12 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Terre Haute, IN
2-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $49,917 in total fines with 12 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
3300 Poplar St, Terre Haute, IN
(812) 235-6281
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
86
Certified beds
Average residents
67
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Majestic Care
Operator or chain grouping
Approved since
1990-05-15
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
34 facilities
Chain averages 3 overall / 2 health / 2 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
0.73
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
3.41
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
2.69
Weekend nurse staffing · state 3.24 · national 3.43
Weekend RN hours
0.44
Weekend registered nurse coverage · state 0.45 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.62
CMS adjusted RN staffing hours
Adjusted total hours
2.91
CMS adjusted total nurse staffing hours
Case-mix index
1.60
Higher values indicate more complex resident acuity
RN turnover
38%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
11,601
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
16.11
Composite VBP score used to determine payment impact.
Payment multiplier
0.9816
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.74
Baseline 21.93% · Performance 20.83% · Measure score 1.74 · Achievement 1.30 · Improvement 1.74
Healthcare-associated infections
0
Baseline 8.49% · Performance 9.17% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
4.71
Baseline 57.14% · Performance 44.44% · Measure score 4.71 · Achievement 4.71 · Improvement 3.43
Adjusted total nurse staffing
0
Baseline 3.23 hours · Performance 2.68 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.45% |
10.72%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 82 · Observed rate 14.63% · Lower 95% interval 7.95% |
| Discharge to community | 52.03% |
50.57%
1.5 pts better
|
No Different than the National Rate · Eligible stays 56 · Observed rate 46.43% · Lower 95% interval 41.12% |
| Medicare spending per beneficiary | 0.99 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 38 · Denominator 38 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 38 |
| Discharge self-care score | 34.48% |
53.69%
19.2 pts worse
|
Numerator 10 · Denominator 29 |
| Discharge mobility score | 37.93% |
50.94%
13 pts worse
|
Numerator 11 · Denominator 29 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 38 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 9.17% |
7.12%
2 pts worse
|
No Different than the National Rate · Eligible stays 47 · Observed rate 17.02% · Lower 95% interval 5.11% |
| Staff COVID-19 vaccination coverage | 9.52% |
8.2%
1.3 pts better
|
Numerator 6 · Denominator 63 |
| Staff flu vaccination coverage | 36.65% |
42%
5.4 pts worse
|
Numerator 59 · Denominator 161 |
| Discharge function score | 44.83% |
56.45%
11.6 pts worse
|
Numerator 13 · Denominator 29 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.7% |
93.6%
4.1 pts better
|
93.4%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 93.0% · Q2 98.1% · Q3 100.0% · Q4 100.0% · 4Q avg 97.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
95.4%
4.6 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.4% |
3.8%
2.4 pts better
|
3.3%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 1.9% · Q3 0.0% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 20.5% |
24.6%
4.1 pts better
|
11.4%
9.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.5% · Q2 17.0% · Q3 27.1% · Q4 17.6% · 4Q avg 20.5% |
| 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 · Q1 6.0% · Q2 2.1% · Q3 2.2% · Q4 6.2% · 4Q avg 4.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.8% |
23.5%
4.7 pts better
|
19.6%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 18.8% · Q3 15.2% · Q4 20.8% · 4Q avg 18.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.2% |
14.8%
1.6 pts better
|
16.7%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.5% · Q2 19.5% · Q3 5.6% · Q4 7.3% · 4Q avg 13.2% · 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 | 17.3% |
13.3%
4 pts worse
|
16.3%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.0% · Q2 5.0% · Q3 32.1% · Q4 18.9% · 4Q avg 17.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.7% |
11.7%
About the same
|
14.9%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.1% · Q3 26.7% · Q4 17.0% · 4Q avg 11.7% · 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 | 0.5% |
1.2%
0.7 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.0% |
24.2%
7.2 pts better
|
19.8%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 11.6% · Q3 17.4% · Q4 21.8% · 4Q avg 17.0% |
| Percentage of long-stay residents with pressure ulcers | 2.2% |
4.1%
1.9 pts better
|
5.1%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.7% · Q4 5.3% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.0% |
81.6%
11.4 pts better
|
81.7%
11.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 87.8% · Q2 94.0% · Q3 96.4% · Q4 93.3% · 4Q avg 93.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 2.3% |
10.5%
8.2 pts better
|
12.0%
9.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 2.3% · Observed 2.4% · Expected 11.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% |
1.3%
0.6 pts worse
|
1.6%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.3% · Q4 3.6% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.3% |
79.0%
15.3 pts better
|
79.7%
14.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.6% |
22.4%
2.8 pts better
|
23.9%
4.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.6% · Observed 21.4% · Expected 26.1% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
17 fire-safety deficiencies
Top issue: Emergency Preparedness (7 deficiencies)
Top issue: Resident Assessment and Care Planning (2 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-09-06
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-09-06
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-09-06
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-09-06
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-09-06
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-09-06
Fire Safety
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Corrected 2025-08-29
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2024-07-26
Fire Safety
Develop a communication plan.
Corrected 2024-07-29
Fire Safety
Establish staff and initial training requirements.
Corrected 2024-07-29
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-07-29
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-07-29
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-07-29
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-07-29
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-31
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-07-29
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-07-29
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-08-01
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-07-29
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-07-29
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-07-29
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-07-29
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-07-29
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-07-29
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-05-23
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-05-16
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-16
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-05-10
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-05-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-05-16
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 2023-05-31
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-05-23
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-05-10
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-05-16
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Not marked corrected
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Not marked corrected
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-11-25
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-11-25
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-23
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2025-07-25
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-07-23
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-07-23
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-07-23
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-07-23
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 2025-07-23
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-23
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-16
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-06-28
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-06-28
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-28
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 2024-06-28
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-06-28
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-06-28
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 2024-06-28
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 2024-03-29
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-29
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-05-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-05-01
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-05-01
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 2023-05-01
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 2023-05-01
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-01
Penalties and ownership
Fine · fine $49,917
Fine
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Terre Haute, IN
0-star overall rating with 0-star inspections with Special Focus status with abuse icon flag with $66,207 in total fines with 20 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Terre Haute, IN
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $14,518 in total fines with 17 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Terre Haute, IN
4-star overall rating with 3-star inspections with 8 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
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