7 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Bloomington, IN
1-star overall rating with 3-star inspections with 7 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
120 E Miller Dr, Bloomington, IN
(812) 336-1055
Overall
1 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
38
Certified beds
Average residents
33
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Aperion Care
Operator or chain grouping
Approved since
1994-09-30
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
0.51
Registered nurse staffing · state 0.66 · national 0.68
LPN hours / resident day
0.51
Licensed practical nurse staffing · state 0.77 · national 0.87
Aide hours / resident day
1.96
Nurse aide staffing · state 2.27 · national 2.35
Total nurse hours
2.99
All reported nurse hours · state 3.71 · national 3.89
Licensed hours
1.02
RN + LPN hours · state 1.44 · national 1.54
Weekend hours
2.57
Weekend nurse staffing · state 3.24 · national 3.43
Weekend RN hours
0.43
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
0.42
CMS adjusted RN staffing hours
Adjusted total hours
2.43
CMS adjusted total nurse staffing hours
Case-mix index
1.68
Higher values indicate more complex resident acuity
RN turnover
67%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
13,726
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
0
Composite VBP score used to determine payment impact.
Payment multiplier
0.9803
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
0
Baseline 43.48% · Performance 62.50% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
0
Baseline 2.94 hours · Performance 2.68 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 18 · 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 5 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 7 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 6 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 23.08% |
8.2%
14.9 pts better
|
Numerator 9 · Denominator 39 |
| Staff flu vaccination coverage | 50% |
42%
8 pts better
|
Numerator 26 · Denominator 52 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
1.6
0.4 pts worse
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.8 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.3 |
1.5
0.8 pts worse
|
1.8
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.3 · Expected 1.6 · 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 100.0% · Q2 96.8% · Q3 96.9% · Q4 93.3% · 4Q avg 96.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.4% |
95.4%
4 pts worse
|
95.5%
4.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 91.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
3.8%
3.8 pts better
|
3.3%
3.3 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 who have depressive symptoms | 70.3% |
24.6%
45.7 pts worse
|
11.4%
58.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 90.0% · Q2 83.3% · Q3 80.0% · Q4 25.0% · 4Q avg 70.3% |
| Percentage of long-stay residents who lose too much weight | 8.1% |
5.6%
2.5 pts worse
|
5.4%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 20.0% · Q3 6.7% · Q4 0.0% · 4Q avg 8.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 44.6% |
23.5%
21.1 pts worse
|
19.6%
25 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 43.3% · Q2 36.7% · Q3 46.9% · Q4 51.7% · 4Q avg 44.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 58.3% |
14.8%
43.5 pts worse
|
16.7%
41.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 50.0% · Q2 60.7% · Q3 62.5% · Q4 58.6% · 4Q avg 58.3% · 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 | 32.3% |
13.3%
19 pts worse
|
16.3%
16 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 35.2% · Q4 46.9% · 4Q avg 32.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.9% |
11.7%
14.2 pts worse
|
14.9%
11 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.6% · Q2 13.8% · Q3 34.5% · Q4 25.9% · 4Q avg 25.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
0.4%
0.5 pts worse
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.6% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · 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 | 20.7% |
24.2%
3.5 pts better
|
19.8%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.2% · Q2 20.0% · Q3 18.8% · Q4 19.7% · 4Q avg 20.7% |
| Percentage of long-stay residents with pressure ulcers | 8.1% |
4.1%
4 pts worse
|
5.1%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.9% · Q3 13.1% · Q4 15.0% · 4Q avg 8.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.1% |
81.6%
3.5 pts better
|
81.7%
3.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q3 90.5% · Q4 69.6% · 4Q avg 85.1% |
| 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 · 4Q avg 0.0% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (2 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Resident Rights (2 deficiencies)
20 fire-safety deficiencies
Top issue: Emergency Preparedness (8 deficiencies)
Top issue: Nursing and Physician Services (2 deficiencies)
7 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Fire safety
Fire Safety
Implement emergency and standby power systems.
Corrected 2025-09-19
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-09-19
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-09-24
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-09-19
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-09-19
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-09-19
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2024-12-23
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2024-12-23
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2024-12-23
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2024-12-23
Fire Safety
Develop a communication plan.
Corrected 2024-12-23
Fire Safety
Establish emergency prep training and testing.
Corrected 2024-12-23
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-12-23
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-12-23
Fire Safety
Meet other general requirements that are deficient.
Corrected 2024-12-23
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-12-23
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-12-23
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-12-23
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 2024-12-23
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 2024-12-23
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-12-23
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-12-23
Fire Safety
Install properly constructed windows in hallway walls or doors.
Corrected 2024-12-23
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-12-23
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2024-12-23
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-12-23
Fire Safety
Establish staff and initial training requirements.
Corrected 2024-01-06
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-01-06
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-01-06
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-01-06
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-01-06
Fire Safety
Meet other general requirements that are deficient.
Corrected 2024-01-06
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-01-06
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-08-27
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-08-27
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-08-27
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-08-27
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2025-08-27
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-08-27
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-08-27
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-11-06
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 2024-11-06
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-11-06
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 2024-11-06
Health
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2024-11-06
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-03-07
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-01-19
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-01-03
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 2024-01-03
Health
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected 2024-01-03
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-01-19
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2024-01-03
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-01-03
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-01-03
Health
Post nurse staffing information every day.
Corrected 2024-01-03
Health
Provide care by qualified persons according to each resident's written plan of care.
Corrected 2023-09-07
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2023-09-07
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-03-30
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Contracted Managing Employee · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Contracted Managing Employee · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Bloomington, IN
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Bloomington, IN
1-star overall rating with 2-star inspections with $14,020 in total fines with 7 recent health deficiencies with 18 fire-safety deficiencies in the latest cycle
Bloomington, IN
5-star overall rating with 5-star inspections with 1 fire-safety deficiencies in the latest cycle
Jump out