4 health deficiencies
Top issue: Environmental (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Odon, IN
3-star overall rating with 3-star inspections with 4 recent health deficiencies
601 E Race St, Odon, IN
(812) 636-4920
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
84
Certified beds
Average residents
63
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1994-10-10
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
RN hours / resident day
0.48
Registered nurse staffing · state 0.66 · national 0.68
LPN hours / resident day
1.26
Licensed practical nurse staffing · state 0.77 · national 0.87
Aide hours / resident day
3.14
Nurse aide staffing · state 2.27 · national 2.35
Total nurse hours
4.87
All reported nurse hours · state 3.71 · national 3.89
Licensed hours
1.74
RN + LPN hours · state 1.44 · national 1.54
Weekend hours
4.00
Weekend nurse staffing · state 3.24 · national 3.43
Weekend RN hours
0.29
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
0.48
CMS adjusted RN staffing hours
Adjusted total hours
4.93
CMS adjusted total nurse staffing hours
Case-mix index
1.35
Higher values indicate more complex resident acuity
RN turnover
62%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
47%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
6,401
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
33.02
Composite VBP score used to determine payment impact.
Payment multiplier
0.9874
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 18.51% · Performance 22.83% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
2.16
Baseline 5.83% · Performance 7.19% · Measure score 2.16 · Achievement 2.16 · Improvement 0
Total nurse turnover
3.61
Baseline 45.20% · Performance 48.94% · Measure score 3.61 · Achievement 3.61 · Improvement 0
Adjusted total nurse staffing
7.45
Baseline 4.33 hours · Performance 5.20 hours · Measure score 7.45 · Achievement 7.45 · Improvement 5.46
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.98% |
10.72%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 90 · Observed rate 8.89% · Lower 95% interval 6.86% |
| Discharge to community | 56.41% |
50.57%
5.8 pts better
|
No Different than the National Rate · Eligible stays 76 · Observed rate 59.21% · Lower 95% interval 45.83% |
| Medicare spending per beneficiary | 1.01 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 59 · Denominator 59 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 59 |
| Discharge self-care score | 39.53% |
53.69%
14.2 pts worse
|
Numerator 17 · Denominator 43 |
| Discharge mobility score | 30.23% |
50.94%
20.7 pts worse
|
Numerator 13 · Denominator 43 |
| Pressure ulcers or injuries, new or worsened | 10.17% |
2.29%
7.9 pts worse
|
Numerator 6 · Denominator 59 · Adjusted rate 10.42% |
| Healthcare-associated infections requiring hospitalization | 7.19% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 57 · Observed rate 5.26% · Lower 95% interval 3.74% |
| Staff COVID-19 vaccination coverage | 0.8% |
8.2%
7.4 pts worse
|
Numerator 1 · Denominator 125 |
| Staff flu vaccination coverage | 65% |
42%
23 pts better
|
Numerator 104 · Denominator 160 |
| Discharge function score | 44.19% |
56.45%
12.3 pts worse
|
Numerator 19 · Denominator 43 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 25 · Denominator 25 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 20% |
25.2%
5.2 pts worse
|
Numerator 5 · Denominator 25 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.5 |
1.6
0.9 pts worse
|
1.9
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.1 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.0 |
1.5
0.5 pts worse
|
1.8
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.8 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.0% |
93.6%
3.4 pts better
|
93.4%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.4% · Q2 100.0% · Q3 100.0% · Q4 91.8% · 4Q avg 97.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.3% |
95.4%
2.9 pts better
|
95.5%
2.8 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.1% |
3.8%
1.7 pts better
|
3.3%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 3.4% · Q3 1.6% · Q4 1.6% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.5% |
24.6%
24.1 pts better
|
11.4%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% |
| Percentage of long-stay residents who lose too much weight | 5.0% |
5.6%
0.6 pts better
|
5.4%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 7.4% · Q3 0.0% · Q4 6.7% · 4Q avg 5.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 33.8% |
23.5%
10.3 pts worse
|
19.6%
14.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.6% · Q2 30.4% · Q3 36.7% · Q4 33.3% · 4Q avg 33.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 27.1% |
14.8%
12.3 pts worse
|
16.7%
10.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.6% · Q2 28.3% · Q3 26.1% · Q4 28.3% · 4Q avg 27.1% · 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 | 16.9% |
13.3%
3.6 pts worse
|
16.3%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 20.5% · Q3 7.2% · Q4 16.1% · 4Q avg 16.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.4% |
11.7%
7.7 pts worse
|
14.9%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.6% · Q2 14.9% · Q3 27.5% · Q4 16.0% · 4Q avg 19.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.5% |
0.4%
2.1 pts worse
|
1.0%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 2.2% · Q3 2.0% · Q4 1.8% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.7% |
1.2%
1.5 pts worse
|
1.7%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 3.5% · Q3 0.0% · Q4 4.9% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.2% |
24.2%
1 pts worse
|
19.8%
5.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.0% · Q2 27.6% · Q3 23.9% · Q4 30.1% · 4Q avg 25.2% |
| Percentage of long-stay residents with pressure ulcers | 5.8% |
4.1%
1.7 pts worse
|
5.1%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 5.4% · Q3 3.9% · Q4 6.5% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.4% |
81.6%
12.8 pts better
|
81.7%
12.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.0% · Q2 92.3% · Q3 100.0% · Q4 87.5% · 4Q avg 94.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.7% |
10.5%
1.2 pts worse
|
12.0%
0.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.7% · Observed 12.5% · Expected 12.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.1% |
1.3%
1.8 pts worse
|
1.6%
1.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 4.5% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.3% |
79.0%
13.3 pts better
|
79.7%
12.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.7% |
22.4%
2.7 pts better
|
23.9%
4.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.7% · Observed 23.2% · Expected 28.1% · Used in QM five-star |
Survey summary
Top issue: Environmental (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
18 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-01-25
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2024-01-25
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2024-01-25
Fire Safety
Establish staff and initial training requirements.
Corrected 2024-01-25
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-01-25
Fire Safety
Use approved construction type or materials.
Corrected 2024-01-25
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 2024-01-25
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-01-25
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-01-25
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-01-25
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-01-25
Fire Safety
Have enough space near smoke barriers to protect residents.
Corrected 2024-01-25
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-01-25
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-01-25
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-01-25
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-01-25
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-01-25
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-01-25
Inspection history
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2026-01-30
Health
Give the resident's representative the ability to exercise the resident's rights.
Corrected 2026-01-30
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-01-30
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-12-10
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-21
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-11-19
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 2024-11-19
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-11-19
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-11-19
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-19
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 2024-11-19
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-19
Health
Post nurse staffing information every day.
Corrected 2024-11-19
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2024-09-16
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 2023-12-29
Health
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected 2023-12-29
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-12-29
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-08-18
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-04-24
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-04-24
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
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