Greensburg, IN

Willows Of Greensburg

2-star overall rating with 2-star inspections with 13 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle

410 Park Rd, Greensburg, IN

(812) 663-7543

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

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

100

Certified beds

Average residents

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1983-02-24

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

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

0.52

Registered nurse staffing · state 0.66 · national 0.68

LPN hours / resident day

0.81

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

3.14

Nurse aide staffing · state 2.27 · national 2.35

Total nurse hours

4.47

All reported nurse hours · state 3.71 · national 3.89

Licensed hours

1.33

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

3.99

Weekend nurse staffing · state 3.24 · national 3.43

Weekend RN hours

0.29

Weekend registered nurse coverage · state 0.45 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.51

CMS adjusted RN staffing hours

Adjusted total hours

4.42

CMS adjusted total nurse staffing hours

Case-mix index

1.38

Higher values indicate more complex resident acuity

RN turnover

70%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

53%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,338

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

Performance score

17.18

Composite VBP score used to determine payment impact.

Payment multiplier

0.9817

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

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

1.17

Baseline 60.00% · Performance 58.90% · Measure score 1.17 · Achievement 1.17 · Improvement 0

Adjusted total nurse staffing

2.27

Baseline 3.06 hours · Performance 3.72 hours · Measure score 2.27 · Achievement 2.27 · Improvement 1.94

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.33%	10.72% 0.4 pts better	No Different than the National Rate · Eligible stays 30 · Observed rate 6.67% · Lower 95% interval 6.46%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 12 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	0.83	1.02 0.2 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 27 · Denominator 27
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 27
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 27 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 19 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 97
Staff flu vaccination coverage	83%	42% 41 pts better	Numerator 83 · Denominator 100
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.4	1.6 0.2 pts better	1.9 0.5 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.4 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.5	1.5 1 pts worse	1.8 0.7 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.5 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.1%	93.6% 5.5 pts better	93.4% 5.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 96.4% · 4Q avg 99.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	96.6%	95.4% 1.2 pts better	95.5% 1.1 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 96.6%
Percentage of long-stay residents experiencing one or more falls with major injury	5.7%	3.8% 1.9 pts worse	3.3% 2.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 3.9% · Q3 7.5% · Q4 9.1% · 4Q avg 5.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	69.6%	24.6% 45 pts worse	11.4% 58.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 61.7% · Q2 60.4% · Q3 77.1% · Q4 78.4% · 4Q avg 69.6%
Percentage of long-stay residents who lose too much weight	8.6%	5.6% 3 pts worse	5.4% 3.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 6.8% · Q3 12.8% · Q4 8.0% · 4Q avg 8.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	30.7%	23.5% 7.2 pts worse	19.6% 11.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 28.9% · Q3 32.7% · Q4 28.0% · 4Q avg 30.7%
Percentage of long-stay residents who received an antipsychotic medication	22.1%	14.8% 7.3 pts worse	16.7% 5.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 22.2% · Q3 19.4% · Q4 22.0% · 4Q avg 22.1% · 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	9.9%	13.3% 3.4 pts better	16.3% 6.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.3% · Q2 7.0% · Q3 12.6% · Q4 5.6% · 4Q avg 9.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	8.1%	11.7% 3.6 pts better	14.9% 6.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 2.4% · Q3 11.6% · Q4 8.7% · 4Q avg 8.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.5%	0.4% 0.1 pts worse	1.0% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.4%	1.2% 0.2 pts worse	1.7% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 0.0% · Q4 3.6% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	23.9%	24.2% 0.3 pts better	19.8% 4.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.9% · Q2 28.3% · Q3 15.8% · Q4 29.5% · 4Q avg 23.9%
Percentage of long-stay residents with pressure ulcers	3.7%	4.1% 0.4 pts better	5.1% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 11.1% · Q3 0.0% · Q4 2.0% · 4Q avg 3.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	89.0%	81.6% 7.4 pts better	81.7% 7.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 81.6% · Q2 87.2% · Q3 92.9% · Q4 93.3% · 4Q avg 89.0%
Percentage of short-stay residents who had an outpatient emergency department visit	13.8%	10.5% 3.3 pts worse	12.0% 1.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 13.8% · Observed 14.3% · Expected 11.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	3.9%	1.3% 2.6 pts worse	1.6% 2.3 pts worse	Short Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 9.1% · 4Q avg 3.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	90.2%	79.0% 11.2 pts better	79.7% 10.5 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 90.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	23.8%	22.4% 1.4 pts worse	23.9% 0.1 pts better	Short Stay · 20240701-20250630 · Adjusted 23.8% · Observed 21.4% · Expected 21.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-07 · Fire 2025-04-07

13 health deficiencies

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

14 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2024-05-30 · Fire 2024-05-30

9 health deficiencies

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

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-03-27 · Fire 2023-03-27

10 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-07

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2025-06-30

F · Potential for more than minimal harm 2025-04-07

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-05-09

F · Potential for more than minimal harm 2025-04-07

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2025-06-30

F · Potential for more than minimal harm 2025-04-07

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-06-30

E · Potential for more than minimal harm 2025-04-07

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2025-06-30

E · Potential for more than minimal harm 2025-04-07

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-06-30

E · Potential for more than minimal harm 2025-04-07

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 2025-06-30

E · Potential for more than minimal harm 2025-04-07

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-06-30

E · Potential for more than minimal harm 2025-04-07

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-06-30

E · Potential for more than minimal harm 2025-04-07

K361 · Smoke Deficiencies

Fire Safety

Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

Corrected 2025-07-21

E · Potential for more than minimal harm 2025-04-07

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-06-30

E · Potential for more than minimal harm 2025-04-07

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-06-30

C · Minimal harm 2025-04-07

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-05-15

C · Minimal harm 2025-04-07

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-06-30

F · Potential for more than minimal harm 2024-05-30

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-06-28

E · Potential for more than minimal harm 2024-05-30

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-06-28

E · Potential for more than minimal harm 2024-05-30

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-06-28

F · Potential for more than minimal harm 2023-03-27

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-06-01

F · Potential for more than minimal harm 2023-03-27

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-05-23

E · Potential for more than minimal harm 2023-03-27

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 2023-05-23

E · Potential for more than minimal harm 2023-03-27

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2023-05-23

E · Potential for more than minimal harm 2023-03-27

K361 · Smoke Deficiencies

Fire Safety

Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

Corrected 2023-05-23

E · Potential for more than minimal harm 2023-03-27

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-05-23

E · Potential for more than minimal harm 2023-03-27

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 2023-05-23

C · Minimal harm 2023-03-27

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-05-23

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-08-14

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 2025-09-11

D · Potential for more than minimal harm 2025-08-14

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 2025-09-11

D · Potential for more than minimal harm 2025-07-23

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-08-14

E · Potential for more than minimal harm 2025-04-07

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 2025-04-24

D · Potential for more than minimal harm 2025-04-07

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2025-04-24

D · Potential for more than minimal harm 2025-04-07

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-24

D · Potential for more than minimal harm 2025-04-07

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-24

D · Potential for more than minimal harm 2025-04-07

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 2025-04-24

D · Potential for more than minimal harm 2025-04-07

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 2025-04-24

D · Potential for more than minimal harm 2025-04-07

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 2025-04-24

D · Potential for more than minimal harm 2025-04-07

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2025-04-24

D · Potential for more than minimal harm 2025-04-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-24

C · Minimal harm 2025-04-07

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2025-04-24

D · Potential for more than minimal harm 2024-12-19

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 2025-01-09

D · Potential for more than minimal harm 2024-12-19

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-01-09

D · Potential for more than minimal harm 2024-11-01

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-11-22

D · Potential for more than minimal harm 2024-11-01

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-11-22

D · Potential for more than minimal harm 2024-11-01

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 2024-11-22

D · Potential for more than minimal harm 2024-11-01

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 2024-11-22

D · Potential for more than minimal harm 2024-05-30

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-15

D · Potential for more than minimal harm 2024-05-30

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 2024-06-15

D · Potential for more than minimal harm 2024-05-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-15

D · Potential for more than minimal harm 2024-02-02

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 2024-01-24

D · Potential for more than minimal harm 2023-03-27

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-04-21

D · Potential for more than minimal harm 2023-03-27

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-04-21

D · Potential for more than minimal harm 2023-03-27

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2023-04-21

D · Potential for more than minimal harm 2023-03-27

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 2023-04-21

D · Potential for more than minimal harm 2023-03-27

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 2023-04-21

D · Potential for more than minimal harm 2023-03-27

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2023-04-21

D · Potential for more than minimal harm 2023-03-27

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

D · Potential for more than minimal harm 2023-03-27

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-04-21

D · Potential for more than minimal harm 2023-03-27

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2023-04-21

Penalties and ownership