Brookville, IN

Envive Of Brookville

3-star overall rating with 3-star inspections with 6 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

11049 State Road 101, Brookville, IN

(765) 647-2527

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

100

Certified beds

Average residents

41

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Envive Healthcare

Operator or chain grouping

Approved since

1992-11-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

13 facilities

Chain averages 3 overall / 3 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

0.72

Registered nurse staffing · state 0.66 · national 0.68

LPN hours / resident day

0.66

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

1.92

Nurse aide staffing · state 2.27 · national 2.35

Total nurse hours

3.30

All reported nurse hours · state 3.71 · national 3.89

Licensed hours

1.38

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

3.07

Weekend nurse staffing · state 3.24 · national 3.43

Weekend RN hours

0.48

Weekend registered nurse coverage · state 0.45 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.57

CMS adjusted RN staffing hours

Adjusted total hours

2.61

CMS adjusted total nurse staffing hours

Case-mix index

1.73

Higher values indicate more complex resident acuity

RN turnover

43%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

45%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,800

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

Performance score

53.92

Composite VBP score used to determine payment impact.

Payment multiplier

1.0087

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.85

Baseline 20.43% · Performance 19.19% · Measure score 4.85 · Achievement 4.85 · Improvement 3.16

Healthcare-associated infections

3.81

Baseline 7.58% · Performance 6.69% · Measure score 3.81 · Achievement 3.81 · Improvement 2.94

Total nurse turnover

10

Baseline 35.48% · Performance 20.51% · Measure score 10 · Achievement 10 · Improvement 9

Adjusted total nurse staffing

2.91

Baseline 3.06 hours · Performance 3.91 hours · Measure score 2.91 · Achievement 2.91 · Improvement 2.62

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.08%	10.72% 0.6 pts better	No Different than the National Rate · Eligible stays 56 · Observed rate 7.14% · Lower 95% interval 6.6%
Discharge to community	49.01%	50.57% 1.6 pts worse	No Different than the National Rate · Eligible stays 36 · Observed rate 47.22% · Lower 95% interval 38.93%
Medicare spending per beneficiary	0.97	1.02 0.1 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 25 · Denominator 25
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 25
Discharge self-care score	37.5%	53.69% 16.2 pts worse	Numerator 9 · Denominator 24
Discharge mobility score	41.67%	50.94% 9.3 pts worse	Numerator 10 · Denominator 24
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 25 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.69%	7.12% 0.4 pts better	No Different than the National Rate · Eligible stays 27 · Observed rate 3.7% · Lower 95% interval 3.31%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 19
Staff flu vaccination coverage	37.93%	42% 4.1 pts worse	Numerator 11 · Denominator 29
Discharge function score	50%	56.45% 6.5 pts worse	Numerator 12 · Denominator 24
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 7 · 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	1.3	1.6 0.3 pts better	1.9 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.4 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.9	1.5 0.4 pts worse	1.8 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.1 · Expected 1.8 · 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 100.0% · Q2 97.6% · Q3 78.4% · Q4 71.4% · 4Q avg 88.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.8%	95.4% 2.4 pts better	95.5% 2.3 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.8%
Percentage of long-stay residents experiencing one or more falls with major injury	3.8%	3.8% About the same	3.3% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 4.8% · Q3 5.4% · Q4 2.9% · 4Q avg 3.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	35.1%	24.6% 10.5 pts worse	11.4% 23.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.4% · Q2 5.1% · Q3 54.1% · Q4 61.8% · 4Q avg 35.1%
Percentage of long-stay residents who lose too much weight	5.3%	5.6% 0.3 pts better	5.4% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.4% · Q3 8.8% · Q4 9.1% · 4Q avg 5.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	29.2%	23.5% 5.7 pts worse	19.6% 9.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 36.4% · Q2 33.3% · Q3 22.9% · Q4 21.2% · 4Q avg 29.2%
Percentage of long-stay residents who received an antipsychotic medication	3.8%	14.8% 11 pts better	16.7% 12.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 3.1% · Q3 6.9% · Q4 3.2% · 4Q avg 3.8% · 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	46.5%	13.3% 33.2 pts worse	16.3% 30.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 33.0% · Q2 63.9% · 4Q avg 46.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	41.4%	11.7% 29.7 pts worse	14.9% 26.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 40.5% · Q2 48.7% · Q3 32.4% · Q4 43.3% · 4Q avg 41.4% · 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	35.2%	24.2% 11 pts worse	19.8% 15.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.3% · Q2 43.2% · Q3 37.8% · Q4 28.3% · 4Q avg 35.2%
Percentage of long-stay residents with pressure ulcers	1.1%	4.1% 3 pts better	5.1% 4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 1.6% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	63.8%	81.6% 17.8 pts worse	81.7% 17.9 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q3 52.4% · Q4 29.4% · 4Q avg 63.8%
Percentage of short-stay residents who had an outpatient emergency department visit	17.4%	10.5% 6.9 pts worse	12.0% 5.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 17.4% · Observed 17.4% · 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 · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were rehospitalized after a nursing home admission	18.0%	22.4% 4.4 pts better	23.9% 5.9 pts better	Short Stay · 20240701-20250630 · Adjusted 18.0% · Observed 17.4% · Expected 23.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-27 · Fire 2025-02-27

6 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

7 fire-safety deficiencies

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

Cycle 2 Health 2023-12-12 · Fire 2023-12-12

3 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2022-10-07 · Fire 2022-10-07

9 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-27

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-04-18

F · Potential for more than minimal harm 2025-02-27

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2025-04-18

F · Potential for more than minimal harm 2025-02-27

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-04-18

F · Potential for more than minimal harm 2025-02-27

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-04-18

E · Potential for more than minimal harm 2025-02-27

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2025-04-18

E · Potential for more than minimal harm 2025-02-27

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-04-18

E · Potential for more than minimal harm 2025-02-27

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-04-18

E · Potential for more than minimal harm 2023-12-12

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 2024-01-17

E · Potential for more than minimal harm 2023-12-12

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-01-17

F · Potential for more than minimal harm 2022-10-07

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-01-10

F · Potential for more than minimal harm 2022-10-07

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2023-01-10

F · Potential for more than minimal harm 2022-10-07

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-01-10

F · Potential for more than minimal harm 2022-10-07

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-05-13

F · Potential for more than minimal harm 2022-10-07

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-01-10

E · Potential for more than minimal harm 2022-10-07

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-01-10

C · Minimal harm 2022-10-07

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-01-10

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-02-27

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-03-21

E · Potential for more than minimal harm 2025-02-27

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 2025-03-24

E · Potential for more than minimal harm 2025-02-27

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2025-03-24

E · Potential for more than minimal harm 2025-02-27

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-03-24

D · Potential for more than minimal harm 2025-02-27

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2025-03-24

D · Potential for more than minimal harm 2025-02-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-24

D · Potential for more than minimal harm 2023-12-12

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 2023-12-29

D · Potential for more than minimal harm 2023-12-12

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2023-12-29

D · Potential for more than minimal harm 2023-12-12

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2023-12-29

E · Potential for more than minimal harm 2022-10-07