St Mary Of The Woods, IN

Providence Health Care Center

3-star overall rating with 2-star inspections with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

1 Sisters Of Providence, St Mary Of The Woods, IN

(812) 535-4001

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2012-10-17

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

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

1.72

Registered nurse staffing · state 0.66 · national 0.68

LPN hours / resident day

0.44

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

3.27

Nurse aide staffing · state 2.27 · national 2.35

Total nurse hours

5.43

All reported nurse hours · state 3.71 · national 3.89

Licensed hours

2.16

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

4.52

Weekend nurse staffing · state 3.24 · national 3.43

Weekend RN hours

1.13

Weekend registered nurse coverage · state 0.45 · national 0.47

Physical therapist

0.10

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

1.55

CMS adjusted RN staffing hours

Adjusted total hours

4.90

CMS adjusted total nurse staffing hours

Case-mix index

1.52

Higher values indicate more complex resident acuity

RN turnover

19%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

49%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,608

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

Performance score

48.77

Composite VBP score used to determine payment impact.

Payment multiplier

1.0026

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.04

Baseline 28.03% · Performance 23.03% · Measure score 4.04 · Achievement 0 · Improvement 4.04

Healthcare-associated infections

4.22

Baseline 7.89% · Performance 6.57% · Measure score 4.22 · Achievement 4.22 · Improvement 4.05

Total nurse turnover

5.49

Baseline 37.66% · Performance 41.24% · Measure score 5.49 · Achievement 5.49 · Improvement 0

Adjusted total nurse staffing

5.75

Baseline 3.76 hours · Performance 4.72 hours · Measure score 5.75 · Achievement 5.75 · Improvement 4.22

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	13.25%	10.72% 2.5 pts worse	No Different than the National Rate · Eligible stays 284 · Observed rate 15.49% · Lower 95% interval 10.31%
Discharge to community	59.72%	50.57% 9.1 pts better	Better than the National Rate · Eligible stays 255 · Observed rate 55.29% · Lower 95% interval 53.2%
Medicare spending per beneficiary	0.9	1.02 0.1 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 211 · Denominator 211
Falls with major injury	0.47%	0.77% 0.3 pts better	Numerator 1 · Denominator 211
Discharge self-care score	49.08%	53.69% 4.6 pts worse	Numerator 80 · Denominator 163
Discharge mobility score	48.47%	50.94% 2.5 pts worse	Numerator 79 · Denominator 163
Pressure ulcers or injuries, new or worsened	1.9%	2.29% 0.4 pts better	Numerator 4 · Denominator 211 · Adjusted rate 2.35%
Healthcare-associated infections requiring hospitalization	6.57%	7.12% 0.5 pts better	No Different than the National Rate · Eligible stays 173 · Observed rate 5.2% · Lower 95% interval 4.14%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 116
Staff flu vaccination coverage	54.48%	42% 12.5 pts better	Numerator 79 · Denominator 145
Discharge function score	46.01%	56.45% 10.4 pts worse	Numerator 75 · Denominator 163
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 75 · Denominator 75
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 105 · Denominator 105
Resident COVID-19 vaccinations up to date	23.85%	25.2% 1.3 pts worse	Numerator 26 · Denominator 109

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.7	1.6 2.1 pts worse	1.9 1.8 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.7 · Observed 3.0 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.6	1.5 0.1 pts worse	1.8 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.3 · Expected 1.3 · 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	4.9%	3.8% 1.1 pts worse	3.3% 1.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 4.4% · Q3 4.4% · Q4 2.1% · 4Q avg 4.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	6.0%	24.6% 18.6 pts better	11.4% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 5.0% · Q3 10.5% · Q4 4.4% · 4Q avg 6.0%
Percentage of long-stay residents who lose too much weight	3.9%	5.6% 1.7 pts better	5.4% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 0.0% · Q3 2.6% · Q4 9.8% · 4Q avg 3.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	15.2%	23.5% 8.3 pts better	19.6% 4.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 17.9% · Q3 12.8% · Q4 14.6% · 4Q avg 15.2%
Percentage of long-stay residents who received an antipsychotic medication	4.4%	14.8% 10.4 pts better	16.7% 12.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 2.9% · Q3 3.3% · Q4 5.4% · 4Q avg 4.4% · 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	6.8%	13.3% 6.5 pts better	16.3% 9.5 pts better	Long Stay · 2024Q4-2025Q3 · Q3 7.8% · Q4 7.6% · 4Q avg 6.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	9.9%	11.7% 1.8 pts better	14.9% 5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.8% · Q2 10.5% · Q3 7.9% · Q4 5.3% · 4Q avg 9.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	2.1%	0.4% 1.7 pts worse	1.0% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.9%	1.2% 2.7 pts worse	1.7% 2.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 2.3% · Q3 9.1% · Q4 0.0% · 4Q avg 3.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	26.0%	24.2% 1.8 pts worse	19.8% 6.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 38.0% · Q2 16.2% · Q3 30.7% · Q4 20.2% · 4Q avg 26.0%
Percentage of long-stay residents with pressure ulcers	5.4%	4.1% 1.3 pts worse	5.1% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 10.9% · Q3 1.7% · Q4 1.6% · 4Q avg 5.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	80.8%	81.6% 0.8 pts worse	81.7% 0.9 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 93.3% · Q2 89.8% · Q3 83.5% · Q4 56.8% · 4Q avg 80.8%
Percentage of short-stay residents who had an outpatient emergency department visit	15.8%	10.5% 5.3 pts worse	12.0% 3.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 15.8% · Observed 13.9% · Expected 9.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.6%	1.3% 1.3 pts worse	1.6% 1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.2% · Q3 5.0% · Q4 3.4% · 4Q avg 2.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	85.6%	79.0% 6.6 pts better	79.7% 5.9 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 85.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	29.9%	22.4% 7.5 pts worse	23.9% 6 pts worse	Short Stay · 20240701-20250630 · Adjusted 29.9% · Observed 28.9% · Expected 23.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-16 · Fire 2025-05-16

7 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-03-18 · Fire 2024-03-18

6 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-02-01 · Fire 2023-02-01

11 health deficiencies

Top issue: Resident Rights (4 deficiencies)

9 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-16

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-06-24

D · Potential for more than minimal harm 2025-05-16

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-06-06

F · Potential for more than minimal harm 2023-02-01

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2023-02-21

E · Potential for more than minimal harm 2023-02-01

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-03-06

E · Potential for more than minimal harm 2023-02-01

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 2023-03-06

E · Potential for more than minimal harm 2023-02-01

K915 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper power supply for life support equipment.

Corrected 2023-03-06

E · Potential for more than minimal harm 2023-02-01

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-03-06

D · Potential for more than minimal harm 2023-02-01

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2023-03-01

D · Potential for more than minimal harm 2023-02-01

K200 · Egress Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2023-02-21

D · Potential for more than minimal harm 2023-02-01

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-02-21

B · Minimal harm 2023-02-01

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-02-20

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-16

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2026-01-23

G · Actual harm 2025-05-16

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-07-11

E · Potential for more than minimal harm 2025-05-16

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 2025-07-30

D · Potential for more than minimal harm 2025-05-16

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-07-11

D · Potential for more than minimal harm 2025-05-16

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 2025-07-11

D · Potential for more than minimal harm 2025-05-16

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-07-11

D · Potential for more than minimal harm 2025-05-16

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-07-11

E · Potential for more than minimal harm 2024-03-18

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 2024-03-22

D · Potential for more than minimal harm 2024-03-18

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-03-22

D · Potential for more than minimal harm 2024-03-18

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-03-22

D · Potential for more than minimal harm 2024-03-18

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-22

D · Potential for more than minimal harm 2024-03-18

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-03-22

D · Potential for more than minimal harm 2024-03-18

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2024-03-22

D · Potential for more than minimal harm 2023-08-21

F622 · Resident Rights Deficiencies

Health

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2023-08-30

D · Potential for more than minimal harm 2023-08-21

F626 · Resident Rights Deficiencies

Health

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Corrected 2023-08-30

D · Potential for more than minimal harm 2023-08-21

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-08-30

E · Potential for more than minimal harm 2023-02-01

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2023-02-10

E · Potential for more than minimal harm 2023-02-01

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 2023-02-10

E · Potential for more than minimal harm 2023-02-01

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2023-02-10

D · Potential for more than minimal harm 2023-02-01

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2023-02-10

D · Potential for more than minimal harm 2023-02-01

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 2023-02-10

D · Potential for more than minimal harm 2023-02-01

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2023-02-10

D · Potential for more than minimal harm 2023-02-01

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-02-10

D · Potential for more than minimal harm 2023-02-01

F761 · Pharmacy Service Deficiencies

Health

Corrected 2023-02-10

Penalties and ownership

What sits behind the stars

Ownership

Putnam County Hospital

5% Or Greater Direct Ownership Interest · Organization

100% 19 facilities 2013-12-01

Henman, Brandon