Versailles, IN

Silver Memories Health Care

4-star overall rating with 3-star inspections with 7 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

6996 South Us421, Versailles, IN

(812) 689-6222

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

29

Certified beds

Average residents

29

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Ide Management Group

Operator or chain grouping

Approved since

2015-11-05

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

10 facilities

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

0.74

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

1.76

Nurse aide staffing · state 2.27 · national 2.35

Total nurse hours

3.04

All reported nurse hours · state 3.71 · national 3.89

Licensed hours

1.28

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

2.59

Weekend nurse staffing · state 3.24 · national 3.43

Weekend RN hours

0.75

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

0.69

CMS adjusted RN staffing hours

Adjusted total hours

2.82

CMS adjusted total nurse staffing hours

Case-mix index

1.47

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

36%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,726

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

Performance score

42.95

Composite VBP score used to determine payment impact.

Payment multiplier

0.9959

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

8.59

Baseline 37.50% · Performance 28.57% · Measure score 8.59 · Achievement 8.59 · Improvement 6.56

Adjusted total nurse staffing

0

Baseline 2.71 hours · Performance 2.35 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 3 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 2 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · No data were submitted for this measure.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 1 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	2.86%	8.2% 5.3 pts worse	Numerator 1 · Denominator 35
Staff flu vaccination coverage	32%	42% 10 pts worse	Numerator 16 · Denominator 50
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	96.4%	93.6% 2.8 pts better	93.4% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 96.4% · Q4 89.3% · 4Q avg 96.4%
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	1.8%	3.8% 2 pts better	3.3% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.6% · Q3 0.0% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	45.8%	24.6% 21.2 pts worse	11.4% 34.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 48.0% · Q2 48.1% · Q3 40.7% · Q4 46.4% · 4Q avg 45.8%
Percentage of long-stay residents who lose too much weight	3.6%	5.6% 2 pts better	5.4% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 0.0% · Q3 7.1% · Q4 3.6% · 4Q avg 3.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	42.0%	23.5% 18.5 pts worse	19.6% 22.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.7% · Q2 46.4% · Q3 46.4% · Q4 39.3% · 4Q avg 42.0%
Percentage of long-stay residents who received an antipsychotic medication	26.1%	14.8% 11.3 pts worse	16.7% 9.4 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 26.1% · 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	20.4%	13.3% 7.1 pts worse	16.3% 4.1 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 20.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	24.2%	11.7% 12.5 pts worse	14.9% 9.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.1% · Q2 27.3% · Q3 13.0% · Q4 30.4% · 4Q avg 24.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.1%	0.4% 0.7 pts worse	1.0% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.2% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.8%	1.2% 0.6 pts worse	1.7% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	19.0%	24.2% 5.2 pts better	19.8% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 40.0% · Q2 19.9% · Q3 8.2% · Q4 7.6% · 4Q avg 19.0%
Percentage of long-stay residents with pressure ulcers	0.0%	4.1% 4.1 pts better	5.1% 5.1 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

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-23 · Fire 2025-12-23

7 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

4 fire-safety deficiencies

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

Cycle 2 Health 2024-11-26 · Fire 2024-11-26

3 health deficiencies

Top issue: Environmental (1 deficiency)

8 fire-safety deficiencies

Top issue: Emergency Preparedness (4 deficiencies)

Cycle 3 Health 2023-09-15 · Fire 2023-09-15

4 health deficiencies

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

5 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-12-23

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-02-20

F · Potential for more than minimal harm 2025-12-23

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2026-02-20

F · Potential for more than minimal harm 2025-12-23

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2026-02-20

C · Minimal harm 2025-12-23

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2026-02-20

F · Potential for more than minimal harm 2024-11-26

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-12-31

E · Potential for more than minimal harm 2024-11-26

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-12-31

E · Potential for more than minimal harm 2024-11-26

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 2024-12-31

E · Potential for more than minimal harm 2024-11-26

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-12-31

C · Minimal harm 2024-11-26

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2024-12-31

C · Minimal harm 2024-11-26

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2024-12-31

C · Minimal harm 2024-11-26

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2024-12-31

C · Minimal harm 2024-11-26

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-12-31

E · Potential for more than minimal harm 2023-09-15

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2023-10-24

E · Potential for more than minimal harm 2023-09-15

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2023-10-24

E · Potential for more than minimal harm 2023-09-15

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-10-24

D · Potential for more than minimal harm 2023-09-15

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-10-24

C · Minimal harm 2023-09-15

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-10-24

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-12-23

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 2026-01-31

D · Potential for more than minimal harm 2025-12-23

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 2026-01-31

D · Potential for more than minimal harm 2025-12-23

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2026-01-31

D · Potential for more than minimal harm 2025-12-23

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 2026-01-31

D · Potential for more than minimal harm 2025-12-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-01-31

D · Potential for more than minimal harm 2025-12-23

F912 · Environmental Deficiencies

Health

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Not marked corrected

D · Potential for more than minimal harm 2025-09-18

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 2025-08-19

F · Potential for more than minimal harm 2024-11-26

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 2024-12-20

D · Potential for more than minimal harm 2024-11-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-20

D · Potential for more than minimal harm 2024-11-26

F912 · Environmental Deficiencies

Health

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2024-12-13

E · Potential for more than minimal harm 2023-09-15

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2023-10-05

D · Potential for more than minimal harm 2023-09-15

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 2023-10-05

D · Potential for more than minimal harm 2023-09-15

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2023-10-05

D · Potential for more than minimal harm 2023-09-15

F912 · Environmental Deficiencies

Health

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2023-10-05

Penalties and ownership

What sits behind the stars

Ownership

Adams County Memorial Hospital

5% Or Greater Direct Ownership Interest · Organization

100% 52 facilities 2015-10-01

Adams County Memorial Hospital

Operational/Managerial Control · Organization

0% 52 facilities 2015-10-01

Borne-Bauman, Candice