Muncie, IN

Bethel Pointe Health And Rehab

5-star overall rating with 4-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

3400 W Community Dr, Muncie, IN

(765) 289-2273

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

114

Certified beds

Average residents

111

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Tlc Management

Operator or chain grouping

Approved since

1994-06-30

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.53

Registered nurse staffing

LPN hours / resident day

0.93

Licensed practical nurse staffing

Aide hours / resident day

1.99

Nurse aide staffing

Weekend hours

2.76

Weekend nurse staffing

RN turnover

36%

Annual RN turnover

Total nurse turnover

43%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.2	1.6 0.6 pts worse	1.9 0.3 pts worse	Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days	1.4	1.5 0.1 pts better	1.8 0.4 pts better	Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	96.3%	93.6% 2.7 pts better	93.4% 2.9 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	92.5%	95.4% 2.9 pts worse	95.5% 3 pts worse	Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury	2.0%	3.8% 1.8 pts better	3.3% 1.3 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms	11.3%	24.6% 13.3 pts better	11.4% 0.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight	9.7%	5.6% 4.1 pts worse	5.4% 4.3 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	20.9%	23.5% 2.6 pts better	19.6% 1.3 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication	14.6%	14.8% 0.2 pts better	16.7% 2.1 pts better	Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened	14.6%	13.3% 1.3 pts worse	16.3% 1.7 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	10.2%	11.7% 1.5 pts better	14.9% 4.7 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.2%	0.4% 0.8 pts worse	1.0% 0.2 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection	0.3%	1.2% 0.9 pts better	1.7% 1.4 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	27.9%	24.2% 3.7 pts worse	19.8% 8.1 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	3.4%	4.1% 0.7 pts better	5.1% 1.7 pts better	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	76.3%	81.6% 5.3 pts worse	81.7% 5.4 pts worse	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit	9.0%	10.5% 1.5 pts better	12.0% 3 pts better	Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication	0.2%	1.3% 1.1 pts better	1.6% 1.4 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	74.2%	79.0% 4.8 pts worse	79.7% 5.5 pts worse	Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission	32.8%	22.4% 10.4 pts worse	23.9% 8.9 pts worse	Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-21 · Fire 2025-03-21

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-06-07 · Fire 2024-06-07

5 health deficiencies

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

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-05-09 · Fire 2023-05-09

6 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

3 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-03-21

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 2025-04-21

E · Potential for more than minimal harm 2025-03-21

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-04-21

D · Potential for more than minimal harm 2025-03-21

K200 · Egress Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2025-04-21

F · Potential for more than minimal harm 2024-06-07

K222 · Egress Deficiencies

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 2024-07-26

E · Potential for more than minimal harm 2024-06-07

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-07-26

E · Potential for more than minimal harm 2024-06-07

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-07-26

E · Potential for more than minimal harm 2024-06-07

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-07-26

E · Potential for more than minimal harm 2023-05-09

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2023-06-20

E · Potential for more than minimal harm 2023-05-09

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-06-20

C · Minimal harm 2023-05-09

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2023-06-20

Inspection history

Recent health citations

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

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2026-01-30

D · Potential for more than minimal harm 2025-03-21

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2025-04-11

D · Potential for more than minimal harm 2025-03-21

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 2025-04-11

C · Minimal harm 2025-03-21

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2025-04-11

D · Potential for more than minimal harm 2024-09-06

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-09-20

D · Potential for more than minimal harm 2024-07-12

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 2024-08-02

D · Potential for more than minimal harm 2024-06-07

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-06-28

D · Potential for more than minimal harm 2024-06-07

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-06-28

D · Potential for more than minimal harm 2024-06-07

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-06-28