Washington, IN

Villages At Oak Ridge, The

3-star overall rating with 3-star inspections with 6 recent health deficiencies

1694 Troy Road, Washington, IN

(812) 254-3800

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

58

Certified beds

Average residents

47

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

Trilogy Health Services

Operator or chain grouping

Approved since

2015-07-03

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

0.86

Registered nurse staffing · state 0.66 · national 0.68

LPN hours / resident day

0.64

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

2.35

Nurse aide staffing · state 2.27 · national 2.35

Total nurse hours

3.85

All reported nurse hours · state 3.71 · national 3.89

Licensed hours

1.50

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

3.39

Weekend nurse staffing · state 3.24 · national 3.43

Weekend RN hours

0.61

Weekend registered nurse coverage · state 0.45 · national 0.47

Physical therapist

0.16

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.82

CMS adjusted RN staffing hours

Adjusted total hours

3.68

CMS adjusted total nurse staffing hours

Case-mix index

1.43

Higher values indicate more complex resident acuity

RN turnover

64%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

48%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,856

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

Performance score

28.58

Composite VBP score used to determine payment impact.

Payment multiplier

0.9851

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 18.25% · Performance 21.77% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

6.86

Baseline 7.88% · Performance 5.78% · Measure score 6.86 · Achievement 6.86 · Improvement 6.77

Total nurse turnover

3.55

Baseline 40.00% · Performance 49.15% · Measure score 3.55 · Achievement 3.55 · Improvement 0

Adjusted total nurse staffing

1.01

Baseline 2.88 hours · Performance 3.32 hours · Measure score 1.01 · Achievement 0.84 · Improvement 1.01

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.71%	10.72% 1 pts better	No Different than the National Rate · Eligible stays 153 · Observed rate 7.19% · Lower 95% interval 6.48%
Discharge to community	60.24%	50.57% 9.7 pts better	Better than the National Rate · Eligible stays 130 · Observed rate 60% · Lower 95% interval 51.49%
Medicare spending per beneficiary	0.97	1.02 0.1 pts better
Drug regimen review with follow-up	98.29%	95.27% 3 pts better	Numerator 115 · Denominator 117
Falls with major injury	1.71%	0.77% 0.9 pts worse	Numerator 2 · Denominator 117
Discharge self-care score	74.07%	53.69% 20.4 pts better	Numerator 60 · Denominator 81
Discharge mobility score	60.49%	50.94% 9.6 pts better	Numerator 49 · Denominator 81
Pressure ulcers or injuries, new or worsened	2.56%	2.29% 0.3 pts worse	Numerator 3 · Denominator 117 · Adjusted rate 2.43%
Healthcare-associated infections requiring hospitalization	5.78%	7.12% 1.3 pts better	No Different than the National Rate · Eligible stays 116 · Observed rate 2.59% · Lower 95% interval 3.14%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 89
Staff flu vaccination coverage	44.62%	42% 2.6 pts better	Numerator 58 · Denominator 130
Discharge function score	70.37%	56.45% 13.9 pts better	Numerator 57 · Denominator 81
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 36 · Denominator 36
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 58 · Denominator 58
Resident COVID-19 vaccinations up to date	13.56%	25.2% 11.6 pts worse	Numerator 8 · Denominator 59

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.1	1.6 1.5 pts worse	1.9 1.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.1 · Observed 2.9 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.9	1.5 1.4 pts worse	1.8 1.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 2.7 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	86.8%	93.6% 6.8 pts worse	93.4% 6.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 82.9% · Q2 87.2% · Q3 92.5% · Q4 84.6% · 4Q avg 86.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.7%	95.4% 2.3 pts better	95.5% 2.2 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.7%
Percentage of long-stay residents experiencing one or more falls with major injury	7.5%	3.8% 3.7 pts worse	3.3% 4.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 5.1% · Q3 2.5% · Q4 10.3% · 4Q avg 7.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	4.2%	24.6% 20.4 pts better	11.4% 7.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 9.7% · Q3 0.0% · Q4 3.2% · 4Q avg 4.2%
Percentage of long-stay residents who lose too much weight	7.4%	5.6% 1.8 pts worse	5.4% 2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 10.3% · Q3 6.7% · Q4 10.0% · 4Q avg 7.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	33.6%	23.5% 10.1 pts worse	19.6% 14 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 34.4% · Q2 37.9% · Q3 33.3% · Q4 29.0% · 4Q avg 33.6%
Percentage of long-stay residents who received an antipsychotic medication	8.2%	14.8% 6.6 pts better	16.7% 8.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 8.3% · Q3 16.7% · Q4 0.0% · 4Q avg 8.2% · 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	19.4%	13.3% 6.1 pts worse	16.3% 3.1 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 19.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	21.1%	11.7% 9.4 pts worse	14.9% 6.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 25.9% · Q3 21.4% · Q4 24.1% · 4Q avg 21.1% · 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	3.8%	1.2% 2.6 pts worse	1.7% 2.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 2.6% · Q3 2.5% · Q4 0.0% · 4Q avg 3.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	26.4%	24.2% 2.2 pts worse	19.8% 6.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.7% · Q2 34.2% · Q3 23.1% · Q4 24.8% · 4Q avg 26.4%
Percentage of long-stay residents with pressure ulcers	3.5%	4.1% 0.6 pts better	5.1% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 4.4% · Q3 3.1% · Q4 0.0% · 4Q avg 3.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	77.6%	81.6% 4 pts worse	81.7% 4.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 77.2% · Q2 77.4% · Q3 78.4% · Q4 77.3% · 4Q avg 77.6%
Percentage of short-stay residents who had an outpatient emergency department visit	25.9%	10.5% 15.4 pts worse	12.0% 13.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.9% · Observed 24.2% · Expected 10.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.1%	1.3% 0.2 pts better	1.6% 0.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 2.4% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	82.5%	79.0% 3.5 pts better	79.7% 2.8 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 82.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	32.9%	22.4% 10.5 pts worse	23.9% 9 pts worse	Short Stay · 20240701-20250630 · Adjusted 32.9% · Observed 29.5% · Expected 21.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-02 · Fire 2025-04-02

6 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-03-27 · Fire 2024-03-27

7 health deficiencies

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

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2021-12-10 · Fire 2021-12-10

2 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-07-24

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 2025-08-15

E · Potential for more than minimal harm 2025-04-02

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 2025-05-01

E · Potential for more than minimal harm 2025-04-02

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-05-01

E · Potential for more than minimal harm 2025-04-02

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-01

D · Potential for more than minimal harm 2025-04-02

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-05-01

D · Potential for more than minimal harm 2025-04-02

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-05-01

D · Potential for more than minimal harm 2024-09-20

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 2024-10-16

E · Potential for more than minimal harm 2024-03-27