Lagrange, IN

Life Care Center Of Lagrange

4-star overall rating with 4-star inspections with 3 recent health deficiencies

0770 North 075 East, Lagrange, IN

(260) 463-7445

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

87

Certified beds

Average residents

46

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

Life Care Centers Of America

Operator or chain grouping

Approved since

1989-11-13

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

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

0.72

Registered nurse staffing · state 0.66 · national 0.68

LPN hours / resident day

0.73

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

1.95

Nurse aide staffing · state 2.27 · national 2.35

Total nurse hours

3.40

All reported nurse hours · state 3.71 · national 3.89

Licensed hours

1.46

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

3.04

Weekend nurse staffing · state 3.24 · national 3.43

Weekend RN hours

0.45

Weekend registered nurse coverage · state 0.45 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.82

CMS adjusted RN staffing hours

Adjusted total hours

3.85

CMS adjusted total nurse staffing hours

Case-mix index

1.21

Higher values indicate more complex resident acuity

RN turnover

60%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

54%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,625

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

Performance score

11.37

Composite VBP score used to determine payment impact.

Payment multiplier

0.9810

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

0

Baseline 7.62% · Performance 7.84% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

1.92

Baseline 45.24% · Performance 55.81% · Measure score 1.92 · Achievement 1.92 · Improvement 0

Adjusted total nurse staffing

1.49

Baseline 3.06 hours · Performance 3.50 hours · Measure score 1.49 · Achievement 1.49 · Improvement 1.12

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.48%
10.72%
0.8 pts worse
No Different than the National Rate · Eligible stays 64 · Observed rate 12.5% · Lower 95% interval 7.37%
Discharge to community 53.52%
50.57%
3 pts better
No Different than the National Rate · Eligible stays 52 · Observed rate 50% · Lower 95% interval 40.48%
Medicare spending per beneficiary 1.01
1.02
About the same
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 28 · Denominator 28
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 28
Discharge self-care score 62.5%
53.69%
8.8 pts better
Numerator 15 · Denominator 24
Discharge mobility score 66.67%
50.94%
15.7 pts better
Numerator 16 · Denominator 24
Pressure ulcers or injuries, new or worsened 7.14%
2.29%
4.8 pts worse
Numerator 2 · Denominator 28 · Adjusted rate 7.01%
Healthcare-associated infections requiring hospitalization 7.84%
7.12%
0.7 pts worse
No Different than the National Rate · Eligible stays 30 · Observed rate 10% · Lower 95% interval 4.31%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 76
Staff flu vaccination coverage 20.29%
42%
21.7 pts worse
Numerator 14 · Denominator 69
Discharge function score 70.83%
56.45%
14.4 pts better
Numerator 17 · Denominator 24
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 10 · 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 1.6 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.2
1.5
0.7 pts worse
1.8
0.4 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 1.9 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 86.5%
93.6%
7.1 pts worse
93.4%
6.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 95.1% · Q2 85.4% · Q3 81.0% · Q4 85.0% · 4Q avg 86.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 85.7%
95.4%
9.7 pts worse
95.5%
9.8 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 85.7%
Percentage of long-stay residents experiencing one or more falls with major injury 4.7%
3.8%
0.9 pts worse
3.3%
1.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.2% · Q3 7.1% · Q4 7.5% · 4Q avg 4.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 1.3%
24.6%
23.3 pts better
11.4%
10.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 0.0% · Q3 2.7% · Q4 0.0% · 4Q avg 1.3%
Percentage of long-stay residents who lose too much weight 4.7%
5.6%
0.9 pts better
5.4%
0.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 2.4% · Q3 8.6% · Q4 5.7% · 4Q avg 4.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 17.3%
23.5%
6.2 pts better
19.6%
2.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 18.9% · Q2 27.9% · Q3 11.4% · Q4 8.6% · 4Q avg 17.3%
Percentage of long-stay residents who received an antipsychotic medication 13.0%
14.8%
1.8 pts better
16.7%
3.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 7.4% · Q3 4.2% · Q4 16.7% · 4Q avg 13.0% · 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 16.0%
13.3%
2.7 pts worse
16.3%
0.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 14.3% · 4Q avg 16.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 8.9%
11.7%
2.8 pts better
14.9%
6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 16.7% · Q3 5.9% · Q4 8.8% · 4Q avg 8.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.5%
0.4%
0.1 pts worse
1.0%
0.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.8% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 1.2%
1.2%
About the same
1.7%
0.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.2% · Q3 0.0% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 29.4%
24.2%
5.2 pts worse
19.8%
9.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 28.1% · Q3 35.6% · Q4 20.5% · 4Q avg 29.4%
Percentage of long-stay residents with pressure ulcers 3.9%
4.1%
0.2 pts better
5.1%
1.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.4% · Q3 4.2% · Q4 4.8% · 4Q avg 3.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 78.9%
81.6%
2.7 pts worse
81.7%
2.8 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 78.6% · Q2 84.4% · Q3 82.4% · Q4 71.8% · 4Q avg 78.9%
Percentage of short-stay residents who had an outpatient emergency department visit 19.4%
10.5%
8.9 pts worse
12.0%
7.4 pts worse
Short Stay · 20240701-20250630 · Adjusted 19.4% · Observed 17.4% · Expected 10.0% · 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 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 83.9%
79.0%
4.9 pts better
79.7%
4.2 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 83.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 26.8%
22.4%
4.4 pts worse
23.9%
2.9 pts worse
Short Stay · 20240701-20250630 · Adjusted 26.8% · Observed 21.7% · Expected 19.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-11 · Fire 2025-03-11

3 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-03-28 · Fire 2024-03-28

3 health deficiencies

Top issue: Administration (1 deficiency)

12 fire-safety deficiencies

Top issue: Emergency Preparedness (5 deficiencies)

Cycle 3 Health 2023-06-07 · Fire 2023-06-07

10 health deficiencies

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

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-03-28

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2024-06-05

F · Potential for more than minimal harm 2024-03-28

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2024-06-05

F · Potential for more than minimal harm 2024-03-28

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2024-06-05

F · Potential for more than minimal harm 2024-03-28

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-06-05

F · Potential for more than minimal harm 2024-03-28

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-06-05

F · Potential for more than minimal harm 2024-03-28

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-06-05

F · Potential for more than minimal harm 2024-03-28

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-06-05

E · Potential for more than minimal harm 2024-03-28

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 2024-06-05

E · Potential for more than minimal harm 2024-03-28

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-06-05

E · Potential for more than minimal harm 2024-03-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-06-05

E · Potential for more than minimal harm 2024-03-28

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-06-05

E · Potential for more than minimal harm 2024-03-28

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-06-05

F · Potential for more than minimal harm 2023-06-07

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-07-25

F · Potential for more than minimal harm 2023-06-07

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-07-25

F · Potential for more than minimal harm 2023-06-07

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-07-25

C · Minimal harm 2023-06-07

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2023-07-25

C · Minimal harm 2023-06-07

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2023-07-25

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-03-11

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 2025-04-05

D · Potential for more than minimal harm 2025-03-11

F693 · Quality of Life and Care Deficiencies

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 2025-04-05

D · Potential for more than minimal harm 2025-03-11

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-04-05

F · Potential for more than minimal harm 2024-03-28

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2024-04-28

F · Potential for more than minimal harm 2024-03-28

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 2024-04-28

D · Potential for more than minimal harm 2024-03-28

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-04-28

E · Potential for more than minimal harm 2023-06-07

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 2023-06-30

D · Potential for more than minimal harm 2023-06-07

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-06-07

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-06-07

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-06-07

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-06-07

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-06-07

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-06-07

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-06-07

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-03-30

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2023-04-30

Penalties and ownership

What sits behind the stars

Ownership

Hendricks County Hospital

5% Or Greater Direct Ownership Interest · Organization

100% 44 facilities 2018-10-01
Bernacchi, Tina

Operational/Managerial Control · Individual

0% 1 facilities 2024-06-10
Cross, Cindy

Operational/Managerial Control · Individual

0% 181 facilities 2018-10-01
Fenoughty, Deanna

Operational/Managerial Control · Individual

0% 45 facilities 2023-07-10
Fenoughty, Deanna

Corporate Officer · Individual

0% 45 facilities 2023-07-10
Fletcher, Todd

Operational/Managerial Control · Individual

0% 141 facilities 2018-10-01
Henry, Terry

Operational/Managerial Control · Individual

0% 140 facilities 2018-10-01
Lagrange Medical Investors Limited Partnership

Operational/Managerial Control · Organization

0% 1 facilities 2018-10-01
Lay, Lisa

Operational/Managerial Control · Individual

0% 141 facilities 2018-10-01
Life Care Centers Of America, Inc.

Operational/Managerial Control · Organization

0% 194 facilities 2018-10-01
Pechin, Thomas

Operational/Managerial Control · Individual

0% 1 facilities 2010-10-01
Preston, Aubrey

Operational/Managerial Control · Individual

0% 135 facilities 2025-03-06
Preston, Forrest

Operational/Managerial Control · Individual

0% 188 facilities 2018-10-01
Swanker, Richard

Operational/Managerial Control · Individual

0% 143 facilities 2018-10-01
Thurmond, Joan

Operational/Managerial Control · Individual

0% 191 facilities 2018-10-01
Ziegler, James

Operational/Managerial Control · Individual

0% 140 facilities 2018-10-01

Nearby options

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Waters Of Lagrange Skilled Nursing Facility, The

Lagrange, IN

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

Overall
2 / 5
Health
2 / 5
Staffing
1 / 5
Fines
$0
#2

Froh Community Home

Sturgis, MI

3-star overall rating with 3-star inspections with $125,564 in total fines with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
3 / 5
Staffing
4 / 5
Fines
$125,564
#3

Orchard Pointe Health Campus

Kendallville, IN

4-star overall rating with 3-star inspections with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
3 / 5
Staffing
4 / 5
Fines
$0

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