Greenfield, IN

Springhurst Health Campus

3-star overall rating with 2-star inspections with 10 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

628 N Meridian Rd, Greenfield, IN

(317) 462-7067

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 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

Certified beds

Average residents

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

Trilogy Health Services

Operator or chain grouping

Approved since

2008-01-16

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

125 facilities

Chain averages 4 overall / 3 health / 3 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

0.96

Registered nurse staffing · state 0.66 · national 0.68

LPN hours / resident day

0.74

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

2.22

Nurse aide staffing · state 2.27 · national 2.35

Total nurse hours

3.93

All reported nurse hours · state 3.71 · national 3.89

Licensed hours

1.70

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

3.34

Weekend nurse staffing · state 3.24 · national 3.43

Weekend RN hours

0.85

Weekend registered nurse coverage · state 0.45 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.79

CMS adjusted RN staffing hours

Adjusted total hours

3.22

CMS adjusted total nurse staffing hours

Case-mix index

1.67

Higher values indicate more complex resident acuity

RN turnover

21%

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

2,482

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

Performance score

49.51

Composite VBP score used to determine payment impact.

Payment multiplier

1.0035

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

9.21

Baseline 19.68% · Performance 17.16% · Measure score 9.21 · Achievement 9.21 · Improvement 8.99

Healthcare-associated infections

6.84

Baseline 6.22% · Performance 5.79% · Measure score 6.84 · Achievement 6.84 · Improvement 3.03

Total nurse turnover

2.17

Baseline 47.83% · Performance 54.80% · Measure score 2.17 · Achievement 2.17 · Improvement 0

Adjusted total nurse staffing

1.58

Baseline 2.42 hours · Performance 3.12 hours · Measure score 1.58 · Achievement 0 · Improvement 1.58

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.9%	10.72% 1.2 pts worse	No Different than the National Rate · Eligible stays 252 · Observed rate 11.51% · Lower 95% interval 9.24%
Discharge to community	66.67%	50.57% 16.1 pts better	Better than the National Rate · Eligible stays 247 · Observed rate 66.8% · Lower 95% interval 61.18%
Medicare spending per beneficiary	1.4	1.02 0.4 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 170 · Denominator 170
Falls with major injury	1.18%	0.77% 0.4 pts worse	Numerator 2 · Denominator 170
Discharge self-care score	70.16%	53.69% 16.5 pts better	Numerator 87 · Denominator 124
Discharge mobility score	66.94%	50.94% 16 pts better	Numerator 83 · Denominator 124
Pressure ulcers or injuries, new or worsened	2.35%	2.29% 0.1 pts worse	Numerator 4 · Denominator 170 · Adjusted rate 1.83%
Healthcare-associated infections requiring hospitalization	5.79%	7.12% 1.3 pts better	No Different than the National Rate · Eligible stays 168 · Observed rate 3.57% · Lower 95% interval 3.49%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 132
Staff flu vaccination coverage	55.23%	42% 13.2 pts better	Numerator 95 · Denominator 172
Discharge function score	75.81%	56.45% 19.4 pts better	Numerator 94 · Denominator 124
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 45 · Denominator 45
Transfer of health information to patient	99.05%	96.28% 2.8 pts better	Numerator 104 · Denominator 105
Resident COVID-19 vaccinations up to date	18.18%	25.2% 7 pts worse	Numerator 14 · Denominator 77

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.7	1.6 0.9 pts better	1.9 1.2 pts better	Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.8 · Expected 2.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.1	1.5 0.6 pts worse	1.8 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.2 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	91.6%	93.6% 2 pts worse	93.4% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 94.1% · Q2 91.2% · Q3 91.7% · Q4 89.7% · 4Q avg 91.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	85.4%	95.4% 10 pts worse	95.5% 10.1 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 85.4%
Percentage of long-stay residents experiencing one or more falls with major injury	2.1%	3.8% 1.7 pts better	3.3% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.9% · Q3 2.8% · Q4 0.0% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	8.0%	24.6% 16.6 pts better	11.4% 3.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 6.2% · Q3 13.9% · Q4 2.8% · 4Q avg 8.0%
Percentage of long-stay residents who lose too much weight	2.4%	5.6% 3.2 pts better	5.4% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 8.3% · 4Q avg 2.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	25.8%	23.5% 2.3 pts worse	19.6% 6.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 25.0% · Q3 31.2% · Q4 33.3% · 4Q avg 25.8%
Percentage of long-stay residents who received an antipsychotic medication	14.7%	14.8% 0.1 pts better	16.7% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 18.2% · Q3 14.3% · Q4 13.3% · 4Q avg 14.7% · 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	14.6%	13.3% 1.3 pts worse	16.3% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 14.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	6.2%	11.7% 5.5 pts better	14.9% 8.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 7.7% · Q3 3.6% · Q4 6.1% · 4Q avg 6.2% · 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	1.4%	1.2% 0.2 pts worse	1.7% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.0% · Q3 2.8% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	28.6%	24.2% 4.4 pts worse	19.8% 8.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.9% · Q2 30.5% · Q3 38.5% · Q4 25.1% · 4Q avg 28.6%
Percentage of long-stay residents with pressure ulcers	2.4%	4.1% 1.7 pts better	5.1% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 4.6% · Q3 1.2% · Q4 0.0% · 4Q avg 2.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	86.6%	81.6% 5 pts better	81.7% 4.9 pts better	Short Stay · 2024Q4-2025Q3 · Q1 77.9% · Q2 82.6% · Q3 91.2% · Q4 95.0% · 4Q avg 86.6%
Percentage of short-stay residents who had an outpatient emergency department visit	17.0%	10.5% 6.5 pts worse	12.0% 5 pts worse	Short Stay · 20240701-20250630 · Adjusted 17.0% · Observed 15.0% · Expected 9.8% · 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	79.3%	79.0% 0.3 pts better	79.7% 0.4 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 79.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	18.8%	22.4% 3.6 pts better	23.9% 5.1 pts better	Short Stay · 20240701-20250630 · Adjusted 18.8% · Observed 16.4% · Expected 20.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-17 · Fire 2025-06-17

10 health deficiencies

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

3 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2024-04-30 · Fire 2024-04-30

2 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2023-02-27 · Fire 2023-02-27

12 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-17

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-08-09

E · Potential for more than minimal harm 2025-06-17

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-08-09

C · Minimal harm 2025-06-17

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2025-08-09

E · Potential for more than minimal harm 2024-04-30

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 2024-06-13

E · Potential for more than minimal harm 2024-04-30

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 2024-06-13

E · Potential for more than minimal harm 2024-04-30

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-06-13

F · Potential for more than minimal harm 2023-02-27

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2023-03-27

E · Potential for more than minimal harm 2023-02-27

K232 · Egress Deficiencies

Fire Safety

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

Corrected 2023-03-27

E · Potential for more than minimal harm 2023-02-27

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-03-27

E · Potential for more than minimal harm 2023-02-27

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-03-27

E · Potential for more than minimal harm 2023-02-27

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-03-27

E · Potential for more than minimal harm 2023-02-27

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-03-27

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-06-17

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 2025-07-25

E · Potential for more than minimal harm 2025-06-17

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 2025-07-25

D · Potential for more than minimal harm 2025-06-17

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 2025-07-25

D · Potential for more than minimal harm 2025-06-17

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-07-25

D · Potential for more than minimal harm 2025-06-17

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 2025-07-25

D · Potential for more than minimal harm 2025-06-17

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-07-25

D · Potential for more than minimal harm 2025-06-17

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2025-07-25

D · Potential for more than minimal harm 2025-06-17

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-07-25

D · Potential for more than minimal harm 2025-06-17

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 2025-07-25

D · Potential for more than minimal harm 2025-06-17

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 2025-07-25

D · Potential for more than minimal harm 2024-04-30

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 2024-05-20

D · Potential for more than minimal harm 2024-04-30