10 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
15 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Franklin, IN
2-star overall rating with 2-star inspections with 10 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
1070 W Jefferson St, Franklin, IN
(317) 736-7185
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
208
Certified beds
Average residents
125
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Otterbein Seniorlife
Operator or chain grouping
Approved since
2008-10-03
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
19 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 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
0.61
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
2.41
Nurse aide staffing · state 2.27 · national 2.35
Total nurse hours
3.75
All reported nurse hours · state 3.71 · national 3.89
Licensed hours
1.34
RN + LPN hours · state 1.44 · national 1.54
Weekend hours
3.51
Weekend nurse staffing · state 3.24 · national 3.43
Weekend RN hours
0.43
Weekend registered nurse coverage · state 0.45 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.67
CMS adjusted RN staffing hours
Adjusted total hours
4.08
CMS adjusted total nurse staffing hours
Case-mix index
1.26
Higher values indicate more complex resident acuity
RN turnover
48%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
57%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
2,465
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
49.64
Composite VBP score used to determine payment impact.
Payment multiplier
1.0036
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.93
Baseline 19.81% · Performance 18.68% · Measure score 5.93 · Achievement 5.93 · Improvement 3.54
Healthcare-associated infections
9.01
Baseline 6.14% · Performance 5.14% · Measure score 9.01 · Achievement 9.01 · Improvement 8.24
Total nurse turnover
2.04
Baseline 53.90% · Performance 55.36% · Measure score 2.04 · Achievement 2.04 · Improvement 0
Adjusted total nurse staffing
2.88
Baseline 3.64 hours · Performance 3.90 hours · Measure score 2.88 · Achievement 2.88 · Improvement 0.72
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.2% |
10.72%
0.5 pts better
|
No Different than the National Rate · Eligible stays 187 · Observed rate 8.56% · Lower 95% interval 7.66% |
| Discharge to community | 65.27% |
50.57%
14.7 pts better
|
Better than the National Rate · Eligible stays 172 · Observed rate 63.95% · Lower 95% interval 58.5% |
| Medicare spending per beneficiary | 0.9 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 98.11% |
95.27%
2.8 pts better
|
Numerator 104 · Denominator 106 |
| Falls with major injury | 1.89% |
0.77%
1.1 pts worse
|
Numerator 2 · Denominator 106 |
| Discharge self-care score | 66.67% |
53.69%
13 pts better
|
Numerator 46 · Denominator 69 |
| Discharge mobility score | 46.38% |
50.94%
4.6 pts worse
|
Numerator 32 · Denominator 69 |
| Pressure ulcers or injuries, new or worsened | 1.89% |
2.29%
0.4 pts better
|
Numerator 2 · Denominator 106 · Adjusted rate 2.11% |
| Healthcare-associated infections requiring hospitalization | 5.14% |
7.12%
2 pts better
|
No Different than the National Rate · Eligible stays 102 · Observed rate 0.98% · Lower 95% interval 2.91% |
| Staff COVID-19 vaccination coverage | 5.54% |
8.2%
2.7 pts worse
|
Numerator 18 · Denominator 325 |
| Staff flu vaccination coverage | 19.81% |
42%
22.2 pts worse
|
Numerator 104 · Denominator 525 |
| Discharge function score | 59.42% |
56.45%
3 pts better
|
Numerator 41 · Denominator 69 |
| Transfer of health information to provider | 63.89% |
95.95%
32.1 pts worse
|
Numerator 46 · Denominator 72 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 30% |
25.2%
4.8 pts better
|
Numerator 18 · Denominator 60 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
1.6
0.3 pts worse
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.7 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.9 |
1.5
0.4 pts worse
|
1.8
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.7 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.5% |
93.6%
4.9 pts better
|
93.4%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.6% · Q2 97.5% · Q3 99.1% · Q4 100.0% · 4Q avg 98.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.2% |
95.4%
3.8 pts better
|
95.5%
3.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.3% |
3.8%
2.5 pts worse
|
3.3%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 5.7% · Q3 6.9% · Q4 5.4% · 4Q avg 6.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.7% |
24.6%
21.9 pts better
|
11.4%
8.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 1.8% · Q3 1.9% · Q4 1.9% · 4Q avg 2.7% |
| Percentage of long-stay residents who lose too much weight | 6.7% |
5.6%
1.1 pts worse
|
5.4%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 7.0% · Q3 5.3% · Q4 10.9% · 4Q avg 6.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 30.1% |
23.5%
6.6 pts worse
|
19.6%
10.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.4% · Q2 31.4% · Q3 29.2% · Q4 28.0% · 4Q avg 30.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.5% |
14.8%
3.3 pts better
|
16.7%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 12.6% · Q3 11.4% · Q4 11.2% · 4Q avg 11.5% · 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 | 8.3% |
13.3%
5 pts better
|
16.3%
8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 9.1% · Q3 7.8% · Q4 5.8% · 4Q avg 8.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.1% |
11.7%
1.6 pts better
|
14.9%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.4% · Q2 8.7% · Q3 9.4% · Q4 9.8% · 4Q avg 10.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.6% |
0.4%
1.2 pts worse
|
1.0%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 2.6% · Q3 0.7% · Q4 1.4% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.3% |
1.2%
0.1 pts worse
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.0% · Q3 1.7% · Q4 2.7% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 34.2% |
24.2%
10 pts worse
|
19.8%
14.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.7% · Q2 43.6% · Q3 28.2% · Q4 34.3% · 4Q avg 34.2% |
| Percentage of long-stay residents with pressure ulcers | 3.6% |
4.1%
0.5 pts better
|
5.1%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 4.9% · Q3 5.3% · Q4 2.4% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
81.6%
17.8 pts better
|
81.7%
17.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.1% · Q2 99.2% · Q3 100.0% · Q4 99.1% · 4Q avg 99.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.4% |
10.5%
5.9 pts worse
|
12.0%
4.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.4% · Observed 15.1% · Expected 10.3% · 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 | 96.9% |
79.0%
17.9 pts better
|
79.7%
17.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.1% |
22.4%
1.7 pts worse
|
23.9%
0.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.1% · Observed 22.6% · Expected 22.4% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
15 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
8 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Top issue: Resident Rights (2 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fire safety
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-09-26
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 2025-09-26
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-10-07
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-10-06
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-10-14
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 2025-10-02
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-09-26
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-09-26
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-09-26
Fire Safety
Provide properly sized and located linen or trash receptacles.
Corrected 2025-10-02
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-09-26
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-09-26
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-09-26
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2025-09-26
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2025-10-10
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2024-09-30
Fire Safety
Develop a communication plan.
Corrected 2024-09-30
Fire Safety
Establish emergency prep training and testing.
Corrected 2024-09-30
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-09-30
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-09-30
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2024-09-30
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-09-30
Fire Safety
Ensure medical gas and vacuum systems have documented maintenance programs.
Corrected 2024-09-30
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-10-20
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-20
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-10-20
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-10-20
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2023-10-20
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-10-20
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-10-20
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2023-10-20
Fire Safety
Provide properly sized and located linen or trash receptacles.
Corrected 2023-10-20
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-10-20
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-10-20
Inspection history
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-12-12
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-10-25
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-08-22
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-08-22
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-08-22
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-31
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-19
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-04-11
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-04-11
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-04-11
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-27
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-16
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-08-16
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-08-16
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-16
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-09-22
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-09-22
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-03-18
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
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Franklin, IN
5-star overall rating with 5-star inspections with 2 fire-safety deficiencies in the latest cycle
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