37 health deficiencies
Top issue: Quality of Life and Care (18 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Chesterton, IN
1-star overall rating with 1-star inspections with 37 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
2775 Village Point, Chesterton, IN
(219) 304-6700
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
70
Certified beds
Average residents
61
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Ignite Medical Resorts
Operator or chain grouping
Approved since
2016-03-09
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
22 facilities
Chain averages 3 overall / 2 health / 2 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.71
Registered nurse staffing · state 0.66 · national 0.68
LPN hours / resident day
1.00
Licensed practical nurse staffing · state 0.77 · national 0.87
Aide hours / resident day
1.49
Nurse aide staffing · state 2.27 · national 2.35
Total nurse hours
3.19
All reported nurse hours · state 3.71 · national 3.89
Licensed hours
1.71
RN + LPN hours · state 1.44 · national 1.54
Weekend hours
2.64
Weekend nurse staffing · state 3.24 · national 3.43
Weekend RN hours
0.30
Weekend registered nurse coverage · state 0.45 · national 0.47
Physical therapist
0.20
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.57
CMS adjusted RN staffing hours
Adjusted total hours
2.57
CMS adjusted total nurse staffing hours
Case-mix index
1.70
Higher values indicate more complex resident acuity
RN turnover
59%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
78%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
13,653
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
2.26
Composite VBP score used to determine payment impact.
Payment multiplier
0.9804
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 21.12% · Performance 23.09% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.71% · Performance 8.75% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
0.68
Baseline 3.56 hours · Performance 3.27 hours · Measure score 0.68 · Achievement 0.68 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.62% |
10.72%
1.9 pts worse
|
No Different than the National Rate · Eligible stays 551 · Observed rate 13.43% · Lower 95% interval 10.71% |
| Discharge to community | 61.45% |
50.57%
10.9 pts better
|
Better than the National Rate · Eligible stays 579 · Observed rate 57.86% · Lower 95% interval 58.05% |
| Medicare spending per beneficiary | 1.13 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98.78% |
95.27%
3.5 pts better
|
Numerator 404 · Denominator 409 |
| Falls with major injury | 0.98% |
0.77%
0.2 pts worse
|
Numerator 4 · Denominator 409 |
| Discharge self-care score | 71.17% |
53.69%
17.5 pts better
|
Numerator 200 · Denominator 281 |
| Discharge mobility score | 49.47% |
50.94%
1.5 pts worse
|
Numerator 139 · Denominator 281 |
| Pressure ulcers or injuries, new or worsened | 2.44% |
2.29%
0.1 pts worse
|
Numerator 10 · Denominator 409 · Adjusted rate 2.63% |
| Healthcare-associated infections requiring hospitalization | 8.75% |
7.12%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 342 · Observed rate 9.06% · Lower 95% interval 6.68% |
| Staff COVID-19 vaccination coverage | 3.03% |
8.2%
5.2 pts worse
|
Numerator 4 · Denominator 132 |
| Staff flu vaccination coverage | 34.69% |
42%
7.3 pts worse
|
Numerator 68 · Denominator 196 |
| Discharge function score | 64.77% |
56.45%
8.3 pts better
|
Numerator 182 · Denominator 281 |
| Transfer of health information to provider | 88.81% |
95.95%
7.1 pts worse
|
Numerator 254 · Denominator 286 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 112 · Denominator 112 |
| Resident COVID-19 vaccinations up to date | 34.7% |
25.2%
9.5 pts better
|
Numerator 76 · Denominator 219 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.0% |
93.6%
5.6 pts worse
|
93.4%
5.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 88.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
3.8%
3.8 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 28.0% |
24.6%
3.4 pts worse
|
11.4%
16.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 28.0% |
| Percentage of long-stay residents who lose too much weight | 4.2% |
5.6%
1.4 pts better
|
5.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 41.7% |
23.5%
18.2 pts worse
|
19.6%
22.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 41.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 4.8% |
14.8%
10 pts better
|
16.7%
11.9 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.8% · 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 · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 35.0% |
11.7%
23.3 pts worse
|
14.9%
20.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 35.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.0% |
1.2%
2.8 pts worse
|
1.7%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents with pressure ulcers | 0.0% |
4.1%
4.1 pts better
|
5.1%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 62.1% |
81.6%
19.5 pts worse
|
81.7%
19.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 55.6% · Q2 55.0% · Q3 65.5% · Q4 72.1% · 4Q avg 62.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.5% |
10.5%
3 pts worse
|
12.0%
1.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.5% · Observed 13.9% · Expected 11.4% · 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 1.0% · Q2 1.3% · Q3 0.7% · Q4 0.6% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 50.5% |
79.0%
28.5 pts worse
|
79.7%
29.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 50.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.1% |
22.4%
2.7 pts worse
|
23.9%
1.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.1% · Observed 25.5% · Expected 24.2% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (18 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Pharmacy Service (4 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Quality of Life and Care (10 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-01-03
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-12-31
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-01-03
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-11-17
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-11-17
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-09-22
Inspection history
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-09
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-01-09
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-12-02
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-02
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-12-02
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-07-02
Health
Provide activities to meet all resident's needs.
Corrected 2025-07-02
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-07-02
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-05-21
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 2025-05-21
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-21
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-04-11
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-04-11
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-04-11
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-11
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-11
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2025-04-11
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2025-04-11
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-11
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-11
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-12-06
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-12-19
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-12-06
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-12-06
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 2024-12-06
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-06
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-12-06
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-12-06
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-06
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 2024-12-06
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-12-06
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-12-06
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-12-06
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-12-19
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-12-06
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-12-06
Health
Implement a program that monitors antibiotic use.
Corrected 2024-12-06
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-09-30
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-06-21
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-06-05
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-06-05
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2023-10-26
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-10-26
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 2023-10-26
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-07-06
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-07-06
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 2023-07-06
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-07-06
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-07-06
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-09-07
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-09-07
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-09-07
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2022-09-07
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-09-07
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-09-07
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 2022-09-07
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-09-07
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 2022-09-07
Health
Provide and implement an infection prevention and control program.
Corrected 2022-09-07
Health
Implement a program that monitors antibiotic use.
Corrected 2022-09-07
Penalties and ownership
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Chesterton, IN
3-star overall rating with 2-star inspections with 7 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Chesterton, IN
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Valparaiso, IN
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
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