2 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Evansville, IN
5-star overall rating with 4-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
3001 Galaxy Dr, Evansville, IN
(812) 475-2822
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
68
Certified beds
Average residents
54
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Trilogy Health Services
Operator or chain grouping
Approved since
2003-09-05
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
Staffing
RN hours / resident day
0.85
Registered nurse staffing · state 0.66 · national 0.68
LPN hours / resident day
0.58
Licensed practical nurse staffing · state 0.77 · national 0.87
Aide hours / resident day
3.29
Nurse aide staffing · state 2.27 · national 2.35
Total nurse hours
4.72
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
4.04
Weekend nurse staffing · state 3.24 · national 3.43
Weekend RN hours
0.58
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
0.85
CMS adjusted RN staffing hours
Adjusted total hours
4.70
CMS adjusted total nurse staffing hours
Case-mix index
1.38
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
50%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
2,014
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
52.31
Composite VBP score used to determine payment impact.
Payment multiplier
1.0068
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
7.87
Baseline 25.51% · Performance 18.41% · Measure score 7.87 · Achievement 6.51 · Improvement 7.87
Healthcare-associated infections
10
Baseline 7.96% · Performance 4.80% · Measure score 10 · Achievement 10 · Improvement 9
Total nurse turnover
0
Baseline 53.52% · Performance 65.82% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
3.06
Baseline 3.51 hours · Performance 3.95 hours · Measure score 3.06 · Achievement 3.06 · Improvement 1.44
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.62% |
10.72%
0.1 pts better
|
No Different than the National Rate · Eligible stays 292 · Observed rate 10.96% · Lower 95% interval 7.83% |
| Discharge to community | 67.87% |
50.57%
17.3 pts better
|
Better than the National Rate · Eligible stays 271 · Observed rate 64.21% · Lower 95% interval 62.4% |
| Medicare spending per beneficiary | 1.05 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 194 · Denominator 194 |
| Falls with major injury | 0.52% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 194 |
| Discharge self-care score | 71.85% |
53.69%
18.2 pts better
|
Numerator 97 · Denominator 135 |
| Discharge mobility score | 69.63% |
50.94%
18.7 pts better
|
Numerator 94 · Denominator 135 |
| Pressure ulcers or injuries, new or worsened | 1.03% |
2.29%
1.3 pts better
|
Numerator 2 · Denominator 194 · Adjusted rate 1.17% |
| Healthcare-associated infections requiring hospitalization | 4.8% |
7.12%
2.3 pts better
|
No Different than the National Rate · Eligible stays 148 · Observed rate 2.03% · Lower 95% interval 2.92% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 99 |
| Staff flu vaccination coverage | 51.05% |
42%
9 pts better
|
Numerator 73 · Denominator 143 |
| Discharge function score | 84.44% |
56.45%
28 pts better
|
Numerator 114 · Denominator 135 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 121 · Denominator 121 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 44 · Denominator 44 |
| Resident COVID-19 vaccinations up to date | 21.49% |
25.2%
3.7 pts worse
|
Numerator 26 · Denominator 121 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.6
0.1 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.5 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
1.5
0.2 pts better
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.1 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% |
93.6%
5.7 pts better
|
93.4%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.1% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.3% |
| 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 | 4.3% |
3.8%
0.5 pts worse
|
3.3%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 5.9% · Q3 2.9% · Q4 2.7% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.4% |
24.6%
22.2 pts better
|
11.4%
9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.1% · Q3 3.4% · Q4 3.3% · 4Q avg 2.4% |
| Percentage of long-stay residents who lose too much weight | 13.6% |
5.6%
8 pts worse
|
5.4%
8.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.7% · Q2 20.0% · Q3 8.0% · Q4 6.7% · 4Q avg 13.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.7% |
23.5%
2.2 pts worse
|
19.6%
6.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 24.0% · Q3 30.8% · Q4 30.0% · 4Q avg 25.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.1% |
14.8%
8.7 pts better
|
16.7%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 4.8% · Q4 0.0% · 4Q avg 6.1% · 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 | 12.1% |
13.3%
1.2 pts better
|
16.3%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 12.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.0% |
11.7%
1.3 pts worse
|
14.9%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 13.0% · Q3 11.5% · Q4 21.4% · 4Q avg 13.0% · 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 | 1.5% |
1.2%
0.3 pts worse
|
1.7%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.9% · Q3 0.0% · Q4 2.7% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.0% |
24.2%
6.2 pts better
|
19.8%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.2% · Q2 12.9% · Q3 23.8% · Q4 18.8% · 4Q avg 18.0% |
| Percentage of long-stay residents with pressure ulcers | 7.4% |
4.1%
3.3 pts worse
|
5.1%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 7.4% · Q3 6.0% · Q4 7.6% · 4Q avg 7.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.0% |
81.6%
14.4 pts better
|
81.7%
14.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.1% · Q2 95.5% · Q3 95.2% · Q4 95.2% · 4Q avg 96.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.5% |
10.5%
3 pts better
|
12.0%
4.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.5% · Observed 7.7% · Expected 11.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% |
1.3%
1 pts better
|
1.6%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 90.1% |
79.0%
11.1 pts better
|
79.7%
10.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.5% |
22.4%
1.1 pts worse
|
23.9%
0.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.5% · Observed 24.3% · Expected 24.6% · Used in QM five-star |
Survey summary
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Resident Rights (3 deficiencies)
6 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Top issue: Resident Rights (4 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Fire safety
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-08-20
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-08-20
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-07-02
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2024-07-02
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-07-02
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2024-07-02
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-02
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-07-02
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-04-18
Fire Safety
Have exits that are accessible at all times.
Corrected 2023-04-18
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 2023-04-18
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-04-18
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-04-18
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-04-18
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-04-18
Inspection history
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2025-07-10
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-10
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 2024-07-10
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-07-10
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-07-10
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-07-10
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-07-10
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-07-10
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-10
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-03-19
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-03-19
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-06-02
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-04-14
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-04-14
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-04-14
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-04-14
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-04-14
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Limited Partnership Interest · Individual
Operational/Managerial Control · Organization
5% Or Greater Mortgage Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Nearby options
Evansville, IN
1-star overall rating with 1-star inspections with $74,236 in total fines with 19 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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Newburgh, IN
2-star overall rating with 1-star inspections with 15 recent health deficiencies
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