Cycle 1
Health 2026-02-02 · Fire 2025-02-05
2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Indianapolis, IN
Marquette
5-star overall rating with 3-star inspections with 2 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
8140 Township Line Rd, Indianapolis, IN
(317) 875-9700
Overall
5 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
57
Certified beds
Average residents
54
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1981-06-02
CMS approved date
Coverage
Medicare
Participation flags
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
1.02
Registered nurse staffing · state 0.66 · national 0.68
LPN hours / resident day
0.82
Licensed practical nurse staffing · state 0.77 · national 0.87
Aide hours / resident day
2.54
Nurse aide staffing · state 2.27 · national 2.35
Total nurse hours
4.38
All reported nurse hours · state 3.71 · national 3.89
Licensed hours
1.84
RN + LPN hours · state 1.44 · national 1.54
Weekend hours
3.64
Weekend nurse staffing · state 3.24 · national 3.43
Weekend RN hours
0.49
Weekend registered nurse coverage · state 0.45 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
1.02
CMS adjusted RN staffing hours
Adjusted total hours
4.39
CMS adjusted total nurse staffing hours
Case-mix index
1.36
Higher values indicate more complex resident acuity
RN turnover
10%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
25%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,079
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
60.15
Composite VBP score used to determine payment impact.
Payment multiplier
1.0153
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.04
Baseline 22.00% · Performance 18.75% · Measure score 6.04 · Achievement 5.79 · Improvement 6.04
Healthcare-associated infections
7.33
Baseline 4.50% · Performance 5.64% · Measure score 7.33 · Achievement 7.33 · Improvement 0
Total nurse turnover
6.50
Baseline 43.86% · Performance 37.10% · Measure score 6.50 · Achievement 6.50 · Improvement 3.06
Adjusted total nurse staffing
4.19
Baseline 3.40 hours · Performance 4.27 hours · Measure score 4.19 · Achievement 4.19 · Improvement 3.15
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.33% |
10.72%
1.4 pts better
|
No Different than the National Rate · Eligible stays 259 · Observed rate 6.18% · Lower 95% interval 6.55% |
| Discharge to community | 66.81% |
50.57%
16.2 pts better
|
Better than the National Rate · Eligible stays 261 · Observed rate 65.52% · Lower 95% interval 60.85% |
| Medicare spending per beneficiary | 0.93 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 96.58% |
95.27%
1.3 pts better
|
Numerator 113 · Denominator 117 |
| Falls with major injury | 1.72% |
0.77%
0.9 pts worse
|
Numerator 2 · Denominator 116 |
| Discharge self-care score | 70.71% |
53.69%
17 pts better
|
Numerator 70 · Denominator 99 |
| Discharge mobility score | 46.46% |
50.94%
4.5 pts worse
|
Numerator 46 · Denominator 99 |
| Pressure ulcers or injuries, new or worsened | 0.86% |
2.29%
1.4 pts better
|
Numerator 1 · Denominator 116 · Adjusted rate 0.93% |
| Healthcare-associated infections requiring hospitalization | 5.65% |
7.12%
1.5 pts better
|
No Different than the National Rate · Eligible stays 149 · Observed rate 2.68% · Lower 95% interval 3.1% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 102 |
| Staff flu vaccination coverage | 15.18% |
42%
26.8 pts worse
|
Numerator 17 · Denominator 112 |
| Discharge function score | 61.62% |
56.45%
5.2 pts better
|
Numerator 61 · Denominator 99 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 27 · Denominator 27 |
| Transfer of health information to patient | 97.14% |
96.28%
0.9 pts better
|
Numerator 68 · Denominator 70 |
| Resident COVID-19 vaccinations up to date | 47.69% |
25.2%
22.5 pts better
|
Numerator 31 · Denominator 65 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.0 |
1.6
0.6 pts better
|
1.9
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.7 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
1.5
1 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.3 · Expected 1.2 · 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 95.5% · Q2 97.6% · Q3 100.0% · Q4 100.0% · 4Q avg 98.2% |
| 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 | 1.8% |
3.8%
2 pts better
|
3.3%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.4% · Q3 2.4% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
24.6%
24.6 pts better
|
11.4%
11.4 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 who lose too much weight | 8.1% |
5.6%
2.5 pts worse
|
5.4%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 12.9% · Q3 4.3% · Q4 4.2% · 4Q avg 8.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.4% |
23.5%
12.1 pts better
|
19.6%
8.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 9.4% · Q3 12.5% · Q4 16.0% · 4Q avg 11.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.8% |
14.8%
7 pts better
|
16.7%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 7.1% · Q3 4.5% · Q4 8.7% · 4Q avg 7.8% · 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 · 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 | 22.0% |
13.3%
8.7 pts worse
|
16.3%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 22.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.7% |
11.7%
4 pts worse
|
14.9%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 19.4% · Q3 18.2% · Q4 8.3% · 4Q avg 15.7% · 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 | 0.6% |
1.2%
0.6 pts better
|
1.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.5% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.9% |
24.2%
3.3 pts better
|
19.8%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.2% · Q2 22.5% · Q3 29.3% · Q4 16.0% · 4Q avg 20.9% |
| Percentage of long-stay residents with pressure ulcers | 6.1% |
4.1%
2 pts worse
|
5.1%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 7.7% · Q3 6.5% · Q4 1.7% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.2% |
81.6%
15.6 pts better
|
81.7%
15.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 87.7% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 97.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.8% |
10.5%
3.7 pts better
|
12.0%
5.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.8% · Observed 5.7% · Expected 9.3% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.6% |
79.0%
17.6 pts better
|
79.7%
16.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.3% |
22.4%
0.1 pts better
|
23.9%
1.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.3% · Observed 18.9% · Expected 20.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2025-02-05 · Fire 2024-01-18
8 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2024-01-18 · Fire 2022-11-03
5 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-02-05
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-03-25
E · Potential for more than minimal harm
2025-02-05
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 2025-03-25
E · Potential for more than minimal harm
2025-02-05
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-03-25
E · Potential for more than minimal harm
2025-02-05
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-03-25
F · Potential for more than minimal harm
2024-01-18
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-02-13
F · Potential for more than minimal harm
2022-11-03
E6 · Emergency Preparedness Deficiencies
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2023-02-01
F · Potential for more than minimal harm
2022-11-03
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-02-01
E · Potential for more than minimal harm
2022-11-03
K100 · Construction Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2023-02-01
E · Potential for more than minimal harm
2022-11-03
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-02-01
E · Potential for more than minimal harm
2022-11-03
K361 · Smoke Deficiencies
Fire Safety
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Corrected 2023-02-01
E · Potential for more than minimal harm
2022-11-03
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-02-01
E · Potential for more than minimal harm
2022-11-03
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-02-01
Inspection history
Recent health citations
D · Potential for more than minimal harm
2026-02-02
F628 · Resident Rights Deficiencies
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Not marked corrected
G · Actual harm
2025-06-10
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 2025-06-30
D · Potential for more than minimal harm
2025-02-05
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-03-07
D · Potential for more than minimal harm
2025-02-05
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-03-07
D · Potential for more than minimal harm
2025-02-05
F657 · Resident Assessment and Care Planning Deficiencies
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 2025-03-07
D · Potential for more than minimal harm
2025-02-05
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-07
D · Potential for more than minimal harm
2025-02-05
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-03-07
D · Potential for more than minimal harm
2025-02-05
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-03-07
D · Potential for more than minimal harm
2025-02-05
F810 · Nutrition and Dietary Deficiencies
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2025-03-07
D · Potential for more than minimal harm
2025-02-05
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-03-07
G · Actual harm
2024-01-18
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 2024-02-15
E · Potential for more than minimal harm
2024-01-18
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-02-15
D · Potential for more than minimal harm
2024-01-18
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2024-02-15
D · Potential for more than minimal harm
2024-01-18
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-02-15
D · Potential for more than minimal harm
2024-01-18
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-02-15
Penalties and ownership
What sits behind the stars
Ownership
Retirement Living Inc
5% Or Greater Direct Ownership Interest · Organization
Bice, Heather
Corporate Officer · Individual
Blunt, Camille
Corporate Officer · Individual
Borgert, Jeffrey
Corporate Director · Individual
Branch Banking & Trust Company
5% Or Greater Security Interest · Organization
Branch Banking & Trust Company
5% Or Greater Mortgage Interest · Organization
Breen, Joseph
Corporate Director · Individual
Brown, Constance
Corporate Director · Individual
Brown, Constance
Corporate Officer · Individual
Cox, Jeffrey
Operational/Managerial Control · Individual
Hirschman, Scott
Corporate Director · Individual
Hirschman, Scott
Corporate Officer · Individual
Life Care Services LLC
Operational/Managerial Control · Organization
Mahoney, John
Corporate Officer · Individual
Mallon, David
Corporate Director · Individual
Mallon, David
Corporate Officer · Individual
Mustaklem, Marwan
Operational/Managerial Control · Individual
Schaefer, Kevin
Corporate Director · Individual
Scheid, Douglas
Corporate Officer · Individual
Turner, Wayne
Corporate Director · Individual
Way, Barrett
Corporate Director · Individual
Wetzel, Timothy
Operational/Managerial Control · Individual
Wilson, Nichole
Corporate Director · Individual
Wilson, Nichole
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
St Augustine Home For The Aged
Indianapolis, IN
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Harcourt Terrace Nursing And Rehabilitation
Indianapolis, IN
3-star overall rating with 2-star inspections with 12 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#3
Spring Mill Meadows
Indianapolis, IN
3-star overall rating with 2-star inspections with 12 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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