Community Hospital East
An acute care hospital in Indianapolis, Indiana 46219
1500 N Ritter Ave, Indianapolis, Indiana 46219. (317) 355-5411.
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The short answer
Record last released by CMS on Oct 20, 2026.
- 3of 5 CMS’s overall rating
- 4of 5 patient survey rating
- 4 deficiencies cited in the last three years (needs attention)
- 263 beds
Each figure’s source sits beside it, in its section below.
What these words mean4
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Condition-level deficiency
- For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual.
What did inspectors find?
The last inspection on record was on Oct 9, 2024: a complaint inspection.
4 deficiencies cited in the last three years, 1 of them at condition level, the most serious.
1 deficiency at condition level, the more serious of CMS’s two levels
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
4 deficiencies in 2 months of the last 36. Last cited Oct 2024. Most serious: Condition-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Oct 9, 2024: complaint inspection3 deficiencies
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Emergency Services
“EMERGENCY SERVICES CFR(s): 482.55 The hospital must meet the emergency needs of patients in accordance with acceptable standards of practice. This Condition is not met as evidenced by: 48704 Based on document review and interview, the facility failed to provide emergent care for 1 of 10 medical records reviewed (Patient 3). The cumulative effect resulted in the hospital’s inability to ensure a safe response in an emergent situation.”
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Integration Of Emergency Services
The inspectors’ words, 282 words
“INTEGRATION OF EMERGENCY SERVICES CFR(s): 482.55(a)(2) [If emergency services are provided at the hospital --] (2) The services must be integrated with other departments of the hospital. This Standard is not met as evidenced by: 48704 Based on document review and interview, the facility failed to ensure communication between facility services in 1 out of 10 (Patient 3) medical records reviewed. 1. Review of Patient 3’s medical record indicated the provider ordered a computed tomography (CT) scan at 2:20 p.m. on 08/14/2024 as the provider note indicated the primary concern was a possible ruptured abdominal aortic aneurysm. An additional CT scan was ordered by the provider at 4:44 p.m.; provider note summary indicated that radiology requested a change in the CT order and discussed this change with the nurse. This change was not communicated with the provider resulting in a significant delay in patient obtaining a CT scan. At 5:13 p.m. on 08/14/2024, medical record indicated the radiologist notified the provider the results of the CT scan which indicated a ruptured abdominal aortic aneurysm with retroperitoneal hemorrhage. 2. Interview with P1 (Emergency Department Provider) on 10/09/2024 at approximately 8:00 a.m. confirmed that patient 3’s initial computed tomography scan was delayed by approximately two hours as provider was not notified of the request; indicated radiology should have notified a Provider and not the Registered Nurse. 3. Interview with A1 (Director of Acute Quality and Safety), on 10/07/2024 at approximately 2:00 p.m., confirmed patient 3’s medical record lacked documentation of communication for a request for change in computed tomography scan order and confirmed provider notes indicated radiology spoke with nursing and the information was not relayed to the provider causing a delay in care.”
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Emergency Services Policies
The inspectors’ words, 698 words
“EMERGENCY SERVICES POLICIES CFR(s): 482.55(a)(3) [If emergency services are provided at the hospital --] (3) The policies and procedures governing medical care provided in the emergency service or department are established by and are a continuing responsibility of the medical staff. This Standard is not met as evidenced by: 48704 Based on document review and interview, emergency services failed to ensure complete documentation of patient assessment in 1 out of 10 (Patient 3) medical records reviewed. 1. Facility policy titled, Triage, Emergency Department, PolicyStat ID 12366763, last approved, 11/2022, indicated under Policy Statements: A. Patients presenting to the Emergency Department are assessed and prioritize by an RN based on the severity of their stated chief complaint, RN’s assessment of physical, developmental, and psychosocial needs. These patients are then assigned a level of triage acuity. Under General Information, A. A five tiered triage system is utilized. The following examples are probable but not absolute or all inclusive: 2. Is the patient high-risk, confused, lethargic, disoriented, or exhibiting severe pain or distress? Level 2. Under Procedure: E. RN conducts an assessment of the patient which may include: 1. Focused assessment of chief complaint 2. Vital Signs which may be collected by a non-licensed team member, including a. Temperature b. Pulse c. Respirations d. Blood pressure for all patients age 2 and above or as warranted by complaint on those younger patients e. Weight/Height - actual weight on patients age 10 and younger, and whenever able to complete on adult patients. Weight based tape (eg Broselow) may be used to estimate pediatric weight in emergent or code situations. 3. Pain assessment 4. Fall Risk Screening 5. Suicide Screening 6. Initiation of RN protocols. Under Documentation: C. Document nursing assessment done to determine triage acuity level. 2. Review of Patient 3’s medical record indicated the patient arrived on 08/14/2024 at 1:41 p.m. to the Emergency Department with a chief complaint of right flank pain across their abdomen for one hour, reported a history of aortic aneurysm, and stated the pain felt like the patient’s past aneurysm. Medical Record indicated the patient’s emergency severity index (ESI) acuity level as a 3/5 at 1:41 p.m. Patient’s vital signs at 1:44 p.m. were as follows: temperature of 97.6 Fahrenheit (F) (normal 97.7-99.5 F), pulse of 72 (normal range 60-100), respirations of 26 (normal range 12-20), and blood pressure of 174/107 (normal range <120 systolic; < 80 diastolic); patient rated their pain level at a 10 based on a scale of 0 being no pain at all and 10 being the worst pain. MR lacked documentation that nursing reviewed patient’s vital signs or completed initial assessment upon presentation to the Emergency Department. 3. Interview with A1 (Director of Acute Quality and Safety), on 10/07/2024 at approximately 2:00 p.m., confirmed the following for patient 3’s medical record lacked nursing documentation of the initial nursing assessment upon patient 3’s arrival at 1:41 p.m.; nursing assessment was documented at 2:20 p.m. after patient was taken to patient room. MR lacked nursing documentation of completed assessment and review of initial vital signs taken at 1:44 p.m. 4. Interview with A6 (Network Emergency Department Clinical Nurse Specialist), on 10/07/2024 at approximately 2:10 p.m., indicated that upon arrival patients are assessed by the pivot Registered Nurse (RN) and the RN reviews airway, breathing, and circulation and then assigns ESI level. A6 confirmed patient 3’s medical record lacked documentation of this assessment upon patient’s arrival and was not documented until 2:20 p.m. A6 indicated that pivot RN should review vital signs and is able to change ESI level at any time. 5. Interview with A7 (Emergency Department Nurse Educator) on 10/07/2024 at approximately 3:30 p.m. indicated that the initial RN is the pivot RN, and their role is to assess airway, breathing, and circulation and determine the patient’s ESI upon presentation; patients with an ESI of 1 or 2 need to be seen immediately, and 3, 4, 5 can wait. A7 indicated the technician is to inform the pivot RN if any vital signs are abnormal. A7 indicated that the pivot RN is to review the patient vitals and confirmed that the review of vitals is not documented within patient 3’s medical record.”
Jan 2, 2024: complaint inspection1 deficiency
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Patient Rights: Care In Safe Setting
The inspectors’ words, 299 words
“PATIENT RIGHTS: CARE IN SAFE SETTING CFR(s): 482.13(c)(2) The patient has the right to receive care in a safe setting. This Standard is not met as evidenced by: 48061 Based on document review, the facility failed to provide care in a safe setting for 1 of 10 patients. (P1) Findings include: 1. The facility policy titled,” Patient Rights and Responsibilities”, PolicyStat ID 10789501, last revised 5/2022, indicated as a patient of H1, you have the right to be free from mental, physical, sexual and verbal abuse, neglect or harassment and/or exploitation. 2. Significant Event documentation dated 10/2/23 at 7:25 pm indicated nursing staff were watching P2 during 2:1 observation in the common area. P1 was confused and repeatedly came to the table where the two nursing staff members and P2 were playing a game. Nursing staff asked the patient multiple times to remove him/herself from the area d/t safety concern. The patient would be reluctant to remove him/herself from the situation but would eventually leave the area. P1 would come up to the table , stare, and try to take off his/her gown. Nursing staff helped the patient put the gown back on multiple times. Afterwards, P1 was walking by the table again, when P2 turned and charged P1. P2 put P1 in a headlock but did not quite get his/her arm around P1’s neck. Nursing staff grabbed and broke P2’s grip around P1, P1 was removed from the situation safely. P1 was taken to his/her room and checked for injury. No redness or bruising was noted on his/her neck, pt claimed, “I am not hurt”. P1 was provided emotional support and distraction after the event. 3. The medical record for P1 lacked interventions to keep the patient away from P2 or closer observation of P1 to ensure safety.”
All 4 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Oct 9, 2024 | Complaint inspection | 3 deficiencies cited |
| May 8, 2024 | Complaint inspection | No deficiencies cited |
| Jan 2, 2024 | Complaint inspection | 1 deficiency cited |
| Dec 12, 2023 | Complaint inspection | No deficiencies cited |
How do patients fare?
- CMS’s overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System. for it is 3 of 5.
- Of the measures behind its CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System., CMS counts against the national value: mortality, 0 better and 2 worse of 8; safety of care, 1 better and 0 worse of 7; readmission, 1 better and 2 worse of 11.
- Patients rate it 4 of 5 in CMS’s patient survey (339 surveys completed, Oct 1, 2024 to Sep 30, 2025): 79% rated it 9 or 10 out of 10, and 79% would definitely recommend it.
- Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), no different than national benchmark; catheter urinary tract infections (CAUTI), no different than national benchmark; surgical site infections after colon surgery, no different than national benchmark; MRSA bloodstream infections, no different than national benchmark; C. diff infections, better than the national benchmark.
- CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
- Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart attack 11.9%, heart failure 12.6%, pneumonia 15.2%, COPD 9.1%, stroke 11.9%, heart bypass surgery 2.5%. CMS gives no comparison with the national rate for them in this release.
- Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart attack 13.7%, heart failure 23%, pneumonia 17.1%, COPD 20.2%, heart bypass surgery 11.1%, hip or knee replacement 5.4%. CMS gives no comparison with the national rate for them in this release.
- After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; hospital admissions after outpatient chemotherapy, better than the national rate; emergency visits after outpatient chemotherapy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
- Emergency department patients spent a median of 170 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 3% left before being seen.
- 23% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
- Medicare’s spending per patient here is 1.04 times the national median (Jan 1, 2024 to Dec 31, 2024).
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | 3 of 5 |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 4 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Jul 1, 1966.
- Ownership: voluntary non-profit - private.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- Cited at For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. in the last three years: it didn’t meet a whole condition of Medicare’s rules for hospitals.
- Voluntary non-profit - Private.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- Not among the hospitals whose Medicare payments CMS cut under the Hospital-Acquired Condition Reduction Program for fiscal year 2026.
- 4 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- In CMS’s patient survey, patients rate how well its nurses communicated 4 of 5.
- 93% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- Community Health Network Inc. runs it.
- 24 owners or officers are people: Rafael A Sanchez (corporate director); Jerry M Yang (corporate director); Jerry M Yang (managing employee (on the payroll)); Jerry M Yang (runs it (operational or managerial control)); Marina Waters (corporate director); James Foster (corporate officer); James Foster (corporate director); Elizabeth Tharp (managing employee (on the payroll)); Elizabeth Tharp (runs it (operational or managerial control)); Patrick M Mcgill (corporate officer); Patrick M Mcgill (corporate director); Patrick M Mcgill (managing employee (on the payroll)); Patrick M Mcgill (runs it (operational or managerial control)); Charles Michael Platz (corporate director); Annette M Moore (corporate director); Michael Langellier (corporate director); Heather L Benson (corporate director); Holly Millard (corporate officer); Holly Millard (corporate director); Holly Millard (runs it (operational or managerial control)); Craig Jackson (corporate director); Gary Aletto (corporate director); Rodney D Cotton (corporate director); Jason E Becker (corporate director).
- CMS’s Provider of Services file records 1 change of ownership.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Community Health Network Inc. | Runs it (operational or managerial control) | 100% | Jan 1, 2014 |
How does it compare nearby?
- Of the 14 hospitals CMS lists in Marion County, 8 have an overall star rating from CMS: 1 rated 4 of 5, 6 rated 3 of 5, 1 rated 2 of 5.
- CMS rates this one 3 of 5.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
| Place | Overall star rating |
|---|---|
| Eskenazi Health | 3 |
| Indianapolis VA Medical Center | 3 |
| Indiana University Health | 3 |
| Ascension St Vincent Hospital | 2 |
| Community Hospital South, Inc. | 3 |
| Orthoindy Hospital | Not given |
| Franciscan Health Indianapolis | 4 |
| Community Hospital North | 3 |
| Fairbanks | Not given |
| Neurodiagnostic Institute | Not given |
| Neuropsychiatric Hospital of Indianapolis, LLC | Not given |
| Assurance Health Psychiatric Hospital | Not given |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
- In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.