Lebanon, IN

Signature Healthcare At Parkwood

4-star overall rating with 3-star inspections with $8,018 in total fines with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

1001 N Grant St, Lebanon, IN

(765) 482-6400

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

106

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Signature Healthcare

Operator or chain grouping

Approved since

1991-06-13

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

71 facilities

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

0.41

Registered nurse staffing · state 0.66 · national 0.68

LPN hours / resident day

0.53

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

2.42

Nurse aide staffing · state 2.27 · national 2.35

Total nurse hours

3.36

All reported nurse hours · state 3.71 · national 3.89

Licensed hours

0.94

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

2.94

Weekend nurse staffing · state 3.24 · national 3.43

Weekend RN hours

0.31

Weekend registered nurse coverage · state 0.45 · national 0.47

Physical therapist

0.13

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.45

CMS adjusted RN staffing hours

Adjusted total hours

3.75

CMS adjusted total nurse staffing hours

Case-mix index

1.23

Higher values indicate more complex resident acuity

RN turnover

17%

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

11,040

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

Performance score

18.22

Composite VBP score used to determine payment impact.

Payment multiplier

0.9819

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

3.90

Baseline 7.31% · Performance 6.67% · Measure score 3.90 · Achievement 3.90 · Improvement 2.26

Total nurse turnover

0.9

Baseline 58.51% · Performance 60.00% · Measure score 0.9 · Achievement 0.9 · Improvement 0

Adjusted total nurse staffing

0.67

Baseline 3.49 hours · Performance 3.27 hours · Measure score 0.67 · Achievement 0.67 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.68%	10.72% 1 pts better	No Different than the National Rate · Eligible stays 46 · Observed rate 4.35% · Lower 95% interval 5.94%
Discharge to community	51.39%	50.57% 0.8 pts better	No Different than the National Rate · Eligible stays 43 · Observed rate 41.86% · Lower 95% interval 38.77%
Medicare spending per beneficiary	0.88	1.02 0.1 pts better
Drug regimen review with follow-up	80.95%	95.27% 14.3 pts worse	Numerator 17 · Denominator 21
Falls with major injury	4.76%	0.77% 4 pts worse	Numerator 1 · Denominator 21
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 21 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.67%	7.12% 0.5 pts better	No Different than the National Rate · Eligible stays 27 · Observed rate 3.7% · Lower 95% interval 3.78%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 81
Staff flu vaccination coverage	16.94%	42% 25.1 pts worse	Numerator 21 · Denominator 124
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 11 · 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	1.9	1.6 0.3 pts worse	1.9 About the same	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.9 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.9	1.5 0.6 pts better	1.8 0.9 pts better	Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 1.0 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	65.5%	93.6% 28.1 pts worse	93.4% 27.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 71.6% · Q2 52.4% · Q3 69.0% · Q4 68.6% · 4Q avg 65.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	96.7%	95.4% 1.3 pts better	95.5% 1.2 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 96.7%
Percentage of long-stay residents experiencing one or more falls with major injury	3.0%	3.8% 0.8 pts better	3.3% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 2.4% · Q3 1.2% · Q4 3.5% · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	26.8%	24.6% 2.2 pts worse	11.4% 15.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.7% · Q2 24.7% · Q3 32.5% · Q4 24.7% · 4Q avg 26.8%
Percentage of long-stay residents who lose too much weight	3.5%	5.6% 2.1 pts better	5.4% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 5.1% · Q3 4.9% · Q4 0.0% · 4Q avg 3.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	29.2%	23.5% 5.7 pts worse	19.6% 9.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.1% · Q2 27.8% · Q3 30.9% · Q4 28.8% · 4Q avg 29.2%
Percentage of long-stay residents who received an antipsychotic medication	14.5%	14.8% 0.3 pts better	16.7% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 11.5% · Q3 15.3% · Q4 16.4% · 4Q avg 14.5% · 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	6.6%	13.3% 6.7 pts better	16.3% 9.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 20.1% · Q2 2.9% · Q3 2.3% · Q4 4.3% · 4Q avg 6.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	9.3%	11.7% 2.4 pts better	14.9% 5.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 26.5% · Q2 2.8% · Q3 4.0% · Q4 5.3% · 4Q avg 9.3% · 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	0.6%	1.2% 0.6 pts better	1.7% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.2% · Q3 0.0% · Q4 1.2% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	17.0%	24.2% 7.2 pts better	19.8% 2.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 20.3% · Q2 13.1% · Q3 17.7% · Q4 17.1% · 4Q avg 17.0%
Percentage of long-stay residents with pressure ulcers	1.4%	4.1% 2.7 pts better	5.1% 3.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 0.0% · Q3 0.0% · Q4 3.2% · 4Q avg 1.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	57.5%	81.6% 24.1 pts worse	81.7% 24.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 68.9% · Q2 68.6% · Q3 51.4% · Q4 25.9% · 4Q avg 57.5%
Percentage of short-stay residents who had an outpatient emergency department visit	6.8%	10.5% 3.7 pts better	12.0% 5.2 pts better	Short Stay · 20240701-20250630 · Adjusted 6.8% · Observed 8.3% · Expected 13.7% · 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% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	82.0%	79.0% 3 pts better	79.7% 2.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 82.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	23.3%	22.4% 0.9 pts worse	23.9% 0.6 pts better	Short Stay · 20240701-20250630 · Adjusted 23.3% · Observed 22.2% · Expected 22.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-17 · Fire 2025-02-17

5 health deficiencies

Top issue: Infection Control (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-02-06 · Fire 2024-02-06

13 health deficiencies

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

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2022-11-10 · Fire 2022-11-10

14 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-02-17

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-03-10

E · Potential for more than minimal harm 2025-02-17

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-03-10

C · Minimal harm 2025-02-17

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-03-10

E · Potential for more than minimal harm 2024-02-06

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-04-25

E · Potential for more than minimal harm 2022-11-10

K226 · Egress Deficiencies

Fire Safety

Have horizontal exits used in accordance with safety requirements.

Corrected 2023-01-03

E · Potential for more than minimal harm 2022-11-10

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2023-01-06

E · Potential for more than minimal harm 2022-11-10

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-01-03

E · Potential for more than minimal harm 2022-11-10

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Corrected 2023-01-03

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-02-17

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-03-03

D · Potential for more than minimal harm 2025-02-17

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-03-03

D · Potential for more than minimal harm 2025-02-17

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-03-03

D · Potential for more than minimal harm 2025-02-17

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-03-03

D · Potential for more than minimal harm 2025-02-17

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2025-03-03

D · Potential for more than minimal harm 2024-08-13

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2024-09-06

D · Potential for more than minimal harm 2024-03-22

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 2024-03-23

D · Potential for more than minimal harm 2024-03-22

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2024-03-23

G · Actual harm 2024-02-06

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 2024-02-26

E · Potential for more than minimal harm 2024-02-06

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 2024-02-26

E · Potential for more than minimal harm 2024-02-06

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 2024-02-26

D · Potential for more than minimal harm 2024-02-06

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-02-26

D · Potential for more than minimal harm 2024-02-06

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-02-26

D · Potential for more than minimal harm 2024-02-06

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 2024-02-26

D · Potential for more than minimal harm 2024-02-06

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-02-26

D · Potential for more than minimal harm 2024-02-06

F742 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Corrected 2024-02-26

D · Potential for more than minimal harm 2024-02-06

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 2024-02-26

D · Potential for more than minimal harm 2024-02-06

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 2024-02-26

D · Potential for more than minimal harm 2024-02-06

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-02-26

D · Potential for more than minimal harm 2023-11-20

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-12-13

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

F761 · Pharmacy Service Deficiencies

Health

Corrected 2023-07-08

D · Potential for more than minimal harm 2023-05-23

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 2023-03-21

D · Potential for more than minimal harm 2023-05-23

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-07-08

K · Immediate jeopardy 2022-11-10

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 2022-12-07

H · Actual harm 2022-11-10

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2022-12-07

G · Actual harm 2022-11-10

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-12-07

G · Actual harm 2022-11-10

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 2022-12-07

E · Potential for more than minimal harm 2022-11-10

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 2022-12-07

D · Potential for more than minimal harm 2022-11-10

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-12-07

D · Potential for more than minimal harm 2022-11-10

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-12-07

D · Potential for more than minimal harm 2022-11-10

F712 · Nursing and Physician Services Deficiencies

Health

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Corrected 2022-12-07

D · Potential for more than minimal harm 2022-11-10

F758 · Pharmacy Service Deficiencies

Health

Corrected 2022-12-07

Penalties and ownership

What sits behind the stars

$8,018 2024-02-06

Fine

Fine · fine $8,018

Fine

$0 2024-02-06

Payment Denial

Payment Denial · denial start 2024-03-07 · 16 days

16 day denial

Ownership

Jackson County Schneck Memorial Hospital

5% Or Greater Direct Ownership Interest · Organization

100% 14 facilities 2013-05-01

Andres, Anthony