Sullivan, IN

Envive Of Sullivan

1-star overall rating with 2-star inspections with $6,350 in total fines with 10 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

325 W Northwood Dr, Sullivan, IN

(812) 268-3351

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 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

1992-10-01

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

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

0.94

Registered nurse staffing · state 0.66 · national 0.68

LPN hours / resident day

0.45

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

2.14

Nurse aide staffing · state 2.27 · national 2.35

Total nurse hours

3.54

All reported nurse hours · state 3.71 · national 3.89

Licensed hours

1.40

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

3.10

Weekend nurse staffing · state 3.24 · national 3.43

Weekend RN hours

0.73

Weekend registered nurse coverage · state 0.45 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.76

CMS adjusted RN staffing hours

Adjusted total hours

2.84

CMS adjusted total nurse staffing hours

Case-mix index

1.70

Higher values indicate more complex resident acuity

RN turnover

75%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

67%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,063

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

Performance score

8.63

Composite VBP score used to determine payment impact.

Payment multiplier

0.9808

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

2.59

Baseline 6.44% · Performance 7.06% · Measure score 2.59 · Achievement 2.59 · Improvement 0

Total nurse turnover

Performance 73.68% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

Baseline 3.25 hours · Performance 2.66 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.1%	10.72% 0.6 pts better	No Different than the National Rate · Eligible stays 56 · Observed rate 8.93% · Lower 95% interval 6.63%
Discharge to community	56.57%	50.57% 6 pts better	No Different than the National Rate · Eligible stays 40 · Observed rate 55% · Lower 95% interval 44.22%
Medicare spending per beneficiary	1.17	1.02 0.1 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 38 · Denominator 38
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 38
Discharge self-care score	34.78%	53.69% 18.9 pts worse	Numerator 8 · Denominator 23
Discharge mobility score	26.09%	50.94% 24.8 pts worse	Numerator 6 · Denominator 23
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 38 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	7.06%	7.12% 0.1 pts better	No Different than the National Rate · Eligible stays 30 · Observed rate 6.67% · Lower 95% interval 3.6%
Staff COVID-19 vaccination coverage	100%	8.2% 91.8 pts better	Numerator 50 · Denominator 50
Staff flu vaccination coverage	9.52%	42% 32.5 pts worse	Numerator 10 · Denominator 105
Discharge function score	39.13%	56.45% 17.3 pts worse	Numerator 9 · Denominator 23
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 17 · 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	2.5	1.6 0.9 pts worse	1.9 0.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 3.3 · Expected 2.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.9	1.5 1.4 pts worse	1.8 1.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 3.3 · Expected 1.9 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	85.0%	93.6% 8.6 pts worse	93.4% 8.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 90.0% · Q2 78.8% · Q3 78.8% · Q4 93.5% · 4Q avg 85.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	80.6%	95.4% 14.8 pts worse	95.5% 14.9 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 80.6%
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	52.2%	24.6% 27.6 pts worse	11.4% 40.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 50.0% · Q2 41.9% · Q3 58.1% · Q4 58.6% · 4Q avg 52.2%
Percentage of long-stay residents who lose too much weight	6.0%	5.6% 0.4 pts worse	5.4% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 10.3% · Q3 3.0% · Q4 3.4% · 4Q avg 6.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	18.0%	23.5% 5.5 pts better	19.6% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 15.6% · Q3 21.2% · Q4 24.1% · 4Q avg 18.0%
Percentage of long-stay residents who received an antipsychotic medication	7.8%	14.8% 7 pts better	16.7% 8.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 9.5% · Q3 3.8% · Q4 9.5% · 4Q avg 7.8% · 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	11.2%	13.3% 2.1 pts better	16.3% 5.1 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 11.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.8%	11.7% 5.9 pts better	14.9% 9.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 12.5% · Q3 3.1% · Q4 3.4% · 4Q avg 5.8% · 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	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	17.9%	24.2% 6.3 pts better	19.8% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 20.7% · Q2 19.4% · Q3 6.1% · Q4 26.8% · 4Q avg 17.9%
Percentage of long-stay residents with pressure ulcers	5.6%	4.1% 1.5 pts worse	5.1% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 6.0% · Q3 5.4% · Q4 4.4% · 4Q avg 5.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	29.9%	81.6% 51.7 pts worse	81.7% 51.8 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 24.0% · Q2 20.0% · Q3 32.5% · Q4 45.9% · 4Q avg 29.9%
Percentage of short-stay residents who had an outpatient emergency department visit	7.6%	10.5% 2.9 pts better	12.0% 4.4 pts better	Short Stay · 20240701-20250630 · Adjusted 7.6% · Observed 9.1% · Expected 13.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.9%	1.3% 1.6 pts worse	1.6% 1.3 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 3.7% · Q3 4.2% · Q4 0.0% · 4Q avg 2.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	24.4%	79.0% 54.6 pts worse	79.7% 55.3 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 24.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	27.4%	22.4% 5 pts worse	23.9% 3.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.4% · Observed 33.3% · Expected 29.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-02 · Fire 2025-06-02

10 health deficiencies

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

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-04-19 · Fire 2024-04-19

8 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2023-02-28 · Fire 2023-02-28

12 health deficiencies

Top issue: Resident Rights (5 deficiencies)

7 fire-safety deficiencies

Top issue: Emergency Preparedness (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-02

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2026-04-19

E · Potential for more than minimal harm 2024-04-19

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-10-31

D · Potential for more than minimal harm 2024-04-19

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-05-12

C · Minimal harm 2024-04-19

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-05-12

C · Minimal harm 2024-04-19

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2024-05-12

F · Potential for more than minimal harm 2023-02-28

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-03-22

E · Potential for more than minimal harm 2023-02-28

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2023-03-16

C · Minimal harm 2023-02-28

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2023-03-22

C · Minimal harm 2023-02-28

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2023-03-22

C · Minimal harm 2023-02-28

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2023-03-22

C · Minimal harm 2023-02-28

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-03-22

C · Minimal harm 2023-02-28

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-03-22

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-29

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-11-23

D · Potential for more than minimal harm 2025-09-29

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 2025-11-23

F · Potential for more than minimal harm 2025-06-02

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2025-06-30

E · Potential for more than minimal harm 2025-06-02

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-30

D · Potential for more than minimal harm 2025-06-02

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-06-30

D · Potential for more than minimal harm 2025-06-02

F657 · Resident Assessment and Care Planning Deficiencies

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 2025-06-30

D · Potential for more than minimal harm 2025-06-02

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 2025-06-30

D · Potential for more than minimal harm 2025-06-02

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-06-30

D · Potential for more than minimal harm 2025-06-02

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2025-06-30

D · Potential for more than minimal harm 2025-06-02

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 2025-06-30

F · Potential for more than minimal harm 2025-01-31

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-02-16

D · Potential for more than minimal harm 2025-01-31

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-02-16

D · Potential for more than minimal harm 2024-12-20

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-01-13

E · Potential for more than minimal harm 2024-04-19

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 2024-05-09

D · Potential for more than minimal harm 2024-04-19

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-05-09

D · Potential for more than minimal harm 2024-04-19

F761 · Pharmacy Service Deficiencies

Health

Corrected 2024-05-09

D · Potential for more than minimal harm 2024-04-19

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-05-09

B · Minimal harm 2024-04-19

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-05-09

D · Potential for more than minimal harm 2023-11-30

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2023-12-21

D · Potential for more than minimal harm 2023-10-25

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 2023-11-23

D · Potential for more than minimal harm 2023-10-25

F940 · Administration Deficiencies

Health

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Corrected 2023-11-23

D · Potential for more than minimal harm 2023-10-12

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 2023-11-02

E · Potential for more than minimal harm 2023-02-28

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 2023-03-28