Cycle 1
Health 2025-06-25 · Fire 2025-06-25
9 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Vincennes, IN
Bridgepointe Health Campus
4-star overall rating with 3-star inspections with 9 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
1900 College Ave, Vincennes, IN
(812) 886-9870
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
80
Certified beds
Average residents
68
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Trilogy Health Services
Operator or chain grouping
Approved since
2002-05-02
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
125 facilities
Chain averages 4 overall / 3 health / 3 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
Hours and turnover
RN hours / resident day
0.66
Registered nurse staffing · state 0.66 · national 0.68
LPN hours / resident day
1.03
Licensed practical nurse staffing · state 0.77 · national 0.87
Aide hours / resident day
1.74
Nurse aide staffing · state 2.27 · national 2.35
Total nurse hours
3.43
All reported nurse hours · state 3.71 · national 3.89
Licensed hours
1.69
RN + LPN hours · state 1.44 · national 1.54
Weekend hours
3.03
Weekend nurse staffing · state 3.24 · national 3.43
Weekend RN hours
0.44
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
0.64
CMS adjusted RN staffing hours
Adjusted total hours
3.30
CMS adjusted total nurse staffing hours
Case-mix index
1.42
Higher values indicate more complex resident acuity
RN turnover
18%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
40%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,370
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
44.69
Composite VBP score used to determine payment impact.
Payment multiplier
0.9978
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.81
Baseline 25.02% · Performance 21.58% · Measure score 3.81 · Achievement 0 · Improvement 3.81
Healthcare-associated infections
6.83
Baseline 8.70% · Performance 5.99% · Measure score 6.83 · Achievement 6.18 · Improvement 6.83
Total nurse turnover
5.79
Baseline 41.30% · Performance 40.00% · Measure score 5.79 · Achievement 5.79 · Improvement 0.29
Adjusted total nurse staffing
1.45
Baseline 2.69 hours · Performance 3.29 hours · Measure score 1.45 · Achievement 0.76 · Improvement 1.45
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.69% |
10.72%
1 pts better
|
No Different than the National Rate · Eligible stays 230 · Observed rate 8.26% · Lower 95% interval 7.12% |
| Discharge to community | 60.82% |
50.57%
10.2 pts better
|
Better than the National Rate · Eligible stays 211 · Observed rate 57.35% · Lower 95% interval 55.83% |
| Medicare spending per beneficiary | 1.14 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 99.37% |
95.27%
4.1 pts better
|
Numerator 158 · Denominator 159 |
| Falls with major injury | 0.63% |
0.77%
0.1 pts better
|
Numerator 1 · Denominator 159 |
| Discharge self-care score | 72.83% |
53.69%
19.1 pts better
|
Numerator 67 · Denominator 92 |
| Discharge mobility score | 66.3% |
50.94%
15.4 pts better
|
Numerator 61 · Denominator 92 |
| Pressure ulcers or injuries, new or worsened | 1.26% |
2.29%
1 pts better
|
Numerator 2 · Denominator 159 · Adjusted rate 1.14% |
| Healthcare-associated infections requiring hospitalization | 5.99% |
7.12%
1.1 pts better
|
No Different than the National Rate · Eligible stays 133 · Observed rate 3.76% · Lower 95% interval 3.34% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 104 |
| Staff flu vaccination coverage | 0% |
42%
42 pts worse
|
Numerator 0 · Denominator 142 |
| Discharge function score | 65.22% |
56.45%
8.8 pts better
|
Numerator 60 · Denominator 92 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 87 · Denominator 87 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 56 · Denominator 56 |
| Resident COVID-19 vaccinations up to date | 26.19% |
25.2%
1 pts better
|
Numerator 22 · Denominator 84 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.6
0.2 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.3 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.1 |
1.5
0.6 pts worse
|
1.8
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.9 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.9% |
93.6%
0.7 pts worse
|
93.4%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 93.3% · Q2 95.6% · Q3 91.3% · Q4 91.3% · 4Q avg 92.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.8% |
95.4%
1.6 pts worse
|
95.5%
1.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.4% |
3.8%
0.6 pts worse
|
3.3%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 4.4% · Q3 4.3% · Q4 6.5% · 4Q avg 4.4% · Used in QM five-star |
| 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 · Q1 10.5% · Q2 12.8% · Q3 15.0% · Q4 7.1% · 4Q avg 11.3% |
| Percentage of long-stay residents who lose too much weight | 8.2% |
5.6%
2.6 pts worse
|
5.4%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 5.4% · Q3 15.4% · Q4 5.6% · 4Q avg 8.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 38.3% |
23.5%
14.8 pts worse
|
19.6%
18.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.1% · Q2 40.5% · Q3 37.5% · Q4 38.9% · 4Q avg 38.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.1% |
14.8%
3.7 pts better
|
16.7%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 11.1% · Q3 14.8% · Q4 11.1% · 4Q avg 11.1% · 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 | 11.1% |
13.3%
2.2 pts better
|
16.3%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 11.1% · 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 11.8% · Q2 8.3% · Q3 10.5% · Q4 2.9% · 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 | 0.6% |
1.2%
0.6 pts better
|
1.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.2% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.2% |
24.2%
5 pts better
|
19.8%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 28.6% · Q2 21.5% · Q3 6.8% · Q4 20.0% · 4Q avg 19.2% |
| Percentage of long-stay residents with pressure ulcers | 0.9% |
4.1%
3.2 pts better
|
5.1%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.9% · Q4 1.6% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.5% |
81.6%
8.9 pts better
|
81.7%
8.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 90.5% · Q2 89.6% · Q3 89.7% · Q4 92.2% · 4Q avg 90.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.9% |
10.5%
1.4 pts worse
|
12.0%
0.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.9% · Observed 12.3% · Expected 11.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.3%
0.4 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.9% |
79.0%
10.9 pts better
|
79.7%
10.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.4% |
22.4%
3 pts worse
|
23.9%
1.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.4% · Observed 27.7% · Expected 26.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-06-07 · Fire 2024-06-07
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-12-05 · Fire 2022-12-05
7 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
5 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-06-25
E30 · Emergency Preparedness Deficiencies
Fire Safety
List the names and contact information of those in the facility.
Corrected 2025-08-16
F · Potential for more than minimal harm
2025-06-25
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2025-08-16
F · Potential for more than minimal harm
2025-06-25
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-08-16
F · Potential for more than minimal harm
2025-06-25
K346 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2025-08-16
F · Potential for more than minimal harm
2025-06-25
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-16
F · Potential for more than minimal harm
2025-06-25
K354 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2025-08-16
F · Potential for more than minimal harm
2025-06-25
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-08-16
F · Potential for more than minimal harm
2025-06-25
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-08-16
C · Minimal harm
2025-06-25
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-08-16
F · Potential for more than minimal harm
2022-12-05
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-01-01
F · Potential for more than minimal harm
2022-12-05
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-01-13
E · Potential for more than minimal harm
2022-12-05
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 2023-01-05
C · Minimal harm
2022-12-05
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2022-12-23
C · Minimal harm
2022-12-05
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-01-01
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-12-16
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 2026-01-09
D · Potential for more than minimal harm
2025-12-16
F740 · Quality of Life and Care Deficiencies
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2026-01-09
D · Potential for more than minimal harm
2025-11-25
F659 · Resident Assessment and Care Planning Deficiencies
Health
Provide care by qualified persons according to each resident's written plan of care.
Corrected 2025-12-22
F · Potential for more than minimal harm
2025-10-14
F577 · Resident Rights Deficiencies
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2025-11-24
E · Potential for more than minimal harm
2025-06-25
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 2025-07-25
D · Potential for more than minimal harm
2025-06-25
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 2025-07-25
D · Potential for more than minimal harm
2025-06-25
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 2025-07-25
D · Potential for more than minimal harm
2025-06-25
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-25
D · Potential for more than minimal harm
2025-03-20
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 2025-04-16
D · Potential for more than minimal harm
2024-01-03
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 2024-01-29
D · Potential for more than minimal harm
2024-01-03
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-01-29
E · Potential for more than minimal harm
2022-12-05
F657 · Resident Assessment and Care Planning Deficiencies
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 2022-12-31
E · Potential for more than minimal harm
2022-12-05
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 2022-12-31
D · Potential for more than minimal harm
2022-12-05
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2022-12-31
D · Potential for more than minimal harm
2022-12-05
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-12-31
D · Potential for more than minimal harm
2022-12-05
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-12-31
Penalties and ownership
What sits behind the stars
Ownership
Good Samaritan Hospital
5% Or Greater Direct Ownership Interest · Organization
Barney, Leigh
Operational/Managerial Control · Individual
Corbin, Kathy
Corporate Director · Individual
Davis, David
Limited Partnership Interest · Individual
Good Samaritan Hospital
Operational/Managerial Control · Organization
Hendrix, Charles
Operational/Managerial Control · Individual
Keybank National Association
5% Or Greater Mortgage Interest · Organization
Mclin, Robert
Operational/Managerial Control · Individual
Mclin, Robert
Corporate Officer · Individual
Schuckman, Matthew
Corporate Officer · Individual
Thacker, Adam
Operational/Managerial Control · Individual
Thacker, Adam
Corporate Officer · Individual
Trilogy Healthcare Of Vincennes LLC
Operational/Managerial Control · Organization
Weber, Michelle
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Gentle Care Strategies
Vincennes, IN
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Lodge Of The Wabash
Vincennes, IN
2-star overall rating with 2-star inspections with 12 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#3
Aperion Care Vincennes
Vincennes, IN
1-star overall rating with 1-star inspections with Special Focus status with 23 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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