7 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Lawrenceburg, IN
3-star overall rating with 3-star inspections with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
181 Campus Dr, Lawrenceburg, IN
(812) 537-5700
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
71
Certified beds
Average residents
73
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Trilogy Health Services
Operator or chain grouping
Approved since
2011-05-12
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
125 facilities
Chain averages 4 overall / 3 health / 3 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
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
RN hours / resident day
0.90
Registered nurse staffing · state 0.66 · national 0.68
LPN hours / resident day
0.54
Licensed practical nurse staffing · state 0.77 · national 0.87
Aide hours / resident day
2.21
Nurse aide staffing · state 2.27 · national 2.35
Total nurse hours
3.65
All reported nurse hours · state 3.71 · national 3.89
Licensed hours
1.43
RN + LPN hours · state 1.44 · national 1.54
Weekend hours
3.42
Weekend nurse staffing · state 3.24 · national 3.43
Weekend RN hours
0.67
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
0.74
CMS adjusted RN staffing hours
Adjusted total hours
2.99
CMS adjusted total nurse staffing hours
Case-mix index
1.67
Higher values indicate more complex resident acuity
RN turnover
19%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
22%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
6,621
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
32.25
Composite VBP score used to determine payment impact.
Payment multiplier
0.9870
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.97
Baseline 21.79% · Performance 19.18% · Measure score 4.97 · Achievement 4.85 · Improvement 4.97
Healthcare-associated infections
0.92
Baseline 8.85% · Performance 8.30% · Measure score 0.92 · Achievement 0 · Improvement 0.92
Total nurse turnover
5.66
Baseline 43.86% · Performance 40.54% · Measure score 5.66 · Achievement 5.66 · Improvement 1.25
Adjusted total nurse staffing
1.35
Baseline 2.50 hours · Performance 3.11 hours · Measure score 1.35 · Achievement 0 · Improvement 1.35
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 14.13% |
10.72%
3.4 pts worse
|
No Different than the National Rate · Eligible stays 210 · Observed rate 16.67% · Lower 95% interval 10.06% |
| Discharge to community | 56.29% |
50.57%
5.7 pts better
|
No Different than the National Rate · Eligible stays 180 · Observed rate 52.78% · Lower 95% interval 50.26% |
| Medicare spending per beneficiary | 1.12 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 96 · Denominator 96 |
| Falls with major injury | 2.08% |
0.77%
1.3 pts worse
|
Numerator 2 · Denominator 96 |
| Discharge self-care score | 45.83% |
53.69%
7.9 pts worse
|
Numerator 33 · Denominator 72 |
| Discharge mobility score | 37.5% |
50.94%
13.4 pts worse
|
Numerator 27 · Denominator 72 |
| Pressure ulcers or injuries, new or worsened | 2.08% |
2.29%
0.2 pts better
|
Numerator 2 · Denominator 96 · Adjusted rate 1.72% |
| Healthcare-associated infections requiring hospitalization | 8.3% |
7.12%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 100 · Observed rate 10% · Lower 95% interval 5.51% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 122 |
| Staff flu vaccination coverage | 11.95% |
42%
30.1 pts worse
|
Numerator 19 · Denominator 159 |
| Discharge function score | 45.83% |
56.45%
10.6 pts worse
|
Numerator 33 · Denominator 72 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 44 · Denominator 44 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 26 · Denominator 26 |
| Resident COVID-19 vaccinations up to date | 23.26% |
25.2%
1.9 pts worse
|
Numerator 10 · Denominator 43 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.5 |
1.6
0.9 pts worse
|
1.9
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.4 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
1.5
0.4 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.1 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.9% |
93.6%
3.3 pts better
|
93.4%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 91.4% · Q2 96.5% · Q3 100.0% · Q4 100.0% · 4Q avg 96.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.4% |
95.4%
3 pts better
|
95.5%
2.9 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.4% |
| 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 3.4% · Q2 3.5% · Q3 0.0% · Q4 1.7% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 29.9% |
24.6%
5.3 pts worse
|
11.4%
18.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 5.5% · Q3 36.5% · Q4 66.0% · 4Q avg 29.9% |
| Percentage of long-stay residents who lose too much weight | 3.4% |
5.6%
2.2 pts better
|
5.4%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 2.4% · Q3 4.9% · Q4 0.0% · 4Q avg 3.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.2% |
23.5%
3.3 pts better
|
19.6%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 18.6% · Q3 20.9% · Q4 20.5% · 4Q avg 20.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.0% |
14.8%
0.8 pts better
|
16.7%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 12.9% · Q3 14.3% · Q4 20.0% · 4Q avg 14.0% · 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 | 8.5% |
13.3%
4.8 pts better
|
16.3%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 8.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.1% |
11.7%
4.6 pts better
|
14.9%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 10.0% · Q3 9.5% · Q4 4.5% · 4Q avg 7.1% · 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 | 0.0% |
1.2%
1.2 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 21.8% |
24.2%
2.4 pts better
|
19.8%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.6% · Q2 24.0% · Q3 12.8% · Q4 17.6% · 4Q avg 21.8% |
| Percentage of long-stay residents with pressure ulcers | 3.1% |
4.1%
1 pts better
|
5.1%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 2.2% · Q3 3.8% · Q4 3.1% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.2% |
81.6%
11.6 pts better
|
81.7%
11.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.6% · Q2 88.7% · Q3 94.4% · Q4 97.1% · 4Q avg 93.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.5% |
10.5%
3 pts worse
|
12.0%
1.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.5% · Observed 12.3% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.3%
0.7 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 90.4% |
79.0%
11.4 pts better
|
79.7%
10.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.8% |
22.4%
8.4 pts worse
|
23.9%
6.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.8% · Observed 27.7% · Expected 21.5% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Pharmacy Service (3 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-07-28
Fire Safety
Have horizontal exits used in accordance with safety requirements.
Corrected 2025-07-28
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-07-28
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-08-26
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 2024-08-26
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-08-26
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-26
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-08-23
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 2023-08-23
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-08-23
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-15
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-07-15
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 2025-07-15
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-07-15
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-15
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-07-15
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2025-07-15
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-08-15
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 2024-08-15
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-07-09
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-07-09
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-07-09
Health
Post nurse staffing information every day.
Corrected 2023-07-09
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-07-09
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-07-09
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 2023-07-09
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Limited Partnership Interest · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Limited Partnership Interest · Individual
5% Or Greater Mortgage Interest · Organization
Operational/Managerial Control · Organization
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