7 health deficiencies
Top issue: Nursing and Physician Services (2 deficiencies)
15 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Anderson, IN
3-star overall rating with 3-star inspections with 7 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
1235 W Cross St, Anderson, IN
(765) 203-2409
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
94
Certified beds
Average residents
73
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2003-03-06
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.49
Registered nurse staffing
LPN hours / resident day
1.24
Licensed practical nurse staffing
Aide hours / resident day
2.66
Nurse aide staffing
Weekend hours
3.60
Weekend nurse staffing
RN turnover
30%
Annual RN turnover
Total nurse turnover
35%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.6
0.2 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.3 |
1.5
0.8 pts worse
|
1.8
0.5 pts worse
|
Long Stay · 20240701-20250630 |
| 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 |
| 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 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.7% |
3.8%
1.1 pts better
|
3.3%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 0.5% |
24.6%
24.1 pts better
|
11.4%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 9.8% |
5.6%
4.2 pts worse
|
5.4%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.4% |
23.5%
0.1 pts better
|
19.6%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 7.3% |
14.8%
7.5 pts better
|
16.7%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents whose ability to walk independently worsened | 37.8% |
13.3%
24.5 pts worse
|
16.3%
21.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 24.9% |
11.7%
13.2 pts worse
|
14.9%
10 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.7% |
0.4%
1.3 pts worse
|
1.0%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 1.8% |
1.2%
0.6 pts worse
|
1.7%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.5% |
24.2%
2.7 pts better
|
19.8%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 5.7% |
4.1%
1.6 pts worse
|
5.1%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.9% |
81.6%
15.3 pts better
|
81.7%
15.2 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.7% |
10.5%
8.2 pts worse
|
12.0%
6.7 pts worse
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.1% |
1.3%
0.8 pts worse
|
1.6%
0.5 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.0% |
79.0%
14 pts better
|
79.7%
13.3 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.0% |
22.4%
1.6 pts worse
|
23.9%
0.1 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Nursing and Physician Services (2 deficiencies)
15 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
18 fire-safety deficiencies
Top issue: Emergency Preparedness (7 deficiencies)
Fire safety
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-04-18
Fire Safety
Meet other general requirements that are deficient.
Corrected 2025-04-18
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-18
Fire Safety
Meet other general requirements that are deficient.
Corrected 2025-04-18
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-04-18
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-18
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-07-15
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2025-04-18
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 2025-04-18
Fire Safety
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Corrected 2025-04-18
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2025-04-18
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-04-18
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-04-18
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-04-18
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-04-18
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-05-20
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-20
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-20
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 2024-05-30
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-05-20
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-05-20
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-05-20
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-05-20
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2023-06-26
Fire Safety
Develop a communication plan.
Corrected 2023-06-26
Fire Safety
Establish methods for sharing information.
Corrected 2023-06-26
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2023-06-26
Fire Safety
Establish emergency prep training and testing.
Corrected 2023-06-26
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-06-26
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-06-26
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-06-26
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-06-26
Fire Safety
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2023-06-26
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-06-26
Fire Safety
Meet other general requirements.
Corrected 2023-06-26
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-06-26
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2023-06-26
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-06-26
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-06-26
Fire Safety
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Corrected 2023-06-26
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-06-26
Inspection history
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2026-01-16
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-03-28
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-03-28
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-03-28
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-28
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-03-28
Health
Post nurse staffing information every day.
Corrected 2025-03-28
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-03
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-05-03
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-05-03
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 2024-05-03
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-02-02
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-02-02
Health
Respond appropriately to all alleged violations.
Corrected 2024-02-02
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-05-26
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2023-05-26
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 2023-05-26
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-05-26
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 2023-05-26
Penalties and ownership
Payment Denial · denial start 2025-06-24 · 56 days
56 day denial
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
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5% Or Greater Mortgage Interest · Organization
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