Williamsport, IN

Williamsport Nursing And Rehabilitation

2-star overall rating with 2-star inspections with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

200 Short St, Williamsport, IN

(765) 762-6111

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

American Senior Communities

Operator or chain grouping

Approved since

1995-03-22

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

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

0.50

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

2.36

Nurse aide staffing · state 2.27 · national 2.35

Total nurse hours

3.51

All reported nurse hours · state 3.71 · national 3.89

Licensed hours

1.15

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

3.05

Weekend nurse staffing · state 3.24 · national 3.43

Weekend RN hours

0.30

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

0.53

CMS adjusted RN staffing hours

Adjusted total hours

3.70

CMS adjusted total nurse staffing hours

Case-mix index

1.30

Higher values indicate more complex resident acuity

RN turnover

43%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

34%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,852

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

Performance score

53.56

Composite VBP score used to determine payment impact.

Payment multiplier

1.0083

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

6.89

Baseline 24.93% · Performance 19.09% · Measure score 6.89 · Achievement 5.04 · Improvement 6.89

Healthcare-associated infections

2.9

Baseline 5.74% · Performance 6.97% · Measure score 2.9 · Achievement 2.9 · Improvement 0

Total nurse turnover

9.35

Baseline 26.32% · Performance 25.45% · Measure score 9.35 · Achievement 9.35 · Improvement 5.38

Adjusted total nurse staffing

2.29

Baseline 3.24 hours · Performance 3.73 hours · Measure score 2.29 · Achievement 2.29 · Improvement 1.44

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	13.45%	10.72% 2.7 pts worse	No Different than the National Rate · Eligible stays 89 · Observed rate 19.1% · Lower 95% interval 10.15%
Discharge to community	47.16%	50.57% 3.4 pts worse	No Different than the National Rate · Eligible stays 61 · Observed rate 42.62% · Lower 95% interval 35.64%
Medicare spending per beneficiary	1	1.02 About the same
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 44 · Denominator 44
Falls with major injury	6.82%	0.77% 6.1 pts worse	Numerator 3 · Denominator 44
Discharge self-care score	32.14%	53.69% 21.5 pts worse	Numerator 9 · Denominator 28
Discharge mobility score	42.86%	50.94% 8.1 pts worse	Numerator 12 · Denominator 28
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 44 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.97%	7.12% 0.2 pts better	No Different than the National Rate · Eligible stays 36 · Observed rate 5.56% · Lower 95% interval 3.88%
Staff COVID-19 vaccination coverage	2.2%	8.2% 6 pts worse	Numerator 2 · Denominator 91
Staff flu vaccination coverage	29.2%	42% 12.8 pts worse	Numerator 33 · Denominator 113
Discharge function score	39.29%	56.45% 17.2 pts worse	Numerator 11 · Denominator 28
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	8.7%	25.2% 16.5 pts worse	Numerator 2 · Denominator 23

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.9	1.6 0.3 pts worse	1.9 About the same	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.9 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.1	1.5 0.6 pts worse	1.8 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.9 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.7%	93.6% 5.1 pts better	93.4% 5.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.4% · Q3 98.2% · Q4 98.4% · 4Q avg 98.7%
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	2.9%	3.8% 0.9 pts better	3.3% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 3.3% · Q3 3.5% · Q4 1.6% · 4Q avg 2.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	11.1%	24.6% 13.5 pts better	11.4% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 13.2% · Q3 10.9% · Q4 14.3% · 4Q avg 11.1%
Percentage of long-stay residents who lose too much weight	2.3%	5.6% 3.3 pts better	5.4% 3.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 1.8% · Q3 0.0% · Q4 1.9% · 4Q avg 2.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	20.8%	23.5% 2.7 pts better	19.6% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.8% · Q2 22.8% · Q3 20.8% · Q4 16.7% · 4Q avg 20.8%
Percentage of long-stay residents who received an antipsychotic medication	10.3%	14.8% 4.5 pts better	16.7% 6.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 10.0% · Q3 10.6% · Q4 14.9% · 4Q avg 10.3% · 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	13.4%	13.3% 0.1 pts worse	16.3% 2.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 18.0% · Q3 13.8% · Q4 13.6% · 4Q avg 13.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	17.1%	11.7% 5.4 pts worse	14.9% 2.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 16.7% · Q3 23.5% · Q4 15.4% · 4Q avg 17.1% · 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 1.7% · Q2 2.3% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	1.2% 1.2 pts better	1.7% 1.7 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 new or worsened bowel or bladder incontinence	11.9%	24.2% 12.3 pts better	19.8% 7.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 11.7% · Q3 9.6% · Q4 10.8% · 4Q avg 11.9%
Percentage of long-stay residents with pressure ulcers	4.7%	4.1% 0.6 pts worse	5.1% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 7.4% · Q3 7.7% · Q4 1.6% · 4Q avg 4.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	89.1%	81.6% 7.5 pts better	81.7% 7.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 84.1% · Q2 85.7% · Q3 92.2% · Q4 93.5% · 4Q avg 89.1%
Percentage of short-stay residents who had an outpatient emergency department visit	8.5%	10.5% 2 pts better	12.0% 3.5 pts better	Short Stay · 20240701-20250630 · Adjusted 8.5% · Observed 7.5% · 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	93.0%	79.0% 14 pts better	79.7% 13.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 93.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	21.3%	22.4% 1.1 pts better	23.9% 2.6 pts better	Short Stay · 20240701-20250630 · Adjusted 21.3% · Observed 17.5% · Expected 19.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-13 · Fire 2025-06-13

9 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-05-15 · Fire 2024-05-15

9 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 3 Health 2023-03-24 · Fire 2023-03-24

9 health deficiencies

Top issue: Pharmacy Service (5 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

C · Minimal harm 2025-06-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-08-15

F · Potential for more than minimal harm 2024-05-15

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-06-28

E · Potential for more than minimal harm 2024-05-15

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-06-28

E · Potential for more than minimal harm 2023-03-24

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2023-04-21

E · Potential for more than minimal harm 2023-03-24

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-04-21

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-06-13

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-07-14

E · Potential for more than minimal harm 2025-06-13

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-07-14

D · Potential for more than minimal harm 2025-06-13

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2025-07-14

D · Potential for more than minimal harm 2025-06-13

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-07-14

D · Potential for more than minimal harm 2025-06-13

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-07-14

D · Potential for more than minimal harm 2025-06-13

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 2025-07-14

D · Potential for more than minimal harm 2025-06-13

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 2025-07-14

D · Potential for more than minimal harm 2025-06-13

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-07-14

D · Potential for more than minimal harm 2025-06-13

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 2025-07-14

D · Potential for more than minimal harm 2024-11-21

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-12-18

E · Potential for more than minimal harm 2024-05-15

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 2024-06-28

E · Potential for more than minimal harm 2024-05-15

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-06-28

D · Potential for more than minimal harm 2024-05-15

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 2024-06-28

D · Potential for more than minimal harm 2024-05-15

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-06-28

D · Potential for more than minimal harm 2024-05-15

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 2024-06-28

D · Potential for more than minimal harm 2024-05-15

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-28

D · Potential for more than minimal harm 2024-05-15

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2024-06-28

D · Potential for more than minimal harm 2024-05-15

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-06-28

E · Potential for more than minimal harm 2023-03-24

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-04-21