Noblesville, IN

Riverwalk Village

4-star overall rating with 4-star inspections with 3 recent health deficiencies with 17 fire-safety deficiencies in the latest cycle

295 Westfield Rd, Noblesville, IN

(317) 773-3760

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

169

Certified beds

Average residents

120

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

American Senior Communities

Operator or chain grouping

Approved since

1969-12-17

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

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

0.34

Registered nurse staffing · state 0.66 · national 0.68

LPN hours / resident day

0.81

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

2.02

Nurse aide staffing · state 2.27 · national 2.35

Total nurse hours

3.16

All reported nurse hours · state 3.71 · national 3.89

Licensed hours

1.15

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

2.86

Weekend nurse staffing · state 3.24 · national 3.43

Weekend RN hours

0.15

Weekend registered nurse coverage · state 0.45 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.33

CMS adjusted RN staffing hours

Adjusted total hours

3.09

CMS adjusted total nurse staffing hours

Case-mix index

1.40

Higher values indicate more complex resident acuity

RN turnover

82%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

55%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,799

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

Performance score

10.38

Composite VBP score used to determine payment impact.

Payment multiplier

0.9809

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

1.01

Baseline 47.52% · Performance 59.56% · Measure score 1.01 · Achievement 1.01 · Improvement 0

Adjusted total nurse staffing

1.07

Baseline 2.95 hours · Performance 3.38 hours · Measure score 1.07 · Achievement 1.07 · Improvement 1.02

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.7%	10.72% 1 pts better	No Different than the National Rate · Eligible stays 46 · Observed rate 6.52% · Lower 95% interval 6.09%
Discharge to community	43.88%	50.57% 6.7 pts worse	No Different than the National Rate · Eligible stays 40 · Observed rate 35% · Lower 95% interval 30.9%
Medicare spending per beneficiary	1.36	1.02 0.3 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 32 · Denominator 32
Falls with major injury	3.13%	0.77% 2.4 pts worse	Numerator 1 · Denominator 32
Discharge self-care score	37.5%	53.69% 16.2 pts worse	Numerator 9 · Denominator 24
Discharge mobility score	25%	50.94% 25.9 pts worse	Numerator 6 · Denominator 24
Pressure ulcers or injuries, new or worsened	3.13%	2.29% 0.8 pts worse	Numerator 1 · Denominator 32 · Adjusted rate 2.19%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	9.56%	8.2% 1.4 pts better	Numerator 13 · Denominator 136
Staff flu vaccination coverage	26.81%	42% 15.2 pts worse	Numerator 37 · Denominator 138
Discharge function score	37.5%	56.45% 19 pts worse	Numerator 9 · Denominator 24
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 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 16 · 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	0.8	1.6 0.8 pts better	1.9 1.1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.7 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.5	1.5 About the same	1.8 0.3 pts better	Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.3 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.1%	93.6% 4.5 pts better	93.4% 4.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.1% · Q3 98.3% · Q4 94.9% · 4Q avg 98.1%
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	1.7%	3.8% 2.1 pts better	3.3% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 3.4% · Q3 1.7% · Q4 0.9% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	17.2%	24.6% 7.4 pts better	11.4% 5.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 13.9% · Q3 18.9% · Q4 27.8% · 4Q avg 17.2%
Percentage of long-stay residents who lose too much weight	7.8%	5.6% 2.2 pts worse	5.4% 2.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 7.1% · Q3 9.3% · Q4 7.3% · 4Q avg 7.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	22.0%	23.5% 1.5 pts better	19.6% 2.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.6% · Q2 23.0% · Q3 20.2% · Q4 24.2% · 4Q avg 22.0%
Percentage of long-stay residents who received an antipsychotic medication	10.0%	14.8% 4.8 pts better	16.7% 6.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 9.2% · Q3 10.4% · Q4 10.4% · 4Q avg 10.0% · 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	9.7%	13.3% 3.6 pts better	16.3% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 10.3% · Q3 8.9% · Q4 11.2% · 4Q avg 9.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	6.5%	11.7% 5.2 pts better	14.9% 8.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 10.8% · Q3 4.3% · Q4 3.2% · 4Q avg 6.5% · 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	0.7%	1.2% 0.5 pts better	1.7% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.9% · Q3 0.9% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	26.5%	24.2% 2.3 pts worse	19.8% 6.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.1% · Q2 29.0% · Q3 21.7% · Q4 34.1% · 4Q avg 26.5%
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 1.9% · Q2 2.3% · Q3 3.8% · Q4 2.1% · 4Q avg 2.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	91.0%	81.6% 9.4 pts better	81.7% 9.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 82.7% · Q2 98.7% · Q3 95.9% · Q4 86.9% · 4Q avg 91.0%
Percentage of short-stay residents who had an outpatient emergency department visit	14.0%	10.5% 3.5 pts worse	12.0% 2 pts worse	Short Stay · 20240701-20250630 · Adjusted 14.0% · Observed 14.3% · Expected 11.4% · 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	96.1%	79.0% 17.1 pts better	79.7% 16.4 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 96.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	15.8%	22.4% 6.6 pts better	23.9% 8.1 pts better	Short Stay · 20240701-20250630 · Adjusted 15.8% · Observed 14.3% · Expected 21.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2026-01-20 · Fire 2026-01-20

3 health deficiencies

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

17 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2024-10-30 · Fire 2024-10-30

8 health deficiencies

Top issue: Pharmacy Service (4 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-10-10 · Fire 2023-10-10

12 health deficiencies

Top issue: Resident Rights (5 deficiencies)

11 fire-safety deficiencies

Top issue: Egress (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2026-01-20

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Not marked corrected

F · Potential for more than minimal harm 2026-01-20

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Not marked corrected

E · Potential for more than minimal harm 2026-01-20

K211 · Egress Deficiencies

Fire Safety

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

Not marked corrected

E · Potential for more than minimal harm 2026-01-20

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.

Not marked corrected

E · Potential for more than minimal harm 2026-01-20

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Not marked corrected

E · Potential for more than minimal harm 2026-01-20

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Not marked corrected

E · Potential for more than minimal harm 2026-01-20

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.

Not marked corrected

E · Potential for more than minimal harm 2026-01-20

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Not marked corrected

E · Potential for more than minimal harm 2026-01-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Not marked corrected

E · Potential for more than minimal harm 2026-01-20

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Not marked corrected

E · Potential for more than minimal harm 2026-01-20

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Not marked corrected

E · Potential for more than minimal harm 2026-01-20

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Not marked corrected

E · Potential for more than minimal harm 2026-01-20

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Not marked corrected

C · Minimal harm 2026-01-20

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Not marked corrected

C · Minimal harm 2026-01-20

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Not marked corrected

C · Minimal harm 2026-01-20

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Not marked corrected

C · Minimal harm 2026-01-20

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Not marked corrected

E · Potential for more than minimal harm 2024-10-30

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 2025-01-08

E · Potential for more than minimal harm 2024-10-30

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 2025-01-08

E · Potential for more than minimal harm 2024-10-30

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-01-08

E · Potential for more than minimal harm 2024-10-30

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-01-08

F · Potential for more than minimal harm 2023-10-10

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2023-11-16

F · Potential for more than minimal harm 2023-10-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-11-16

E · Potential for more than minimal harm 2023-10-10

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2023-11-16

E · Potential for more than minimal harm 2023-10-10

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 2023-11-16

E · Potential for more than minimal harm 2023-10-10

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2023-11-16

E · Potential for more than minimal harm 2023-10-10

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-11-16

E · Potential for more than minimal harm 2023-10-10

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-11-16

E · Potential for more than minimal harm 2023-10-10

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-11-16

E · Potential for more than minimal harm 2023-10-10

K754 · Miscellaneous Deficiencies

Fire Safety

Provide properly sized and located linen or trash receptacles.

Corrected 2023-11-16

E · Potential for more than minimal harm 2023-10-10

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2023-11-16

E · Potential for more than minimal harm 2023-10-10

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-11-16

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-20

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 2026-02-16

D · Potential for more than minimal harm 2026-01-20

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 2026-02-16

D · Potential for more than minimal harm 2025-11-19

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-12-19

D · Potential for more than minimal harm 2024-11-27

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 2024-12-17

E · Potential for more than minimal harm 2024-10-30

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 2024-11-19

E · Potential for more than minimal harm 2024-10-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-19

D · Potential for more than minimal harm 2024-10-30

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 2024-11-19

D · Potential for more than minimal harm 2024-04-04

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-04-19

D · Potential for more than minimal harm 2024-04-04

F761 · Pharmacy Service Deficiencies

Health

Corrected 2024-04-19

D · Potential for more than minimal harm 2024-03-08

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-03-22

D · Potential for more than minimal harm 2024-03-08

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-03-22

D · Potential for more than minimal harm 2024-02-05

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-02-05

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-01-03

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 2024-01-22

D · Potential for more than minimal harm 2024-01-03

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-22

E · Potential for more than minimal harm 2023-10-10

F565 · Resident Rights Deficiencies

Health

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

Corrected 2023-10-27

E · Potential for more than minimal harm 2023-10-10

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2023-10-27

D · Potential for more than minimal harm 2023-10-10

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 2023-10-27

D · Potential for more than minimal harm 2023-10-10

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-10-27

D · Potential for more than minimal harm 2023-10-10

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 2023-10-27

D · Potential for more than minimal harm 2023-10-10

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-10-27

D · Potential for more than minimal harm 2023-10-10

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2023-10-27

D · Potential for more than minimal harm 2023-08-03

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2023-08-28

Penalties and ownership