Bloomington, IN

Hearthstone Health Campus

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

3043 North Lintel Drive, Bloomington, IN

(812) 333-7622

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

64

Certified beds

Average residents

59

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Trilogy Health Services

Operator or chain grouping

Approved since

2014-04-18

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

125 facilities

Chain averages 4 overall / 3 health / 3 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

0.68

Registered nurse staffing · state 0.66 · national 0.68

LPN hours / resident day

0.85

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

2.22

Nurse aide staffing · state 2.27 · national 2.35

Total nurse hours

3.75

All reported nurse hours · state 3.71 · national 3.89

Licensed hours

1.53

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

3.48

Weekend nurse staffing · state 3.24 · national 3.43

Weekend RN hours

0.72

Weekend registered nurse coverage · state 0.45 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.62

CMS adjusted RN staffing hours

Adjusted total hours

3.45

CMS adjusted total nurse staffing hours

Case-mix index

1.49

Higher values indicate more complex resident acuity

RN turnover

40%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

48%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,634

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

Performance score

15.97

Composite VBP score used to determine payment impact.

Payment multiplier

0.9815

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.53

Baseline 17.74% · Performance 19.79% · Measure score 3.53 · Achievement 3.53 · Improvement 0

Healthcare-associated infections

0

Baseline 4.56% · Performance 8.35% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

2.38

Baseline 44.83% · Performance 53.97% · Measure score 2.38 · Achievement 2.38 · Improvement 0

Adjusted total nurse staffing

0.48

Baseline 2.69 hours · Performance 2.99 hours · Measure score 0.48 · Achievement 0 · Improvement 0.48

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.19%	10.72% 0.5 pts worse	No Different than the National Rate · Eligible stays 268 · Observed rate 12.31% · Lower 95% interval 8.15%
Discharge to community	59.85%	50.57% 9.3 pts better	Better than the National Rate · Eligible stays 225 · Observed rate 56.89% · Lower 95% interval 53.73%
Medicare spending per beneficiary	0.99	1.02 About the same
Drug regimen review with follow-up	98.88%	95.27% 3.6 pts better	Numerator 176 · Denominator 178
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 178
Discharge self-care score	82.26%	53.69% 28.6 pts better	Numerator 102 · Denominator 124
Discharge mobility score	58.87%	50.94% 7.9 pts better	Numerator 73 · Denominator 124
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 178 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	8.35%	7.12% 1.2 pts worse	No Different than the National Rate · Eligible stays 154 · Observed rate 9.09% · Lower 95% interval 5.43%
Staff COVID-19 vaccination coverage	0.76%	8.2% 7.4 pts worse	Numerator 1 · Denominator 131
Staff flu vaccination coverage	11.8%	42% 30.2 pts worse	Numerator 21 · Denominator 178
Discharge function score	82.26%	56.45% 25.8 pts better	Numerator 102 · Denominator 124
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 96 · Denominator 96
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 52 · Denominator 52
Resident COVID-19 vaccinations up to date	36.36%	25.2% 11.2 pts better	Numerator 32 · Denominator 88

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.3	1.6 0.3 pts better	1.9 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.8 · Expected 2.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.6	1.5 0.1 pts worse	1.8 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.8 · Expected 1.9 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.7%	93.6% 5.1 pts better	93.4% 5.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 95.0% · 4Q avg 98.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	78.6%	95.4% 16.8 pts worse	95.5% 16.9 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 78.6%
Percentage of long-stay residents experiencing one or more falls with major injury	5.1%	3.8% 1.3 pts worse	3.3% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 4.9% · Q3 2.5% · Q4 5.0% · 4Q avg 5.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	15.0%	24.6% 9.6 pts better	11.4% 3.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 10.3% · Q3 15.8% · Q4 18.9% · 4Q avg 15.0%
Percentage of long-stay residents who lose too much weight	0.8%	5.6% 4.8 pts better	5.4% 4.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.9% · Q4 0.0% · 4Q avg 0.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	20.8%	23.5% 2.7 pts better	19.6% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 20.0% · Q3 17.6% · Q4 23.5% · 4Q avg 20.8%
Percentage of long-stay residents who received an antipsychotic medication	5.0%	14.8% 9.8 pts better	16.7% 11.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 4.5% · Q3 3.7% · Q4 6.7% · 4Q avg 5.0% · 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	6.1%	13.3% 7.2 pts better	16.3% 10.2 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 6.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	6.5%	11.7% 5.2 pts better	14.9% 8.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 13.3% · Q3 2.9% · Q4 6.1% · 4Q avg 6.5% · 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	25.7%	24.2% 1.5 pts worse	19.8% 5.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 32.9% · Q3 29.8% · Q4 18.8% · 4Q avg 25.7%
Percentage of long-stay residents with pressure ulcers	2.1%	4.1% 2 pts better	5.1% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 2.0% · Q3 0.0% · Q4 1.9% · 4Q avg 2.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	94.3%	81.6% 12.7 pts better	81.7% 12.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 96.0% · Q2 96.9% · Q3 91.3% · Q4 92.8% · 4Q avg 94.3%
Percentage of short-stay residents who had an outpatient emergency department visit	8.9%	10.5% 1.6 pts better	12.0% 3.1 pts better	Short Stay · 20240701-20250630 · Adjusted 8.9% · Observed 8.5% · Expected 10.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.2%	1.3% 0.1 pts better	1.6% 0.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.2% · Q3 1.4% · Q4 1.2% · 4Q avg 1.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	86.4%	79.0% 7.4 pts better	79.7% 6.7 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 86.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	26.3%	22.4% 3.9 pts worse	23.9% 2.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 26.3% · Observed 26.5% · Expected 24.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-14 · Fire 2025-01-14

4 health deficiencies

Top issue: Resident Rights (2 deficiencies)

4 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Cycle 2 Health 2024-03-07 · Fire 2024-03-07

5 health deficiencies

Top issue: Resident Rights (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-02-21 · Fire 2023-02-21

7 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-01-14

K131 · Construction Deficiencies

Fire Safety

Meet requirements for sections of health care facilities separated by fire resistive construction.

Corrected 2025-02-06

E · Potential for more than minimal harm 2025-01-14

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 2025-02-06

E · Potential for more than minimal harm 2025-01-14

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Corrected 2025-02-06

D · Potential for more than minimal harm 2025-01-14

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2025-02-06

F · Potential for more than minimal harm 2023-02-21

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 2023-02-21

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2023-03-22

C · Minimal harm 2023-02-21

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-03-22

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-01-14

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2025-01-30

D · Potential for more than minimal harm 2025-01-14

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2025-01-30

D · Potential for more than minimal harm 2025-01-14

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-30

D · Potential for more than minimal harm 2025-01-14

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 2025-01-30

G · Actual harm 2024-03-07

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-03-28

E · Potential for more than minimal harm 2024-03-07

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 2024-03-28

D · Potential for more than minimal harm 2024-03-07

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-03-28

D · Potential for more than minimal harm 2024-03-07

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2024-03-28

D · Potential for more than minimal harm 2024-03-07

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 2024-03-28