Rushville, IN

Waters Of Rushville Skilled Nursing Facility, The

2-star overall rating with 2-star inspections with 12 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle

612 E 11th St, Rushville, IN

(765) 932-4127

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

98

Certified beds

Average residents

42

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Infinity Healthcare Consulting

Operator or chain grouping

Approved since

1967-03-21

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

70 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 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

0.80

Registered nurse staffing · state 0.66 · national 0.68

LPN hours / resident day

0.57

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

2.11

Nurse aide staffing · state 2.27 · national 2.35

Total nurse hours

3.48

All reported nurse hours · state 3.71 · national 3.89

Licensed hours

1.37

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

3.04

Weekend nurse staffing · state 3.24 · national 3.43

Weekend RN hours

0.43

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

0.72

CMS adjusted RN staffing hours

Adjusted total hours

3.17

CMS adjusted total nurse staffing hours

Case-mix index

1.50

Higher values indicate more complex resident acuity

RN turnover

63%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

60%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,192

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

Performance score

21.18

Composite VBP score used to determine payment impact.

Payment multiplier

0.9826

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

4.91

Baseline 5.34% · Performance 6.37% · Measure score 4.91 · Achievement 4.91 · Improvement 0

Total nurse turnover

1.44

Baseline 51.02% · Performance 57.78% · Measure score 1.44 · Achievement 1.44 · Improvement 0

Adjusted total nurse staffing

0

Baseline 2.74 hours · Performance 2.89 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 12.65%
10.72%
1.9 pts worse
No Different than the National Rate · Eligible stays 55 · Observed rate 16.36% · Lower 95% interval 8.44%
Discharge to community 42.16%
50.57%
8.4 pts worse
No Different than the National Rate · Eligible stays 49 · Observed rate 38.78% · Lower 95% interval 30.86%
Medicare spending per beneficiary 1.34
1.02
0.3 pts worse
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 28 · Denominator 28
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 28
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened 7.14%
2.29%
4.8 pts worse
Numerator 2 · Denominator 28 · Adjusted rate 5.89%
Healthcare-associated infections requiring hospitalization 6.37%
7.12%
0.8 pts better
No Different than the National Rate · Eligible stays 26 · Observed rate 0% · Lower 95% interval 3.27%
Staff COVID-19 vaccination coverage 18.67%
8.2%
10.5 pts better
Numerator 14 · Denominator 75
Staff flu vaccination coverage 2.74%
42%
39.3 pts worse
Numerator 4 · Denominator 146
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 9.52%
25.2%
15.7 pts worse
Numerator 2 · Denominator 21

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.5
1.6
0.1 pts better
1.9
0.4 pts better
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.2 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 3.5
1.5
2 pts worse
1.8
1.7 pts worse
Long Stay · 20240701-20250630 · Adjusted 3.5 · Observed 3.0 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 88.3%
93.6%
5.3 pts worse
93.4%
5.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 75.7% · Q2 86.1% · Q3 93.2% · Q4 97.3% · 4Q avg 88.3%
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 2.6%
3.8%
1.2 pts better
3.3%
0.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 0.0% · Q3 4.5% · Q4 2.7% · 4Q avg 2.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 41.1%
24.6%
16.5 pts worse
11.4%
29.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 48.6% · Q2 48.6% · Q3 41.5% · Q4 25.7% · 4Q avg 41.1%
Percentage of long-stay residents who lose too much weight 3.7%
5.6%
1.9 pts better
5.4%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 8.8% · Q3 0.0% · Q4 0.0% · 4Q avg 3.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 15.3%
23.5%
8.2 pts better
19.6%
4.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 14.7% · Q3 13.2% · Q4 18.2% · 4Q avg 15.3%
Percentage of long-stay residents who received an antipsychotic medication 13.3%
14.8%
1.5 pts better
16.7%
3.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 15.4% · Q3 15.6% · Q4 10.3% · 4Q avg 13.3% · 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 11.7%
13.3%
1.6 pts better
16.3%
4.6 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 11.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 6.0%
11.7%
5.7 pts better
14.9%
8.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 15.2% · Q3 2.7% · Q4 0.0% · 4Q avg 6.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 4.1%
0.4%
3.7 pts worse
1.0%
3.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 7.7% · Q3 0.0% · Q4 2.9% · 4Q avg 4.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 3.2%
1.2%
2 pts worse
1.7%
1.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 5.6% · Q3 0.0% · Q4 5.4% · 4Q avg 3.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 23.8%
24.2%
0.4 pts better
19.8%
4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 21.7% · Q2 18.3% · Q3 31.5% · Q4 21.8% · 4Q avg 23.8%
Percentage of long-stay residents with pressure ulcers 3.8%
4.1%
0.3 pts better
5.1%
1.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 4.9% · Q3 3.9% · Q4 2.0% · 4Q avg 3.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 69.8%
81.6%
11.8 pts worse
81.7%
11.9 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 44.0% · Q2 62.2% · Q3 87.9% · Q4 79.4% · 4Q avg 69.8%
Percentage of short-stay residents who had an outpatient emergency department visit 7.6%
10.5%
2.9 pts better
12.0%
4.4 pts better
Short Stay · 20240701-20250630 · Adjusted 7.6% · Observed 6.9% · Expected 10.2% · 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 · 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 57.9%
79.0%
21.1 pts worse
79.7%
21.8 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 57.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 4.3%
22.4%
18.1 pts better
23.9%
19.6 pts better
Short Stay · 20240701-20250630 · Adjusted 4.3% · Observed 3.4% · Expected 19.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-27 · Fire 2025-06-27

12 health deficiencies

Top issue: Pharmacy Service (4 deficiencies)

15 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Cycle 2 Health 2024-03-28 · Fire 2024-03-28

15 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

8 fire-safety deficiencies

Top issue: Egress (3 deficiencies)

Cycle 3 Health 2022-12-16 · Fire 2022-12-16

4 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

15 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-27

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2025-08-26

F · Potential for more than minimal harm 2025-06-27

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2025-08-26

F · Potential for more than minimal harm 2025-06-27

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2025-08-26

F · Potential for more than minimal harm 2025-06-27

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2025-08-26

F · Potential for more than minimal harm 2025-06-27

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-08-26

F · Potential for more than minimal harm 2025-06-27

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-08-26

E · Potential for more than minimal harm 2025-06-27

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 2025-08-26

E · Potential for more than minimal harm 2025-06-27

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-08-26

E · Potential for more than minimal harm 2025-06-27

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-08-26

E · Potential for more than minimal harm 2025-06-27

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-08-26

E · Potential for more than minimal harm 2025-06-27

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2025-08-26

E · Potential for more than minimal harm 2025-06-27

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-09-11

E · Potential for more than minimal harm 2025-06-27

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Corrected 2025-08-26

C · Minimal harm 2025-06-27

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2025-08-26

C · Minimal harm 2025-06-27

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2025-08-26

F · Potential for more than minimal harm 2024-03-28

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2024-05-14

E · Potential for more than minimal harm 2024-03-28

K131 · Construction Deficiencies

Fire Safety

Meet requirements for sections of health care facilities separated by fire resistive construction.

Corrected 2024-05-14

E · Potential for more than minimal harm 2024-03-28

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-05-14

E · Potential for more than minimal harm 2024-03-28

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 2024-05-14

E · Potential for more than minimal harm 2024-03-28

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 2024-05-14

E · Potential for more than minimal harm 2024-03-28

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2024-05-14

E · Potential for more than minimal harm 2024-03-28

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2024-05-14

E · Potential for more than minimal harm 2024-03-28

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-05-14

F · Potential for more than minimal harm 2022-12-16

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-02-16

F · Potential for more than minimal harm 2022-12-16

K131 · Construction Deficiencies

Fire Safety

Meet requirements for sections of health care facilities separated by fire resistive construction.

Corrected 2023-02-16

F · Potential for more than minimal harm 2022-12-16

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2023-02-16

F · Potential for more than minimal harm 2022-12-16

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2023-02-16

F · Potential for more than minimal harm 2022-12-16

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-02-16

F · Potential for more than minimal harm 2022-12-16

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-02-16

F · Potential for more than minimal harm 2022-12-16

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-02-16

F · Potential for more than minimal harm 2022-12-16

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Corrected 2023-02-16

E · Potential for more than minimal harm 2022-12-16

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2023-02-16

E · Potential for more than minimal harm 2022-12-16

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 2023-02-16

E · Potential for more than minimal harm 2022-12-16

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-02-16

E · Potential for more than minimal harm 2022-12-16

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-02-16

E · Potential for more than minimal harm 2022-12-16

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-02-16

E · Potential for more than minimal harm 2022-12-16

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-02-16

C · Minimal harm 2022-12-16

E35 · Emergency Preparedness Deficiencies

Fire Safety

Provide family notifications of emergency plan.

Corrected 2023-02-16

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-08-22

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-09-15

D · Potential for more than minimal harm 2025-08-22

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2025-09-15

D · Potential for more than minimal harm 2025-08-22

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-09-15

D · Potential for more than minimal harm 2025-08-22

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-09-15

F · Potential for more than minimal harm 2025-06-27

F727 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2025-07-25

D · Potential for more than minimal harm 2025-06-27

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-07-25

D · Potential for more than minimal harm 2025-06-27

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-07-25

D · Potential for more than minimal harm 2025-06-27

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2025-07-25

D · Potential for more than minimal harm 2025-06-27

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2025-07-25

D · Potential for more than minimal harm 2025-06-27

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 2025-07-25

D · Potential for more than minimal harm 2025-06-27

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-07-25

D · Potential for more than minimal harm 2025-06-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-25

D · Potential for more than minimal harm 2025-02-21

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-14

D · Potential for more than minimal harm 2025-02-21

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 2025-03-14

D · Potential for more than minimal harm 2025-02-21

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-02-12

F · Potential for more than minimal harm 2024-03-28

F727 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2024-04-29

D · Potential for more than minimal harm 2024-03-28

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-04-29

D · Potential for more than minimal harm 2024-03-28

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-04-29

D · Potential for more than minimal harm 2024-03-28

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-29

D · Potential for more than minimal harm 2024-03-28

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2024-04-29

D · Potential for more than minimal harm 2024-03-28

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 2024-04-29

D · Potential for more than minimal harm 2024-03-28

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-04-29

D · Potential for more than minimal harm 2024-03-28

F710 · Nursing and Physician Services Deficiencies

Health

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Corrected 2024-04-29

D · Potential for more than minimal harm 2024-03-28

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-04-29

D · Potential for more than minimal harm 2024-03-19

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-04-12

D · Potential for more than minimal harm 2024-03-19

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-04-12

D · Potential for more than minimal harm 2024-03-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-04-12

D · Potential for more than minimal harm 2023-10-31

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 2023-11-27

D · Potential for more than minimal harm 2023-10-31

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 2023-11-27

D · Potential for more than minimal harm 2022-12-16

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2022-12-30

D · Potential for more than minimal harm 2022-12-16

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-12-30

Penalties and ownership

What sits behind the stars

Ownership

Johnson Memorial Hospital

5% Or Greater Direct Ownership Interest · Organization

100% 35 facilities 2013-03-01
Berkhouse, Steven

Corporate Director · Individual

0% 21 facilities 2021-10-18
Berkhouse, Steven

Corporate Officer · Individual

0% 21 facilities 2021-10-18
Busald, Amber

Contracted Managing Employee · Individual

0% 1 facilities 2021-11-01
Decola, Robert

W-2 Managing Employee · Individual

0% 33 facilities 2019-02-16
Dunkle, David

Operational/Managerial Control · Individual

0% 35 facilities 2019-03-01
Dunkle, David

Corporate Director · Individual

0% 35 facilities 2019-03-01
Dunkle, David

Corporate Officer · Individual

0% 35 facilities 2019-03-01
The Waters Of Rushville Skilled Nursing Facility LLC

Operational/Managerial Control · Organization

0% 1 facilities 2022-11-01

Nearby options

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#1

Flatrock River Lodge

Rushville, IN

4-star overall rating with 4-star inspections with 4 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
4 / 5
Staffing
3 / 5
Fines
$0
#2

Morristown Manor

Morristown, IN

4-star overall rating with 3-star inspections with 5 recent health deficiencies with 16 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
3 / 5
Staffing
3 / 5
Fines
$0
#3

Caroleton Healthcare Center

Connersville, IN

5-star overall rating with 5-star inspections with 7 fire-safety deficiencies in the latest cycle

Overall
5 / 5
Health
5 / 5
Staffing
3 / 5
Fines
$0

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