Cycle 1
Health 2025-07-28 · Fire 2025-07-28
0 health deficiencies
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Mooresville, IN
Springs Of Mooresville, The
5-star overall rating with 5-star inspections with 2 fire-safety deficiencies in the latest cycle
302 North Johnson Road, Mooresville, IN
(317) 831-9033
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
70
Certified beds
Average residents
44
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
Trilogy Health Services
Operator or chain grouping
Approved since
2016-02-12
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
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
1.05
Registered nurse staffing · state 0.66 · national 0.68
LPN hours / resident day
0.89
Licensed practical nurse staffing · state 0.77 · national 0.87
Aide hours / resident day
2.50
Nurse aide staffing · state 2.27 · national 2.35
Total nurse hours
4.45
All reported nurse hours · state 3.71 · national 3.89
Licensed hours
1.94
RN + LPN hours · state 1.44 · national 1.54
Weekend hours
3.80
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
0.09
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.81
CMS adjusted RN staffing hours
Adjusted total hours
3.42
CMS adjusted total nurse staffing hours
Case-mix index
1.78
Higher values indicate more complex resident acuity
RN turnover
22%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
41%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
754
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
64.21
Composite VBP score used to determine payment impact.
Payment multiplier
1.0188
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
8.86
Baseline 20.89% · Performance 17.33% · Measure score 8.86 · Achievement 8.86 · Improvement 8.73
Healthcare-associated infections
10
Baseline 6.90% · Performance 4.97% · Measure score 10 · Achievement 10 · Improvement 9
Total nurse turnover
6.07
Baseline 53.06% · Performance 38.89% · Measure score 6.07 · Achievement 6.07 · Improvement 4.52
Adjusted total nurse staffing
0.76
Baseline 2.74 hours · Performance 3.12 hours · Measure score 0.76 · Achievement 0 · Improvement 0.76
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.52% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 272 · Observed rate 10.29% · Lower 95% interval 7.91% |
| Discharge to community | 69.16% |
50.57%
18.6 pts better
|
Better than the National Rate · Eligible stays 251 · Observed rate 65.34% · Lower 95% interval 62.94% |
| Medicare spending per beneficiary | 0.98 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 178 · Denominator 178 |
| Falls with major injury | 0.56% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 178 |
| Discharge self-care score | 87.5% |
53.69%
33.8 pts better
|
Numerator 119 · Denominator 136 |
| Discharge mobility score | 86.03% |
50.94%
35.1 pts better
|
Numerator 117 · Denominator 136 |
| Pressure ulcers or injuries, new or worsened | 0.56% |
2.29%
1.7 pts better
|
Numerator 1 · Denominator 178 · Adjusted rate 0.34% |
| Healthcare-associated infections requiring hospitalization | 4.97% |
7.12%
2.2 pts better
|
No Different than the National Rate · Eligible stays 151 · Observed rate 1.99% · Lower 95% interval 2.86% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 84 |
| Staff flu vaccination coverage | 21.62% |
42%
20.4 pts worse
|
Numerator 24 · Denominator 111 |
| Discharge function score | 89.71% |
56.45%
33.3 pts better
|
Numerator 122 · Denominator 136 |
| Transfer of health information to provider | 99.11% |
95.95%
3.2 pts better
|
Numerator 111 · Denominator 112 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 51 · Denominator 51 |
| Resident COVID-19 vaccinations up to date | 62.77% |
25.2%
37.6 pts better
|
Numerator 59 · Denominator 94 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.9 |
1.6
0.7 pts better
|
1.9
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.8 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
1.5
0.1 pts better
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.3 · Expected 1.5 · 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 | 96.8% |
95.4%
1.4 pts better
|
95.5%
1.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.5% |
3.8%
0.3 pts better
|
3.3%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 3.6% · Q3 3.7% · Q4 3.4% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 62.9% |
24.6%
38.3 pts worse
|
11.4%
51.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 68.0% · Q2 56.5% · Q3 68.0% · Q4 58.3% · 4Q avg 62.9% |
| Percentage of long-stay residents who lose too much weight | 4.2% |
5.6%
1.4 pts better
|
5.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 13.0% · Q3 0.0% · Q4 4.2% · 4Q avg 4.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.9% |
23.5%
5.4 pts worse
|
19.6%
9.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.9% · Q2 33.3% · Q3 30.4% · Q4 25.0% · 4Q avg 28.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.4% |
14.8%
7.4 pts better
|
16.7%
9.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q4 4.8% · 4Q avg 7.4% · 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 | 12.0% |
13.3%
1.3 pts better
|
16.3%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 12.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.9% |
11.7%
6.8 pts better
|
14.9%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q3 4.8% · Q4 9.1% · 4Q avg 4.9% · 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 | 0.0% |
1.2%
1.2 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 39.7% |
24.2%
15.5 pts worse
|
19.8%
19.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 47.3% · Q2 30.0% · Q3 31.4% · Q4 49.0% · 4Q avg 39.7% |
| Percentage of long-stay residents with pressure ulcers | 1.6% |
4.1%
2.5 pts better
|
5.1%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 0.0% · Q3 0.0% · Q4 1.6% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.2% |
81.6%
14.6 pts better
|
81.7%
14.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.6% · Q2 93.8% · Q3 97.9% · Q4 98.7% · 4Q avg 96.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.2% |
10.5%
1.3 pts better
|
12.0%
2.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.2% · Observed 8.8% · Expected 10.7% · 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 0.0% · Q2 0.9% · Q3 2.1% · Q4 1.1% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.9% |
79.0%
14.9 pts better
|
79.7%
14.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.8% |
22.4%
0.4 pts worse
|
23.9%
1.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.8% · Observed 21.6% · Expected 22.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-08-21 · Fire 2024-08-21
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-09-26 · Fire 2023-09-26
1 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
2 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-07-28
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2025-09-21
E · Potential for more than minimal harm
2025-07-28
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 2025-09-21
F · Potential for more than minimal harm
2023-09-26
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-10-24
F · Potential for more than minimal harm
2023-09-26
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-10-24
Inspection history
Recent health citations
D · Potential for more than minimal harm
2023-09-26
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 2023-09-27
Penalties and ownership
What sits behind the stars
Ownership
Harrison County Hospital
5% Or Greater Direct Ownership Interest · Organization
Clunie, Lisa
Operational/Managerial Control · Individual
Keybank National Association
5% Or Greater Mortgage Interest · Organization
Padgett, Natalie
Operational/Managerial Control · Individual
Paracha, Ibrar
Operational/Managerial Control · Individual
Rhs Partners Of Mooresville, LLC
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Meadow Lakes
Mooresville, IN
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Miller's Merry Manor
Mooresville, IN
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Cumberland Trace Health & Living Community
Plainfield, IN
3-star overall rating with 2-star inspections with $33,579 in total fines with 7 recent health deficiencies
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