Cycle 1
Health 2024-12-10 · Fire 2024-12-10
1 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
6 fire-safety deficiencies
Top issue: Construction (2 deficiencies)
Berne, IN
Swiss Village
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
1350 W Main St, Berne, IN
(260) 589-3173
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
128
Certified beds
Average residents
70
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Adams County Memorial Hospital
Operator or chain grouping
Approved since
2002-09-25
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
8 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 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
1.04
Registered nurse staffing · state 0.66 · national 0.68
LPN hours / resident day
0.41
Licensed practical nurse staffing · state 0.77 · national 0.87
Aide hours / resident day
3.54
Nurse aide staffing · state 2.27 · national 2.35
Total nurse hours
4.98
All reported nurse hours · state 3.71 · national 3.89
Licensed hours
1.45
RN + LPN hours · state 1.44 · national 1.54
Weekend hours
4.23
Weekend nurse staffing · state 3.24 · national 3.43
Weekend RN hours
0.59
Weekend registered nurse coverage · state 0.45 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
1.08
CMS adjusted RN staffing hours
Adjusted total hours
5.21
CMS adjusted total nurse staffing hours
Case-mix index
1.31
Higher values indicate more complex resident acuity
RN turnover
11%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
33%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,993
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
41.83
Composite VBP score used to determine payment impact.
Payment multiplier
0.9947
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.77
Baseline 18.33% · Performance 19.68% · Measure score 3.77 · Achievement 3.77 · Improvement 0
Healthcare-associated infections
0
Baseline 7.11% · Performance 7.75% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
6.27
Baseline 31.48% · Performance 38.05% · Measure score 6.27 · Achievement 6.27 · Improvement 0
Adjusted total nurse staffing
6.69
Baseline 4.37 hours · Performance 4.98 hours · Measure score 6.69 · Achievement 6.69 · Improvement 3.86
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.07% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 92 · Observed rate 8.7% · Lower 95% interval 6.73% |
| Discharge to community | 58.08% |
50.57%
7.5 pts better
|
No Different than the National Rate · Eligible stays 80 · Observed rate 55% · Lower 95% interval 49.43% |
| Medicare spending per beneficiary | 1.04 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 77 · Denominator 77 |
| Falls with major injury | 3.9% |
0.77%
3.1 pts worse
|
Numerator 3 · Denominator 77 |
| Discharge self-care score | 60.66% |
53.69%
7 pts better
|
Numerator 37 · Denominator 61 |
| Discharge mobility score | 54.1% |
50.94%
3.2 pts better
|
Numerator 33 · Denominator 61 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 77 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.75% |
7.12%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 60 · Observed rate 8.33% · Lower 95% interval 4.73% |
| Staff COVID-19 vaccination coverage | 2.86% |
8.2%
5.3 pts worse
|
Numerator 10 · Denominator 350 |
| Staff flu vaccination coverage | 21.13% |
42%
20.9 pts worse
|
Numerator 75 · Denominator 355 |
| Discharge function score | 67.21% |
56.45%
10.8 pts better
|
Numerator 41 · Denominator 61 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 20 · Denominator 20 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 32 · Denominator 32 |
| Resident COVID-19 vaccinations up to date | 23.81% |
25.2%
1.4 pts worse
|
Numerator 10 · Denominator 42 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
1.6
0.3 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.0 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
1.5
0.8 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.6 · Expected 1.3 · 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 98.6% · Q2 95.6% · Q3 98.5% · Q4 98.5% · 4Q avg 97.8% |
| 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 | 7.7% |
3.8%
3.9 pts worse
|
3.3%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 8.8% · Q3 6.2% · Q4 6.2% · 4Q avg 7.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.3% |
24.6%
16.3 pts better
|
11.4%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 6.8% · Q3 7.5% · Q4 9.1% · 4Q avg 8.3% |
| Percentage of long-stay residents who lose too much weight | 3.9% |
5.6%
1.7 pts better
|
5.4%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 5.6% · Q3 2.0% · Q4 4.5% · 4Q avg 3.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.2% |
23.5%
4.7 pts worse
|
19.6%
8.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.1% · Q2 27.3% · Q3 32.0% · Q4 26.7% · 4Q avg 28.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.2% |
14.8%
5.6 pts better
|
16.7%
7.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 10.4% · Q3 8.9% · Q4 4.8% · 4Q avg 9.2% · 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 | 23.7% |
13.3%
10.4 pts worse
|
16.3%
7.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 29.4% · Q3 13.2% · Q4 27.5% · 4Q avg 23.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 33.0% |
11.7%
21.3 pts worse
|
14.9%
18.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.2% · Q2 27.5% · Q3 28.9% · Q4 41.5% · 4Q avg 33.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.0% |
0.4%
0.6 pts worse
|
1.0%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.4% · Q4 2.7% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.0% |
1.2%
1.8 pts worse
|
1.7%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 3.0% · Q3 1.5% · Q4 4.7% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 31.2% |
24.2%
7 pts worse
|
19.8%
11.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.4% · Q2 38.3% · Q3 25.6% · Q4 28.9% · 4Q avg 31.2% |
| Percentage of long-stay residents with pressure ulcers | 4.8% |
4.1%
0.7 pts worse
|
5.1%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 6.6% · Q3 5.8% · Q4 5.9% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.5% |
81.6%
3.9 pts better
|
81.7%
3.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 84.4% · Q2 86.8% · Q3 82.1% · Q4 89.1% · 4Q avg 85.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.3% |
10.5%
4.2 pts better
|
12.0%
5.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.3% · Observed 5.6% · Expected 9.9% · 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 | 98.2% |
79.0%
19.2 pts better
|
79.7%
18.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.8% |
22.4%
2.4 pts worse
|
23.9%
0.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.8% · Observed 18.5% · Expected 17.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-02-07 · Fire 2024-02-07
0 health deficiencies
No concentrated health issue counts in this cycle.
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cycle 3
Health 2023-02-14 · Fire 2023-02-14
3 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-12-10
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-02-07
E · Potential for more than minimal harm
2024-12-10
K131 · Construction Deficiencies
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2025-02-07
E · Potential for more than minimal harm
2024-12-10
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2025-02-07
E · Potential for more than minimal harm
2024-12-10
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-02-07
E · Potential for more than minimal harm
2024-12-10
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-02-07
C · Minimal harm
2024-12-10
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-02-07
F · Potential for more than minimal harm
2024-02-07
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-05-01
F · Potential for more than minimal harm
2024-02-07
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-01
F · Potential for more than minimal harm
2024-02-07
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-05-01
F · Potential for more than minimal harm
2024-02-07
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-01
E · Potential for more than minimal harm
2024-02-07
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 2024-05-01
E · Potential for more than minimal harm
2024-02-07
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-05-01
D · Potential for more than minimal harm
2024-02-07
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-05-01
D · Potential for more than minimal harm
2024-02-07
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-05-01
F · Potential for more than minimal harm
2023-02-14
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-04-24
F · Potential for more than minimal harm
2023-02-14
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-04-24
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-08-18
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 2025-08-25
E · Potential for more than minimal harm
2023-02-14
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 2023-03-20
D · Potential for more than minimal harm
2023-02-14
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-03-20
D · Potential for more than minimal harm
2023-02-14
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 2023-03-20
Penalties and ownership
What sits behind the stars
Ownership
Adams County Memorial Hospital
5% Or Greater Direct Ownership Interest · Organization
Smith, Scott
Corporate Officer · Individual
Sprunger, Kyle
Operational/Managerial Control · Individual
Sprunger, Kyle
Corporate Officer · Individual
Wheeler, Dane
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Envive Of Berne
Berne, IN
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Adams Woodcrest
Decatur, IN
5-star overall rating with 5-star inspections with 2 fire-safety deficiencies in the latest cycle
#3
Christian Care Retirement Community
Bluffton, IN
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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