Cycle 1
Health 2025-03-21 · Fire 2025-03-21
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Evansville, IN
North River Health Campus
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
811 E Baseline Road, Evansville, IN
(812) 867-7256
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
58
Certified beds
Average residents
50
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Trilogy Health Services
Operator or chain grouping
Approved since
2017-05-04
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
1.38
Registered nurse staffing · state 0.66 · national 0.68
LPN hours / resident day
0.53
Licensed practical nurse staffing · state 0.77 · national 0.87
Aide hours / resident day
1.80
Nurse aide staffing · state 2.27 · national 2.35
Total nurse hours
3.71
All reported nurse hours · state 3.71 · national 3.89
Licensed hours
1.91
RN + LPN hours · state 1.44 · national 1.54
Weekend hours
3.60
Weekend nurse staffing · state 3.24 · national 3.43
Weekend RN hours
1.49
Weekend registered nurse coverage · state 0.45 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
1.36
CMS adjusted RN staffing hours
Adjusted total hours
3.65
CMS adjusted total nurse staffing hours
Case-mix index
1.39
Higher values indicate more complex resident acuity
RN turnover
30%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
45%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
11,635
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
15.96
Composite VBP score used to determine payment impact.
Payment multiplier
0.9815
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 17.66% · Performance 21.87% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 5.90% · Performance 8.68% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
4.22
Baseline 63.64% · Performance 46.43% · Measure score 4.22 · Achievement 4.22 · Improvement 3.94
Adjusted total nurse staffing
2.16
Baseline 2.91 hours · Performance 3.68 hours · Measure score 2.16 · Achievement 2.10 · Improvement 2.16
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.94% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 165 · Observed rate 7.88% · Lower 95% interval 7.28% |
| Discharge to community | 63.3% |
50.57%
12.7 pts better
|
Better than the National Rate · Eligible stays 163 · Observed rate 61.96% · Lower 95% interval 55.04% |
| Medicare spending per beneficiary | 1.08 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 128 · Denominator 128 |
| Falls with major injury | 0.78% |
0.77%
About the same
|
Numerator 1 · Denominator 128 |
| Discharge self-care score | 72% |
53.69%
18.3 pts better
|
Numerator 72 · Denominator 100 |
| Discharge mobility score | 71% |
50.94%
20.1 pts better
|
Numerator 71 · Denominator 100 |
| Pressure ulcers or injuries, new or worsened | 2.34% |
2.29%
About the same
|
Numerator 3 · Denominator 128 · Adjusted rate 2.16% |
| Healthcare-associated infections requiring hospitalization | 8.68% |
7.12%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 99 · Observed rate 10.1% · Lower 95% interval 4.99% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 115 |
| Staff flu vaccination coverage | 47.62% |
42%
5.6 pts better
|
Numerator 80 · Denominator 168 |
| Discharge function score | 74% |
56.45%
17.5 pts better
|
Numerator 74 · Denominator 100 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 27 · Denominator 27 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 84 · Denominator 84 |
| Resident COVID-19 vaccinations up to date | 12.33% |
25.2%
12.9 pts worse
|
Numerator 9 · Denominator 73 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.2 |
1.6
0.6 pts worse
|
1.9
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 1.5 · Expected 1.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
1.5
0.2 pts better
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.0 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.2% |
93.6%
0.6 pts better
|
93.4%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 90.9% · Q2 93.8% · Q3 97.1% · Q4 94.6% · 4Q avg 94.2% |
| 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 | 3.6% |
3.8%
0.2 pts better
|
3.3%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 6.2% · Q3 2.9% · Q4 0.0% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.6% |
24.6%
20 pts better
|
11.4%
6.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 3.3% · Q3 2.9% · Q4 5.7% · 4Q avg 4.6% |
| Percentage of long-stay residents who lose too much weight | 3.3% |
5.6%
2.3 pts better
|
5.4%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.6% · Q3 3.0% · Q4 3.0% · 4Q avg 3.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.6% |
23.5%
2.1 pts worse
|
19.6%
6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.1% · Q2 31.0% · Q3 20.6% · Q4 27.3% · 4Q avg 25.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 23.6% |
14.8%
8.8 pts worse
|
16.7%
6.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.2% · Q2 26.9% · Q3 20.0% · Q4 20.0% · 4Q avg 23.6% · 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 | 17.5% |
13.3%
4.2 pts worse
|
16.3%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 17.5% · 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 15.4% · Q2 23.1% · Q3 12.9% · Q4 12.5% · 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 | 0.0% |
1.2%
1.2 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 21.7% |
24.2%
2.5 pts better
|
19.8%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.8% · Q2 28.2% · Q3 19.4% · Q4 26.1% · 4Q avg 21.7% |
| Percentage of long-stay residents with pressure ulcers | 4.4% |
4.1%
0.3 pts worse
|
5.1%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 2.5% · Q3 4.1% · Q4 5.8% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.1% |
81.6%
9.5 pts better
|
81.7%
9.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.6% · Q2 90.4% · Q3 95.3% · Q4 86.1% · 4Q avg 91.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.2% |
10.5%
3.3 pts better
|
12.0%
4.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.2% · Observed 6.6% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% |
1.3%
1 pts better
|
1.6%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.3% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.5% |
79.0%
13.5 pts better
|
79.7%
12.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 36.0% |
22.4%
13.6 pts worse
|
23.9%
12.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 36.0% · Observed 35.5% · Expected 23.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-04-19 · Fire 2024-04-19
4 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-01-23 · Fire 2023-01-23
5 health deficiencies
Top issue: Infection Control (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-03-21
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-05-09
F · Potential for more than minimal harm
2023-01-23
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-02-16
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-03-21
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 2025-04-14
D · Potential for more than minimal harm
2024-04-19
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-05-10
D · Potential for more than minimal harm
2024-04-19
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-05-10
D · Potential for more than minimal harm
2024-04-19
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 2024-05-10
D · Potential for more than minimal harm
2024-04-19
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-10
E · Potential for more than minimal harm
2023-01-23
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-02-14
E · Potential for more than minimal harm
2023-01-23
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-02-14
D · Potential for more than minimal harm
2023-01-23
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-02-14
D · Potential for more than minimal harm
2023-01-23
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-02-14
C · Minimal harm
2023-01-23
F888 · Infection Control Deficiencies
Health
Ensure staff are vaccinated for COVID-19
Corrected 2023-02-14
Penalties and ownership
What sits behind the stars
Ownership
Good Samaritan Hospital
5% Or Greater Direct Ownership Interest · Organization
Barney, Leigh
Operational/Managerial Control · Individual
Corbin, Kathy
Corporate Officer · Individual
Davis, David
Limited Partnership Interest · Individual
Good Samaritan Hospital
Operational/Managerial Control · Organization
Maluleke, Oppah
Operational/Managerial Control · Individual
Mclin, Robert
Operational/Managerial Control · Individual
Mclin, Robert
Corporate Officer · Individual
Sash, Karl
Operational/Managerial Control · Individual
Schuckman, Matthew
Operational/Managerial Control · Individual
Schuckman, Matthew
Corporate Officer · Individual
Thacker, Adam
Operational/Managerial Control · Individual
Thacker, Adam
Corporate Officer · Individual
Trilogy Healthcare Of Vanderburgh Iii, LLC
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Bethel Manor
Evansville, IN
2-star overall rating with 2-star inspections with 6 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
#2
Heritage Center
Evansville, IN
3-star overall rating with 2-star inspections with 15 recent health deficiencies
#3
North Park Nursing Center
Evansville, IN
4-star overall rating with 3-star inspections with $38,288 in total fines with 5 recent health deficiencies
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