Hartford City, IN

Envive Of Hartford City

4-star overall rating with 3-star inspections with 8 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

715 N Mill St, Hartford City, IN

(765) 348-2273

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Envive Healthcare

Operator or chain grouping

Approved since

2002-03-19

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

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

1.13

Registered nurse staffing · state 0.66 · national 0.68

LPN hours / resident day

0.37

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

2.22

Nurse aide staffing · state 2.27 · national 2.35

Total nurse hours

3.72

All reported nurse hours · state 3.71 · national 3.89

Licensed hours

1.50

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

3.52

Weekend nurse staffing · state 3.24 · national 3.43

Weekend RN hours

1.02

Weekend registered nurse coverage · state 0.45 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

1.08

CMS adjusted RN staffing hours

Adjusted total hours

3.53

CMS adjusted total nurse staffing hours

Case-mix index

1.44

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

33%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,456

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

Performance score

20.34

Composite VBP score used to determine payment impact.

Payment multiplier

0.9824

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

2.38

Baseline 5.86% · Performance 7.12% · Measure score 2.38 · Achievement 2.38 · Improvement 0

Total nurse turnover

3.72

Performance 48.48% · Measure score 3.72 · Achievement 3.72 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

Baseline 3.07 hours · Performance 3.10 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.69%	10.72% About the same	No Different than the National Rate · Eligible stays 36 · Observed rate 11.11% · Lower 95% interval 7.46%
Discharge to community	52.8%	50.57% 2.2 pts better	No Different than the National Rate · Eligible stays 28 · Observed rate 50% · Lower 95% interval 37.54%
Medicare spending per beneficiary	0.97	1.02 0.1 pts better
Drug regimen review with follow-up	86.96%	95.27% 8.3 pts worse	Numerator 20 · Denominator 23
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 23
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 17 · 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 23 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	7.12%	7.12% About the same	No Different than the National Rate · Eligible stays 28 · Observed rate 7.14% · Lower 95% interval 3.9%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 50
Staff flu vaccination coverage	18.33%	42% 23.7 pts worse	Numerator 11 · Denominator 60
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	79.6%	93.6% 14 pts worse	93.4% 13.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 85.7% · Q2 77.3% · Q3 77.8% · Q4 76.9% · 4Q avg 79.6%
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	1.9%	3.8% 1.9 pts better	3.3% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.7% · Q4 3.8% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	58.3%	24.6% 33.7 pts worse	11.4% 46.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 57.7% · Q2 54.5% · Q3 60.0% · Q4 60.9% · 4Q avg 58.3%
Percentage of long-stay residents who lose too much weight	9.1%	5.6% 3.5 pts worse	5.4% 3.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q3 12.5% · Q4 13.0% · 4Q avg 9.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	14.8%	23.5% 8.7 pts better	19.6% 4.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q3 16.7% · Q4 17.4% · 4Q avg 14.8%
Percentage of long-stay residents who received an antipsychotic medication	28.6%	14.8% 13.8 pts worse	16.7% 11.9 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 28.6% · 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	2.7%	13.3% 10.6 pts better	16.3% 13.6 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 2.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	4.7%	11.7% 7 pts better	14.9% 10.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q3 8.3% · Q4 4.5% · 4Q avg 4.7% · 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	1.0%	1.2% 0.2 pts better	1.7% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.8% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	32.0%	24.2% 7.8 pts worse	19.8% 12.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.5% · Q2 27.4% · Q3 28.9% · Q4 43.3% · 4Q avg 32.0%
Percentage of long-stay residents with pressure ulcers	2.0%	4.1% 2.1 pts better	5.1% 3.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 7.8% · 4Q avg 2.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	25.3%	81.6% 56.3 pts worse	81.7% 56.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 26.1% · Q4 23.8% · 4Q avg 25.3%
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% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	26.1%	79.0% 52.9 pts worse	79.7% 53.6 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 26.1%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-26 · Fire 2025-09-26

8 health deficiencies

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

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-11-08 · Fire 2024-11-08

5 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-12-19 · Fire 2023-12-19

9 health deficiencies

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

7 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-09-26

K227 · Egress Deficiencies

Fire Safety

Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.

Corrected 2026-02-02

E · Potential for more than minimal harm 2025-09-26

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 2026-02-02

E · Potential for more than minimal harm 2025-09-26

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2026-02-02

E · Potential for more than minimal harm 2025-09-26

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2026-02-02

E · Potential for more than minimal harm 2025-09-26

K522 · Services Deficiencies

Fire Safety

Have an externally vented heating system.

Corrected 2026-02-02

F · Potential for more than minimal harm 2024-11-08

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-01-29

F · Potential for more than minimal harm 2024-11-08

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-06-29

F · Potential for more than minimal harm 2024-11-08

K521 · Services Deficiencies

Fire Safety

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

Corrected 2025-01-29

F · Potential for more than minimal harm 2024-11-08

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-01-29

E · Potential for more than minimal harm 2024-11-08

K227 · Egress Deficiencies

Fire Safety

Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.

Corrected 2025-11-01

E · Potential for more than minimal harm 2024-11-08

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-01-29

D · Potential for more than minimal harm 2024-11-08

K522 · Services Deficiencies

Fire Safety

Have an externally vented heating system.

Corrected 2025-01-29

E · Potential for more than minimal harm 2023-12-19

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2024-02-02

E · Potential for more than minimal harm 2023-12-19

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2024-02-02

E · Potential for more than minimal harm 2023-12-19

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-02-02

E · Potential for more than minimal harm 2023-12-19

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-02-02

E · Potential for more than minimal harm 2023-12-19

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-02-02

E · Potential for more than minimal harm 2023-12-19

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-02-02

D · Potential for more than minimal harm 2023-12-19

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-02-02

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-07

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-12-01

D · Potential for more than minimal harm 2025-11-07

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-12-01

D · Potential for more than minimal harm 2025-09-26

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-10-28

D · Potential for more than minimal harm 2025-09-26

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2025-10-28

D · Potential for more than minimal harm 2025-09-26

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 2025-10-28

D · Potential for more than minimal harm 2025-09-26

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-10-28

F · Potential for more than minimal harm 2025-08-06

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-09-26

D · Potential for more than minimal harm 2025-03-13

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 2025-04-02

D · Potential for more than minimal harm 2024-11-08

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-12-18

D · Potential for more than minimal harm 2024-11-08

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-12-18

D · Potential for more than minimal harm 2024-11-08

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 2024-12-18

D · Potential for more than minimal harm 2024-11-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-18

D · Potential for more than minimal harm 2024-06-17

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-07-03

F · Potential for more than minimal harm 2023-12-19

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2024-01-12

F · Potential for more than minimal harm 2023-12-19

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 2024-01-12

D · Potential for more than minimal harm 2023-12-19

F576 · Resident Rights Deficiencies

Health

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2024-01-12

D · Potential for more than minimal harm 2023-12-19

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2024-01-12

D · Potential for more than minimal harm 2023-12-19

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2024-01-12

D · Potential for more than minimal harm 2023-12-19

F758 · Pharmacy Service Deficiencies

Health

Corrected 2024-01-12

D · Potential for more than minimal harm 2023-12-19

F761 · Pharmacy Service Deficiencies

Health

Corrected 2024-01-12

D · Potential for more than minimal harm 2023-12-19

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2024-01-12

D · Potential for more than minimal harm 2023-11-03

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2023-12-04

Penalties and ownership

What sits behind the stars

Ownership

Adams County Memorial Hospital

5% Or Greater Direct Ownership Interest · Organization

100% 52 facilities 2022-01-01

Anderson, Robert