Lafayette, IN

Saint Anthony Rehab And Nursing Center

4-star overall rating with 4-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

1205 N 14th St, Lafayette, IN

(765) 423-4861

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

80

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Major Hospital

Operator or chain grouping

Approved since

1996-10-24

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

6 facilities

Chain averages 3 overall / 3 health / 2 staffing / 4 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

0.81

Registered nurse staffing · state 0.66 · national 0.68

LPN hours / resident day

1.06

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

2.09

Nurse aide staffing · state 2.27 · national 2.35

Total nurse hours

3.95

All reported nurse hours · state 3.71 · national 3.89

Licensed hours

1.87

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

3.27

Weekend nurse staffing · state 3.24 · national 3.43

Weekend RN hours

0.54

Weekend registered nurse coverage · state 0.45 · national 0.47

Physical therapist

0.18

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.78

CMS adjusted RN staffing hours

Adjusted total hours

3.81

CMS adjusted total nurse staffing hours

Case-mix index

1.42

Higher values indicate more complex resident acuity

RN turnover

24%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

43%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,460

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

Performance score

49.68

Composite VBP score used to determine payment impact.

Payment multiplier

1.0037

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.39

Baseline 19.75% · Performance 18.93% · Measure score 5.39 · Achievement 5.39 · Improvement 2.50

Healthcare-associated infections

7.49

Baseline 7.24% · Performance 5.60% · Measure score 7.49 · Achievement 7.49 · Improvement 6.82

Total nurse turnover

Not reported

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

Adjusted total nurse staffing

2.03

Baseline 3.37 hours · Performance 3.65 hours · Measure score 2.03 · Achievement 2.03 · Improvement 0.69

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.21%	10.72% 0.5 pts worse	No Different than the National Rate · Eligible stays 233 · Observed rate 11.59% · Lower 95% interval 8.27%
Discharge to community	60.65%	50.57% 10.1 pts better	Better than the National Rate · Eligible stays 203 · Observed rate 58.62% · Lower 95% interval 55.14%
Medicare spending per beneficiary	0.84	1.02 0.2 pts better
Drug regimen review with follow-up	98.96%	95.27% 3.7 pts better	Numerator 95 · Denominator 96
Falls with major injury	2.08%	0.77% 1.3 pts worse	Numerator 2 · Denominator 96
Discharge self-care score	53.85%	53.69% 0.2 pts better	Numerator 42 · Denominator 78
Discharge mobility score	50%	50.94% 0.9 pts worse	Numerator 39 · Denominator 78
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 96 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	5.6%	7.12% 1.5 pts better	No Different than the National Rate · Eligible stays 116 · Observed rate 2.59% · Lower 95% interval 3.15%
Staff COVID-19 vaccination coverage	2.63%	8.2% 5.6 pts worse	Numerator 4 · Denominator 152
Staff flu vaccination coverage	31.96%	42% 10 pts worse	Numerator 70 · Denominator 219
Discharge function score	61.54%	56.45% 5.1 pts better	Numerator 48 · Denominator 78
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 51 · Denominator 51
Resident COVID-19 vaccinations up to date	40%	25.2% 14.8 pts better	Numerator 18 · Denominator 45

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.2	1.6 0.4 pts better	1.9 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.0 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.0	1.5 0.5 pts worse	1.8 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.6 · 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	6.1%	3.8% 2.3 pts worse	3.3% 2.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 3.0% · Q3 9.4% · Q4 7.8% · 4Q avg 6.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	24.6% 24.6 pts better	11.4% 11.4 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 who lose too much weight	4.8%	5.6% 0.8 pts better	5.4% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 6.7% · Q3 3.6% · Q4 3.8% · 4Q avg 4.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	19.3%	23.5% 4.2 pts better	19.6% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 21.3% · Q3 20.7% · Q4 14.8% · 4Q avg 19.3%
Percentage of long-stay residents who received an antipsychotic medication	14.2%	14.8% 0.6 pts better	16.7% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 17.3% · Q3 14.8% · Q4 10.9% · 4Q avg 14.2% · 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	24.8%	13.3% 11.5 pts worse	16.3% 8.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 26.3% · Q3 27.0% · Q4 29.5% · 4Q avg 24.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	18.4%	11.7% 6.7 pts worse	14.9% 3.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 22.8% · Q3 21.8% · Q4 11.3% · 4Q avg 18.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	2.2%	0.4% 1.8 pts worse	1.0% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.7% · Q3 3.6% · Q4 1.7% · 4Q avg 2.2% · 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 0.0% · Q2 0.0% · Q3 8.1% · Q4 8.1% · 4Q avg 3.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	29.5%	24.2% 5.3 pts worse	19.8% 9.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.1% · Q2 26.4% · Q3 41.7% · Q4 26.2% · 4Q avg 29.5%
Percentage of long-stay residents with pressure ulcers	0.6%	4.1% 3.5 pts better	5.1% 4.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 1.1% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.7%	81.6% 18.1 pts better	81.7% 18 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.8% · Q3 100.0% · Q4 100.0% · 4Q avg 99.7%
Percentage of short-stay residents who had an outpatient emergency department visit	9.0%	10.5% 1.5 pts better	12.0% 3 pts better	Short Stay · 20240701-20250630 · Adjusted 9.0% · Observed 8.0% · Expected 9.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.0%	1.3% 0.3 pts better	1.6% 0.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.4% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	100.0%	79.0% 21 pts better	79.7% 20.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	17.3%	22.4% 5.1 pts better	23.9% 6.6 pts better	Short Stay · 20240701-20250630 · Adjusted 17.3% · Observed 16.0% · Expected 22.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-16 · Fire 2025-09-16

2 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-08-19 · Fire 2024-08-19

7 health deficiencies

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

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2023-06-20 · Fire 2023-06-20

0 health deficiencies

No concentrated health issue counts in this cycle.

1 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-09-16

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-12-09

E · Potential for more than minimal harm 2025-09-16

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 2025-12-09

E · Potential for more than minimal harm 2025-09-16

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-12-09

F · Potential for more than minimal harm 2024-08-19

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-09-20

E · Potential for more than minimal harm 2024-08-19

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-11-08

E · Potential for more than minimal harm 2024-08-19

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-10-03

D · Potential for more than minimal harm 2024-08-19

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-10-03

F · Potential for more than minimal harm 2023-06-20

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-08-15

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-29

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Not marked corrected

D · Potential for more than minimal harm 2025-09-16

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-10-13

D · Potential for more than minimal harm 2024-09-25

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 2024-09-06

D · Potential for more than minimal harm 2024-09-25

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 2024-09-20

E · Potential for more than minimal harm 2024-08-19

F919 · Environmental Deficiencies

Health

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

Corrected 2024-09-13

D · Potential for more than minimal harm 2024-08-19

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-09-13

D · Potential for more than minimal harm 2024-08-19

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 2024-09-13

D · Potential for more than minimal harm 2024-08-19

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-09-13

D · Potential for more than minimal harm 2024-08-19

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2024-09-13

Penalties and ownership