024 |
| Adams County Memorial HospitalOrganization | Operational / Managerial Control | n/a | 01/01/2025 |
| Pilgrim Manor OperationsOrganization | Operational / Managerial Control | n/a | 01/01/2025 |
| Borne-Bauman, CandiceIndividual | Operational / Managerial Control | n/a | 07/01/2024 |
| Combs, JamesIndividual | Operational / Managerial Control | n/a | 10/10/2024 |
| Flueckiger, RussellIndividual | Operational / Managerial Control | n/a | 07/01/2024 |
| Holm, ByronIndividual | Operational / Managerial Control | n/a | 07/01/2024 |
| Lehman, ScottIndividual | Operational / Managerial Control | n/a | 07/01/2024 |
| Macklin, LarryIndividual | Operational / Managerial Control | n/a | 07/01/2024 |
| McIntire, DavidIndividual | Operational / Managerial Control | n/a | 07/01/2024 |
| Smith, ScottIndividual | Operational / Managerial Control | n/a | 07/01/2024 |
| Sprunger, KyleIndividual | Operational / Managerial Control | n/a | 07/01/2024 |
| Wheeler, DaneIndividual | Operational / Managerial Control | n/a | 07/01/2024 |
Holders of a 5% or greater mortgage interest reported in the enrollment record: Nbh Bank.
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Jul 1, 2024 | Adams County Memorial Hospital | Careage of Logansport Inc |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.