4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
6 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Kokomo, IN
3-star overall rating with 3-star inspections with $15,593 in total fines with 4 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
3518 S Lafountain St, Kokomo, IN
(765) 453-4666
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
105
Certified beds
Average residents
52
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Aperion Care
Operator or chain grouping
Approved since
1968-02-06
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
33 facilities
Chain averages 2 overall / 2 health / 2 staffing / 3 quality stars
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
RN hours / resident day
0.43
Registered nurse staffing · state 0.66 · national 0.68
LPN hours / resident day
0.87
Licensed practical nurse staffing · state 0.77 · national 0.87
Aide hours / resident day
2.02
Nurse aide staffing · state 2.27 · national 2.35
Total nurse hours
3.32
All reported nurse hours · state 3.71 · national 3.89
Licensed hours
1.30
RN + LPN hours · state 1.44 · national 1.54
Weekend hours
2.96
Weekend nurse staffing · state 3.24 · national 3.43
Weekend RN hours
0.32
Weekend registered nurse coverage · state 0.45 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.29
CMS adjusted RN staffing hours
Adjusted total hours
2.29
CMS adjusted total nurse staffing hours
Case-mix index
1.99
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
54%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
12,912
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
9.68
Composite VBP score used to determine payment impact.
Payment multiplier
0.9808
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
1.94
Baseline 64.06% · Performance 55.77% · Measure score 1.94 · Achievement 1.94 · Improvement 1.61
Adjusted total nurse staffing
0
Baseline 2.23 hours · Performance 2.18 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.95% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 35 · Observed rate 17.14% · Lower 95% interval 6.67% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 24 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 1.33 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 23 · Denominator 23 |
| Falls with major injury | 4.35% |
0.77%
3.6 pts worse
|
Numerator 1 · Denominator 23 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 23 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 88 |
| Staff flu vaccination coverage | 5.68% |
42%
36.3 pts worse
|
Numerator 5 · Denominator 88 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.8 |
1.6
0.8 pts better
|
1.9
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 1.1 · Expected 2.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.8 |
1.5
0.3 pts worse
|
1.8
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 2.2 · Expected 2.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.8% |
93.6%
3.2 pts better
|
93.4%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.1% · Q2 97.9% · Q3 97.8% · Q4 95.5% · 4Q avg 96.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.1% |
95.4%
2.7 pts better
|
95.5%
2.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.7% |
3.8%
0.1 pts better
|
3.3%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 4.3% · Q3 4.3% · Q4 4.5% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 93.7% |
24.6%
69.1 pts worse
|
11.4%
82.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 97.9% · Q2 95.3% · Q3 88.1% · Q4 92.9% · 4Q avg 93.7% |
| Percentage of long-stay residents who lose too much weight | 6.4% |
5.6%
0.8 pts worse
|
5.4%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 6.8% · Q3 7.0% · Q4 10.0% · 4Q avg 6.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 38.4% |
23.5%
14.9 pts worse
|
19.6%
18.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.6% · Q2 35.6% · Q3 34.9% · Q4 45.0% · 4Q avg 38.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 29.8% |
14.8%
15 pts worse
|
16.7%
13.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.6% · Q2 27.0% · Q3 28.6% · Q4 33.3% · 4Q avg 29.8% · 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 | 8.2% |
13.3%
5.1 pts better
|
16.3%
8.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 0.0% · Q3 13.1% · Q4 15.0% · 4Q avg 8.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.0% |
11.7%
8.7 pts better
|
14.9%
11.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 4.7% · Q3 2.4% · Q4 2.6% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.6% |
0.4%
1.2 pts worse
|
1.0%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.6% · Q4 4.4% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.5% |
1.2%
0.7 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.3% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.9% |
24.2%
4.3 pts better
|
19.8%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.1% · Q2 22.3% · Q3 23.7% · Q4 21.8% · 4Q avg 19.9% |
| Percentage of long-stay residents with pressure ulcers | 4.2% |
4.1%
0.1 pts worse
|
5.1%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 4.4% · Q3 4.3% · Q4 6.7% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 65.6% |
81.6%
16 pts worse
|
81.7%
16.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 64.7% · Q2 71.4% · Q3 62.9% · Q4 64.3% · 4Q avg 65.6% |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% |
1.3%
0.6 pts worse
|
1.6%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 72.4% |
79.0%
6.6 pts worse
|
79.7%
7.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 72.4% |
Survey summary
Top issue: Quality of Life and Care (2 deficiencies)
6 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
19 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
28 fire-safety deficiencies
Top issue: Emergency Preparedness (8 deficiencies)
Fire safety
Fire Safety
Implement emergency and standby power systems.
Corrected 2025-10-03
Fire Safety
Meet other general requirements that are deficient.
Corrected 2025-10-03
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-10-11
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-10-03
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 2025-10-17
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-10-03
Fire Safety
Establish staff and initial training requirements.
Corrected 2024-12-16
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-11-20
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-11-20
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-11-20
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-20
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-12-16
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-11-20
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-11-20
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-11-20
Fire Safety
Have exits that are accessible at all times.
Corrected 2024-11-20
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-11-20
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-11-20
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-11-20
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-11-20
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-11-20
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-11-20
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-11-20
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-11-20
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-11-20
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-09-26
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2023-09-25
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-09-25
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2023-09-25
Fire Safety
Develop a communication plan.
Corrected 2023-09-25
Fire Safety
Establish emergency prep training and testing.
Corrected 2023-09-25
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-09-26
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-09-25
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-09-25
Fire Safety
Meet other general requirements.
Corrected 2023-09-25
Fire Safety
Meet other general requirements that are deficient.
Corrected 2023-09-25
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-09-25
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-09-25
Fire Safety
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Corrected 2023-09-26
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 2023-09-25
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-09-25
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-09-25
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-09-25
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-09-25
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-09-25
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2023-09-25
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-09-25
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-09-25
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-09-25
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-09-25
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2023-09-25
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-09-25
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-09-27
Inspection history
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-08-20
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-08-20
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-08-22
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-08-20
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2024-12-10
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-12-10
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-12-10
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2024-10-04
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-10-04
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-10-04
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-10-04
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-10-04
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 2024-10-04
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-10-04
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-02-14
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-02-14
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-10-20
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2023-10-20
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-09-08
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-09-08
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-09-08
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-09-08
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-09-08
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-09-08
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-09-08
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-09-08
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-09-08
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 2023-09-08
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2023-09-08
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2023-09-08
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-09-08
Penalties and ownership
Fine · fine $15,593
Fine
Payment Denial · denial start 2023-09-16 · 10 days
10 day denial
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Nearby options
Kokomo, IN
3-star overall rating with 3-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Kokomo, IN
4-star overall rating with 3-star inspections with $8,824 in total fines with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Kokomo, IN
3-star overall rating with 3-star inspections with $24,291 in total fines with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Jump out