Merrillville, IN

Spring Mill Health Campus

1-star overall rating with 2-star inspections with 12 recent health deficiencies

101 W 87th Ave, Merrillville, IN

(219) 756-0744

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

Casa Consulting

Operator or chain grouping

Approved since

2007-05-07

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

7 facilities

Chain averages 1 overall / 1 health / 1 staffing / 3 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

0.00

Registered nurse staffing

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

0.00

Nurse aide staffing

Total nurse hours

0.00

All reported nurse hours

Licensed hours

0.00

RN + LPN hours

Weekend hours

0.00

Weekend nurse staffing

Weekend RN hours

0.00

Weekend registered nurse coverage

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.00

CMS adjusted RN staffing hours

Adjusted total hours

0.00

CMS adjusted total nurse staffing hours

Case-mix index

0.00

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

11,991

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

Performance score

14.40

Composite VBP score used to determine payment impact.

Payment multiplier

0.9813

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 21.65% · Performance 25.37% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

2.85

Baseline 11.55% · Performance 9.35% · Measure score 2.85 · Achievement 0 · Improvement 2.85

Total nurse turnover

Baseline 63.08% · Performance 69.07% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

2.91

Baseline 3.82 hours · Performance 3.91 hours · Measure score 2.91 · Achievement 2.91 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	18.96%	10.72% 8.2 pts worse	Worse than the National Rate · Eligible stays 227 · Observed rate 30.4% · Lower 95% interval 15.15%
Discharge to community	42.38%	50.57% 8.2 pts worse	Worse than the National Rate · Eligible stays 199 · Observed rate 32.66% · Lower 95% interval 36.71%
Medicare spending per beneficiary	1.4	1.02 0.4 pts worse
Drug regimen review with follow-up	99.24%	95.27% 4 pts better	Numerator 130 · Denominator 131
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 131
Discharge self-care score	57.14%	53.69% 3.5 pts better	Numerator 32 · Denominator 56
Discharge mobility score	44.64%	50.94% 6.3 pts worse	Numerator 25 · Denominator 56
Pressure ulcers or injuries, new or worsened	2.29%	2.29% About the same	Numerator 3 · Denominator 131 · Adjusted rate 1.41%
Healthcare-associated infections requiring hospitalization	9.35%	7.12% 2.2 pts worse	No Different than the National Rate · Eligible stays 107 · Observed rate 13.08% · Lower 95% interval 5.73%
Staff COVID-19 vaccination coverage	80.67%	8.2% 72.5 pts better	Numerator 96 · Denominator 119
Staff flu vaccination coverage	2.97%	42% 39 pts worse	Numerator 3 · Denominator 101
Discharge function score	55.36%	56.45% 1.1 pts worse	Numerator 31 · Denominator 56
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 62 · Denominator 62
Transfer of health information to patient	97.73%	96.28% 1.5 pts better	Numerator 43 · Denominator 44
Resident COVID-19 vaccinations up to date	3.66%	25.2% 21.5 pts worse	Numerator 3 · Denominator 82

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.1	1.6 0.5 pts worse	1.9 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 3.2 · Expected 2.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.0	1.5 0.5 pts better	1.8 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.3 · Expected 2.1 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	22.7%	93.6% 70.9 pts worse	93.4% 70.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 43.6% · Q2 18.8% · Q3 12.9% · Q4 10.0% · 4Q avg 22.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	76.2%	95.4% 19.2 pts worse	95.5% 19.3 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 76.2%
Percentage of long-stay residents experiencing one or more falls with major injury	0.8%	3.8% 3 pts better	3.3% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.3% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	5.6%	24.6% 19 pts better	11.4% 5.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 6.7% · Q3 0.0% · Q4 10.3% · 4Q avg 5.6%
Percentage of long-stay residents who lose too much weight	2.6%	5.6% 3 pts better	5.4% 2.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 2.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	16.5%	23.5% 7 pts better	19.6% 3.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.2% · Q2 12.5% · Q3 16.7% · Q4 21.4% · 4Q avg 16.5%
Percentage of long-stay residents who received an antipsychotic medication	28.0%	14.8% 13.2 pts worse	16.7% 11.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q3 35.0% · Q4 35.0% · 4Q avg 28.0% · 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	29.8%	13.3% 16.5 pts worse	16.3% 13.5 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 29.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	21.4%	11.7% 9.7 pts worse	14.9% 6.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.0% · Q2 33.3% · Q3 3.4% · Q4 19.2% · 4Q avg 21.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	3.4%	0.4% 3 pts worse	1.0% 2.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 6.0% · Q3 0.0% · Q4 0.0% · 4Q avg 3.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.8%	1.2% 0.4 pts better	1.7% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	29.0%	24.2% 4.8 pts worse	19.8% 9.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.5% · Q2 45.4% · Q3 23.3% · Q4 25.2% · 4Q avg 29.0%
Percentage of long-stay residents with pressure ulcers	9.9%	4.1% 5.8 pts worse	5.1% 4.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.1% · Q2 8.3% · Q3 10.9% · Q4 6.7% · 4Q avg 9.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	12.4%	81.6% 69.2 pts worse	81.7% 69.3 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 20.7% · Q2 15.2% · Q3 12.1% · Q4 2.8% · 4Q avg 12.4%
Percentage of short-stay residents who had an outpatient emergency department visit	11.7%	10.5% 1.2 pts worse	12.0% 0.3 pts better	Short Stay · 20240701-20250630 · Adjusted 11.7% · Observed 11.9% · Expected 11.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.6%	1.3% 0.3 pts worse	1.6% About the same	Short Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.4% · Q3 0.0% · Q4 1.3% · 4Q avg 1.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	27.7%	79.0% 51.3 pts worse	79.7% 52 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 27.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	29.7%	22.4% 7.3 pts worse	23.9% 5.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 29.7% · Observed 33.1% · Expected 26.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-09-10 · Fire 2024-09-10

12 health deficiencies

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

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-08-11 · Fire 2023-08-11

13 health deficiencies

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

6 fire-safety deficiencies

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

Cycle 3 Health 2022-06-27 · Fire 2022-06-27

23 health deficiencies

Top issue: Quality of Life and Care (12 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2023-08-11

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-10-23

F · Potential for more than minimal harm 2023-08-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-10-23

E · Potential for more than minimal harm 2023-08-11

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2023-10-23

E · Potential for more than minimal harm 2023-08-11

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2023-10-23

E · Potential for more than minimal harm 2023-08-11

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-10-23

C · Minimal harm 2023-08-11

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Not marked corrected

E · Potential for more than minimal harm 2022-06-27

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 2022-08-03

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-07-01

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-07-15

D · Potential for more than minimal harm 2025-02-18

F620 · Resident Rights Deficiencies

Health

Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

Corrected 2025-03-03

D · Potential for more than minimal harm 2025-02-18

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-03-03

D · Potential for more than minimal harm 2024-09-10

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2024-10-01

D · Potential for more than minimal harm 2024-09-10

F578 · Resident Rights Deficiencies

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 2024-10-01

D · Potential for more than minimal harm 2024-09-10

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-10-01

D · Potential for more than minimal harm 2024-09-10

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-10-01

D · Potential for more than minimal harm 2024-09-10

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-01

D · Potential for more than minimal harm 2024-09-10

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-01

D · Potential for more than minimal harm 2024-09-10

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 2024-10-01

D · Potential for more than minimal harm 2024-09-10

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2024-10-01

D · Potential for more than minimal harm 2024-09-10

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 2024-10-01

D · Potential for more than minimal harm 2024-09-10

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 2024-10-01

D · Potential for more than minimal harm 2024-09-10

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 2024-10-01

E · Potential for more than minimal harm 2024-02-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-03-12

D · Potential for more than minimal harm 2024-02-20

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-12

D · Potential for more than minimal harm 2024-02-20

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-12

D · Potential for more than minimal harm 2024-02-20

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 2024-03-12

D · Potential for more than minimal harm 2024-02-20

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-03-12

D · Potential for more than minimal harm 2024-02-20

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 2024-03-12

D · Potential for more than minimal harm 2023-09-19