Connersville, IN

Caroleton Healthcare Center

5-star overall rating with 5-star inspections with 7 fire-safety deficiencies in the latest cycle

2500 Iowa Ave, Connersville, IN

(765) 825-7514

Compare this facility

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

Facility snapshot

Beds

50

Certified beds

Average residents

47

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Communicare Health

Operator or chain grouping

Approved since

1991-09-03

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

122 facilities

Chain averages 3 overall / 2 health / 2 staffing / 4 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

0.64

Registered nurse staffing · state 0.66 · national 0.68

LPN hours / resident day

0.82

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

2.04

Nurse aide staffing · state 2.27 · national 2.35

Total nurse hours

3.50

All reported nurse hours · state 3.71 · national 3.89

Licensed hours

1.46

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

3.05

Weekend nurse staffing · state 3.24 · national 3.43

Weekend RN hours

0.42

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

0.62

CMS adjusted RN staffing hours

Adjusted total hours

3.38

CMS adjusted total nurse staffing hours

Case-mix index

1.42

Higher values indicate more complex resident acuity

RN turnover

58%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

46%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,493

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

39.76

Composite VBP score used to determine payment impact.

Payment multiplier

0.9927

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.90

Performance 20.09% · Measure score 2.90 · Achievement 2.90 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

7.04

Baseline 8.92% · Performance 5.96% · Measure score 7.04 · Achievement 6.27 · Improvement 7.04

Total nurse turnover

5.57

Baseline 31.71% · Performance 40.91% · Measure score 5.57 · Achievement 5.57 · Improvement 0

Adjusted total nurse staffing

0.39

Baseline 2.75 hours · Performance 3.02 hours · Measure score 0.39 · Achievement 0 · Improvement 0.39

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.05%	10.72% 0.7 pts better	No Different than the National Rate · Eligible stays 67 · Observed rate 7.46% · Lower 95% interval 7.14%
Discharge to community	59%	50.57% 8.4 pts better	No Different than the National Rate · Eligible stays 38 · Observed rate 60.53% · Lower 95% interval 46.05%
Medicare spending per beneficiary	0.99	1.02 About the same
Drug regimen review with follow-up	98.31%	95.27% 3 pts better	Numerator 58 · Denominator 59
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 59
Discharge self-care score	27.27%	53.69% 26.4 pts worse	Numerator 12 · Denominator 44
Discharge mobility score	27.27%	50.94% 23.7 pts worse	Numerator 12 · Denominator 44
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 59 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	5.96%	7.12% 1.2 pts better	No Different than the National Rate · Eligible stays 38 · Observed rate 0% · Lower 95% interval 2.82%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 65
Staff flu vaccination coverage	74.68%	42% 32.7 pts better	Numerator 59 · Denominator 79
Discharge function score	36.36%	56.45% 20.1 pts worse	Numerator 16 · Denominator 44
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 26 · Denominator 26
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	23.53%	25.2% 1.7 pts worse	Numerator 8 · Denominator 34

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.1	1.6 1.5 pts worse	1.9 1.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.1 · Observed 2.7 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.1	1.5 0.4 pts better	1.8 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.9 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	93.6% 6.4 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.4%	95.4% 2 pts better	95.5% 1.9 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.4%
Percentage of long-stay residents experiencing one or more falls with major injury	0.0%	3.8% 3.8 pts better	3.3% 3.3 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 who have depressive symptoms	0.7%	24.6% 23.9 pts better	11.4% 10.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7%
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 0.0% · Q2 3.6% · Q3 3.2% · Q4 2.9% · 4Q avg 2.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	30.7%	23.5% 7.2 pts worse	19.6% 11.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 35.7% · Q3 23.5% · Q4 31.4% · 4Q avg 30.7%
Percentage of long-stay residents who received an antipsychotic medication	9.7%	14.8% 5.1 pts better	16.7% 7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 9.1% · Q3 7.7% · Q4 9.7% · 4Q avg 9.7% · 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	14.4%	13.3% 1.1 pts worse	16.3% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 14.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	4.8%	11.7% 6.9 pts better	14.9% 10.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 3.7% · Q3 5.9% · Q4 0.0% · 4Q avg 4.8% · 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	1.4%	1.2% 0.2 pts worse	1.7% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.9% · Q3 0.0% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	25.1%	24.2% 0.9 pts worse	19.8% 5.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.6% · Q2 27.6% · Q3 25.8% · Q4 20.7% · 4Q avg 25.1%
Percentage of long-stay residents with pressure ulcers	0.6%	4.1% 3.5 pts better	5.1% 4.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.5%	81.6% 17.9 pts better	81.7% 17.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 97.9% · 4Q avg 99.5%
Percentage of short-stay residents who had an outpatient emergency department visit	10.2%	10.5% 0.3 pts better	12.0% 1.8 pts better	Short Stay · 20240701-20250630 · Adjusted 10.2% · Observed 9.8% · Expected 10.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.3% 1.3 pts better	1.6% 1.6 pts better	Short 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 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	20.1%	22.4% 2.3 pts better	23.9% 3.8 pts better	Short Stay · 20240701-20250630 · Adjusted 20.1% · Observed 19.5% · Expected 23.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-03 · Fire 2025-04-03

0 health deficiencies

No concentrated health issue counts in this cycle.

7 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 2 Health 2024-03-01 · Fire 2024-03-01

4 health deficiencies

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

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2022-12-02 · Fire 2022-12-02

3 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

13 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-03

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-06-13

F · Potential for more than minimal harm 2025-04-03

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-07-09

F · Potential for more than minimal harm 2025-04-03

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-06-13

E · Potential for more than minimal harm 2025-04-03

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-06-13

E · Potential for more than minimal harm 2025-04-03

K361 · Smoke Deficiencies

Fire Safety

Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

Corrected 2025-06-13

E · Potential for more than minimal harm 2025-04-03

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-06-13

E · Potential for more than minimal harm 2025-04-03

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-06-13

E · Potential for more than minimal harm 2024-03-01

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-03-20

E · Potential for more than minimal harm 2024-03-01

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 2024-03-20

E · Potential for more than minimal harm 2024-03-01

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-03-20

F · Potential for more than minimal harm 2022-12-02

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2023-01-19

F · Potential for more than minimal harm 2022-12-02

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-01-19

F · Potential for more than minimal harm 2022-12-02

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2023-01-19

E · Potential for more than minimal harm 2022-12-02

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-01-19

E · Potential for more than minimal harm 2022-12-02

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2023-01-19

E · Potential for more than minimal harm 2022-12-02

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 2023-01-19

E · Potential for more than minimal harm 2022-12-02

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-01-19

E · Potential for more than minimal harm 2022-12-02

K331 · Smoke Deficiencies

Fire Safety

Construct fire resistant interior walls.

Corrected 2023-01-19

E · Potential for more than minimal harm 2022-12-02

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-01-19

E · Potential for more than minimal harm 2022-12-02

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2023-01-19

E · Potential for more than minimal harm 2022-12-02

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Corrected 2023-01-19

C · Minimal harm 2022-12-02

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2023-01-19

C · Minimal harm 2022-12-02

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2023-01-19

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-03-01

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 2024-03-20

D · Potential for more than minimal harm 2024-03-01

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 2024-03-20

D · Potential for more than minimal harm 2024-03-01

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 2024-03-20

D · Potential for more than minimal harm 2024-03-01

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-20

E · Potential for more than minimal harm 2022-12-02

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2023-01-06

D · Potential for more than minimal harm 2022-12-02

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-01-06

D · Potential for more than minimal harm 2022-12-02

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2023-01-06

Penalties and ownership

What sits behind the stars

Ownership

Adams County Memorial Hospital

5% Or Greater Direct Ownership Interest · Organization

100% 52 facilities 2013-05-01

Adams County Memorial Hospital

Operational/Managerial Control · Organization

0% 52 facilities 2013-05-01

Borne-Bauman, Candice