12 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Terre Haute, IN
3-star overall rating with 2-star inspections with 12 recent health deficiencies
1850 E Howard Wayne Dr, Terre Haute, IN
(812) 232-0406
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
60
Certified beds
Average residents
44
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Trilogy Health Services
Operator or chain grouping
Approved since
2008-10-10
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
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
RN hours / resident day
0.74
Registered nurse staffing · state 0.66 · national 0.68
LPN hours / resident day
1.02
Licensed practical nurse staffing · state 0.77 · national 0.87
Aide hours / resident day
2.47
Nurse aide staffing · state 2.27 · national 2.35
Total nurse hours
4.23
All reported nurse hours · state 3.71 · national 3.89
Licensed hours
1.76
RN + LPN hours · state 1.44 · national 1.54
Weekend hours
3.82
Weekend nurse staffing · state 3.24 · national 3.43
Weekend RN hours
0.32
Weekend registered nurse coverage · state 0.45 · national 0.47
Physical therapist
0.00
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.62
CMS adjusted RN staffing hours
Adjusted total hours
3.54
CMS adjusted total nurse staffing hours
Case-mix index
1.64
Higher values indicate more complex resident acuity
RN turnover
67%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
48%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
5,224
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
36.96
Composite VBP score used to determine payment impact.
Payment multiplier
0.9903
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.38
Baseline 19.50% · Performance 19.40% · Measure score 4.38 · Achievement 4.38 · Improvement 0
Healthcare-associated infections
4.75
Baseline 7.43% · Performance 6.42% · Measure score 4.75 · Achievement 4.75 · Improvement 3.67
Total nurse turnover
4.04
Baseline 40.38% · Performance 47.17% · Measure score 4.04 · Achievement 4.04 · Improvement 0
Adjusted total nurse staffing
1.62
Baseline 3.33 hours · Performance 3.54 hours · Measure score 1.62 · Achievement 1.62 · Improvement 0.35
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.99% |
10.72%
1.3 pts worse
|
No Different than the National Rate · Eligible stays 303 · Observed rate 13.53% · Lower 95% interval 9.65% |
| Discharge to community | 67.47% |
50.57%
16.9 pts better
|
Better than the National Rate · Eligible stays 282 · Observed rate 61.7% · Lower 95% interval 61.47% |
| Medicare spending per beneficiary | 1 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 185 · Denominator 185 |
| Falls with major injury | 1.08% |
0.77%
0.3 pts worse
|
Numerator 2 · Denominator 185 |
| Discharge self-care score | 74.15% |
53.69%
20.5 pts better
|
Numerator 109 · Denominator 147 |
| Discharge mobility score | 80.27% |
50.94%
29.3 pts better
|
Numerator 118 · Denominator 147 |
| Pressure ulcers or injuries, new or worsened | 2.16% |
2.29%
0.1 pts better
|
Numerator 4 · Denominator 185 · Adjusted rate 1.48% |
| Healthcare-associated infections requiring hospitalization | 6.42% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 195 · Observed rate 5.13% · Lower 95% interval 4.31% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 101 |
| Staff flu vaccination coverage | 58.39% |
42%
16.4 pts better
|
Numerator 87 · Denominator 149 |
| Discharge function score | 82.31% |
56.45%
25.9 pts better
|
Numerator 121 · Denominator 147 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 79 · Denominator 79 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 91 · Denominator 91 |
| Resident COVID-19 vaccinations up to date | 25% |
25.2%
0.2 pts worse
|
Numerator 22 · Denominator 88 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.0 |
1.6
0.6 pts better
|
1.9
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.2 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.7 |
1.5
1.2 pts worse
|
1.8
0.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.8 · Expected 1.7 · 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 | 100.0% |
95.4%
4.6 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.8% |
3.8%
1 pts better
|
3.3%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 4.0% · Q3 0.0% · Q4 0.0% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 15.3% |
24.6%
9.3 pts better
|
11.4%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 13.6% · Q3 11.5% · Q4 15.4% · 4Q avg 15.3% |
| Percentage of long-stay residents who lose too much weight | 1.1% |
5.6%
4.5 pts better
|
5.4%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.5% |
23.5%
1 pts better
|
19.6%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 19.0% · Q3 25.0% · Q4 27.3% · 4Q avg 22.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 24.6% |
14.8%
9.8 pts worse
|
16.7%
7.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 24.6% · 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 | 4.1% |
13.3%
9.2 pts better
|
16.3%
12.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.4% |
11.7%
8.3 pts better
|
14.9%
11.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 4.8% · Q3 4.2% · Q4 0.0% · 4Q avg 3.4% · 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 | 0.0% |
1.2%
1.2 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 13.1% |
24.2%
11.1 pts better
|
19.8%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 7.7% · Q3 3.5% · Q4 22.1% · 4Q avg 13.1% |
| Percentage of long-stay residents with pressure ulcers | 2.3% |
4.1%
1.8 pts better
|
5.1%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.5% · Q3 3.0% · Q4 0.0% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.7% |
81.6%
8.1 pts better
|
81.7%
8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 91.5% · Q2 91.0% · Q3 88.4% · Q4 87.7% · 4Q avg 89.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.8% |
10.5%
1.7 pts better
|
12.0%
3.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.8% · Observed 8.8% · Expected 11.1% · 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 | 89.8% |
79.0%
10.8 pts better
|
79.7%
10.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 15.3% |
22.4%
7.1 pts better
|
23.9%
8.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 15.3% · Observed 15.3% · Expected 23.9% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (3 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Pharmacy Service (2 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-20
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-08-01
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-08-01
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-08-01
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-08-01
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 2024-08-01
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2024-08-01
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-08-01
Fire Safety
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2023-06-26
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-06-26
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2023-06-26
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-06-26
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-06-26
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-06-26
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-06-26
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-12-11
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-12-11
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-09-26
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-09-26
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-09-26
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-09-26
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-26
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 2025-09-26
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-09-26
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 2025-09-26
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-11
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-11
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 2024-08-09
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-08-09
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 2024-08-09
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 2024-08-09
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-09
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 2024-08-09
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-08-09
Health
Help the resident make transportation arrangements to and from radiology services.
Corrected 2024-08-09
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-09
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-09
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-02-23
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-06-12
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-06-12
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 2023-06-12
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-06-12
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-06-12
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 2023-06-12
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Limited Partnership Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Nearby options
Terre Haute, IN
3-star overall rating with 4-star inspections with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Terre Haute, IN
3-star overall rating with 3-star inspections with 11 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Terre Haute, IN
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $14,518 in total fines with 17 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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