4 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
New Castle, IN
3-star overall rating with 3-star inspections with 4 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
1023 N 20th St, New Castle, IN
(765) 529-9694
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
95
Certified beds
Average residents
54
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1969-03-14
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
RN hours / resident day
0.42
Registered nurse staffing · state 0.66 · national 0.68
LPN hours / resident day
1.40
Licensed practical nurse staffing · state 0.77 · national 0.87
Aide hours / resident day
2.44
Nurse aide staffing · state 2.27 · national 2.35
Total nurse hours
4.26
All reported nurse hours · state 3.71 · national 3.89
Licensed hours
1.82
RN + LPN hours · state 1.44 · national 1.54
Weekend hours
3.42
Weekend nurse staffing · state 3.24 · national 3.43
Weekend RN hours
0.34
Weekend registered nurse coverage · state 0.45 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.37
CMS adjusted RN staffing hours
Adjusted total hours
3.76
CMS adjusted total nurse staffing hours
Case-mix index
1.55
Higher values indicate more complex resident acuity
RN turnover
67%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
60%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
7,272
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
30.21
Composite VBP score used to determine payment impact.
Payment multiplier
0.9858
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.19
Baseline 20.04% · Performance 19.95% · Measure score 3.19 · Achievement 3.19 · Improvement 0
Healthcare-associated infections
5.09
Baseline 6.10% · Performance 6.31% · Measure score 5.09 · Achievement 5.09 · Improvement 0
Total nurse turnover
1.08
Baseline 47.06% · Performance 59.26% · Measure score 1.08 · Achievement 1.08 · Improvement 0
Adjusted total nurse staffing
2.72
Baseline 2.80 hours · Performance 3.76 hours · Measure score 2.72 · Achievement 2.41 · Improvement 2.72
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.19% |
10.72%
1.5 pts better
|
No Different than the National Rate · Eligible stays 77 · Observed rate 3.9% · Lower 95% interval 6.17% |
| Discharge to community | 60.88% |
50.57%
10.3 pts better
|
No Different than the National Rate · Eligible stays 56 · Observed rate 64.29% · Lower 95% interval 49.25% |
| Medicare spending per beneficiary | 1.09 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 56 · Denominator 56 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 56 |
| Discharge self-care score | 41.86% |
53.69%
11.8 pts worse
|
Numerator 18 · Denominator 43 |
| Discharge mobility score | 46.51% |
50.94%
4.4 pts worse
|
Numerator 20 · Denominator 43 |
| Pressure ulcers or injuries, new or worsened | 3.57% |
2.29%
1.3 pts worse
|
Numerator 2 · Denominator 56 · Adjusted rate 3.57% |
| Healthcare-associated infections requiring hospitalization | 6.31% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 46 · Observed rate 2.17% · Lower 95% interval 3.2% |
| Staff COVID-19 vaccination coverage | 1.79% |
8.2%
6.4 pts worse
|
Numerator 2 · Denominator 112 |
| Staff flu vaccination coverage | 82.86% |
42%
40.9 pts better
|
Numerator 87 · Denominator 105 |
| Discharge function score | 51.16% |
56.45%
5.3 pts worse
|
Numerator 22 · Denominator 43 |
| Transfer of health information to provider | 92.31% |
95.95%
3.6 pts worse
|
Numerator 24 · Denominator 26 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 6.67% |
25.2%
18.5 pts worse
|
Numerator 2 · Denominator 30 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.5 |
1.6
0.9 pts worse
|
1.9
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.5 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.7 |
1.5
1.2 pts worse
|
1.8
0.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.7 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.3% |
93.6%
0.7 pts better
|
93.4%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 91.5% · Q2 97.8% · Q3 87.8% · Q4 100.0% · 4Q avg 94.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.9% |
95.4%
2.5 pts better
|
95.5%
2.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.6% |
3.8%
3.2 pts better
|
3.3%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.4% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 16.4% |
24.6%
8.2 pts better
|
11.4%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 25.6% · Q3 21.6% · Q4 10.3% · 4Q avg 16.4% |
| Percentage of long-stay residents who lose too much weight | 5.4% |
5.6%
0.2 pts better
|
5.4%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 11.4% · Q3 0.0% · Q4 7.9% · 4Q avg 5.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 30.1% |
23.5%
6.6 pts worse
|
19.6%
10.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.0% · Q2 31.6% · Q3 24.3% · Q4 33.3% · 4Q avg 30.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 25.0% |
14.8%
10.2 pts worse
|
16.7%
8.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.6% · Q2 28.6% · Q3 30.0% · Q4 21.2% · 4Q avg 25.0% · 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 | 40.4% |
13.3%
27.1 pts worse
|
16.3%
24.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.3% · Q2 46.0% · Q3 43.0% · 4Q avg 40.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 36.6% |
11.7%
24.9 pts worse
|
14.9%
21.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 47.2% · Q3 35.3% · Q4 41.7% · 4Q avg 36.6% · 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 | 3.0% |
1.2%
1.8 pts worse
|
1.7%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 7.0% · Q3 2.6% · Q4 0.0% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.7% |
24.2%
1.5 pts worse
|
19.8%
5.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.8% · Q2 32.6% · Q3 22.8% · Q4 25.7% · 4Q avg 25.7% |
| Percentage of long-stay residents with pressure ulcers | 2.5% |
4.1%
1.6 pts better
|
5.1%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 3.6% · Q3 2.3% · Q4 2.3% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 83.4% |
81.6%
1.8 pts better
|
81.7%
1.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 88.7% · Q2 93.4% · Q3 87.5% · Q4 68.4% · 4Q avg 83.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.0% |
10.5%
5.5 pts worse
|
12.0%
4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.0% · Observed 14.0% · Expected 9.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.3%
0.3 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 2.2% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.3% |
79.0%
10.3 pts better
|
79.7%
9.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.6% |
22.4%
1.8 pts better
|
23.9%
3.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.6% · Observed 16.0% · Expected 18.5% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
18 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fire safety
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-05-08
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-05-08
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-05-08
Fire Safety
Install proper backup exit lighting.
Corrected 2025-05-08
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-05-08
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-05-08
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-05-08
Fire Safety
Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency.
Corrected 2025-05-08
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-05-08
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-05-08
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-03-20
Fire Safety
Meet other general requirements.
Corrected 2024-03-20
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 2024-03-20
Fire Safety
Have exits that are accessible at all times.
Corrected 2024-03-21
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 2024-03-20
Fire Safety
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Corrected 2024-03-20
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-03-21
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-01-02
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 2023-01-02
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-01-02
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-01-02
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-01-02
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 2023-01-02
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-01-02
Fire Safety
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Corrected 2023-01-02
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-01-02
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-01-02
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2023-01-02
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-01-02
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-01-02
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-01-02
Fire Safety
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Corrected 2023-01-02
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-01-02
Fire Safety
Meet other general requirements that are deficient.
Corrected 2023-01-02
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-01-02
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Not marked corrected
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-04-04
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-04-04
Health
Provide or obtain dental services for each resident.
Corrected 2025-04-04
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-07
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 2025-02-07
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-09
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-02-09
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-02-09
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-02-09
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-02-09
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-02-09
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-02-09
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 2024-02-09
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-02-09
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-02-09
Health
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected 2024-02-09
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-11-21
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-11-21
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 2022-11-21
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Nearby options
New Castle, IN
3-star overall rating with 3-star inspections with 9 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
New Castle, IN
4-star overall rating with 3-star inspections with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
New Castle, IN
4-star overall rating with 4-star inspections with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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