Jasper, IN

St Charles Health Campus

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

3150 St Charles St, Jasper, IN

(812) 634-6570

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

68

Certified beds

Average residents

52

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Trilogy Health Services

Operator or chain grouping

Approved since

2000-07-31

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

No

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

1.10

Registered nurse staffing · state 0.66 · national 0.68

LPN hours / resident day

0.65

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

2.00

Nurse aide staffing · state 2.27 · national 2.35

Total nurse hours

3.75

All reported nurse hours · state 3.71 · national 3.89

Licensed hours

1.75

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

3.17

Weekend nurse staffing · state 3.24 · national 3.43

Weekend RN hours

0.88

Weekend registered nurse coverage · state 0.45 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.99

CMS adjusted RN staffing hours

Adjusted total hours

3.35

CMS adjusted total nurse staffing hours

Case-mix index

1.53

Higher values indicate more complex resident acuity

RN turnover

31%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

43%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,320

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

Performance score

36.59

Composite VBP score used to determine payment impact.

Payment multiplier

0.9900

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.15

Baseline 19.64% · Performance 19.51% · Measure score 4.15 · Achievement 4.15 · Improvement 0.01

Healthcare-associated infections

2.55

Baseline 7.14% · Performance 7.07% · Measure score 2.55 · Achievement 2.55 · Improvement 0

Total nurse turnover

7.26

Baseline 11.77% · Performance 34.00% · Measure score 7.26 · Achievement 7.26 · Improvement 0

Adjusted total nurse staffing

0.68

Baseline 2.55 hours · Performance 2.93 hours · Measure score 0.68 · Achievement 0 · Improvement 0.68

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.03%	10.72% 1.7 pts better	No Different than the National Rate · Eligible stays 147 · Observed rate 4.76% · Lower 95% interval 6.74%
Discharge to community	58.54%	50.57% 8 pts better	No Different than the National Rate · Eligible stays 151 · Observed rate 60.93% · Lower 95% interval 47.94%
Medicare spending per beneficiary	1.15	1.02 0.1 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 178 · Denominator 178
Falls with major injury	1.69%	0.77% 0.9 pts worse	Numerator 3 · Denominator 178
Discharge self-care score	60.69%	53.69% 7 pts better	Numerator 88 · Denominator 145
Discharge mobility score	66.9%	50.94% 16 pts better	Numerator 97 · Denominator 145
Pressure ulcers or injuries, new or worsened	0.56%	2.29% 1.7 pts better	Numerator 1 · Denominator 178 · Adjusted rate 0.42%
Healthcare-associated infections requiring hospitalization	7.07%	7.12% About the same	No Different than the National Rate · Eligible stays 112 · Observed rate 5.36% · Lower 95% interval 4.17%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 120
Staff flu vaccination coverage	0.65%	42% 41.4 pts worse	Numerator 1 · Denominator 154
Discharge function score	70.34%	56.45% 13.9 pts better	Numerator 102 · Denominator 145
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 48 · Denominator 48
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 101 · Denominator 101
Resident COVID-19 vaccinations up to date	19.61%	25.2% 5.6 pts worse	Numerator 20 · Denominator 102

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.1	1.6 0.5 pts better	1.9 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.9 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.2	1.5 0.3 pts better	1.8 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.0 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	97.8%	93.6% 4.2 pts better	93.4% 4.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 97.1% · Q2 97.0% · Q3 97.1% · Q4 100.0% · 4Q avg 97.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.2%	95.4% 1.8 pts better	95.5% 1.7 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.2%
Percentage of long-stay residents experiencing one or more falls with major injury	2.2%	3.8% 1.6 pts better	3.3% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 3.0% · Q3 0.0% · Q4 0.0% · 4Q avg 2.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	7.5%	24.6% 17.1 pts better	11.4% 3.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 6.1% · Q3 3.0% · Q4 8.8% · 4Q avg 7.5%
Percentage of long-stay residents who lose too much weight	7.5%	5.6% 1.9 pts worse	5.4% 2.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 13.8% · Q3 6.5% · Q4 3.4% · 4Q avg 7.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	24.2%	23.5% 0.7 pts worse	19.6% 4.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 24.1% · Q3 25.8% · Q4 27.6% · 4Q avg 24.2%
Percentage of long-stay residents who received an antipsychotic medication	10.3%	14.8% 4.5 pts better	16.7% 6.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 8.3% · Q3 8.0% · Q4 13.0% · 4Q avg 10.3% · 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	18.1%	13.3% 4.8 pts worse	16.3% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.2% · Q2 18.2% · 4Q avg 18.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	17.9%	11.7% 6.2 pts worse	14.9% 3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.6% · Q2 14.8% · Q3 13.3% · Q4 20.7% · 4Q avg 17.9% · 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	1.4%	1.2% 0.2 pts worse	1.7% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 3.0% · Q3 0.0% · 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	29.9%	24.2% 5.7 pts worse	19.8% 10.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.4% · Q2 36.7% · Q3 39.0% · Q4 14.7% · 4Q avg 29.9%
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 1.7% · Q2 0.0% · Q3 2.2% · Q4 2.3% · 4Q avg 1.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.6%	81.6% 18 pts better	81.7% 17.9 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 98.2% · 4Q avg 99.6%
Percentage of short-stay residents who had an outpatient emergency department visit	12.8%	10.5% 2.3 pts worse	12.0% 0.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 12.8% · Observed 11.7% · Expected 10.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.4%	1.3% 1.1 pts worse	1.6% 0.8 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 2.4% · Q3 1.1% · Q4 1.2% · 4Q avg 2.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	96.9%	79.0% 17.9 pts better	79.7% 17.2 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 96.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	13.9%	22.4% 8.5 pts better	23.9% 10 pts better	Short Stay · 20240701-20250630 · Adjusted 13.9% · Observed 10.9% · Expected 18.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-06-19 · Fire 2024-06-19

4 health deficiencies

Top issue: Resident Rights (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2023-03-07 · Fire 2023-03-07

5 health deficiencies

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

10 fire-safety deficiencies

Top issue: Egress (3 deficiencies)

Cycle 3 Health 2019-03-29 · Fire 2019-03-29

2 health deficiencies

Top issue: Infection Control (1 deficiency)

4 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-06-19

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-08-07

E · Potential for more than minimal harm 2024-06-19

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-07-20

D · Potential for more than minimal harm 2024-06-19

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-07-11

F · Potential for more than minimal harm 2023-03-07

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2023-04-14

F · Potential for more than minimal harm 2023-03-07

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-04-14

F · Potential for more than minimal harm 2023-03-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-04-14

F · Potential for more than minimal harm 2023-03-07

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-04-14

F · Potential for more than minimal harm 2023-03-07

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2023-04-14

E · Potential for more than minimal harm 2023-03-07

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2023-04-14

E · Potential for more than minimal harm 2023-03-07

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2023-04-14

E · Potential for more than minimal harm 2023-03-07

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 2023-04-14

C · Minimal harm 2023-03-07

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-04-14

C · Minimal harm 2023-03-07

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2023-04-14

F · Potential for more than minimal harm 2019-03-29

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2019-04-16

E · Potential for more than minimal harm 2019-03-29

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 2019-04-16

C · Minimal harm 2019-03-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-04-16

B · Minimal harm 2019-03-29

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2019-04-16

Inspection history

Recent health citations

G · Actual harm 2025-04-25

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-05-17

D · Potential for more than minimal harm 2024-12-12

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 2025-01-02

D · Potential for more than minimal harm 2024-06-19

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-07-05

D · Potential for more than minimal harm 2024-06-19

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-07-05

D · Potential for more than minimal harm 2024-06-19

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 2024-07-05

D · Potential for more than minimal harm 2023-10-04

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-11-01

D · Potential for more than minimal harm 2023-06-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-06-30

E · Potential for more than minimal harm 2023-03-07

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 2023-03-31

D · Potential for more than minimal harm 2023-03-07

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-03-31

D · Potential for more than minimal harm 2023-03-07

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-03-31

D · Potential for more than minimal harm 2023-03-07

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 2023-03-31

Penalties and ownership

What sits behind the stars

Ownership

Good Samaritan Hospital

5% Or Greater Direct Ownership Interest · Organization

100% 11 facilities 2015-05-01

Barney, Leigh