Federal inspection record · CMS data as of October 1, 2026
Transcendent Healthcare Of Boonville - North
305 E North St, Boonville, IN · (812) 897-2810
- Special Focus Facility
- Certified beds
- 56
- Residents per day
- 46
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 30, 2012
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Indiana.
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Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Indiana homes
Transcendent Healthcare Of Boonville - North carries 188.75 inspection points. That is fewer than 2% of Indiana's 504 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Indiana: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–24 pts
- 3★ 24–42 pts
- 2★ 42–72 pts
- 1★ over 72 pts
Bars show every rated home in Indiana by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
41 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (5)
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K
Provide and implement an infection prevention and control program.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Assessment and Care Planning8E
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure each resident receives an accurate assessment.
Quality of Life and Care7D
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- D
Provide or obtain dental services for each resident.
Infection Control4F
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Pharmacy Service4E
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
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.
Nutrition and Dietary3F
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- C
Dispose of garbage and refuse properly.
Administration3F
- F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- D
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- C
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Nursing and Physician Services3E
- D
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- D
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
- E
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Environmental2F
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Resident Rights2D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspection history
2026-02-17
11 health deficiencies · 8 fire-safety deficiencies
Top issue: Infection Control (3 deficiencies)
2024-11-14
12 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2023-09-25
18 health deficiencies · 27 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 45 min of nursing staff time a day, 13 min of it from a registered nurse.
This home
2 h 45 min
Indiana average
3 h 44 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$238,624 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-02-17 | Fine | $200,690 |
| 2025-09-16 | Fine | $13,260 |
| 2024-11-14 | Fine | $24,674 |
| 2024-11-14 | Payment Denial · 1 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts worse | 2.2 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better | 1.0 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.6 pts better | 98.3% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.9 pts better | 100.0% | 95.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts worse | 4.4% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms9.5 pts worse | 35.0% | 25.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.2 pts better | 3.1% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication21.7 pts worse | 45.2% | 23.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication19.9 pts worse | 33.6% | 13.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2 pts worse | 13.1% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.4 pts worse | 11.2% | 10.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 0.4% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts better | 0.0% | 1.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.4 pts better | 18.0% | 22.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.6 pts better | 0.9% | 3.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.5 pts better | 84.4% | 81.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.7 pts worse | 13.6% | 10.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication28.9 pts worse | 30.0% | 1.1% | 1.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.1 pts better | 16.7% | 21.8% | 23.4% |
·
Who owns and runs it
7 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Claxton, Ryan | Corporate Officer · Individual | 0% | 25 facilities |
| Claxton, Ryan | Operational/Managerial Control · Individual | 0% | 25 facilities |
| Claxton, Ryan | Adp Of The SNF · Individual | 0% | 25 facilities |
| Transcendent Healthcare Of Boonville-North Real Estate, LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Transcendent Healthcare Rehabilitation Services, LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Transcendent Healthcare, LLC | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Transcendent Healthcare, LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
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Fire safety
44 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness20F
- F
Develop Emergency Preparedness policies and procedures.
- F
Develop a communication plan.
- F
Establish emergency prep training and testing.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Implement emergency and standby power systems.
- F
Create arrangements with other facilities to receive patients.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- F
Conduct risk assessment and an All-Hazards approach.
- C
Develop Emergency Preparedness policies and procedures.
- C
Address subsistence needs for staff and patients.
- C
Establish procedures for tracking staff and patients during an emergency.
- C
Establish policies and procedures for volunteers.
- C
Establish roles under a Waiver declared by secretary.
- C
Develop a communication plan.
- C
Establish emergency prep training and testing.
- C
Develop and maintain an Emergency Preparedness Program (EP).
- C
Implement emergency and standby power systems.
- C
Include a process for Emergency Preparedness collaboration.
Smoke12F
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Inspect, test, and maintain automatic sprinkler systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Provide properly protected cooking facilities.
- E
Install corridor and hallway doors that block smoke.
- C
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- C
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Miscellaneous5F
- F
Provide a written emergency evacuation plan.
- C
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- F
Have restrictions on the use of portable space heaters.
- C
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Egress4F
- C
Meet other general requirements that are deficient.
- F
Meet other general requirements that are deficient.
- E
Install proper backup exit lighting.
- C
Install emergency lighting that can last at least 1 1/2 hours.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- C
Have generator or other power source capable of supplying service within 10 seconds.
Services1F
- F
Meet other general requirements that are deficient.
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Other homes nearby
-
Transcendent Healthcare Of Boonville
Boonville, IN
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 2 h 45 min
- Fines
- $40,359
-
Woodmont Health Campus
Boonville, IN · Trilogy Health Services
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 28 min
- Fines
- $0
-
Cypress Grove Rehabilitation Center
Newburgh, IN · American Senior Communities
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 19 min
- Fines
- $0