Cycle 1
Health 2025-06-27 · Fire 2025-06-27
8 health deficiencies
Top issue: Pharmacy Service (3 deficiencies)
5 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Muncie, IN
Morrison Woods Health Campus
3-star overall rating with 3-star inspections with 8 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
4100 N Morrison Rd, Muncie, IN
(765) 286-9066
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
68
Certified beds
Average residents
57
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Trilogy Health Services
Operator or chain grouping
Approved since
2008-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
125 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
0.67
Registered nurse staffing · state 0.66 · national 0.68
LPN hours / resident day
0.96
Licensed practical nurse staffing · state 0.77 · national 0.87
Aide hours / resident day
2.62
Nurse aide staffing · state 2.27 · national 2.35
Total nurse hours
4.25
All reported nurse hours · state 3.71 · national 3.89
Licensed hours
1.63
RN + LPN hours · state 1.44 · national 1.54
Weekend hours
4.07
Weekend nurse staffing · state 3.24 · national 3.43
Weekend RN hours
0.65
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
0.51
CMS adjusted RN staffing hours
Adjusted total hours
3.26
CMS adjusted total nurse staffing hours
Case-mix index
1.78
Higher values indicate more complex resident acuity
RN turnover
71%
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
7,666
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
29.09
Composite VBP score used to determine payment impact.
Payment multiplier
0.9853
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 18.93% · Performance 22.10% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
6.98
Baseline 6.89% · Performance 5.75% · Measure score 6.98 · Achievement 6.98 · Improvement 5.53
Total nurse turnover
3.50
Baseline 55.36% · Performance 49.37% · Measure score 3.50 · Achievement 3.50 · Improvement 1.46
Adjusted total nurse staffing
1.16
Baseline 2.58 hours · Performance 3.11 hours · Measure score 1.16 · Achievement 0 · Improvement 1.16
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.65% |
10.72%
2.9 pts worse
|
Worse than the National Rate · Eligible stays 331 · Observed rate 15.11% · Lower 95% interval 10.97% |
| Discharge to community | 62.08% |
50.57%
11.5 pts better
|
Better than the National Rate · Eligible stays 321 · Observed rate 57.63% · Lower 95% interval 57.44% |
| Medicare spending per beneficiary | 1.12 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 196 · Denominator 196 |
| Falls with major injury | 1.53% |
0.77%
0.8 pts worse
|
Numerator 3 · Denominator 196 |
| Discharge self-care score | 76.19% |
53.69%
22.5 pts better
|
Numerator 96 · Denominator 126 |
| Discharge mobility score | 65.87% |
50.94%
14.9 pts better
|
Numerator 83 · Denominator 126 |
| Pressure ulcers or injuries, new or worsened | 0.51% |
2.29%
1.8 pts better
|
Numerator 1 · Denominator 196 · Adjusted rate 0.34% |
| Healthcare-associated infections requiring hospitalization | 5.75% |
7.12%
1.4 pts better
|
No Different than the National Rate · Eligible stays 210 · Observed rate 4.29% · Lower 95% interval 3.7% |
| Staff COVID-19 vaccination coverage | 0.69% |
8.2%
7.5 pts worse
|
Numerator 1 · Denominator 145 |
| Staff flu vaccination coverage | 22.8% |
42%
19.2 pts worse
|
Numerator 44 · Denominator 193 |
| Discharge function score | 70.63% |
56.45%
14.2 pts better
|
Numerator 89 · Denominator 126 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 82 · Denominator 82 |
| Transfer of health information to patient | 99.03% |
96.28%
2.8 pts better
|
Numerator 102 · Denominator 103 |
| Resident COVID-19 vaccinations up to date | 34% |
25.2%
8.8 pts better
|
Numerator 34 · Denominator 100 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
1.6
0.8 pts worse
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.5 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.0 |
1.5
0.5 pts worse
|
1.8
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.9 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.7% |
93.6%
5.1 pts better
|
93.4%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 94.7% · 4Q avg 98.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.4% |
95.4%
2 pts better
|
95.5%
1.9 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.4% |
3.8%
3.6 pts worse
|
3.3%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 8.3% · Q3 10.5% · Q4 2.6% · 4Q avg 7.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 33.1% |
24.6%
8.5 pts worse
|
11.4%
21.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.6% · Q2 32.3% · Q3 37.1% · Q4 42.4% · 4Q avg 33.1% |
| Percentage of long-stay residents who lose too much weight | 9.9% |
5.6%
4.3 pts worse
|
5.4%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 12.5% · Q3 13.0% · Q4 7.4% · 4Q avg 9.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 2.8% |
23.5%
20.7 pts better
|
19.6%
16.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 8.0% · Q3 0.0% · Q4 0.0% · 4Q avg 2.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.8% |
14.8%
5 pts worse
|
16.7%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q3 19.0% · Q4 9.1% · 4Q avg 19.8% · 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 | 9.0% |
13.3%
4.3 pts better
|
16.3%
7.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 9.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.3% |
11.7%
2.4 pts better
|
14.9%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 4.3% · Q3 13.0% · Q4 8.0% · 4Q avg 9.3% · 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 | 0.7% |
1.2%
0.5 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 35.7% |
24.2%
11.5 pts worse
|
19.8%
15.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.7% · Q2 50.2% · Q3 30.7% · Q4 27.0% · 4Q avg 35.7% |
| Percentage of long-stay residents with pressure ulcers | 1.3% |
4.1%
2.8 pts better
|
5.1%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 2.5% · Q4 1.4% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.1% |
81.6%
12.5 pts better
|
81.7%
12.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 89.3% · Q2 94.0% · Q3 96.1% · Q4 96.7% · 4Q avg 94.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.3% |
10.5%
1.2 pts better
|
12.0%
2.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.3% · Observed 8.9% · Expected 10.7% · 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 | 89.4% |
79.0%
10.4 pts better
|
79.7%
9.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.7% |
22.4%
4.3 pts worse
|
23.9%
2.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.7% · Observed 27.2% · Expected 24.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-08-23 · Fire 2024-08-23
5 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-09-26 · Fire 2023-09-26
4 health deficiencies
Top issue: Administration (1 deficiency)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-06-27
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-08-13
E · Potential for more than minimal harm
2025-06-27
K100 · Construction Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2025-08-13
E · Potential for more than minimal harm
2025-06-27
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 2025-08-13
E · Potential for more than minimal harm
2025-06-27
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-08-13
C · Minimal harm
2025-06-27
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-08-13
E · Potential for more than minimal harm
2023-09-26
K753 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2023-11-27
C · Minimal harm
2023-09-26
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-11-27
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-06-27
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-07-15
D · Potential for more than minimal harm
2025-06-27
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-15
D · Potential for more than minimal harm
2025-06-27
F690 · Quality of Life and Care Deficiencies
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 2025-07-15
D · Potential for more than minimal harm
2025-06-27
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-07-15
D · Potential for more than minimal harm
2025-06-27
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-07-15
D · Potential for more than minimal harm
2025-06-27
F761 · Pharmacy Service Deficiencies
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 2025-07-15
D · Potential for more than minimal harm
2025-06-27
F773 · Administration Deficiencies
Health
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2025-07-15
D · Potential for more than minimal harm
2025-06-27
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-15
D · Potential for more than minimal harm
2024-08-23
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 2024-09-14
D · Potential for more than minimal harm
2024-08-23
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-09-14
D · Potential for more than minimal harm
2024-08-23
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-09-14
D · Potential for more than minimal harm
2024-08-23
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-09-14
D · Potential for more than minimal harm
2024-08-09
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-08-12
D · Potential for more than minimal harm
2024-01-08
F659 · Resident Assessment and Care Planning Deficiencies
Health
Provide care by qualified persons according to each resident's written plan of care.
Corrected 2024-01-24
D · Potential for more than minimal harm
2024-01-08
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-01-24
D · Potential for more than minimal harm
2023-09-26
F849 · Administration Deficiencies
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2023-10-13
D · Potential for more than minimal harm
2023-09-26
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-10-13
Penalties and ownership
What sits behind the stars
Ownership
Hancock Regional Hospital
5% Or Greater Direct Ownership Interest · Organization
Crabill, Amanda
Operational/Managerial Control · Individual
Long, Steven
Operational/Managerial Control · Individual
Trilogy Healthcare Operations Of Muncie, LLC
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Westminster Village Muncie Inc
Muncie, IN
5-star overall rating with 4-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Brickyard Healthcare - Muncie Care Center
Muncie, IN
2-star overall rating with 2-star inspections with $22,360 in total fines with 14 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Bethel Pointe Health And Rehab
Muncie, IN
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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