West Lafayette, IN

Heritage Healthcare

3-star overall rating with 2-star inspections with 7 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

3401 Soldiers Home Rd, West Lafayette, IN

(765) 463-1541

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

127

Certified beds

Average residents

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

Life Care Centers Of America

Operator or chain grouping

Approved since

1989-08-18

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

194 facilities

Chain averages 4 overall / 3 health / 3 staffing / 5 quality stars

Changed ownership

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

1.12

Registered nurse staffing · state 0.66 · national 0.68

LPN hours / resident day

0.36

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

1.91

Nurse aide staffing · state 2.27 · national 2.35

Total nurse hours

3.39

All reported nurse hours · state 3.71 · national 3.89

Licensed hours

1.48

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

3.01

Weekend nurse staffing · state 3.24 · national 3.43

Weekend RN hours

0.84

Weekend registered nurse coverage · state 0.45 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

1.16

CMS adjusted RN staffing hours

Adjusted total hours

3.52

CMS adjusted total nurse staffing hours

Case-mix index

1.32

Higher values indicate more complex resident acuity

RN turnover

29%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

52%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,970

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

Performance score

21.89

Composite VBP score used to determine payment impact.

Payment multiplier

0.9827

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

3.74

Baseline 60.24% · Performance 48.39% · Measure score 3.74 · Achievement 3.74 · Improvement 2.85

Adjusted total nurse staffing

0.64

Baseline 3.60 hours · Performance 3.26 hours · Measure score 0.64 · Achievement 0.64 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	13.5%	10.72% 2.8 pts worse	No Different than the National Rate · Eligible stays 32 · Observed rate 34.38% · Lower 95% interval 9.05%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 14 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1.44	1.02 0.4 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 22 · Denominator 22
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 22
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 15 · 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 22 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 18 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	1.15%	8.2% 7 pts worse	Numerator 1 · Denominator 87
Staff flu vaccination coverage	0%	42% 42 pts worse	Numerator 0 · Denominator 87
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 13 · 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 2.9 · Expected 3.2 · 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 0.8 · Expected 2.1 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.2%	93.6% 4.6 pts better	93.4% 4.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.6% · Q3 98.6% · Q4 95.7% · 4Q avg 98.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	95.9%	95.4% 0.5 pts better	95.5% 0.4 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 95.9%
Percentage of long-stay residents experiencing one or more falls with major injury	4.3%	3.8% 0.5 pts worse	3.3% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 4.2% · Q3 5.6% · Q4 5.8% · 4Q avg 4.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	5.3%	24.6% 19.3 pts better	11.4% 6.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 3.3% · Q3 4.7% · Q4 1.5% · 4Q avg 5.3%
Percentage of long-stay residents who lose too much weight	3.1%	5.6% 2.5 pts better	5.4% 2.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 3.1% · Q3 2.9% · Q4 4.5% · 4Q avg 3.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	24.8%	23.5% 1.3 pts worse	19.6% 5.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.6% · Q2 24.2% · Q3 26.5% · Q4 23.9% · 4Q avg 24.8%
Percentage of long-stay residents who received an antipsychotic medication	10.4%	14.8% 4.4 pts better	16.7% 6.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 6.4% · Q3 16.0% · Q4 10.6% · 4Q avg 10.4% · 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	15.5%	13.3% 2.2 pts worse	16.3% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 29.3% · Q4 8.7% · 4Q avg 15.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	8.2%	11.7% 3.5 pts better	14.9% 6.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 12.9% · Q3 12.5% · Q4 0.0% · 4Q avg 8.2% · 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	24.6%	24.2% 0.4 pts worse	19.8% 4.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.9% · Q2 14.1% · Q3 24.8% · Q4 29.9% · 4Q avg 24.6%
Percentage of long-stay residents with pressure ulcers	4.1%	4.1% About the same	5.1% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 7.0% · Q3 1.3% · Q4 2.5% · 4Q avg 4.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	91.7%	81.6% 10.1 pts better	81.7% 10 pts better	Short Stay · 2024Q4-2025Q3 · Q1 94.4% · Q2 100.0% · Q3 100.0% · Q4 58.5% · 4Q avg 91.7%
Percentage of short-stay residents who had an outpatient emergency department visit	9.3%	10.5% 1.2 pts better	12.0% 2.7 pts better	Short Stay · 20240701-20250630 · Adjusted 9.3% · Observed 10.0% · Expected 12.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.1%	1.3% 0.8 pts worse	1.6% 0.5 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.1% · Q3 0.0% · 4Q avg 2.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	90.4%	79.0% 11.4 pts better	79.7% 10.7 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 90.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	23.3%	22.4% 0.9 pts worse	23.9% 0.6 pts better	Short Stay · 20240701-20250630 · Adjusted 23.3% · Observed 25.0% · Expected 25.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-05 · Fire 2025-08-05

7 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-07-12 · Fire 2024-07-12

11 health deficiencies

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

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 3 Health 2023-04-27 · Fire 2023-04-27

5 health deficiencies

Top issue: Environmental (1 deficiency)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-05

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-09-24

E · Potential for more than minimal harm 2025-08-05

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-09-24

E · Potential for more than minimal harm 2025-08-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-09-24

E · Potential for more than minimal harm 2025-08-05

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2025-09-24

D · Potential for more than minimal harm 2025-08-05

K200 · Egress Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2025-09-24

D · Potential for more than minimal harm 2025-08-05

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-09-24

E · Potential for more than minimal harm 2024-07-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-08-22

E · Potential for more than minimal harm 2024-07-12

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2024-08-22

E · Potential for more than minimal harm 2023-04-27

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2023-05-22

E · Potential for more than minimal harm 2023-04-27

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-05-22

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-08-05

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 2025-08-18

E · Potential for more than minimal harm 2025-08-05

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-08-18

E · Potential for more than minimal harm 2025-08-05

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 2025-08-18

D · Potential for more than minimal harm 2025-08-05

F628 · Resident Rights Deficiencies

Health

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

Corrected 2025-08-18

D · Potential for more than minimal harm 2025-08-05

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-08-18

D · Potential for more than minimal harm 2025-08-05

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-08-18

D · Potential for more than minimal harm 2025-08-05

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-08-18

D · Potential for more than minimal harm 2024-09-11

F560 · Resident Rights Deficiencies

Health

Protect a residents' right to refuse some types of non-requested transfers within the nursing home.

Corrected 2024-09-30

E · Potential for more than minimal harm 2024-07-12

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 2024-08-13

D · Potential for more than minimal harm 2024-07-12

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-08-13

D · Potential for more than minimal harm 2024-07-12

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 2024-08-13

D · Potential for more than minimal harm 2024-07-12

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 2024-08-13

D · Potential for more than minimal harm 2024-07-12

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-08-13

D · Potential for more than minimal harm 2024-07-12

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-08-13

D · Potential for more than minimal harm 2024-07-12

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 2024-08-13

D · Potential for more than minimal harm 2024-07-12

F698 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-08-13

D · Potential for more than minimal harm 2024-07-12

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2024-08-13

D · Potential for more than minimal harm 2024-07-12

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 2024-08-13

E · Potential for more than minimal harm 2023-04-27

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 2023-05-25

E · Potential for more than minimal harm 2023-04-27

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 2023-05-25

D · Potential for more than minimal harm 2023-04-27

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-05-25

D · Potential for more than minimal harm 2023-04-27

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-05-25

D · Potential for more than minimal harm 2023-04-27

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 2023-05-25

Penalties and ownership

What sits behind the stars

Ownership

Hendricks County Hospital

5% Or Greater Direct Ownership Interest · Organization

100% 44 facilities 2018-09-01

Bentinganan, Victor