Indianapolis, IN

Harcourt Terrace Nursing And Rehabilitation

3-star overall rating with 2-star inspections with 12 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

8181 Harcourt Rd, Indianapolis, IN

(317) 872-7261

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

100

Certified beds

Average residents

77

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

American Senior Communities

Operator or chain grouping

Approved since

1973-10-09

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

0.36

Registered nurse staffing · state 0.66 · national 0.68

LPN hours / resident day

1.05

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

2.21

Nurse aide staffing · state 2.27 · national 2.35

Total nurse hours

3.62

All reported nurse hours · state 3.71 · national 3.89

Licensed hours

1.41

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

3.06

Weekend nurse staffing · state 3.24 · national 3.43

Weekend RN hours

0.12

Weekend registered nurse coverage · state 0.45 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.34

CMS adjusted RN staffing hours

Adjusted total hours

3.38

CMS adjusted total nurse staffing hours

Case-mix index

1.46

Higher values indicate more complex resident acuity

RN turnover

14%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

33%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,425

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

Performance score

29.79

Composite VBP score used to determine payment impact.

Payment multiplier

0.9856

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

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

4.74

Baseline 58.73% · Performance 44.29% · Measure score 4.74 · Achievement 4.74 · Improvement 3.76

Adjusted total nurse staffing

1.21

Baseline 3.22 hours · Performance 3.42 hours · Measure score 1.21 · Achievement 1.21 · Improvement 0.28

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.69%
10.72%
1 pts better
No Different than the National Rate · Eligible stays 32 · Observed rate 3.13% · Lower 95% interval 6.17%
Discharge to community 44.39%
50.57%
6.2 pts worse
No Different than the National Rate · Eligible stays 31 · Observed rate 32.26% · Lower 95% interval 29.18%
Medicare spending per beneficiary 0.96
1.02
0.1 pts better
Drug regimen review with follow-up 75.86%
95.27%
19.4 pts worse
Numerator 22 · Denominator 29
Falls with major injury 3.45%
0.77%
2.7 pts worse
Numerator 1 · Denominator 29
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 16 · 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 29 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 24 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 107
Staff flu vaccination coverage 1.02%
42%
41 pts worse
Numerator 1 · Denominator 98
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
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 7 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 12 · 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 1.7
1.6
0.1 pts worse
1.9
0.2 pts better
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 2.0 · Expected 2.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.7
1.5
0.8 pts better
1.8
1.1 pts better
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.8 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.3%
93.6%
5.7 pts better
93.4%
5.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 98.6% · Q2 98.6% · Q3 100.0% · Q4 100.0% · 4Q avg 99.3%
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 2.1%
3.8%
1.7 pts better
3.3%
1.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.4% · Q3 1.4% · Q4 4.1% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 23.5%
24.6%
1.1 pts better
11.4%
12.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 26.9% · Q3 25.0% · Q4 22.2% · 4Q avg 23.5%
Percentage of long-stay residents who lose too much weight 3.7%
5.6%
1.9 pts better
5.4%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 3.8% · Q3 3.8% · Q4 0.0% · 4Q avg 3.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 29.8%
23.5%
6.3 pts worse
19.6%
10.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 27.9% · Q2 28.6% · Q3 28.6% · Q4 34.5% · 4Q avg 29.8%
Percentage of long-stay residents who received an antipsychotic medication 15.1%
14.8%
0.3 pts worse
16.7%
1.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 12.2% · Q3 17.8% · Q4 16.3% · 4Q avg 15.1% · 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 2.4%
13.3%
10.9 pts better
16.3%
13.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 3.4% · Q3 0.0% · Q4 2.5% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 2.7%
11.7%
9 pts better
14.9%
12.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 1.9% · Q3 1.9% · Q4 1.9% · 4Q avg 2.7% · 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 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 19.8%
24.2%
4.4 pts better
19.8%
About the same
Long Stay · 2024Q4-2025Q3 · Q1 20.2% · Q2 27.3% · Q3 15.8% · Q4 16.0% · 4Q avg 19.8%
Percentage of long-stay residents with pressure ulcers 0.8%
4.1%
3.3 pts better
5.1%
4.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · Q3 0.0% · Q4 2.0% · 4Q avg 0.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 81.7%
81.6%
0.1 pts better
81.7%
About the same
Short Stay · 2024Q4-2025Q3 · Q1 78.8% · Q2 83.0% · Q3 82.8% · Q4 84.0% · 4Q avg 81.7%
Percentage of short-stay residents who had an outpatient emergency department visit 3.8%
10.5%
6.7 pts better
12.0%
8.2 pts better
Short Stay · 20240701-20250630 · Adjusted 3.8% · Observed 5.0% · Expected 14.8% · Used in QM five-star
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% · Q2 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 89.8%
79.0%
10.8 pts better
79.7%
10.1 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 32.8%
22.4%
10.4 pts worse
23.9%
8.9 pts worse
Short Stay · 20240701-20250630 · Adjusted 32.8% · Observed 35.0% · Expected 25.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2026-01-09 · Fire 2026-01-09

12 health deficiencies

Top issue: Resident Rights (3 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2025-01-28 · Fire 2025-01-28

8 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-12-11 · Fire 2023-12-11

10 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

8 fire-safety deficiencies

Top issue: Emergency Preparedness (5 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2026-01-09

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2026-03-20

F · Potential for more than minimal harm 2026-01-09

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2026-03-20

E · Potential for more than minimal harm 2026-01-09

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2026-03-20

E · Potential for more than minimal harm 2026-01-09

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 2026-03-20

E · Potential for more than minimal harm 2026-01-09

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2026-03-20

E · Potential for more than minimal harm 2026-01-09

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2026-03-20

E · Potential for more than minimal harm 2026-01-09

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2026-03-20

E · Potential for more than minimal harm 2026-01-09

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2026-05-20

E · Potential for more than minimal harm 2025-01-28

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-03-07

E · Potential for more than minimal harm 2025-01-28

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-03-07

E · Potential for more than minimal harm 2025-01-28

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-03-07

E · Potential for more than minimal harm 2025-01-28

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-03-07

E · Potential for more than minimal harm 2025-01-28

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2025-03-07

F · Potential for more than minimal harm 2023-12-11

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2024-01-18

F · Potential for more than minimal harm 2023-12-11

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2024-01-18

F · Potential for more than minimal harm 2023-12-11

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2024-01-18

F · Potential for more than minimal harm 2023-12-11

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-02-16

F · Potential for more than minimal harm 2023-12-11

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-01-18

E · Potential for more than minimal harm 2023-12-11

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 2024-01-18

E · Potential for more than minimal harm 2023-12-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-02-24

E · Potential for more than minimal harm 2023-12-11

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-01-18

Inspection history

Recent health citations

F · Potential for more than minimal harm 2026-01-09

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 2026-02-02

E · Potential for more than minimal harm 2026-01-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-02-02

D · Potential for more than minimal harm 2026-01-09

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2026-02-02

D · Potential for more than minimal harm 2026-01-09

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 2026-02-02

D · Potential for more than minimal harm 2026-01-09

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2026-02-02

D · Potential for more than minimal harm 2026-01-09

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2026-02-02

D · Potential for more than minimal harm 2026-01-09

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2026-02-02

D · Potential for more than minimal harm 2026-01-09

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 2026-02-02

D · Potential for more than minimal harm 2026-01-09

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 2026-02-02

D · Potential for more than minimal harm 2025-09-23

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 2025-11-23

D · Potential for more than minimal harm 2025-09-23

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 2025-11-23

D · Potential for more than minimal harm 2025-07-02

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 2025-07-21

D · Potential for more than minimal harm 2025-01-28

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-02-17

D · Potential for more than minimal harm 2025-01-28

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 2025-02-17

D · Potential for more than minimal harm 2025-01-28

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 2025-02-17

D · Potential for more than minimal harm 2025-01-28

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 2025-02-17

D · Potential for more than minimal harm 2025-01-28

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 2025-02-17

D · Potential for more than minimal harm 2024-10-24

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-11-18

D · Potential for more than minimal harm 2024-10-24

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 2024-11-18

G · Actual harm 2024-07-23

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 2024-07-10

E · Potential for more than minimal harm 2023-12-11

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-02-14

E · Potential for more than minimal harm 2023-12-11

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 2024-02-14

D · Potential for more than minimal harm 2023-12-11

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-02-14

D · Potential for more than minimal harm 2023-12-11

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-02-14

D · Potential for more than minimal harm 2023-12-11

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-02-14

D · Potential for more than minimal harm 2023-12-11

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 2024-02-14

D · Potential for more than minimal harm 2023-10-26

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-02-14

D · Potential for more than minimal harm 2023-10-26

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 2023-10-13

D · Potential for more than minimal harm 2023-10-26

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 2024-02-14

D · Potential for more than minimal harm 2023-07-21

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-08-07

Penalties and ownership

What sits behind the stars

$0 2023-10-26

Payment Denial

Payment Denial · denial start 2024-01-26 · 19 days

19 day denial

Ownership

The Health And Hospital Corporation Of Marion County

5% Or Greater Direct Ownership Interest · Organization

100% 70 facilities 2011-03-01
American Senior Communities LLC

Operational/Managerial Control · Organization

0% 89 facilities 2011-03-01
Babcock, Paul

Corporate Officer · Individual

0% 72 facilities 2020-09-30
Caine, Virginia

Corporate Officer · Individual

0% 52 facilities 1994-01-10
Dice, Mark

Contracted Managing Employee · Individual

0% 64 facilities 2023-06-01
Drummer, Carl

Corporate Director · Individual

0% 52 facilities 2017-01-01
Hanify, Thomas

Corporate Director · Individual

0% 52 facilities 2022-01-01
Harris, Lisa

Corporate Officer · Individual

0% 52 facilities 2003-12-22
Horn, Brenda

Corporate Director · Individual

0% 40 facilities 2023-12-01
Lazard, Robert

Corporate Director · Individual

0% 52 facilities 2021-01-29
Lloyd, Christina

Operational/Managerial Control · Individual

0% 1 facilities 2017-11-10
Mantravadi, Geeta

Corporate Director · Individual

0% 48 facilities 2021-07-21
Payne, Monica

Corporate Director · Individual

0% 48 facilities 2021-08-09
Piotrowicz, Roger

Contracted Managing Employee · Individual

0% 1 facilities 2023-04-26
Van Camp, Steven

Contracted Managing Employee · Individual

0% 86 facilities 2019-09-06

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