Cycle 1
Health 2025-08-22 · Fire 2025-08-22
3 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2 fire-safety deficiencies
Top issue: Services (1 deficiency)
Bluffton, IN
Christian Care Retirement Community
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
720 E Dustman Rd, Bluffton, IN
(260) 565-3000
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
86
Certified beds
Average residents
59
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Adams County Memorial Hospital
Operator or chain grouping
Approved since
2002-06-20
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
8 facilities
Chain averages 3 overall / 3 health / 3 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
1.03
Registered nurse staffing · state 0.66 · national 0.68
LPN hours / resident day
0.51
Licensed practical nurse staffing · state 0.77 · national 0.87
Aide hours / resident day
3.70
Nurse aide staffing · state 2.27 · national 2.35
Total nurse hours
5.24
All reported nurse hours · state 3.71 · national 3.89
Licensed hours
1.54
RN + LPN hours · state 1.44 · national 1.54
Weekend hours
4.55
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
0.01
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
1.14
CMS adjusted RN staffing hours
Adjusted total hours
5.80
CMS adjusted total nurse staffing hours
Case-mix index
1.24
Higher values indicate more complex resident acuity
RN turnover
14%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
35%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,325
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
57.56
Composite VBP score used to determine payment impact.
Payment multiplier
1.0127
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
5.29
Performance 6.25% · Measure score 5.29 · Achievement 5.29 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
5.46
Baseline 39.73% · Performance 41.38% · Measure score 5.46 · Achievement 5.46 · Improvement 0
Adjusted total nurse staffing
6.52
Baseline 4.48 hours · Performance 4.93 hours · Measure score 6.52 · Achievement 6.52 · Improvement 3
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.37% |
10.72%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 54 · Observed rate 12.96% · Lower 95% interval 7.63% |
| Discharge to community | 48.09% |
50.57%
2.5 pts worse
|
No Different than the National Rate · Eligible stays 53 · Observed rate 45.28% · Lower 95% interval 37.45% |
| Medicare spending per beneficiary | 1.1 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 95.83% |
95.27%
0.6 pts better
|
Numerator 23 · Denominator 24 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 24 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 24 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.25% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 29 · Observed rate 0% · Lower 95% interval 3.35% |
| Staff COVID-19 vaccination coverage | 2.51% |
8.2%
5.7 pts worse
|
Numerator 6 · Denominator 239 |
| Staff flu vaccination coverage | 11.46% |
42%
30.5 pts worse
|
Numerator 36 · Denominator 314 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
1.6
0.4 pts worse
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.4 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.5
0.5 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.8 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.1% |
93.6%
5.5 pts better
|
93.4%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.2% · Q2 100.0% · Q3 98.0% · Q4 100.0% · 4Q avg 99.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.6% |
95.4%
0.8 pts worse
|
95.5%
0.9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.2% |
3.8%
2.4 pts worse
|
3.3%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 7.7% · Q3 4.0% · Q4 5.6% · 4Q avg 6.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.2% |
24.6%
22.4 pts better
|
11.4%
9.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.3% · Q3 0.0% · Q4 4.5% · 4Q avg 2.2% |
| Percentage of long-stay residents who lose too much weight | 3.2% |
5.6%
2.4 pts better
|
5.4%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.2% · Q3 8.7% · Q4 2.0% · 4Q avg 3.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.9% |
23.5%
0.6 pts better
|
19.6%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.7% · Q2 26.7% · Q3 19.1% · Q4 18.4% · 4Q avg 22.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 2.5% |
14.8%
12.3 pts better
|
16.7%
14.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.8% · Q3 0.0% · Q4 4.4% · 4Q avg 2.5% · 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 | 28.0% |
13.3%
14.7 pts worse
|
16.3%
11.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 24.6% · Q4 33.0% · 4Q avg 28.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 30.9% |
11.7%
19.2 pts worse
|
14.9%
16 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 25.7% · Q3 34.1% · Q4 29.8% · 4Q avg 30.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.0% |
0.4%
2.6 pts worse
|
1.0%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 1.9% · Q3 2.1% · Q4 4.1% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 7.6% |
1.2%
6.4 pts worse
|
1.7%
5.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 5.8% · Q3 4.1% · Q4 13.0% · 4Q avg 7.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.9% |
24.2%
2.3 pts better
|
19.8%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.4% · Q2 21.3% · Q3 26.0% · Q4 18.2% · 4Q avg 21.9% |
| Percentage of long-stay residents with pressure ulcers | 1.0% |
4.1%
3.1 pts better
|
5.1%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.4% |
81.6%
3.8 pts better
|
81.7%
3.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 78.4% · Q2 81.4% · Q3 91.4% · Q4 90.7% · 4Q avg 85.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.0% |
10.5%
6.5 pts better
|
12.0%
8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.0% · Observed 3.4% · Expected 9.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.5% |
1.3%
2.2 pts worse
|
1.6%
1.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 9.5% · Q4 5.0% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 64.4% |
79.0%
14.6 pts worse
|
79.7%
15.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 64.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 15.8% |
22.4%
6.6 pts better
|
23.9%
8.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 15.8% · Observed 13.8% · Expected 20.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-10-22 · Fire 2024-10-22
2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-10-10 · Fire 2023-10-10
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-08-22
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2025-10-30
D · Potential for more than minimal harm
2025-08-22
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-10-30
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-08-22
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 2025-09-12
E · Potential for more than minimal harm
2025-08-22
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-09-12
E · Potential for more than minimal harm
2025-08-22
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 2025-09-12
D · Potential for more than minimal harm
2024-10-22
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-10-31
D · Potential for more than minimal harm
2024-08-05
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 2024-08-14
Penalties and ownership
What sits behind the stars
Ownership
Adams County Memorial Hospital
5% Or Greater Direct Ownership Interest · Organization
Adams County Memorial Hospital
Operational/Managerial Control · Organization
Apostolic Christian Care, Inc.
Operational/Managerial Control · Organization
Bluffton Cpa
Operational/Managerial Control · Organization
Borne-Bauman, Candice
Operational/Managerial Control · Individual
Bucher, Trent
Operational/Managerial Control · Individual
Culp, Coleen
Operational/Managerial Control · Individual
Curry, Brian
Operational/Managerial Control · Individual
Everence Trust Company
Operational/Managerial Control · Organization
First Bank Of Berne
5% Or Greater Mortgage Interest · Organization
Flechter, Bradley
Operational/Managerial Control · Individual
Flueckiger, Russell
Operational/Managerial Control · Individual
Forvis Mazars Llp
Operational/Managerial Control · Organization
Gerber, Gene
Operational/Managerial Control · Individual
Gresla, Mark
Operational/Managerial Control · Individual
Healthcare Therapy Services Inc
Operational/Managerial Control · Organization
Isch, James
Operational/Managerial Control · Individual
Lautzenheiser, Amber
Operational/Managerial Control · Individual
Lehman, Scott
Operational/Managerial Control · Individual
Longenberger, Gene
Operational/Managerial Control · Individual
Macklin, Larry
Operational/Managerial Control · Individual
Mcintire, David
Operational/Managerial Control · Individual
Moser, Klint
Operational/Managerial Control · Individual
Smith, Austin
Operational/Managerial Control · Individual
Smith, Scott
Operational/Managerial Control · Individual
Sprunger, Kyle
Operational/Managerial Control · Individual
Tonner, Brian
Operational/Managerial Control · Individual
Wheeler, Dane
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
River Terrace Health Care Center
Bluffton, IN
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 20 fire-safety deficiencies in the latest cycle
#2
Ossian Health Care And Rehabilitation Center
Ossian, IN
5-star overall rating with 4-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Markle Health & Rehabilitation
Markle, IN
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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