Federal inspection record · CMS data as of October 1, 2026
Flatrock River Lodge
904 E 11th St, Rushville, IN · (765) 932-2974
- Certified beds
- 63
- Residents per day
- 28
- Ownership
- Government
- Chain
- Real Property Health Facilities
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 25, 1997
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Indiana.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Indiana homes
Flatrock River Lodge carries 19 inspection points. That is fewer than 76% of Indiana's 504 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Indiana: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–24 pts
- 3★ 24–42 pts
- 2★ 42–72 pts
- 1★ over 72 pts
Bars show every rated home in Indiana by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
9 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care6D
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Rights2D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2026-04-10
6 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2025-04-10
1 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2024-03-08
2 health deficiencies · 6 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 56 min of nursing staff time a day, 36 min of it from a registered nurse.
This home
3 h 56 min
Indiana average
3 h 44 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 69% of nursing staff and 71% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts worse | 2.0 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts worse | 2.3 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.5 pts worse | 92.2% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine17 pts worse | 78.1% | 95.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury7.5 pts worse | 11.3% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms7.2 pts better | 18.3% | 25.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.3 pts better | 5.0% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.5 pts better | 16.0% | 23.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.8 pts worse | 20.5% | 13.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened15.6 pts worse | 26.7% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased18.1 pts worse | 28.9% | 10.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts worse | 0.9% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.5 pts worse | 3.6% | 1.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.9 pts worse | 27.3% | 22.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.6 pts better | 2.9% | 3.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.8 pts worse | 66.1% | 81.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.6 pts worse | 12.5% | 10.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.0% | 1.1% | 1.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission8.1 pts worse | 29.9% | 21.8% | 23.4% |
·
Who owns and runs it
35 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Rush Memorial Hospital | 5% Or Greater Direct Ownership Interest · Organization | 100% | 4 facilities |
| Barksdale, Amy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Barksdale, Amy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Combs, Rebecca | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Combs, Rebecca | Adp Of The SNF · Individual | 0% | 1 facilities |
| Daas, Raid | Adp Of The SNF · Individual | 0% | 1 facilities |
| Flatrock River Lodge, Ltd | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Freimann, Cheryl | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Freimann, Cheryl | Adp Of The SNF · Individual | 0% | 1 facilities |
| Guffey, Jessica | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hebert, James | Corporate Officer · Individual | 0% | 1 facilities |
| Hebert, James | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hebert, James | Adp Of The SNF · Individual | 0% | 1 facilities |
| Heider, Carl | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hillenburg, Leah | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hillenburg, Leah | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kinder, Ashley | Corporate Officer · Individual | 0% | 4 facilities |
| Korf, Angela | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Korf, Angela | Adp Of The SNF · Individual | 0% | 1 facilities |
| Littrell, Carina | Adp Of The SNF · Individual | 0% | 1 facilities |
| Marsh, Dawn | Corporate Officer · Individual | 0% | 9 facilities |
| Penn, Christina | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Rangel, Ashley | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Rangel, Ashley | Adp Of The SNF · Individual | 0% | 1 facilities |
| Real Property Health Facilities Corp | Operational/Managerial Control · Organization | 0% | 9 facilities |
| Schueller, Catherine | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Schueller, Catherine | Adp Of The SNF · Individual | 0% | 1 facilities |
| Shackelford, Tracy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Shackelford, Tracy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Smith, Bradley | Corporate Officer · Individual | 0% | 6 facilities |
| Smyth, Chad | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Smyth, Chad | Adp Of The SNF · Individual | 0% | 4 facilities |
| Sonnentag, Shellie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Sonnentag, Shellie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Sutter, Leslie | Adp Of The SNF · Individual | 0% | 2 facilities |
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Fire safety
22 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install an approved automatic sprinkler system.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
Miscellaneous4F
- F
Have simulated fire drills held at unexpected times.
- E
Have restrictions on the use of portable space heaters.
- C
Have simulated fire drills held at unexpected times.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems4F
- F
Ensure that testing and maintenance of electrical equipment is performed.
- E
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Services3F
- F
Meet other general requirements that are deficient.
- E
Have an externally vented heating system.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Egress3F
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- E
Have exits that are accessible at all times.
Emergency Preparedness1C
- C
Create arrangements with other facilities to receive patients.
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Other homes nearby
-
Waters Of Rushville Skilled Nursing Facility, The
Rushville, IN · Infinity Healthcare Consulting
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 1 min
- Fines
- $0
-
Morristown Manor
Morristown, IN · Cardon & Associates
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 45 min
- Fines
- $0
-
Caroleton Healthcare Center
Connersville, IN · Communicare Health
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 33 min
- Fines
- $0