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.
Lagrange, IN
4-star overall rating with 4-star inspections with 3 recent health deficiencies
0770 North 075 East, Lagrange, IN
(260) 463-7445
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
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
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
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
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
| 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
| 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
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Administration (1 deficiency)
12 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2024-06-05
Fire Safety
Develop a communication plan.
Corrected 2024-06-05
Fire Safety
Establish emergency prep training and testing.
Corrected 2024-06-05
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-06-05
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-06-05
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-06-05
Fire Safety
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Corrected 2024-06-05
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
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-06-05
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-06-05
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-06-05
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
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-07-25
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-07-25
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
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-07-25
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
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-04-05
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
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-04-05
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-04-28
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
Health
Post nurse staffing information every day.
Corrected 2024-04-28
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
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-06-30
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
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
Health
Assess the resident when there is a significant change in condition
Corrected 2023-06-30
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2023-06-30
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-06-30
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-06-30
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2023-06-30
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
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
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
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