Shelbyville, IN

Especially Kidz Health & Rehab

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

2325 S Miller St, Shelbyville, IN

(317) 392-3287

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

130

Certified beds

Average residents

115

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1974-03-31

CMS approved date

Coverage

Medicaid

Participation flags

Changed ownership

Within the last 12 months

Family council

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.43

Registered nurse staffing · state 0.66 · national 0.68

LPN hours / resident day

1.20

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

2.80

Nurse aide staffing · state 2.27 · national 2.35

Total nurse hours

4.44

All reported nurse hours · state 3.71 · national 3.89

Licensed hours

1.63

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

3.93

Weekend nurse staffing · state 3.24 · national 3.43

Weekend RN hours

0.37

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

0.24

CMS adjusted RN staffing hours

Adjusted total hours

2.47

CMS adjusted total nurse staffing hours

Case-mix index

2.46

Higher values indicate more complex resident acuity

RN turnover

54%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

40%

Annual nurse turnover · state 47% · national 46%

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Medicare spending per beneficiary	Not Available	1.02	This provider is not required to submit SNF QRP data.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · This provider is not required to submit SNF QRP data.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Staff COVID-19 vaccination coverage	Not Available	8.2%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.9	1.6 1.3 pts worse	1.9 1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 1.8 · Expected 1.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.2	1.5 0.3 pts better	1.8 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.1 · Expected 1.5 · 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	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	0.0%	24.6% 24.6 pts better	11.4% 11.4 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 who lose too much weight	2.4%	5.6% 3.2 pts better	5.4% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 2.6% · Q3 2.6% · Q4 2.6% · 4Q avg 2.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	61.8%	23.5% 38.3 pts worse	19.6% 42.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 61.5% · Q2 59.5% · Q3 62.3% · Q4 64.0% · 4Q avg 61.8%
Percentage of long-stay residents who received an antipsychotic medication	17.2%	14.8% 2.4 pts worse	16.7% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 18.6% · Q3 16.8% · Q4 15.7% · 4Q avg 17.2% · 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	44.8%	13.3% 31.5 pts worse	16.3% 28.5 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 44.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	9.3%	11.7% 2.4 pts better	14.9% 5.6 pts better	Long Stay · 2024Q4-2025Q3 · Q2 4.5% · Q3 8.3% · Q4 4.5% · 4Q avg 9.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.1%	0.4% 0.7 pts worse	1.0% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.6% · Q3 0.8% · Q4 0.7% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.8%	1.2% 1.6 pts worse	1.7% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 0.9% · Q3 1.8% · Q4 1.8% · 4Q avg 2.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	1.0%	24.2% 23.2 pts better	19.8% 18.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 0.0% · Q4 2.7% · 4Q avg 1.0%
Percentage of long-stay residents with pressure ulcers	1.8%	4.1% 2.3 pts better	5.1% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 2.7% · Q3 1.7% · Q4 0.9% · 4Q avg 1.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	71.1%	81.6% 10.5 pts worse	81.7% 10.6 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 71.1%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-02 · Fire 2025-04-02

7 health deficiencies

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

3 fire-safety deficiencies

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

Cycle 2 Health 2024-02-23 · Fire 2024-02-23

11 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2022-11-03 · Fire 2022-11-03

5 health deficiencies

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

7 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-04-02

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 2025-05-09

E · Potential for more than minimal harm 2025-04-02

K521 · Services Deficiencies

Fire Safety

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

Corrected 2025-05-09

E · Potential for more than minimal harm 2025-04-02

K907 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure medical gas and vacuum systems have documented maintenance programs.

Corrected 2025-05-09

E · Potential for more than minimal harm 2024-02-23

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-04-22

E · Potential for more than minimal harm 2024-02-23

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-22

E · Potential for more than minimal harm 2024-02-23

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-04-22

E · Potential for more than minimal harm 2024-02-23

K521 · Services Deficiencies

Fire Safety

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

Corrected 2024-04-22

F · Potential for more than minimal harm 2022-11-03

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-02-01

E · Potential for more than minimal harm 2022-11-03

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2023-02-01

E · Potential for more than minimal harm 2022-11-03

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 2023-02-01

E · Potential for more than minimal harm 2022-11-03

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-02-01

E · Potential for more than minimal harm 2022-11-03

K521 · Services Deficiencies

Fire Safety

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

Corrected 2023-02-01

E · Potential for more than minimal harm 2022-11-03

K907 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure medical gas and vacuum systems have documented maintenance programs.

Corrected 2023-02-01

D · Potential for more than minimal harm 2022-11-03

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-02-01

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-18

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.

Not marked corrected

E · Potential for more than minimal harm 2025-04-02

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 2025-04-09

E · Potential for more than minimal harm 2025-04-02

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-09

E · Potential for more than minimal harm 2025-04-02

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 2025-04-09

D · Potential for more than minimal harm 2025-04-02

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 2025-04-09

D · Potential for more than minimal harm 2025-04-02

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-04-09

D · Potential for more than minimal harm 2025-04-02

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2025-04-09

F · Potential for more than minimal harm 2024-02-23

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2024-03-15

E · Potential for more than minimal harm 2024-02-23

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 2024-03-15