Greenwood, IN

Greenwood Meadows

5-star overall rating with 4-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

1200 N State Road 135, Greenwood, IN

(317) 300-2200

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

169

Certified beds

Average residents

140

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

American Senior Communities

Operator or chain grouping

Approved since

2011-06-02

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

91 facilities

Chain averages 4 overall / 3 health / 2 staffing / 5 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

0.81

Registered nurse staffing · state 0.66 · national 0.68

LPN hours / resident day

0.52

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

1.97

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

1.33

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

2.88

Weekend nurse staffing · state 3.24 · national 3.43

Weekend RN hours

0.47

Weekend registered nurse coverage · state 0.45 · national 0.47

Physical therapist

0.10

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.69

CMS adjusted RN staffing hours

Adjusted total hours

2.79

CMS adjusted total nurse staffing hours

Case-mix index

1.62

Higher values indicate more complex resident acuity

RN turnover

29%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

46%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,088

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

Performance score

34.04

Composite VBP score used to determine payment impact.

Payment multiplier

0.9881

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.69

Baseline 18.48% · Performance 20.65% · Measure score 1.69 · Achievement 1.69 · Improvement 0

Healthcare-associated infections

7.34

Baseline 6.08% · Performance 5.64% · Measure score 7.34 · Achievement 7.34 · Improvement 3.53

Total nurse turnover

4.59

Baseline 60.55% · Performance 44.93% · Measure score 4.59 · Achievement 4.59 · Improvement 3.88

Adjusted total nurse staffing

0

Baseline 2.91 hours · Performance 2.76 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.51%	10.72% 0.8 pts worse	No Different than the National Rate · Eligible stays 297 · Observed rate 11.78% · Lower 95% interval 8.96%
Discharge to community	59.51%	50.57% 8.9 pts better	Better than the National Rate · Eligible stays 293 · Observed rate 55.29% · Lower 95% interval 54.3%
Medicare spending per beneficiary	0.9	1.02 0.1 pts better
Drug regimen review with follow-up	98.68%	95.27% 3.4 pts better	Numerator 150 · Denominator 152
Falls with major injury	1.32%	0.77% 0.6 pts worse	Numerator 2 · Denominator 152
Discharge self-care score	79.49%	53.69% 25.8 pts better	Numerator 93 · Denominator 117
Discharge mobility score	47.86%	50.94% 3.1 pts worse	Numerator 56 · Denominator 117
Pressure ulcers or injuries, new or worsened	3.29%	2.29% 1 pts worse	Numerator 5 · Denominator 152 · Adjusted rate 3.52%
Healthcare-associated infections requiring hospitalization	5.64%	7.12% 1.5 pts better	No Different than the National Rate · Eligible stays 149 · Observed rate 3.36% · Lower 95% interval 3.36%
Staff COVID-19 vaccination coverage	7.73%	8.2% 0.5 pts worse	Numerator 15 · Denominator 194
Staff flu vaccination coverage	36.19%	42% 5.8 pts worse	Numerator 97 · Denominator 268
Discharge function score	73.5%	56.45% 17 pts better	Numerator 86 · Denominator 117
Transfer of health information to provider	99.07%	95.95% 3.1 pts better	Numerator 106 · Denominator 107
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	40.58%	25.2% 15.4 pts better	Numerator 28 · Denominator 69

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.3	1.6 1.3 pts better	1.9 1.6 pts better	Long Stay · 20240701-20250630 · Adjusted 0.3 · Observed 0.3 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.6	1.5 0.9 pts better	1.8 1.2 pts better	Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.6 · Expected 1.6 · 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	99.2%	95.4% 3.8 pts better	95.5% 3.7 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 99.2%
Percentage of long-stay residents experiencing one or more falls with major injury	5.8%	3.8% 2 pts worse	3.3% 2.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 7.5% · Q3 5.2% · Q4 6.9% · 4Q avg 5.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	28.4%	24.6% 3.8 pts worse	11.4% 17 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 34.3% · Q2 28.7% · Q3 21.4% · Q4 29.5% · 4Q avg 28.4%
Percentage of long-stay residents who lose too much weight	1.7%	5.6% 3.9 pts better	5.4% 3.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 2.0% · Q3 0.0% · Q4 1.0% · 4Q avg 1.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	30.2%	23.5% 6.7 pts worse	19.6% 10.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.8% · Q2 30.3% · Q3 32.4% · Q4 29.1% · 4Q avg 30.2%
Percentage of long-stay residents who received an antipsychotic medication	10.0%	14.8% 4.8 pts better	16.7% 6.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.2% · Q2 11.2% · Q3 9.9% · Q4 7.9% · 4Q avg 10.0% · 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	5.5%	13.3% 7.8 pts better	16.3% 10.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 10.2% · Q3 0.0% · Q4 1.4% · 4Q avg 5.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.6%	11.7% 6.1 pts better	14.9% 9.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 6.5% · Q3 2.0% · Q4 2.0% · 4Q avg 5.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.2%	0.4% 0.2 pts better	1.0% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.8% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.7%	1.2% 0.5 pts better	1.7% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.0% · Q3 0.9% · Q4 0.9% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	26.7%	24.2% 2.5 pts worse	19.8% 6.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.9% · Q2 31.6% · Q3 18.7% · Q4 32.7% · 4Q avg 26.7%
Percentage of long-stay residents with pressure ulcers	3.2%	4.1% 0.9 pts better	5.1% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 5.1% · Q3 3.0% · Q4 3.8% · 4Q avg 3.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.6%	81.6% 17 pts better	81.7% 16.9 pts better	Short Stay · 2024Q4-2025Q3 · Q1 99.1% · Q2 98.0% · Q3 98.3% · Q4 99.2% · 4Q avg 98.6%
Percentage of short-stay residents who had an outpatient emergency department visit	5.6%	10.5% 4.9 pts better	12.0% 6.4 pts better	Short Stay · 20240701-20250630 · Adjusted 5.6% · Observed 5.6% · Expected 11.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.9%	1.3% 0.4 pts better	1.6% 0.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 1.4% · Q3 0.7% · Q4 0.7% · 4Q avg 0.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	98.5%	79.0% 19.5 pts better	79.7% 18.8 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 98.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	21.9%	22.4% 0.5 pts better	23.9% 2 pts better	Short Stay · 20240701-20250630 · Adjusted 21.9% · Observed 19.0% · Expected 20.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-05 · Fire 2025-12-05

2 health deficiencies

Top issue: Resident Assessment and Care Planning (1 deficiency)

2 fire-safety deficiencies

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

Cycle 2 Health 2024-09-23 · Fire 2024-09-23

5 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

7 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2023-09-14 · Fire 2023-09-14

2 health deficiencies

Top issue: Nursing and Physician Services (1 deficiency)

9 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-12-05

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2026-01-30

D · Potential for more than minimal harm 2025-12-05

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2026-01-30

F · Potential for more than minimal harm 2024-09-23

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2024-10-30

F · Potential for more than minimal harm 2024-09-23

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-10-30

E · Potential for more than minimal harm 2024-09-23

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2024-10-30

E · Potential for more than minimal harm 2024-09-23

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2024-10-30

E · Potential for more than minimal harm 2024-09-23

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2024-10-30

D · Potential for more than minimal harm 2024-09-23

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-10-30

D · Potential for more than minimal harm 2024-09-23

K522 · Services Deficiencies

Fire Safety

Have an externally vented heating system.

Corrected 2024-10-30

E · Potential for more than minimal harm 2023-09-14

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2023-10-31

E · Potential for more than minimal harm 2023-09-14

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-10-31

E · Potential for more than minimal harm 2023-09-14

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 2023-10-31

E · Potential for more than minimal harm 2023-09-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-10-31

E · Potential for more than minimal harm 2023-09-14

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-10-31

E · Potential for more than minimal harm 2023-09-14

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-10-31

C · Minimal harm 2023-09-14

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-10-31

C · Minimal harm 2023-09-14

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-10-31

C · Minimal harm 2023-09-14

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-10-31

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-05

F553 · Resident Rights Deficiencies

Health

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2025-12-26

D · Potential for more than minimal harm 2025-12-05

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-12-26

D · Potential for more than minimal harm 2024-09-23

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 2024-10-22

D · Potential for more than minimal harm 2024-09-23

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-22

D · Potential for more than minimal harm 2024-09-23

F800 · Nutrition and Dietary Deficiencies

Health

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Corrected 2024-10-22

D · Potential for more than minimal harm 2024-03-13

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-04-05

D · Potential for more than minimal harm 2024-03-13

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-04-05

D · Potential for more than minimal harm 2023-09-14

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-10-11

C · Minimal harm 2023-09-14

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2023-10-11

Penalties and ownership

What sits behind the stars

Ownership

The Health And Hospital Corporation Of Marion County

5% Or Greater Direct Ownership Interest · Organization

100% 70 facilities 2012-02-01

American Senior Communities LLC

Operational/Managerial Control · Organization

0% 89 facilities 2003-01-01

Babcock, Paul

Corporate Officer · Individual

0% 72 facilities 2020-09-30

Caine, Virginia

Corporate Officer · Individual

0% 52 facilities 1994-01-10

Carter, Laura

Contracted Managing Employee · Individual

0% 1 facilities 2023-02-01

Dice, Mark

Contracted Managing Employee · Individual

0% 64 facilities 2023-06-01

Drummer, Carl