Dale, IN

Willowdale Village

5-star overall rating with 4-star inspections with 2 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

404 W Willow Rd, Dale, IN

(812) 937-4489

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

50

Certified beds

Average residents

30

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

American Senior Communities

Operator or chain grouping

Approved since

1990-07-02

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.94

Registered nurse staffing

LPN hours / resident day

0.73

Licensed practical nurse staffing

Aide hours / resident day

2.15

Nurse aide staffing

Weekend hours

2.93

Weekend nurse staffing

RN turnover

20%

Annual RN turnover

Total nurse turnover

38%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
93.6%
6.4 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents experiencing one or more falls with major injury 1.2%
3.8%
2.6 pts better
3.3%
2.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 19.0%
24.6%
5.6 pts better
11.4%
7.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 0.0%
5.6%
5.6 pts better
5.4%
5.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 13.4%
23.5%
10.1 pts better
19.6%
6.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 10.4%
14.8%
4.4 pts better
16.7%
6.3 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 4.9%
13.3%
8.4 pts better
16.3%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 9.6%
11.7%
2.1 pts better
14.9%
5.3 pts better
Long Stay · 2024Q4-2025Q3
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
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
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 27.2%
24.2%
3 pts worse
19.8%
7.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 8.9%
4.1%
4.8 pts worse
5.1%
3.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.2%
81.6%
16.6 pts better
81.7%
16.5 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 12.5%
10.5%
2 pts worse
12.0%
0.5 pts worse
Short Stay · 20240701-20250630
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
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100.0%
79.0%
21 pts better
79.7%
20.3 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 12.9%
22.4%
9.5 pts better
23.9%
11 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-16 · Fire 2024-12-16

2 health deficiencies

Top issue: Infection Control (1 deficiency)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2023-12-21 · Fire 2023-12-21

3 health deficiencies

Top issue: Administration (1 deficiency)

2 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 3 Health 2021-10-08 · Fire 2021-10-08

1 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-12-16

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2025-01-31

F · Potential for more than minimal harm 2024-12-16

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-01-31

F · Potential for more than minimal harm 2024-12-16

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-01-31

F · Potential for more than minimal harm 2024-12-16

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-01-31

C · Minimal harm 2024-12-16

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2025-01-31

F · Potential for more than minimal harm 2023-12-21

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-01-19

F · Potential for more than minimal harm 2023-12-21

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-01-19

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-12-16

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 2024-12-26

D · Potential for more than minimal harm 2024-12-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-26

E · Potential for more than minimal harm 2023-12-21

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 2024-01-19

D · Potential for more than minimal harm 2023-12-21

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 2024-01-19

D · Potential for more than minimal harm 2023-12-21

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2024-01-19

D · Potential for more than minimal harm 2023-06-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-07-12

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 2003-01-01
Babcock, Paul

Corporate Officer · Individual

0% 72 facilities 2020-09-30
Caine, Virginia

Corporate Officer · Individual

0% 52 facilities 1994-01-10
Denton, Kristy

Operational/Managerial Control · Individual

0% 1 facilities 2022-05-19
Drummer, Carl

Corporate Director · Individual

0% 52 facilities 2017-01-01
Fehribach, Gregory

Corporate Director · Individual

0% 21 facilities 2004-12-14
Hanify, Thomas

Corporate Director · Individual

0% 52 facilities 2022-01-01
Harris, Lisa

Corporate Officer · Individual

0% 52 facilities 2003-12-22
Kelsey, Donna

Contracted Managing Employee · Individual

0% 23 facilities 2019-06-01
Lazard, Robert

Corporate Director · Individual

0% 52 facilities 2021-01-29
Mantravadi, Geeta

Corporate Director · Individual

0% 48 facilities 2021-07-21
Mukes-Gaither, Beverly

Corporate Director · Individual

0% 22 facilities 2022-01-01
Payne, Monica

Corporate Director · Individual

0% 48 facilities 2021-08-09
Stephens, Rachel

Operational/Managerial Control · Individual

0% 1 facilities 2018-12-06
Van Camp, Steven

Contracted Managing Employee · Individual

0% 86 facilities 2019-09-06

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