Washington, IN

Prairie Village Nursing And Rehabilitation

4-star overall rating with 3-star inspections with 7 recent health deficiencies

801 S Sr 57, Washington, IN

(812) 254-4516

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 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

65

Certified beds

Average residents

50

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

American Senior Communities

Operator or chain grouping

Approved since

1992-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

91 facilities

Chain averages 4 overall / 3 health / 2 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

0.50

Registered nurse staffing · state 0.66 · national 0.68

LPN hours / resident day

1.07

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

2.11

Nurse aide staffing · state 2.27 · national 2.35

Total nurse hours

3.68

All reported nurse hours · state 3.71 · national 3.89

Licensed hours

1.57

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

0.32

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

0.36

CMS adjusted RN staffing hours

Adjusted total hours

2.65

CMS adjusted total nurse staffing hours

Case-mix index

1.90

Higher values indicate more complex resident acuity

RN turnover

20%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

24%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,365

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

33.15

Composite VBP score used to determine payment impact.

Payment multiplier

0.9875

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

6.63

Baseline 35.42% · Performance 36.59% · Measure score 6.63 · Achievement 6.63 · Improvement 0

Adjusted total nurse staffing

0

Baseline 3.55 hours · Performance 2.98 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.91%	10.72% 0.2 pts worse	No Different than the National Rate · Eligible stays 28 · Observed rate 10.71% · Lower 95% interval 6.92%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 22 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
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 32 · Denominator 32
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 32
Discharge self-care score	19.05%	53.69% 34.6 pts worse	Numerator 4 · Denominator 21
Discharge mobility score	33.33%	50.94% 17.6 pts worse	Numerator 7 · Denominator 21
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 32 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 16 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 68
Staff flu vaccination coverage	42.86%	42% 0.9 pts better	Numerator 36 · Denominator 84
Discharge function score	33.33%	56.45% 23.1 pts worse	Numerator 7 · Denominator 21
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.6	1.6 About the same	1.9 0.3 pts better	Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.5 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.0	1.5 0.5 pts better	1.8 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.9 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	93.6% 6.4 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
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	2.2%	3.8% 1.6 pts better	3.3% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.2% · Q3 2.1% · Q4 4.2% · 4Q avg 2.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	81.9%	24.6% 57.3 pts worse	11.4% 70.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 88.4% · Q2 79.5% · Q3 70.8% · Q4 89.4% · 4Q avg 81.9%
Percentage of long-stay residents who lose too much weight	2.9%	5.6% 2.7 pts better	5.4% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.3% · Q3 4.4% · Q4 2.3% · 4Q avg 2.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	38.0%	23.5% 14.5 pts worse	19.6% 18.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 40.0% · Q2 38.6% · Q3 34.8% · Q4 38.6% · 4Q avg 38.0%
Percentage of long-stay residents who received an antipsychotic medication	8.7%	14.8% 6.1 pts better	16.7% 8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 8.3% · Q3 7.9% · Q4 9.4% · 4Q avg 8.7% · 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	2.1%	13.3% 11.2 pts better	16.3% 14.2 pts better	Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 7.2% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	3.7%	11.7% 8 pts better	14.9% 11.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 2.6% · Q3 2.3% · Q4 2.4% · 4Q avg 3.7% · 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	1.1%	1.2% 0.1 pts better	1.7% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.3% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	26.9%	24.2% 2.7 pts worse	19.8% 7.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.0% · Q2 18.7% · Q3 29.8% · Q4 31.2% · 4Q avg 26.9%
Percentage of long-stay residents with pressure ulcers	4.1%	4.1% About the same	5.1% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 4.5% · Q3 0.0% · Q4 3.7% · 4Q avg 4.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	95.2%	81.6% 13.6 pts better	81.7% 13.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 88.1% · Q2 97.0% · Q3 100.0% · Q4 100.0% · 4Q avg 95.2%
Percentage of short-stay residents who had an outpatient emergency department visit	4.7%	10.5% 5.8 pts better	12.0% 7.3 pts better	Short Stay · 20240701-20250630 · Adjusted 4.7% · Observed 4.8% · Expected 11.3% · 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% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	97.0%	79.0% 18 pts better	79.7% 17.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 97.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	38.4%	22.4% 16 pts worse	23.9% 14.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 38.4% · Observed 38.1% · Expected 23.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-12 · Fire 2025-05-12

7 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-05-03 · Fire 2024-05-03

7 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 2022-10-20 · Fire 2022-10-20

3 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-05-12

F553 · Resident Rights Deficiencies

Health

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2025-06-10

E · Potential for more than minimal harm 2025-05-12

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 2025-06-10

D · Potential for more than minimal harm 2025-05-12

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2025-06-10

D · Potential for more than minimal harm 2025-05-12

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-06-10

D · Potential for more than minimal harm 2025-05-12

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-06-10

D · Potential for more than minimal harm 2025-05-12

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2025-06-10

D · Potential for more than minimal harm 2025-05-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-10

F · Potential for more than minimal harm 2024-05-03

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2024-05-30

E · Potential for more than minimal harm 2024-05-03

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 2024-05-30

E · Potential for more than minimal harm 2024-05-03

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 2024-05-30

E · Potential for more than minimal harm 2024-05-03

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-05-30

D · Potential for more than minimal harm 2024-05-03

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-05-30

D · Potential for more than minimal harm 2024-05-03

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-05-30

D · Potential for more than minimal harm 2024-05-03

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 2024-05-30

D · Potential for more than minimal harm 2022-10-20

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2022-11-11

D · Potential for more than minimal harm 2022-10-20

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 2022-11-11

D · Potential for more than minimal harm 2022-10-20

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 2022-11-11

Penalties and ownership

What sits behind the stars

Ownership

The Health And Hospital Corporation Of Marion County

5% Or Greater Direct Ownership Interest · Organization

100% 70 facilities 2015-07-01

American Senior Communities LLC

Operational/Managerial Control · Organization

0% 89 facilities 2003-01-01

Babcock, Paul

Corporate Officer · Individual

0% 72 facilities 2020-09-30

Burla, Kiran

Contracted Managing Employee · Individual

0% 5 facilities 2019-10-07

Caine, Virginia

Corporate Officer · Individual

0% 52 facilities 1994-01-10

Dice, Mark

Contracted Managing Employee · Individual

0% 64 facilities 2023-06-01

Drummer, Carl