Cycle 1
Health 2024-12-09 · Fire 2024-12-09
2 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Spencer, IN
Owen Valley Rehabilitation And Healthcare Center
5-star overall rating with 4-star inspections with 2 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
920 W Highway 46, Spencer, IN
(812) 829-2331
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
113
Certified beds
Average residents
71
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Castle Healthcare
Operator or chain grouping
Approved since
1999-04-13
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
9 facilities
Chain averages 3 overall / 3 health / 1 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
0.53
Registered nurse staffing · state 0.66 · national 0.68
LPN hours / resident day
0.63
Licensed practical nurse staffing · state 0.77 · national 0.87
Aide hours / resident day
2.30
Nurse aide staffing · state 2.27 · national 2.35
Total nurse hours
3.47
All reported nurse hours · state 3.71 · national 3.89
Licensed hours
1.16
RN + LPN hours · state 1.44 · national 1.54
Weekend hours
3.04
Weekend nurse staffing · state 3.24 · national 3.43
Weekend RN hours
0.53
Weekend registered nurse coverage · state 0.45 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.49
CMS adjusted RN staffing hours
Adjusted total hours
3.23
CMS adjusted total nurse staffing hours
Case-mix index
1.47
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
56%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
7,595
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
29.33
Composite VBP score used to determine payment impact.
Payment multiplier
0.9854
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.42
Baseline 21.28% · Performance 18.46% · Measure score 6.42 · Achievement 6.42 · Improvement 6.14
Healthcare-associated infections
3.66
Baseline 6.92% · Performance 6.74% · Measure score 3.66 · Achievement 3.66 · Improvement 0.45
Total nurse turnover
1.34
Performance 58.21% · Measure score 1.34 · Achievement 1.34 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0.31
Baseline 2.24 hours · Performance 2.53 hours · Measure score 0.31 · Achievement 0 · Improvement 0.31
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.76% |
10.72%
1 pts worse
|
No Different than the National Rate · Eligible stays 63 · Observed rate 14.29% · Lower 95% interval 7.67% |
| Discharge to community | 50.73% |
50.57%
0.2 pts better
|
No Different than the National Rate · Eligible stays 50 · Observed rate 48% · Lower 95% interval 39.73% |
| Medicare spending per beneficiary | 1.1 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 44 · Denominator 44 |
| Falls with major injury | 2.27% |
0.77%
1.5 pts worse
|
Numerator 1 · Denominator 44 |
| Discharge self-care score | 58.06% |
53.69%
4.4 pts better
|
Numerator 18 · Denominator 31 |
| Discharge mobility score | 48.39% |
50.94%
2.5 pts worse
|
Numerator 15 · Denominator 31 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 44 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.74% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 38 · Observed rate 5.26% · Lower 95% interval 3.64% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 81 |
| Staff flu vaccination coverage | 70.37% |
42%
28.4 pts better
|
Numerator 57 · Denominator 81 |
| Discharge function score | 67.74% |
56.45%
11.3 pts better
|
Numerator 21 · Denominator 31 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 57.14% |
25.2%
31.9 pts better
|
Numerator 16 · Denominator 28 |
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 | 0.4 |
1.5
1.1 pts better
|
1.8
1.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.3 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 89.3% |
93.6%
4.3 pts worse
|
93.4%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 85.5% · Q2 89.4% · Q3 87.7% · Q4 95.0% · 4Q avg 89.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 87.1% |
95.4%
8.3 pts worse
|
95.5%
8.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 87.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.0% |
3.8%
2.2 pts worse
|
3.3%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 7.6% · Q3 7.0% · Q4 1.7% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 12.4% |
24.6%
12.2 pts better
|
11.4%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 16.7% · Q3 3.6% · Q4 15.8% · 4Q avg 12.4% |
| 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 1.8% · Q2 8.9% · Q3 10.6% · Q4 6.0% · 4Q avg 6.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 30.8% |
23.5%
7.3 pts worse
|
19.6%
11.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.8% · Q2 30.4% · Q3 31.2% · Q4 32.0% · 4Q avg 30.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 31.9% |
14.8%
17.1 pts worse
|
16.7%
15.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.6% · Q2 34.9% · Q3 31.1% · Q4 32.6% · 4Q avg 31.9% · 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 | 6.2% |
13.3%
7.1 pts better
|
16.3%
10.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 6.4% · Q3 7.0% · Q4 3.1% · 4Q avg 6.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.1% |
11.7%
5.6 pts better
|
14.9%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 0.0% · Q3 6.7% · Q4 9.1% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
0.4%
About the same
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.8% |
1.2%
0.4 pts better
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.5% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.2% |
24.2%
4 pts better
|
19.8%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 23.8% · Q3 31.3% · Q4 22.5% · 4Q avg 20.2% |
| Percentage of long-stay residents with pressure ulcers | 2.5% |
4.1%
1.6 pts better
|
5.1%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 2.7% · Q3 3.2% · Q4 1.4% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 72.0% |
81.6%
9.6 pts worse
|
81.7%
9.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 66.1% · Q2 72.2% · Q3 71.2% · Q4 77.5% · 4Q avg 72.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 17.5% |
10.5%
7 pts worse
|
12.0%
5.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 17.5% · Observed 15.8% · Expected 10.1% · 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 | 56.2% |
79.0%
22.8 pts worse
|
79.7%
23.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 56.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 14.2% |
22.4%
8.2 pts better
|
23.9%
9.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 14.2% · Observed 13.2% · Expected 22.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-02-02 · Fire 2024-02-02
2 health deficiencies
Top issue: Administration (1 deficiency)
11 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Cycle 3
Health 2023-03-09 · Fire 2023-03-09
8 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-12-09
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2025-01-27
F · Potential for more than minimal harm
2024-12-09
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-01-27
F · Potential for more than minimal harm
2024-12-09
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-01-27
F · Potential for more than minimal harm
2024-12-09
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-01-27
F · Potential for more than minimal harm
2024-12-09
K916 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2025-01-27
F · Potential for more than minimal harm
2024-12-09
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-01-27
F · Potential for more than minimal harm
2024-12-09
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-01-27
E · Potential for more than minimal harm
2024-12-09
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 2025-01-27
E · Potential for more than minimal harm
2024-12-09
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-01-27
C · Minimal harm
2024-12-09
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-01-27
F · Potential for more than minimal harm
2024-02-02
E13 · Emergency Preparedness Deficiencies
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2024-03-05
F · Potential for more than minimal harm
2024-02-02
E29 · Emergency Preparedness Deficiencies
Fire Safety
Develop a communication plan.
Corrected 2024-03-05
F · Potential for more than minimal harm
2024-02-02
E36 · Emergency Preparedness Deficiencies
Fire Safety
Establish emergency prep training and testing.
Corrected 2024-03-05
F · Potential for more than minimal harm
2024-02-02
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-03-05
F · Potential for more than minimal harm
2024-02-02
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-03-05
F · Potential for more than minimal harm
2024-02-02
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-03-05
F · Potential for more than minimal harm
2024-02-02
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-03-05
F · Potential for more than minimal harm
2024-02-02
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-03-05
E · Potential for more than minimal harm
2024-02-02
K100 · Construction Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2024-03-05
E · Potential for more than minimal harm
2024-02-02
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-03-05
D · Potential for more than minimal harm
2024-02-02
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-03-05
E · Potential for more than minimal harm
2023-03-09
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 2023-04-13
E · Potential for more than minimal harm
2023-03-09
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2023-04-13
E · Potential for more than minimal harm
2023-03-09
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 2023-04-13
E · Potential for more than minimal harm
2023-03-09
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-04-13
E · Potential for more than minimal harm
2023-03-09
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-04-13
E · Potential for more than minimal harm
2023-03-09
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-04-13
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-12-09
F636 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-12-20
D · Potential for more than minimal harm
2024-12-09
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 2024-12-20
F · Potential for more than minimal harm
2024-02-02
F851 · Administration Deficiencies
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-02-16
E · Potential for more than minimal harm
2024-02-02
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-02-16
D · Potential for more than minimal harm
2023-06-29
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-07-12
D · Potential for more than minimal harm
2023-06-29
F776 · Administration Deficiencies
Health
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected 2023-07-12
E · Potential for more than minimal harm
2023-03-09
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-03-29
D · Potential for more than minimal harm
2023-03-09
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-03-29
D · Potential for more than minimal harm
2023-03-09
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 2023-03-29
D · Potential for more than minimal harm
2023-03-09
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-03-29
D · Potential for more than minimal harm
2023-03-09
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-03-29
D · Potential for more than minimal harm
2023-03-09
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-03-29
Penalties and ownership
What sits behind the stars
Ownership
Putnam County Hospital
5% Or Greater Direct Ownership Interest · Organization
Berdugo, Shai
Operational/Managerial Control · Individual
Clayshire LLC
Operational/Managerial Control · Organization
Footman, Tanequa
Operational/Managerial Control · Individual
Lt Care Acquisition Corp
Operational/Managerial Control · Organization
Nerone, James
Operational/Managerial Control · Individual
Owen Valley Realty LLC
5% Or Greater Mortgage Interest · Organization
Owen Valley Rehabilitation And Healthcare Center, LLC
Operational/Managerial Control · Organization
Weatherford, Dennis
Operational/Managerial Control · Individual
Wells, Barbara Diane
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Mccormick's Creek Rehabilitation And Healthcare
Spencer, IN
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Richland Bean Blossom Health Care Center
Ellettsville, IN
1-star overall rating with 2-star inspections with 14 recent health deficiencies with 17 fire-safety deficiencies in the latest cycle
#3
Stonecroft Health Campus
Bloomington, IN
5-star overall rating with 5-star inspections with 2 recent health deficiencies
Jump out