Leavenworth, IN

Todd-Dickey Nursing And Rehabilitation

5-star overall rating with 4-star inspections with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

712 W 2nd St, Leavenworth, IN

(812) 739-2292

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 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

62

Certified beds

Average residents

57

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

American Senior Communities

Operator or chain grouping

Approved since

1990-10-26

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

91 facilities

Chain averages 4 overall / 3 health / 2 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

0.61

Registered nurse staffing · state 0.66 · national 0.68

LPN hours / resident day

0.61

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

2.53

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

1.22

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

3.20

Weekend nurse staffing · state 3.24 · national 3.43

Weekend RN hours

0.37

Weekend registered nurse coverage · state 0.45 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.60

CMS adjusted RN staffing hours

Adjusted total hours

3.66

CMS adjusted total nurse staffing hours

Case-mix index

1.40

Higher values indicate more complex resident acuity

RN turnover

25%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

36%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,602

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

Performance score

48.80

Composite VBP score used to determine payment impact.

Payment multiplier

1.0026

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

9.03

Baseline 42.22% · Performance 26.79% · Measure score 9.03 · Achievement 9.03 · Improvement 8.39

Adjusted total nurse staffing

0.73

Baseline 2.85 hours · Performance 3.21 hours · Measure score 0.73 · Achievement 0 · Improvement 0.73

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 24 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	0.85	1.02 0.2 pts better
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 11 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 12 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 115
Staff flu vaccination coverage	27.97%	42% 14 pts worse	Numerator 33 · Denominator 118
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.

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 0.6 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.5	1.5 About the same	1.8 0.3 pts better	Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.3 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	95.5%	93.6% 1.9 pts better	93.4% 2.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.2% · Q2 98.3% · Q3 91.1% · Q4 94.2% · 4Q avg 95.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.3%	95.4% 2.9 pts better	95.5% 2.8 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.3%
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 3.6% · Q2 3.4% · Q3 1.8% · Q4 0.0% · 4Q avg 2.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	5.7%	24.6% 18.9 pts better	11.4% 5.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 7.0% · Q3 5.5% · Q4 0.0% · 4Q avg 5.7%
Percentage of long-stay residents who lose too much weight	3.0%	5.6% 2.6 pts better	5.4% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 1.9% · Q3 2.0% · Q4 4.3% · 4Q avg 3.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	24.5%	23.5% 1 pts worse	19.6% 4.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 34.6% · Q2 27.8% · Q3 18.0% · Q4 16.7% · 4Q avg 24.5%
Percentage of long-stay residents who received an antipsychotic medication	2.5%	14.8% 12.3 pts better	16.7% 14.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 0.0% · Q3 2.5% · Q4 5.3% · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	2.2%	0.0% 2.2 pts worse	0.1% 2.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.4% · Q3 1.8% · Q4 0.0% · 4Q avg 2.2%
Percentage of long-stay residents whose ability to walk independently worsened	10.3%	13.3% 3 pts better	16.3% 6 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 10.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	6.1%	11.7% 5.6 pts better	14.9% 8.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 2.2% · Q3 0.0% · Q4 10.5% · 4Q avg 6.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.3%	0.4% 0.1 pts better	1.0% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · 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 1.8% · Q2 3.4% · 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	18.3%	24.2% 5.9 pts better	19.8% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 20.1% · Q2 24.4% · Q3 13.3% · Q4 14.5% · 4Q avg 18.3%
Percentage of long-stay residents with pressure ulcers	1.2%	4.1% 2.9 pts better	5.1% 3.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 0.0% · Q3 0.0% · Q4 1.7% · 4Q avg 1.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	80.4%	81.6% 1.2 pts worse	81.7% 1.3 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 71.4% · Q3 85.2% · Q4 84.4% · 4Q avg 80.4%
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 · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-02 · Fire 2025-07-02

1 health deficiencies

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

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2024-05-03 · Fire 2024-05-03

1 health deficiencies

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

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-03-31 · Fire 2023-03-31

1 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-07-02

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 2025-08-16

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-07-02

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 2025-07-19

G · Actual harm 2024-10-02

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 2024-09-12

D · Potential for more than minimal harm 2024-01-18

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 2023-06-15

Penalties and ownership

What sits behind the stars

Ownership

The Health And Hospital Corporation Of Marion County

5% Or Greater Direct Ownership Interest · Organization

100% 70 facilities 2015-07-01

American Senior Communities LLC

Operational/Managerial Control · Organization

0% 89 facilities 2015-07-01

Babcock, Paul

Corporate Officer · Individual

0% 72 facilities 2020-09-30

Broughton, Wendy

Operational/Managerial Control · Individual

0% 2 facilities 2020-11-16

Caine, Virginia

Corporate Officer · Individual

0% 52 facilities 1994-01-10

Dice, Mark

Contracted Managing Employee · Individual

0% 64 facilities 2023-06-01

Drummer, Carl