6 health deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Evansville, IN
2-star overall rating with 2-star inspections with 6 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
6015 Kratzville Rd, Evansville, IN
(812) 425-8182
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
75
Certified beds
Average residents
55
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1996-09-26
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
0.50
Registered nurse staffing · state 0.66 · national 0.68
LPN hours / resident day
1.10
Licensed practical nurse staffing · state 0.77 · national 0.87
Aide hours / resident day
2.90
Nurse aide staffing · state 2.27 · national 2.35
Total nurse hours
4.51
All reported nurse hours · state 3.71 · national 3.89
Licensed hours
1.60
RN + LPN hours · state 1.44 · national 1.54
Weekend hours
3.79
Weekend nurse staffing · state 3.24 · national 3.43
Weekend RN hours
0.20
Weekend registered nurse coverage · state 0.45 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.51
CMS adjusted RN staffing hours
Adjusted total hours
4.58
CMS adjusted total nurse staffing hours
Case-mix index
1.35
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
52%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
9,525
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
23.39
Composite VBP score used to determine payment impact.
Payment multiplier
0.9831
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.29% · Performance 23.81% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
1.78
Baseline 6.98% · Performance 7.30% · Measure score 1.78 · Achievement 1.78 · Improvement 0
Total nurse turnover
2.26
Baseline 39.74% · Performance 54.43% · Measure score 2.26 · Achievement 2.26 · Improvement 0
Adjusted total nurse staffing
5.31
Baseline 4.64 hours · Performance 4.59 hours · Measure score 5.31 · Achievement 5.31 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.05% |
10.72%
1.7 pts better
|
No Different than the National Rate · Eligible stays 127 · Observed rate 4.72% · Lower 95% interval 6.29% |
| Discharge to community | 61.84% |
50.57%
11.3 pts better
|
Better than the National Rate · Eligible stays 120 · Observed rate 64.17% · Lower 95% interval 52.17% |
| Medicare spending per beneficiary | 0.89 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 96.25% |
95.27%
1 pts better
|
Numerator 77 · Denominator 80 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 80 |
| Discharge self-care score | 36.21% |
53.69%
17.5 pts worse
|
Numerator 21 · Denominator 58 |
| Discharge mobility score | 58.62% |
50.94%
7.7 pts better
|
Numerator 34 · Denominator 58 |
| Pressure ulcers or injuries, new or worsened | 2.5% |
2.29%
0.2 pts worse
|
Numerator 2 · Denominator 80 · Adjusted rate 3.11% |
| Healthcare-associated infections requiring hospitalization | 7.3% |
7.12%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 80 · Observed rate 6.25% · Lower 95% interval 4.92% |
| Staff COVID-19 vaccination coverage | 3.13% |
8.2%
5.1 pts worse
|
Numerator 3 · Denominator 96 |
| Staff flu vaccination coverage | 10.24% |
42%
31.8 pts worse
|
Numerator 13 · Denominator 127 |
| Discharge function score | 58.62% |
56.45%
2.2 pts better
|
Numerator 34 · Denominator 58 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 22 · Denominator 22 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 44 · Denominator 44 |
| Resident COVID-19 vaccinations up to date | 30.56% |
25.2%
5.4 pts better
|
Numerator 11 · Denominator 36 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
1.6
0.3 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 0.9 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.8 |
1.5
0.7 pts better
|
1.8
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.7 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.6% |
93.6%
4 pts better
|
93.4%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.4% · Q2 96.0% · Q3 100.0% · Q4 98.0% · 4Q avg 97.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.2% |
95.4%
2.8 pts better
|
95.5%
2.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.3% |
3.8%
2.5 pts worse
|
3.3%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 6.0% · Q3 8.2% · Q4 5.9% · 4Q avg 6.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
24.6%
24.6 pts better
|
11.4%
11.4 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 who lose too much weight | 5.3% |
5.6%
0.3 pts better
|
5.4%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 7.0% · Q3 2.4% · Q4 5.1% · 4Q avg 5.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 31.2% |
23.5%
7.7 pts worse
|
19.6%
11.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.7% · Q2 31.8% · Q3 31.0% · Q4 35.0% · 4Q avg 31.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 24.5% |
14.8%
9.7 pts worse
|
16.7%
7.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.6% · Q2 19.4% · Q3 27.0% · Q4 25.7% · 4Q avg 24.5% · 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 | 17.0% |
13.3%
3.7 pts worse
|
16.3%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.9% · 4Q avg 17.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.8% |
11.7%
6.1 pts worse
|
14.9%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 9.8% · Q3 23.1% · Q4 20.0% · 4Q avg 17.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.0% |
0.4%
0.6 pts worse
|
1.0%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.3% · Q4 2.7% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.0% |
1.2%
0.2 pts better
|
1.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.0% · Q3 0.0% · Q4 2.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.4% |
24.2%
5.8 pts better
|
19.8%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 25.0% · Q3 12.3% · Q4 16.5% · 4Q avg 18.4% |
| Percentage of long-stay residents with pressure ulcers | 7.8% |
4.1%
3.7 pts worse
|
5.1%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 8.2% · Q3 6.2% · Q4 5.0% · 4Q avg 7.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.2% |
81.6%
17.6 pts better
|
81.7%
17.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.4% · Q2 100.0% · Q3 100.0% · Q4 98.3% · 4Q avg 99.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.7% |
10.5%
4.8 pts better
|
12.0%
6.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.7% · Observed 4.8% · Expected 9.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.3%
0.8 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
79.0%
21 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 34.7% |
22.4%
12.3 pts worse
|
23.9%
10.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 34.7% · Observed 25.8% · Expected 17.7% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (3 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Nursing and Physician Services (2 deficiencies)
21 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Fire safety
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-10-09
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-10-09
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-10-09
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-10-09
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-10-09
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-10-09
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-10-09
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-10-09
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-10-09
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 2025-10-09
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-10-09
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-10-09
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2025-10-09
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-09-04
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-09-04
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-04
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-09-04
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-09-04
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-09-04
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-09-04
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 2024-09-04
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-09-04
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-06-02
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-06-02
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-06-02
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-06-02
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-06-02
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-06-02
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-06-02
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-06-02
Fire Safety
Have exits that are accessible at all times.
Corrected 2023-06-02
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-06-02
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 2023-06-02
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-06-02
Fire Safety
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Corrected 2023-06-02
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-06-02
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-06-02
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2023-06-02
Fire Safety
Develop a communication plan.
Corrected 2023-06-02
Fire Safety
Establish emergency prep training and testing.
Corrected 2023-06-02
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-06-02
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-06-02
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-06-02
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-09-21
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-09-21
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-09-21
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2025-09-21
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-21
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-03
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-09-05
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 2024-09-05
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-09-26
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-05
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-09-05
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-09-05
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-09-05
Health
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected 2024-09-26
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-09-05
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-09-05
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-09-05
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-05
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-09-05
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2024-09-05
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-09-26
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 2024-09-05
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-09-05
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-09-05
Health
Post nurse staffing information every day.
Corrected 2024-09-26
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 2023-05-22
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-05-22
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 2023-05-22
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 2023-05-22
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 2023-05-22
Health
Post nurse staffing information every day.
Corrected 2023-05-22
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
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