Monroeville, IN

Adams Heritage

5-star overall rating with 4-star inspections with 1 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

12011 Whittern Rd, Monroeville, IN

(260) 623-6440

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

61

Certified beds

Average residents

32

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2004-04-28

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

1.06

Registered nurse staffing · state 0.66 · national 0.68

LPN hours / resident day

0.57

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

2.61

Nurse aide staffing · state 2.27 · national 2.35

Total nurse hours

4.24

All reported nurse hours · state 3.71 · national 3.89

Licensed hours

1.63

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

4.04

Weekend nurse staffing · state 3.24 · national 3.43

Weekend RN hours

0.90

Weekend registered nurse coverage · state 0.45 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

1.17

CMS adjusted RN staffing hours

Adjusted total hours

4.64

CMS adjusted total nurse staffing hours

Case-mix index

1.25

Higher values indicate more complex resident acuity

RN turnover

36%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

48%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,090

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

30.80

Composite VBP score used to determine payment impact.

Payment multiplier

0.9862

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0.72

Baseline 22.30% · Performance 21.66% · Measure score 0.72 · Achievement 0 · Improvement 0.72

Healthcare-associated infections

4.48

Baseline 6.07% · Performance 6.50% · Measure score 4.48 · Achievement 4.48 · Improvement 0

Total nurse turnover

4.46

Baseline 57.63% · Performance 45.45% · Measure score 4.46 · Achievement 4.46 · Improvement 3.21

Adjusted total nurse staffing

2.66

Baseline 3.73 hours · Performance 3.84 hours · Measure score 2.66 · Achievement 2.66 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.58%	10.72% 1.1 pts better	No Different than the National Rate · Eligible stays 40 · Observed rate 2.5% · Lower 95% interval 6.32%
Discharge to community	52.87%	50.57% 2.3 pts better	No Different than the National Rate · Eligible stays 37 · Observed rate 51.35% · Lower 95% interval 39.32%
Medicare spending per beneficiary	0.97	1.02 0.1 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 26 · Denominator 26
Falls with major injury	3.85%	0.77% 3.1 pts worse	Numerator 1 · Denominator 26
Discharge self-care score	73.91%	53.69% 20.2 pts better	Numerator 17 · Denominator 23
Discharge mobility score	78.26%	50.94% 27.3 pts better	Numerator 18 · Denominator 23
Pressure ulcers or injuries, new or worsened	3.85%	2.29% 1.6 pts worse	Numerator 1 · Denominator 26 · Adjusted rate 3.42%
Healthcare-associated infections requiring hospitalization	6.5%	7.12% 0.6 pts better	No Different than the National Rate · Eligible stays 33 · Observed rate 3.03% · Lower 95% interval 3.92%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 106
Staff flu vaccination coverage	30.09%	42% 11.9 pts worse	Numerator 34 · Denominator 113
Discharge function score	73.91%	56.45% 17.5 pts better	Numerator 17 · Denominator 23
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.1	1.6 0.5 pts better	1.9 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.2 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.0	1.5 0.5 pts better	1.8 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.0 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	93.6% 6.4 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	95.4% 4.6 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	4.3%	3.8% 0.5 pts worse	3.3% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 5.9% · Q3 2.9% · Q4 3.3% · 4Q avg 4.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	24.6% 24.6 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	0.8%	5.6% 4.8 pts better	5.4% 4.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	7.9%	23.5% 15.6 pts better	19.6% 11.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 9.4% · Q3 6.1% · Q4 4.0% · 4Q avg 7.9%
Percentage of long-stay residents who received an antipsychotic medication	5.7%	14.8% 9.1 pts better	16.7% 11 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 4.0% · Q3 3.8% · Q4 8.7% · 4Q avg 5.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	19.3%	13.3% 6 pts worse	16.3% 3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.4% · Q2 15.0% · 4Q avg 19.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	16.3%	11.7% 4.6 pts worse	14.9% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 9.7% · Q3 21.9% · Q4 20.0% · 4Q avg 16.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.4% 0.4 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	1.2% 1.2 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	33.9%	24.2% 9.7 pts worse	19.8% 14.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.6% · Q2 46.2% · Q3 39.5% · Q4 25.0% · 4Q avg 33.9%
Percentage of long-stay residents with pressure ulcers	6.9%	4.1% 2.8 pts worse	5.1% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 8.6% · Q3 7.6% · Q4 4.5% · 4Q avg 6.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	81.6% 18.4 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit	0.0%	10.5% 10.5 pts better	12.0% 12 pts better	Short Stay · 20240701-20250630 · Adjusted 0.0% · Observed 0.0% · Expected 9.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.3% 1.3 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	100.0%	79.0% 21 pts better	79.7% 20.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	10.4%	22.4% 12 pts better	23.9% 13.5 pts better	Short Stay · 20240701-20250630 · Adjusted 10.4% · Observed 9.5% · Expected 21.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-28 · Fire 2025-05-28

1 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2024-07-30 · Fire 2024-07-30

1 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2023-09-05 · Fire 2023-09-05

0 health deficiencies

No concentrated health issue counts in this cycle.

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-28

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-07-18

E · Potential for more than minimal harm 2025-05-28

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-07-18

E · Potential for more than minimal harm 2025-05-28

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-07-18

E · Potential for more than minimal harm 2025-05-28

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-07-18

F · Potential for more than minimal harm 2024-07-30

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-04

E · Potential for more than minimal harm 2023-09-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-11-01

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-05-28

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-06-09

D · Potential for more than minimal harm 2024-07-30

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-08-12

Penalties and ownership

What sits behind the stars

Ownership

Adams County Memorial Hospital

5% Or Greater Direct Ownership Interest · Organization

100% 52 facilities 2004-04-28

Adams County Memorial Hospital

Operational/Managerial Control · Organization

0% 52 facilities 2004-04-28

Borne-Bauman, Candice