6 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Auburn, IN
4-star overall rating with 4-star inspections with 6 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
1751 Wesley Road, Auburn, IN
(260) 925-5494
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
111
Certified beds
Average residents
80
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Generations Healthcare
Operator or chain grouping
Approved since
1999-05-26
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
33 facilities
Chain averages 4 overall / 3 health / 3 staffing / 4 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
0.75
Registered nurse staffing · state 0.66 · national 0.68
LPN hours / resident day
1.02
Licensed practical nurse staffing · state 0.77 · national 0.87
Aide hours / resident day
2.53
Nurse aide staffing · state 2.27 · national 2.35
Total nurse hours
4.30
All reported nurse hours · state 3.71 · national 3.89
Licensed hours
1.77
RN + LPN hours · state 1.44 · national 1.54
Weekend hours
3.49
Weekend nurse staffing · state 3.24 · national 3.43
Weekend RN hours
0.35
Weekend registered nurse coverage · state 0.45 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.55
CMS adjusted RN staffing hours
Adjusted total hours
3.16
CMS adjusted total nurse staffing hours
Case-mix index
1.86
Higher values indicate more complex resident acuity
RN turnover
47%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
53%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
10,008
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
21.74
Composite VBP score used to determine payment impact.
Payment multiplier
0.9827
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 18.08% · Performance 21.34% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.84% · Performance 8.47% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
7.23
Baseline 76.00% · Performance 36.49% · Measure score 7.23 · Achievement 6.65 · Improvement 7.23
Adjusted total nurse staffing
1.47
Baseline 2.51 hours · Performance 3.15 hours · Measure score 1.47 · Achievement 0 · Improvement 1.47
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.85% |
10.72%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 77 · Observed rate 20.78% · Lower 95% interval 8.95% |
| Discharge to community | 54.9% |
50.57%
4.3 pts better
|
No Different than the National Rate · Eligible stays 80 · Observed rate 42.5% · Lower 95% interval 43.12% |
| Medicare spending per beneficiary | 1.27 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 41 · Denominator 41 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 41 |
| 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 | 2.44% |
2.29%
0.1 pts worse
|
Numerator 1 · Denominator 41 · Adjusted rate 2.71% |
| Healthcare-associated infections requiring hospitalization | 8.47% |
7.12%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 46 · Observed rate 13.04% · Lower 95% interval 4.5% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 129 |
| Staff flu vaccination coverage | 10.87% |
42%
31.1 pts worse
|
Numerator 15 · Denominator 138 |
| 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 19 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.6
0.2 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 2.2 · Expected 2.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.6 |
1.5
1.1 pts worse
|
1.8
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 3.1 · Expected 2.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.5% |
93.6%
3.9 pts better
|
93.4%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 95.4% · Q2 95.7% · Q3 98.7% · Q4 100.0% · 4Q avg 97.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 63.0% |
95.4%
32.4 pts worse
|
95.5%
32.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 63.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.2% |
3.8%
0.6 pts better
|
3.3%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 4.3% · Q3 3.9% · Q4 2.9% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.8% |
24.6%
15.8 pts better
|
11.4%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 6.8% · Q3 11.9% · Q4 8.8% · 4Q avg 8.8% |
| Percentage of long-stay residents who lose too much weight | 2.0% |
5.6%
3.6 pts better
|
5.4%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 7.8% · 4Q avg 2.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.1% |
23.5%
4.6 pts worse
|
19.6%
8.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.9% · Q2 27.7% · Q3 27.1% · Q4 29.7% · 4Q avg 28.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 4.4% |
14.8%
10.4 pts better
|
16.7%
12.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 6.8% · Q3 3.8% · Q4 2.3% · 4Q avg 4.4% · 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 | 41.1% |
13.3%
27.8 pts worse
|
16.3%
24.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 41.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 38.2% |
11.7%
26.5 pts worse
|
14.9%
23.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 46.5% · Q2 44.9% · Q3 38.2% · Q4 25.0% · 4Q avg 38.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.2% |
0.4%
1.8 pts worse
|
1.0%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.8% |
1.2%
0.6 pts worse
|
1.7%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.4% · Q3 1.4% · Q4 2.9% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.3% |
24.2%
1.9 pts better
|
19.8%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 26.0% · Q3 27.5% · Q4 25.7% · 4Q avg 22.3% |
| Percentage of long-stay residents with pressure ulcers | 9.8% |
4.1%
5.7 pts worse
|
5.1%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 6.6% · Q3 7.1% · Q4 10.5% · 4Q avg 9.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.4% |
81.6%
15.8 pts better
|
81.7%
15.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.5% · Q2 96.6% · Q3 98.8% · Q4 98.9% · 4Q avg 97.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.4% |
10.5%
5.1 pts better
|
12.0%
6.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.4% · Observed 5.8% · Expected 12.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.7% |
1.3%
1.4 pts worse
|
1.6%
1.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 3.6% · Q3 1.7% · Q4 1.7% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 85.4% |
79.0%
6.4 pts better
|
79.7%
5.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 85.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.7% |
22.4%
0.3 pts worse
|
23.9%
1.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.7% · Observed 26.9% · Expected 28.3% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Infection Control (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
18 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Fire safety
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-09-09
Fire Safety
Meet other general requirements.
Corrected 2025-09-09
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 2025-09-09
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-09-09
Fire Safety
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Corrected 2025-09-09
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-20
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-08-20
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-08-20
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-08-20
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2023-09-10
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-09-10
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2023-09-10
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2023-09-10
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-09-10
Fire Safety
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2023-09-10
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-09-10
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-09-10
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-09-10
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 2023-09-10
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 2023-09-10
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-09-10
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-10
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-09-10
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-09-10
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-09-10
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-09-10
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-09-10
Inspection history
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-11-24
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-02
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-07-02
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2025-07-02
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-07-02
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2025-07-02
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-24
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected 2024-07-24
Health
Respond appropriately to all alleged violations.
Corrected 2024-01-24
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2023-11-10
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-08-01
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Contracted Managing Employee · Individual
Corporate Officer · Individual
Corporate Officer · Individual
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