CCN 155333 · Orange County, Indiana
Paoli Health and Living Community
559 W Longest St, Paoli, IN 47454
Paoli Health and Living Community is a 109-bed government-owned nursing home in Paoli, Indiana, first certified for Medicare or Medicaid in 1989. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 81.1 residents a day, about 74% of its certified beds. HUD's healthcare database shows 2 FHA-insured Section 232 loans for a project matching this facility, most recently $4 million in June 2011 (223(a)(7) refinance of a construction loan), and none of them appears in HUD's active-loan file.
Facility facts
- Certified beds
- 109
- Average residents per day
- 81.1 (74.4% of beds)
- Ownership type
- Government - County
- Certification
- Medicare and Medicaid
- Legal business name
- Riverview Hospital
- Certified since
- Jun 12, 1989
- Chain or affiliated group
- Cardon & Associates (19 facilities, chain average 3.7 stars)
- 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 | 1 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 | 4 of 5 | ||
| Staffing | 2 of 5 | ||
| Total nurse hours per resident per day | 3.26 | 3.55 | 3.68 |
| RN hours per resident per day | 0.56 | 0.60 | 0.58 |
| Weekend nurse hours per resident per day | 2.68 | ||
| Nursing staff turnover | 58.0% | 45.3% | 44.9% |
| Occupancy (residents / beds) | 74.4% | 78.6% | 85.7% |
| Fines reported by CMS | 2 totaling $28,138 | ||
| Health deficiencies, latest standard survey | 13 (Apr 11, 2025) | ||
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). Paoli Health and Living Community does not meet it today: overall rating 1, 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 |
|---|---|---|---|
| Riverview HospitalOrganization | Direct Ownership Interest | 100% | 09/01/2011 |
| German American BankOrganization | Mortgage Interest | n/a | 08/31/2021 |
| Cardon and Associates IncOrganization | Operational / Managerial Control | n/a | 08/23/2013 |
| Cardon Management Company LLCOrganization | Operational / Managerial Control | n/a | 12/01/2011 |
| Moore Operating Group IncOrganization | Operational / Managerial Control | n/a | 05/18/2020 |
| Balla, MatthewIndividual | Operational / Managerial Control | n/a | 05/23/2022 |
| Cattell, ZacharyIndividual | Operational / Managerial Control | n/a | 04/25/2022 |
| Emerson, MarkIndividual | Operational / Managerial Control | n/a | 04/15/2018 |
| Fauth, KendraIndividual | Operational / Managerial Control | n/a | 12/26/2021 |
| Friend, JaynaIndividual | Operational / Managerial Control | n/a | 06/01/2021 |
| Gormal, GreggIndividual | Operational / Managerial Control | n/a | 10/01/2016 |
| Haug, AmyIndividual | Operational / Managerial Control | n/a | 01/04/2022 |
| Hyatt, DavidIndividual | Operational / Managerial Control | n/a | 03/27/2023 |
| Lopez, JoseIndividual | Operational / Managerial Control | n/a | 06/01/2017 |
Holders of a 5% or greater mortgage interest reported in the enrollment record: German American Bank.
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Jun 29, 2011 | 223(a)(7) refinance of a construction loanHUD project name: Paoli Health & Living Community, 109 beds. Lender at endorsement: Lancaster Pollard Mtge Co | $3,969,500 | Ended Jan 30, 2020Prepayment | 07343138 |
| Dec 11, 2006 | 223(f) refinance or purchaseHUD project name: Paoli Health & Living Community, 109 beds. Lender at endorsement: Lancaster Pollard Mtge Co | $3,969,500 | Ended Jun 29, 2011Prepayment | 07322063 |
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.