1 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
4 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Auburn, IN
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
116 Betz Rd, Auburn, IN
(260) 925-3814
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
114
Certified beds
Average residents
76
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
American Senior Communities
Operator or chain grouping
Approved since
2002-01-16
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
91 facilities
Chain averages 4 overall / 3 health / 2 staffing / 5 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
0.86
Registered nurse staffing · state 0.66 · national 0.68
LPN hours / resident day
0.31
Licensed practical nurse staffing · state 0.77 · national 0.87
Aide hours / resident day
2.75
Nurse aide staffing · state 2.27 · national 2.35
Total nurse hours
3.92
All reported nurse hours · state 3.71 · national 3.89
Licensed hours
1.17
RN + LPN hours · state 1.44 · national 1.54
Weekend hours
3.28
Weekend nurse staffing · state 3.24 · national 3.43
Weekend RN hours
0.47
Weekend registered nurse coverage · state 0.45 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.79
CMS adjusted RN staffing hours
Adjusted total hours
3.62
CMS adjusted total nurse staffing hours
Case-mix index
1.48
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
60%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
9,236
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
24.33
Composite VBP score used to determine payment impact.
Payment multiplier
0.9834
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.87
Baseline 19.91% · Performance 20.56% · Measure score 1.87 · Achievement 1.87 · Improvement 0
Healthcare-associated infections
6.57
Baseline 8.39% · Performance 5.99% · Measure score 6.57 · Achievement 6.17 · Improvement 6.57
Total nurse turnover
1.29
Baseline 65.43% · Performance 58.42% · Measure score 1.29 · Achievement 1.29 · Improvement 1.23
Adjusted total nurse staffing
0
Baseline 3.15 hours · Performance 3.21 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.73% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 49 · Observed rate 10.2% · Lower 95% interval 7.41% |
| Discharge to community | 56.45% |
50.57%
5.9 pts better
|
No Different than the National Rate · Eligible stays 47 · Observed rate 51.06% · Lower 95% interval 42.95% |
| Medicare spending per beneficiary | 1.22 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 83.72% |
95.27%
11.5 pts worse
|
Numerator 36 · Denominator 43 |
| Falls with major injury | 4.65% |
0.77%
3.9 pts worse
|
Numerator 2 · Denominator 43 |
| Discharge self-care score | 29.41% |
53.69%
24.3 pts worse
|
Numerator 10 · Denominator 34 |
| Discharge mobility score | 26.47% |
50.94%
24.5 pts worse
|
Numerator 9 · Denominator 34 |
| Pressure ulcers or injuries, new or worsened | 9.3% |
2.29%
7 pts worse
|
Numerator 4 · Denominator 43 · Adjusted rate 5.83% |
| Healthcare-associated infections requiring hospitalization | 5.99% |
7.12%
1.1 pts better
|
No Different than the National Rate · Eligible stays 31 · Observed rate 0% · Lower 95% interval 3.02% |
| Staff COVID-19 vaccination coverage | 32.28% |
8.2%
24.1 pts better
|
Numerator 41 · Denominator 127 |
| Staff flu vaccination coverage | 23.91% |
42%
18.1 pts worse
|
Numerator 44 · Denominator 184 |
| Discharge function score | 29.41% |
56.45%
27 pts worse
|
Numerator 10 · Denominator 34 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 23.81% |
25.2%
1.4 pts worse
|
Numerator 5 · Denominator 21 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.7 |
1.6
0.9 pts better
|
1.9
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.6 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.3 |
1.5
1.2 pts better
|
1.8
1.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.3 · Observed 0.2 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.1% |
93.6%
5.5 pts worse
|
93.4%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 92.8% · Q2 91.5% · Q3 82.4% · Q4 85.9% · 4Q avg 88.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 89.3% |
95.4%
6.1 pts worse
|
95.5%
6.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 89.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.3% |
3.8%
0.5 pts worse
|
3.3%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 1.4% · Q3 5.4% · Q4 7.8% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 28.7% |
24.6%
4.1 pts worse
|
11.4%
17.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 41.3% · Q3 35.5% · Q4 14.8% · 4Q avg 28.7% |
| Percentage of long-stay residents who lose too much weight | 2.5% |
5.6%
3.1 pts better
|
5.4%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 1.7% · Q3 0.0% · Q4 3.8% · 4Q avg 2.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.5% |
23.5%
11 pts better
|
19.6%
7.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 14.5% · Q3 12.7% · Q4 9.6% · 4Q avg 12.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.3% |
14.8%
0.5 pts worse
|
16.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.7% · Q2 13.6% · Q3 18.4% · Q4 15.6% · 4Q avg 15.3% · 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 | 7.7% |
13.3%
5.6 pts better
|
16.3%
8.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.3% · Q2 2.4% · Q3 6.2% · Q4 5.9% · 4Q avg 7.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.5% |
11.7%
3.2 pts better
|
14.9%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 13.3% · Q3 1.8% · Q4 8.2% · 4Q avg 8.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.4%
0.4 pts better
|
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% · 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 4.4% · Q2 0.0% · Q3 2.7% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.5% |
24.2%
1.7 pts better
|
19.8%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.7% · Q2 35.8% · Q3 15.3% · Q4 21.3% · 4Q avg 22.5% |
| Percentage of long-stay residents with pressure ulcers | 4.0% |
4.1%
0.1 pts better
|
5.1%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 2.6% · Q3 6.0% · Q4 3.8% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 76.5% |
81.6%
5.1 pts worse
|
81.7%
5.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 91.7% · Q2 81.5% · Q3 69.2% · Q4 66.3% · 4Q avg 76.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.1% |
10.5%
6.4 pts better
|
12.0%
7.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.1% · Observed 3.8% · Expected 10.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
1.3%
0.2 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 4.3% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 79.3% |
79.0%
0.3 pts better
|
79.7%
0.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 79.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.5% |
22.4%
3.9 pts better
|
23.9%
5.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.5% · Observed 15.4% · Expected 19.8% · Used in QM five-star |
Survey summary
Top issue: Pharmacy Service (1 deficiency)
4 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Resident Rights (1 deficiency)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Administration (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-09-01
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2025-09-01
Fire Safety
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Corrected 2025-09-01
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-09-01
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-08-16
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-08-16
Inspection history
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 2025-09-22
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-07-30
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-07-19
Health
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2023-07-19
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
Corporate Officer · Individual
Contracted Managing Employee · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Contracted Managing Employee · Individual
Contracted Managing Employee · Individual
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