30 health deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Evansville, IN
1-star overall rating with 1-star inspections with Special Focus status with $10,224 in total fines with 30 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
1236 Lincoln Ave, Evansville, IN
(812) 464-3607
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
47
Certified beds
Average residents
43
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Aperion Care
Operator or chain grouping
Approved since
2014-05-28
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
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
1.11
Registered nurse staffing · state 0.66 · national 0.68
LPN hours / resident day
0.65
Licensed practical nurse staffing · state 0.77 · national 0.87
Aide hours / resident day
2.62
Nurse aide staffing · state 2.27 · national 2.35
Total nurse hours
4.39
All reported nurse hours · state 3.71 · national 3.89
Licensed hours
1.76
RN + LPN hours · state 1.44 · national 1.54
Weekend hours
3.82
Weekend nurse staffing · state 3.24 · national 3.43
Weekend RN hours
0.83
Weekend registered nurse coverage · state 0.45 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
1.02
CMS adjusted RN staffing hours
Adjusted total hours
4.03
CMS adjusted total nurse staffing hours
Case-mix index
1.49
Higher values indicate more complex resident acuity
RN turnover
70%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
59%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
5,702
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
35.26
Composite VBP score used to determine payment impact.
Payment multiplier
0.9890
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
2.47
Baseline 42.86% · Performance 53.57% · Measure score 2.47 · Achievement 2.47 · Improvement 0
Adjusted total nurse staffing
4.58
Baseline 4.10 hours · Performance 4.38 hours · Measure score 4.58 · Achievement 4.58 · Improvement 1.15
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 10 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 1.34 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 21 · Denominator 21 |
| Falls with major injury | 4.76% |
0.77%
4 pts worse
|
Numerator 1 · Denominator 21 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 9.52% |
2.29%
7.2 pts worse
|
Numerator 2 · Denominator 21 · Adjusted rate 9.94% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 20 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 12.86% |
8.2%
4.7 pts better
|
Numerator 9 · Denominator 70 |
| Staff flu vaccination coverage | 0% |
42%
42 pts worse
|
Numerator 0 · Denominator 75 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.2 |
1.6
1.6 pts worse
|
1.9
1.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.2 · Observed 2.3 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
1.5
0.2 pts better
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.0 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 81.9% |
93.6%
11.7 pts worse
|
93.4%
11.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 90.0% · Q2 92.1% · Q3 77.5% · Q4 67.6% · 4Q avg 81.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 82.5% |
95.4%
12.9 pts worse
|
95.5%
13 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 82.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 8.4% |
3.8%
4.6 pts worse
|
3.3%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 7.9% · Q3 7.5% · Q4 5.4% · 4Q avg 8.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 83.7% |
24.6%
59.1 pts worse
|
11.4%
72.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 85.3% · Q2 85.7% · Q3 78.4% · Q4 85.7% · 4Q avg 83.7% |
| Percentage of long-stay residents who lose too much weight | 10.2% |
5.6%
4.6 pts worse
|
5.4%
4.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.9% · Q2 17.1% · Q3 5.9% · Q4 3.1% · 4Q avg 10.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.7% |
23.5%
0.8 pts better
|
19.6%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 27.8% · Q3 22.2% · Q4 18.2% · 4Q avg 22.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.8% |
14.8%
8 pts better
|
16.7%
9.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 12.5% · Q3 3.6% · Q4 3.3% · 4Q avg 6.8% · 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 | 20.2% |
13.3%
6.9 pts worse
|
16.3%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 35.7% · 4Q avg 20.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.6% |
11.7%
1.9 pts worse
|
14.9%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 8.6% · Q3 12.5% · Q4 9.7% · 4Q avg 13.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.3% |
0.4%
0.9 pts worse
|
1.0%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.8% · Q3 2.5% · Q4 0.0% · 4Q avg 1.3% · 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 | 26.2% |
24.2%
2 pts worse
|
19.8%
6.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.0% · Q2 16.4% · Q3 23.0% · Q4 28.6% · 4Q avg 26.2% |
| Percentage of long-stay residents with pressure ulcers | 2.5% |
4.1%
1.6 pts better
|
5.1%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.9% · Q3 0.0% · Q4 3.4% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 58.8% |
81.6%
22.8 pts worse
|
81.7%
22.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 57.7% · Q2 71.4% · Q3 61.3% · Q4 40.7% · 4Q avg 58.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.8% |
10.5%
3.3 pts worse
|
12.0%
1.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.8% · Observed 14.8% · Expected 12.0% · 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% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 23.7% |
79.0%
55.3 pts worse
|
79.7%
56 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 23.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.7% |
22.4%
6.3 pts worse
|
23.9%
4.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.7% · Observed 29.6% · Expected 24.6% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (8 deficiencies)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Top issue: Resident Assessment and Care Planning (5 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2025-05-16
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-05-16
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-05-16
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-05-16
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-04-20
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-04-20
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-04-20
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2024-04-20
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-04-20
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-04-20
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-04-20
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-04-20
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-04-20
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-04-20
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-04-20
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-09-02
Inspection history
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-10-20
Health
Respond appropriately to all alleged violations.
Corrected 2025-10-20
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-10-20
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-10-20
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2025-10-20
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 2025-10-20
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-07-10
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-07-10
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-10
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-07-10
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-05-06
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-05-06
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2025-05-06
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2025-05-06
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-05-06
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-05-06
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-05-06
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-05-06
Health
Give residents a notice of rights, rules, services and charges.
Corrected 2025-05-06
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 2025-05-06
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-05-06
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2025-05-06
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-05-06
Health
Provide care by qualified persons according to each resident's written plan of care.
Corrected 2025-05-06
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-05-06
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-06
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-05-06
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2025-05-06
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-06
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-28
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 2024-03-28
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-03-28
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-03-28
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 2024-03-28
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-03-28
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-28
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-03-28
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-03-28
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-03-28
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-03-28
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-03-28
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-03-28
Health
Post nurse staffing information every day.
Corrected 2024-03-28
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-05-18
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-08-19
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-08-19
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-08-19
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-08-19
Penalties and ownership
Fine · fine $10,224
Fine
5% Or Greater Direct 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
Contracted Managing Employee · Individual
Contracted Managing Employee · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Evansville, IN
3-star overall rating with 3-star inspections with 4 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
Evansville, IN
1-star overall rating with 1-star inspections with $74,236 in total fines with 19 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
Evansville, IN
3-star overall rating with 3-star inspections with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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