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Riveroaks Health Campus

1244 Vail St, Princeton, IN 47670 · Government - County · 68 certified beds · (812) 385-0794 Medicare & Medicaid certified

Call the home — (812) 385-0794 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 20 lower-level deficiencies on record (see below)
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure score sits well above its independent inspection score

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 5 of 5

Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
308 3rd Ave · (812) 386-6776 · Call to confirm hours
Pharmacy
Walgreens0.7 mi
1915 W Broadway St · (812) 385-3296 · Call to confirm hours
Grocery
IGA0.6 mi
2005 W Broadway · (812) 386-7664 · Call to confirm hours
Park
6th Ave · Typically dawn to dusk
Place of worship
100 S Richland Creek Dr · (812) 386-6209

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 5 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 4 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 4 to 2 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating2★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased12.1%11.0%15.4%better
Long-stay residents who lose too much weight6.5%5.5%5.4%worse
Long-stay residents with a catheter left in their bladder0.0%0.4%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.6%1.1%2.0%better
Long-stay residents with depressive symptoms14.3%25.2%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury3.5%3.9%3.3%typical
Long-stay residents whose ability to walk worsened12.8%11.9%16.1%better
Long-stay residents on antianxiety or hypnotic medication32.5%23.5%18.9%worse
Long-stay residents given the seasonal flu vaccine87.8%95.4%95.3%typical
Long-stay residents with pressure ulcers5.9%3.6%4.7%worse
Long-stay residents with worsening bladder/bowel control21.6%23.3%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table13.3%13.6%17.1%better
Short-stay residents who newly got an antipsychotic medication1.4%1.2%1.4%typical
Short-stay residents given the seasonal flu vaccine84.8%79.0%79.4%typical
Short-stay residents rehospitalized after admission29.9%22.2%22.6%worse
Short-stay residents with an outpatient ER visit8.4%10.8%12.0%better
Long-stay hospitalizations per 1,000 resident days1.511.611.67typical
Long-stay outpatient ER visits per 1,000 resident days0.841.441.80better

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

60.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 117 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

60.2%U.S. median 51.5%
Got home and stayed home
10.9%U.S. median 10.7%
Went back to hospital
69.2%U.S. median 56.6%
Met the expected recovery
0.33U.S. median 0.31
Therapy hours / resident / day
0.11hours / resident / day
Physical therapy
0.18hours / resident / day
Occupational therapy
0.04hours / resident / day
Speech therapy

Met the expected recovery: 69.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 91 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.33 therapist hours per resident per day in 2026Q1 — more than 55% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 8% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF60.2%CMS range 52.7–70.251.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.9%CMS range 7.2–15.210.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge69.2%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge60.4%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge64.8%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay2.3%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened7.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.3%CMS range 3.7–11.47.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.141.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

1.27
RN hours/ resident / day
0.26
LPN hours/ resident / day
1.74
Aide hours/ resident / day
3.27
Total nurse hours/ resident / day
0.82
RN hoursweekends
36.4%
Total nursing turnover
36.8%
RN turnover

How full it usually is: this home is certified for 68 beds and averages 52.0 residents a day — about 76% occupied, or roughly 16 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.27 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 1.27 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.74 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.65 hrs/resident/day on weekends vs 3.52 on weekdays — 25% thinner on weekends — a notable drop. RN hours go from 1.46 to 0.82 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 36% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

6
deficiencies at the latest standard inspection (2025-12-22)
8
at the previous standard inspection (2024-10-04)

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

20 citations, most serious first. The 10 most serious are shown; the remaining 10 are one tap away and print in full.

  • Potential for harm · D2025-12-22 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure the physician was notified during a change in condition for 1 of 1 residents reviewed for closed records. (Resident 57)Finding includes: On 12/16/25 at 2:23 P.M., Resident 57's clinical record was reviewed. Resident 57 was admitted on [DATE]. Diagnoses included, but were not limited to, encephalopathy. The most recent admission Minimum Data Set (MDS) Assessment, dated 9/10/25, indicated Resident 57 was cognitively intact. Physician orders included, but were not limited to: lactulose solution 45mL (milliliters) oral three times a day; Start date 9/12/25 The electronic medication administration record (eMAR) indicated the following dates Resident 57 refused lactulose medication:10/3/25 12:21 P.M.10/4/25 11:55 A.M.10/8/25 8:26 A.M.10/8/25 12:20 P.M.10/10/25 3:42 P.M.10/10/25 6:48 P.M.10/11/25 7:31 A.M. The clinical record lacked physician notification of refusal of medications for the above attempted medication administrations. A physician note,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-12-22 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure Minimum Data Set (MDS) Assessments were completed accurately for 1 of 4 residents reviewed for pressure ulcers and 2 of 5 residents reviewed for unnecessary medications. (Resident 4, Resident 3, and Resident 42)Findings include: 1. On 12/16/25 at 10:33 A.M., Resident 4's clinical record was reviewed. Resident 4 was admitted on [DATE]. Diagnoses included, but were not limited to, generalized anxiety disorder. The most recent Annual Minimum Data Set (MDS) Assessment, dated 9/19/25, indicated Resident 4 was cognitively impaired and received antianxiety medication during the 7-day lookback period. Physician orders included, but were not limited to: lorazepam (antianxiety medication) tablet 0.5 mg (milligrams) one tablet oral at bedtime; Start date 12/12/24 The electronic Medication Administration Record (eMAR) from 9/13/25 to 9/19/25 was reviewed. The resident received lorazepam 0.5 mg seven out of seven days. 2. On 12/16/25 at 2:03 P.M., Resident…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-12-22 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to develop a comprehensive care plan for 1 of 5 residents reviewed for medications. (Resident 3) A resident receiving a long-term prophylactic antibiotic did not have a care plan in place to address the antibiotic medication.Finding includes: On 12/16/25 at 2:03 P.M., Resident 3's clinical record was reviewed. Diagnoses included, but were not limited to, hypertensive chronic kidney disease and urinary retention. The most current Significant Change Minimum Data Set (MDS) Assessment, dated 10/4/25, indicated Resident 3 was cognitively intact and received an antibiotic medication during the 7-day lookback period. Physician orders included, but were not limited to:ciprofloxacin (an antibiotic medication) 250 milligram (mg) - Give one tablet by mouth once a day on the 24th of the month, dated 9/30/25ciprofloxacin 500 mg tablet - Give one tablet by mouth twice a day, dated 9/28/25 and discontinued on 9/30/25ciprofloxacin 500 mg tablet - Give one tablet by mouth twice a day, dated 9/30/25 and discontinued on 10/2/25A care conference…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-12-22 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure care plan interventions were revised following a fall for 1 of 4 residents reviewed for falls. (Resident 12) A resident's care plan was not updated with a new intervention after a fall.Finding includes:On 12/16/25 at 12:55 P.M., Resident 12's clinical record was reviewed. Diagnoses included, but were not limited to, Parkinson's disease and dementia. The most current Quarterly Minimum Data Set (MDS) Assessment, dated 11/20/25, indicated Resident 12 had mild cognitive impairment, required substantial to maximal assistance of staff (staff does more than half of the effort) with toileting and transferring, and had two or more falls without injury since the prior assessment. A care plan conference was completed on 12/3/25 with Resident 12's representative attending via phone call. Care plans were reviewed.A risk for falling care plan, initiated 1/2/25, included, but was not limited to, the following interventions:Therapy evaluation and treatment as needed, dated 1/2/25Ensure Dycem (a non-slip pad) is in place in…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-12-22 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure residents were monitored for side effects of high-risk medications for 1 of 5 residents reviewed for medications. (Resident 3) A resident was not monitored for side effects of antibiotic, antiplatelet, diuretic, and antianxiety medications.Finding includes:On 12/16/25 at 12:03 P.M., Resident 3's clinical record was reviewed. Diagnoses included, but were not limited to, hypertensive chronic kidney disease, urinary retention, congestive heart failure, and anxiety disorder. The most current Significant Change Minimum Data Set (MDS) Assessment, dated 10/4/25, indicated Resident 3 was cognitively intact and received an antibiotic, diuretic, antiplatelet, and anticonvulsant medication and did not receive an antianxiety medication during the 7-day look back period.A care conference was completed on 10/24/25 with the resident's family member in attendance. Care plans were reviewed.The clinical record included, but were not limited to, the following care plans:Resident receives diuretic medication related to congestive heart…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-12-22 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure documentation was complete or accurate for 1 of 3 residents reviewed for closed records. (Resident 57) Finding includes: On 12/16/25 at 2:23 P.M., Resident 57's clinical record was reviewed. Resident 57 was admitted on [DATE]. Diagnoses included, but were not limited to, encephalopathy. The most recent admission Minimum Data Set (MDS) Assessment, dated 9/10/25, indicated Resident 57 was cognitively intact. Physician orders included, but were not limited to: lactulose solution 45mL oral three times a day; Start date 9/12/25 The electronic medication administration record (eMAR) indicated the following dates lactulose medication was recorded as unavailable:10/1/25 11:07 A.M.10/1/25 6:48 P.M.10/6/25 8:35 P.M.10/7/25 7:51 A.M.10/7/25 11:22 A.M.10/7/25 7:45 P.M. During an interview on 12/9/25 at 10:28 A.M., the Director of Nursing indicated staff could not remember Resident 57's lactulose medication being unavailable, and believe the missed…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-10-04 · tag F0882 — widespread
    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure designation of a certified Infection Preventionist (IP). The IP had not received specialized training in infection prevention and control when starting as the IP. This had the potential to affect 56 of 56 residents residing in the facility. Finding includes: On 10/4/24 at 9:38 A.M., the Assistant Director of Nursing (ADON) indicated that she was currently responsible for the infection prevention and control program in the facility. She indicated she was able to dedicate approximately 5-10 hours per week on the infection control program. On 10/4/24 at 11:25 A.M., the ADON's employee record was reviewed. The ADON had begun the role as IP on 6/4/24, prior to obtaining her IP certification on 6/17/24. On 7/17/24 the ADON was promoted from IP to ADON. The lack of a dedicated Infection Preventionist resulted in Enhanced Barrier Precautions not being implemented. Cross Reference F880. On 10/4/24 at 12:25 P.M., the Administrator provided a document titled Infection Prevention and Control Program, dated 11/10/17, that…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-10-04 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to implement infection control practices for 6 of 6 residents reviewed for EBP (Enhanced Barrier Precautions). Signs were not posted, orders were not initiated, and gowns were not worn during high contact activities. (Resident T, Resident S, Resident D, Resident L, Resident W, Resident V) Findings included: 1. On 9/30/24 at 1:48 P.M., during a random observation there was no EBP sign on Resident L's door. On 10/1/24 at 9:00 A.M., during a random observation there was no EBP sign on Resident L's door. On 10/02/24 at 10:28 A.M., during a random observation there was no EBP sign on Resident L's door. On 10/2/24 at 10:11 A.M., Resident L's clinical record was reviewed. The diagnoses included, but were not limited to, anemia, COPD (Chronic Obstructive Pulmonary Disease), and generalized edema. Current Physician included but were not limited to: - Staff to use enhanced barrier precautions, wearing a gown and gloves at minimum during high-contact care activities twice a day, initiated 9/28/24. The Care Plans included,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-04 · tag F0623 — isolated
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure a notice of transfer was completed for 1 of 4 residents reviewed for hospital transfers. (Resident 21) Finding includes: On 10/2/24 at 10:34 A.M., Resident 21's clinical record was reviewed. The diagnosis included, but was not limited, to encephalopathy. The most recent Quarterly MDS (Minimum Data Set) assessment, dated 8/28/24, indicated Resident 21 was moderately cognitively intact. A nursing progress note, dated 8/16/24 at 2:04 P.M., indicated Resident 21 had returned from the dentist after oral surgery. On 10/3/24 at 1:51 P.M., Regional Support 27 provided transfer discharge paperwork sent with Resident 21 to his appointment on 8/16/24. Notice of Transfer or Discharge and Notice of Transfer Discharge Request for Hearing were blank and did not include any resident information or reason for transfer. On 10/4/24 at 11:23 A.M., Regional Support 27 provided a document titled Guidelines for Transfer and Discharge, dated 5/3/17, that indicated to record the reason for, the effective date of transfer or discharge, and…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-04 · tag F0635 — isolated
    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure a newly admitted resident had immediate orders for an indwelling urinary catheter for 1 of 1 residents reviewed for urinary catheters. (Resident D) Findings include: On 9/30/24 at 9:40 A.M., staff was observed to be transferring Resident D. Resident D was observed to have a urinary catheter at that time. On 10/1/24 at 3:00 P.M., Resident D's clinical record was reviewed. The diagnoses included, but were not limited to, facial/skull fracture, subdural hemorrhage (type of brain bleed), and subarachnoid hemorrhage (type of brain bleed). Resident D was admitted [DATE] Resident D's clinical record lacked orders for an indwelling urinary catheter and/or catheter care. On 10/3/24 at 10:30 A.M., Resident D's clinical record was reviewed. A Nursing Assessment, dated 10/2/24 at 12:37 A.M., indicated Resident D did not have an indwelling urinary catheter. On 10/3/23 at 12:39 P.M., Regional Support RN indicated catheters would have been…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
Show the remaining 10 citations
  • Potential for harm · Dcited before2024-10-04 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to ensure care plans were revised quarterly for 1 of 5 residents reviewed for unnecessary medications. (Resident 36) Findings include: On 10/2/24 at 1:04 P.M., Resident 36's clinical record was reviewed. The diagnoses included, but were not limited to, major depressive disorder, restlessness and agitation, and mild cognitive impairment. The current Annual MDS (Minimum Data Set) assessment, dated 9/18/24, indicated Resident 36 was mildly cognitively impaired and did not receive hypnotic medications during the assessment period. The record lacked an order for a hypnotic medication. A current care plan for psychotropic drug use indicated the resident was at risk for adverse consequences related to receiving a hypnotic medication for insomnia, initiated 11/6/23. During an interview on 10/3/24 at 9:18 A.M., the MDS Coordinator indicated when a medication was discontinued the care plan needed to be updated. On 10/4/24 at 11:23 A.M., the Regional Support Nurse provided a current policy Comprehensive Care Plan Guidelines revised…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-04 · tag F0694 — isolated
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview, observation, and record review, the facility failed to ensure professional standards of practice were implemented for a PICC (Peripherally Inserted Central Catheter) for 1 of 1 residents reviewed for a PICC line. Physician orders were not followed and a care plan was not developed. (Resident T) Finding includes: During an interview on 9/30/24 at 10:50 A.M., Resident T indicated he had a PICC line for a while but was unsure why he had it. Resident T pulled back the sleeve of his shirt and revealed a PICC on the right side of his chest. The insertion site of the catheter was distal to the right subclavian and appeared to be in the location of a central venous catheter. On 10/2/24 at 9:53 A.M., Resident T's clinical record was reviewed. The diagnoses included, but were not limited to, bacteremia and diabetes mellitus. The most recent Quarterly MDS (Minimum Data Set) assessment, dated 7/30/24, indicated Resident T was cognitively intact and did not have IV (intravenous) access. Physician orders included, but were not limited to: - Change end caps every 96 hours every…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-04 · tag F0759 — failed to keep medication error rate low — isolated
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure residents were free of a medication error rate greater than 5 percent for 2 of 35 opportunities, resulting in a medication error rate of 5.71 percent. (Resident W) Finding includes: On 10/2/24 at 7:02 A.M., Registered Nurse (RN) 17 was observed administering medication to Resident W. Two and a half milliliters of liquid famotidine (antacid medication) mixed with water was administered via the resident's gastric tube. Carboxymethylcellulose (eye lubricant) eye drops were administered to each of the resident's eyes. RN 17 lifted the upper eyelids with a gloved finger and dropped one drop onto each eye. On 10/2/24 at 8:07 A.M., Resident W's clinical record was reviewed. The diagnoses included, but were not limited to, malignant neoplasm of colon and chronic duodenal ulcer with hemorrhage. The most current Quarterly Minimum Data Set (MDS) assessment, dated 7/10/24, indicated Resident W was not assessed for cognitive ability due to rarely or never being understood and had a feeding tube. Physician orders…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-10-04 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to ensure clinical records were accurate and complete for 1 of 1 residents reviewed for falls. Neurological checks were not documented. (Resident 36) Findings include: On 10/2/24 at 1:04 P.M., Resident 36's clinical record was reviewed. The diagnoses included, but were not limited to, unsteadiness on feet, abnormalities of gait and mobility, and history of falling. The current Annual MDS (Minimum Data Set) assessment, dated 9/18/24, indicated Resident 36 was mildly cognitively impaired. Resident 36 needed substantial assistance with transfer and hygiene and had recent falls. An Event Report from an unwitnessed fall on 7/31/24, indicated Resident 36 did not have neurological checks documented after the fall. An Event Report from an unwitnessed fall on 8/11/24, indicated Resident 36 did not have neurological checks documented after the fall. An Event Report from an unwitnessed fall on 8/25/24, indicated Resident 36 did not have neurological checks documented after the fall. During an interview on 10/4/24 at 10:21 A.M., the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-05-17 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to provide assistance with bathing and oral hygiene for 4 of 7 residents reviewed for activities of daily living (ADLs). Residents did not receive a complete bed bath, shower, and/or daily oral hygiene according to the plan of care and residents preferences. (Resident F, Resident G, Resident H, Resident J) Findings include: 1. During an observation on 5/16/24 at 10:20 A.M., Resident F was sitting up in his room, dressed, with his hair combed back. His hair appeared to be oily. During record review on 5/16/24 at 11:00 A.M., Resident F's diagnoses included, but were not limited to, heart failure, kidney failure, reduced mobility, and weakness. Resident F's most recent admission MDS (Minimum Data Set) assessment, dated 5/8/24, indicated that the resident had moderate cognitive impairment, required an assistive device including a walker or wheelchair for mobility, was dependent for oral hygiene and bathing. Resident F's care plan included, but was not limited to, showers on Wednesdays and Saturdays (first shift)…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-05-17 · tag F0725 — failed to have enough nursing staff — pattern
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure sufficient nursing staff was provided to maintain residents quality of life and to ensure residents' activities of daily living (ADL's) were completed for 2 of 2 days during the survey. Findings include: On 5/16/24 at 10:00 a.m., the Facility Census Form indicated there were 57 residents residing on the health center. 1. During the survey from 5/16/24 through 5/17/24, the following interviews were conducted. - The staff could use more help. - Call lights take a long time to be answered and it was frustrating. - Waiting 20 minutes for call lights to be answered. - The facility is short staffed. - It was difficult to complete tasks for residents due to staffing. - She needed staff assistance to stand up out of her chair and that staff hardly answered her call light at all. She may have to wait up to an hour or hour and a half to have a call light answered. One night shift she turned her light on at 2:45 A.M. and staff didn't come…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-09-12 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to provide assistance with bathing for 3 of 4 residents reviewed for activities of daily living (ADLs). Residents did not receive bathing according to their plan of care or resident preferences. (Resident F, Resident G, Resident H) Findings include: 1. During a review of facility grievances on 9/11/23 at 10:30 A.M., Resident F had submitted a grievance on 9/5/23 that she had not received showers. During an observation on 9/12/23 at 10:00 A.M., Resident F was sitting up in their room wearing a night gown. During record review on 9/12/23 at 12:45 P.M., Resident F's diagnoses included, but were not limited to, chronic pain, muscle weakness, unsteadiness on feet, and lack of coordination. Resident F's most recent quarterly MDS (Minimal Data Set) assessment, dated 6/21/23, included that the resident had severe cognitive impairment, required limited assistance with transfers, and physical help in part of bathing. Resident F's care plan included, but was not limited to: Resident requires staff assistance to complete…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-07-28 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure oxygen services were provided according to physician orders for 1 of 2 residents reviewed for respiratory care. A resident's humidification bottle was not filled with water. (Resident 34) Finding includes: On 7/24/23 at 8:35 A.M., Resident 34's oxygen concentrator was observed to have no water in the humidification bottle. On 7/25/23 at 9:02 A.M., Resident 34's oxygen concentrator was observed to have no water in the humidification bottle. At that time, the resident indicated she was unsure if it was ever filled with water. On 7/25/23 at 9:51 A.M., Resident 34's clinical record was reviewed. Resident 34's diagnoses included, but were not limited to, acute respiratory failure with hypoxia (low levels of oxygen in body tissue) and COPD (chronic obstructive pulmonary disease). The most recent quarterly MDS (Minimum Data Set) assessment, dated 6/20/23, indicated Resident 34 was cognitively intact, required extensive assistance of 2 staff for transfers and bed mobility, and was on oxygen. Current physician…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-07-28 · tag F0761 — failed to label and store drugs safely — isolated
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to store medications in a safe manner for 2 of 3 medication carts and 1 of 1 medication rooms. Narcotic medications not locked, loose pills were in the medication carts, the refrigerator was not within the temperature range, and resident money was stored in the medication carts. (Medication Room, 200 Hall Medication Cart, 300 Hall Medication Cart) Findings include: 1. During an interview with LPN (Licensed Practical Nurse) 9 and observation on 7/24/23 at 8:30 A.M., the medicine refrigerator on the skilled unit was found to have 2 permanently affixed drawers inside that were unlocked. One drawer contained full bottles of liquid morphine sulfate (an opiod pain medication), 30 ml (milliliters) each, labeled for Resident 20 (unopened), Resident 30 (unopened) and Resident 37 (opened). The other drawer contained liquid Lorazepam (an anti-anxiety medication) for Resident 30 (unopened) and Ativan (an anti-anxiety medication) for Resident 27 (unopened). The thermometer in the medicine refrigerator was observed to be 49 degrees F…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • No harm found · C2023-07-28 · tag F0814 — failed to dispose of garbage properly — widespread
    Dispose of garbage and refuse properly.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and interview, the facility failed to ensure that waste was properly contained in dumpster's with lids covered for 1 of 1 garbage storage areas observed. Findings include: On 7/23/23 at 9:05 A.M., the garbage storage area was observed with the Food Service Director. There were 2 dumpsters. One was open, surrounded by trash on the ground, 1 large smashed cardboard box was under it, and 3 old mattresses with tears in their coverings were piled on top of each other beside it. The Food Service Director indicated it would be cleaned up. The policy for the garbage storage area was requested and not received. 3.1-21(i)(5)

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to TRILOGY HEALTH SERVICES — 123 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 4 of 54.2-0.2 vs chain
Health inspection 3 of 53.5-0.5 vs chain
Staffing 3 of 53.3-0.3 vs chain
Quality measures 5 of 54.8+0.2 vs chain
The other 122 homes this chain runs (chain average 4.2★, per CMS)
1 of 5Heritage TheFindlay, OH 1 of 5The Oaks Rehabilitation and Healthcare CenterZanesville, OH 2 of 5Homewood Health CampusLebanon, IN 2 of 5Violet Springs Health CampusPickerington, OH 2 of 5Woodmont Health CampusBoonville, IN 3 of 5Cobblestone Crossings Health CampusTerre Haute, IN 3 of 5Creasy Springs Health CampusLafayette, IN 3 of 5Cumberland Pointe Health CampusWest Lafayette, IN 3 of 5Forest Park Health CampusRichmond, IN 3 of 5Franciscan Health Care CenterLouisville, KY 3 of 5Greenleaf Health CampusElkhart, IN 3 of 5River Terrace Health CampusMadison, IN 3 of 5Scenic Hills At The MonasteryFerdinand, IN 3 of 5Smiths Mill Health CampusNew Albany, OH 3 of 5Springhurst Health CampusGreenfield, IN 3 of 5Springs Of Richmond, TheRichmond, IN 3 of 5St Mary Healthcare CenterLafayette, IN 3 of 5Stonegate Health CampusLapeer, MI 3 of 5Sun Prairie Senior LivingSun Prairie, WI 3 of 5Taylor Springs Health CampusGahanna, OH 3 of 5The Willows at Fritz FarmLexington, KY 3 of 5The Willows at HamburgLexington, KY 3 of 5The Willows at HarrodsburgHarrodsburg, KY 3 of 5The Willows at SpringhurstLouisville, KY 3 of 5Villages At Oak Ridge, TheWashington, IN 3 of 5Waunakee Valley Senior LivingWaunakee, WI 3 of 5Wellbrooke Of CarmelCarmel, IN 4 of 5Arlington Place Health CampusIndianapolis, IN 4 of 5Ashford Place Health CampusShelbyville, IN 4 of 5Aspen Place Health CampusGreensburg, IN 4 of 5Avalon Springs Health CampusValparaiso, IN 4 of 5Bethany Pointe Health CampusAnderson, IN 4 of 5Blair Ridge Health CampusPeru, IN 4 of 5Bridgepointe Health CampusVincennes, IN 4 of 5Cedar Creek Health CampusLowell, IN 4 of 5Clearvista Lake Health CampusIndianapolis, IN 4 of 5Forest Springs Health CampusLouisville, KY 4 of 5Glen Oaks Health CampusNew Castle, IN 4 of 5Glen Ridge Health CampusLouisville, KY 4 of 5Meadows Of Delphos TheDelphos, OH

Showing 40 of 122; lowest-rated first.

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
GOOD SAMARITAN HOSPITALOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL100%since 05/01/2015
TRILOGY OPCO LLCOrganizationDIRECT OWNERSHIP INTERESTsince 12/01/2015
TRILOGY PRO SERVICES LLCOrganizationDIRECT OWNERSHIP INTERESTsince 12/01/2015
LUMENT REAL ESTATE CAPITAL LLCOrganization5% OR GREATER MORTGAGE INTEREST; ADP OF THE SNFsince 01/01/2023
ORIX REAL ESTATE CAPITAL LLCOrganization5% OR GREATER MORTGAGE INTEREST; ADP OF THE SNFsince 01/01/2023
CORBIN, KATHYIndividualCORPORATE DIRECTORsince 07/01/2015
SCHUCKMAN, MATTHEWIndividualCORPORATE OFFICERsince 12/15/2021
TRILOGY HEALTHCARE OF RIVER OAKS, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 11/01/2014
BRINK, BRUCEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/17/2025
MCLIN, ROBERTIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/06/1992
STEPHENS, AARONIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/28/2025
THACKER, ADAMIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/01/2013
DAVIS, DAVIDIndividualLIMITED PARTNERSHIP INTERESTsince 12/31/2019
BARNEY, LEIGHIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 10/03/2025
AMERICAN HEALTHCARE REIT HOLDINGS LPOrganizationADP OF THE SNFsince 10/01/2018
AMERICAN HEALTHCARE REIT INCOrganizationADP OF THE SNFsince 10/01/2018
CONTINENTAL MERGER SUB LLCOrganizationADP OF THE SNFsince 10/01/2021
GAHC3 TRILOGY JV LLCOrganizationADP OF THE SNFsince 12/01/2015
GAHC4 TRILOGY JV LLCOrganizationADP OF THE SNFsince 10/01/2018
PARAGON OUTPATIENT REHABILITATION SERVICES LLCOrganizationADP OF THE SNFsince 12/01/2015
TRILOGY HEALTH SERVICES LLCOrganizationADP OF THE SNFsince 12/01/2015
TRILOGY HEALTHCARE MASTER TENANT VI, LLCOrganizationADP OF THE SNFsince 06/19/2025
TRILOGY HEALTHCARE OF PRINCETON, LLCOrganizationADP OF THE SNFsince 12/01/2015
TRILOGY INVESTORS LLCOrganizationADP OF THE SNFsince 12/01/2015
TRILOGY MANAGEMENT SERVICES LLCOrganizationADP OF THE SNFsince 10/03/2025
TRILOGY PROPCO FINANCE LLCOrganizationADP OF THE SNFsince 12/01/2015
TRILOGY PROPERTY HOLDINGS LLCOrganizationADP OF THE SNFsince 12/01/2015
TRILOGY REAL ESTATE INVESTMENT TRUSTOrganizationADP OF THE SNFsince 12/01/2015
TRILOGY REIT HOLDINGS LLCOrganizationADP OF THE SNFsince 12/01/2015

CMS files one row per role, so the 36 rows in the source record cover these 29 parties — each is shown once here with every role it holds. Nothing is omitted.

21 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$10.0M
Net patient revenuemost recent cost report
+13.8%
Operating marginrevenue minus expenses
$1.1M
Related-party expense13% of expenses
Who pays — share of resident-days
Medicaid 26%Medicare 11%Other / private 62%

This home reported $1.1M paid to related parties — landlords or management companies under common ownership — equal to about 13% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$278per resident / day
operating cost
$8,454per month
≈ monthly operating cost
$323per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IN

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Indiana Medicaid page.

Typical monthly cost in Indiana
$8,943/mo
Nursing home (semi-private)
$10,326/mo
Nursing home (private)
$5,639/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 155732. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-12-22, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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