Odon, IN

Bertha D Garten Ketcham Memorial Center

3-star overall rating with 3-star inspections with 4 recent health deficiencies

601 E Race St, Odon, IN

(812) 636-4920

Compare this facility

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

Facility snapshot

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

Hours and turnover

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

Value-based purchasing

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

How the VBP score is built

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

Medicare quality reporting measures

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

Resident outcomes and process scores

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

Recent inspection cycles

Cycle 1 Health 2026-01-22 · Fire 2026-01-22

4 health deficiencies

Top issue: Environmental (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-10-10 · Fire 2024-10-10

10 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-12-04 · Fire 2023-12-04

6 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

18 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2023-12-04

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2024-01-25

F · Potential for more than minimal harm 2023-12-04

E24 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for volunteers.

Corrected 2024-01-25

F · Potential for more than minimal harm 2023-12-04

E34 · Emergency Preparedness Deficiencies

Fire Safety

Provide a means of sharing information on occupancy/needs.

Corrected 2024-01-25

F · Potential for more than minimal harm 2023-12-04

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2024-01-25

F · Potential for more than minimal harm 2023-12-04

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-01-25

F · Potential for more than minimal harm 2023-12-04

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2024-01-25

F · Potential for more than minimal harm 2023-12-04

K321 · Smoke Deficiencies

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

F · Potential for more than minimal harm 2023-12-04

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-01-25

F · Potential for more than minimal harm 2023-12-04

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-01-25

F · Potential for more than minimal harm 2023-12-04

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-01-25

F · Potential for more than minimal harm 2023-12-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-01-25

F · Potential for more than minimal harm 2023-12-04

K373 · Smoke Deficiencies

Fire Safety

Have enough space near smoke barriers to protect residents.

Corrected 2024-01-25

F · Potential for more than minimal harm 2023-12-04

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2024-01-25

F · Potential for more than minimal harm 2023-12-04

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-01-25

F · Potential for more than minimal harm 2023-12-04

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

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

D · Potential for more than minimal harm 2023-12-04

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-01-25

C · Minimal harm 2023-12-04

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-01-25

C · Minimal harm 2023-12-04

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-01-25

Inspection history

Recent health citations

E · Potential for more than minimal harm 2026-01-22

F921 · Environmental Deficiencies

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

D · Potential for more than minimal harm 2026-01-22

F551 · Resident Rights Deficiencies

Health

Give the resident's representative the ability to exercise the resident's rights.

Corrected 2026-01-30

D · Potential for more than minimal harm 2026-01-22

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2026-01-30

D · Potential for more than minimal harm 2025-12-02

F655 · Resident Assessment and Care Planning Deficiencies

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

G · Actual harm 2025-02-26

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-03-21

E · Potential for more than minimal harm 2024-10-10

F656 · Resident Assessment and Care Planning Deficiencies

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

E · Potential for more than minimal harm 2024-10-10

F761 · Pharmacy Service Deficiencies

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

E · Potential for more than minimal harm 2024-10-10

F812 · Nutrition and Dietary Deficiencies

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

D · Potential for more than minimal harm 2024-10-10

F580 · Resident Rights Deficiencies

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

D · Potential for more than minimal harm 2024-10-10

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-11-19

D · Potential for more than minimal harm 2024-10-10

F758 · Pharmacy Service Deficiencies

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

D · Potential for more than minimal harm 2024-10-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-19

C · Minimal harm 2024-10-10

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-11-19

D · Potential for more than minimal harm 2024-08-29

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2024-09-16

E · Potential for more than minimal harm 2023-12-04

F761 · Pharmacy Service Deficiencies

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

D · Potential for more than minimal harm 2023-12-04

F635 · Resident Assessment and Care Planning Deficiencies

Health

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Corrected 2023-12-29

D · Potential for more than minimal harm 2023-12-04

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-12-29

D · Potential for more than minimal harm 2023-08-03

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-08-18

D · Potential for more than minimal harm 2023-04-10

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

D · Potential for more than minimal harm 2023-04-10

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

What sits behind the stars

Ownership

Jackson County Schneck Memorial Hospital

5% Or Greater Direct Ownership Interest · Organization

100% 14 facilities 2013-04-02
Beard, Jane

Operational/Managerial Control · Individual

0% 1 facilities 2023-01-01
Bertha D. Garten Ketcham Memorial Center, Inc.

Operational/Managerial Control · Organization

0% 1 facilities 2013-04-02
Fish, Eric

Operational/Managerial Control · Individual

0% 14 facilities 2020-09-01
Fuller, Kenneth

Operational/Managerial Control · Individual

0% 1 facilities 2024-01-01
Healy, Keitha

Operational/Managerial Control · Individual

0% 1 facilities 2024-01-01
Lawyer, Paulisa

Operational/Managerial Control · Individual

0% 1 facilities 2014-01-01
Mann, Deborah

Operational/Managerial Control · Individual

0% 14 facilities 2014-02-10
Millikan, Matthew

Operational/Managerial Control · Individual

0% 1 facilities 2024-01-01
Porter, Bryan

Operational/Managerial Control · Individual

0% 1 facilities 2015-06-01
Stuffle, Vicki

Operational/Managerial Control · Individual

0% 1 facilities 2019-01-01
Thorne, Adam

Operational/Managerial Control · Individual

0% 1 facilities 2018-01-01

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