Zionsville, IN

Zionsville Meadows

3-star overall rating with 2-star inspections with 10 recent health deficiencies with 18 fire-safety deficiencies in the latest cycle

675 S Ford Rd, Zionsville, IN

(317) 873-5205

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

167

Certified beds

Average residents

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

American Senior Communities

Operator or chain grouping

Approved since

1997-05-01

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

0.56

Registered nurse staffing · state 0.66 · national 0.68

LPN hours / resident day

0.72

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

2.05

Nurse aide staffing · state 2.27 · national 2.35

Total nurse hours

3.34

All reported nurse hours · state 3.71 · national 3.89

Licensed hours

1.28

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

2.90

Weekend nurse staffing · state 3.24 · national 3.43

Weekend RN hours

0.33

Weekend registered nurse coverage · state 0.45 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.58

CMS adjusted RN staffing hours

Adjusted total hours

3.47

CMS adjusted total nurse staffing hours

Case-mix index

1.32

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

43%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,847

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

Performance score

38.35

Composite VBP score used to determine payment impact.

Payment multiplier

0.9914

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

6.35

Baseline 76.74% · Performance 41.18% · Measure score 6.35 · Achievement 5.51 · Improvement 6.35

Adjusted total nurse staffing

1.32

Baseline 3.66 hours · Performance 3.45 hours · Measure score 1.32 · Achievement 1.32 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.54%	10.72% 0.2 pts better	No Different than the National Rate · Eligible stays 34 · Observed rate 8.82% · Lower 95% interval 7.09%
Discharge to community	52.8%	50.57% 2.2 pts better	No Different than the National Rate · Eligible stays 33 · Observed rate 45.45% · Lower 95% interval 36.12%
Medicare spending per beneficiary	0.95	1.02 0.1 pts better
Drug regimen review with follow-up	85.29%	95.27% 10 pts worse	Numerator 29 · Denominator 34
Falls with major injury	2.94%	0.77% 2.2 pts worse	Numerator 1 · Denominator 34
Discharge self-care score	60.71%	53.69% 7 pts better	Numerator 17 · Denominator 28
Discharge mobility score	57.14%	50.94% 6.2 pts better	Numerator 16 · Denominator 28
Pressure ulcers or injuries, new or worsened	5.88%	2.29% 3.6 pts worse	Numerator 2 · Denominator 34 · Adjusted rate 5.47%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 18 · 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 145
Staff flu vaccination coverage	13.49%	42% 28.5 pts worse	Numerator 17 · Denominator 126
Discharge function score	75%	56.45% 18.5 pts better	Numerator 21 · Denominator 28
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 16 · 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	1.2	1.6 0.4 pts better	1.9 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.0 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.9	1.5 0.6 pts better	1.8 0.9 pts better	Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.8 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.0%	93.6% 5.4 pts better	93.4% 5.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.6% · Q2 97.1% · Q3 100.0% · Q4 100.0% · 4Q avg 99.0%
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	3.8%	3.8% About the same	3.3% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 5.7% · Q3 2.7% · Q4 1.3% · 4Q avg 3.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	17.1%	24.6% 7.5 pts better	11.4% 5.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 15.9% · Q3 16.4% · Q4 20.6% · 4Q avg 17.1%
Percentage of long-stay residents who lose too much weight	1.9%	5.6% 3.7 pts better	5.4% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.5% · Q4 5.6% · 4Q avg 1.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	12.1%	23.5% 11.4 pts better	19.6% 7.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.4% · Q2 14.9% · Q3 11.3% · Q4 12.0% · 4Q avg 12.1%
Percentage of long-stay residents who received an antipsychotic medication	15.9%	14.8% 1.1 pts worse	16.7% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 21.3% · Q3 13.5% · Q4 9.8% · 4Q avg 15.9% · 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	1.1%	13.3% 12.2 pts better	16.3% 15.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 0.0% · Q3 0.0% · Q4 1.8% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	2.4%	11.7% 9.3 pts better	14.9% 12.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 5.3% · Q3 1.5% · Q4 0.0% · 4Q avg 2.4% · 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	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	22.7%	24.2% 1.5 pts better	19.8% 2.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.6% · Q2 21.1% · Q3 31.9% · Q4 14.7% · 4Q avg 22.7%
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 0.0% · Q2 2.0% · Q3 9.0% · Q4 3.9% · 4Q avg 3.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	83.1%	81.6% 1.5 pts better	81.7% 1.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 78.7% · Q2 83.3% · Q3 85.1% · Q4 85.1% · 4Q avg 83.1%
Percentage of short-stay residents who had an outpatient emergency department visit	2.8%	10.5% 7.7 pts better	12.0% 9.2 pts better	Short Stay · 20240701-20250630 · Adjusted 2.8% · Observed 2.9% · Expected 11.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.5%	1.3% 0.8 pts better	1.6% 1.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	84.7%	79.0% 5.7 pts better	79.7% 5 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 84.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	18.0%	22.4% 4.4 pts better	23.9% 5.9 pts better	Short Stay · 20240701-20250630 · Adjusted 18.0% · Observed 14.7% · Expected 19.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-09 · Fire 2024-12-09

10 health deficiencies

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

18 fire-safety deficiencies

Top issue: Smoke (8 deficiencies)

Cycle 2 Health 2023-10-26 · Fire 2023-10-26

7 health deficiencies

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

8 fire-safety deficiencies

Top issue: Emergency Preparedness (6 deficiencies)

Cycle 3 Health 2022-07-27 · Fire 2022-07-27

16 health deficiencies

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

6 fire-safety deficiencies

Top issue: Services (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-12-09

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2025-01-28

F · Potential for more than minimal harm 2024-12-09

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-01-28

F · Potential for more than minimal harm 2024-12-09

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-01-28

F · Potential for more than minimal harm 2024-12-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-01-28

F · Potential for more than minimal harm 2024-12-09

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-01-28

F · Potential for more than minimal harm 2024-12-09

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-01-28

E · Potential for more than minimal harm 2024-12-09

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 2025-01-28

E · Potential for more than minimal harm 2024-12-09

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2025-01-28

E · Potential for more than minimal harm 2024-12-09

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 2025-01-28

E · Potential for more than minimal harm 2024-12-09

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-01-28

E · Potential for more than minimal harm 2024-12-09

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 2025-01-28

E · Potential for more than minimal harm 2024-12-09

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-01-28

E · Potential for more than minimal harm 2024-12-09

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-01-28

E · Potential for more than minimal harm 2024-12-09

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2025-01-28

E · Potential for more than minimal harm 2024-12-09

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 2025-01-28

D · Potential for more than minimal harm 2024-12-09

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-01-28

C · Minimal harm 2024-12-09

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2025-01-28

C · Minimal harm 2024-12-09

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-01-28

F · Potential for more than minimal harm 2023-10-26

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2023-11-30

F · Potential for more than minimal harm 2023-10-26

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2023-11-30

F · Potential for more than minimal harm 2023-10-26

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2023-11-30

F · Potential for more than minimal harm 2023-10-26

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2023-11-30

F · Potential for more than minimal harm 2023-10-26

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-12-15

F · Potential for more than minimal harm 2023-10-26

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-11-30

E · Potential for more than minimal harm 2023-10-26

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-12-08

E · Potential for more than minimal harm 2023-10-26

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2023-12-01

E · Potential for more than minimal harm 2022-07-27

K232 · Egress Deficiencies

Fire Safety

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

Corrected 2022-09-09

E · Potential for more than minimal harm 2022-07-27

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 2022-09-09

E · Potential for more than minimal harm 2022-07-27

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2022-09-09

E · Potential for more than minimal harm 2022-07-27

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2022-09-09

E · Potential for more than minimal harm 2022-07-27

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2022-09-09

C · Minimal harm 2022-07-27

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2022-09-09

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-08-21

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 2025-09-05

D · Potential for more than minimal harm 2025-08-21

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 2025-09-05

D · Potential for more than minimal harm 2025-08-21

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-09-05

E · Potential for more than minimal harm 2024-12-09

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2025-01-09

E · Potential for more than minimal harm 2024-12-09

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-10-24

E · Potential for more than minimal harm 2024-12-09

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-01-09

E · Potential for more than minimal harm 2024-12-09

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 2025-01-09

E · Potential for more than minimal harm 2024-12-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-01-09

D · Potential for more than minimal harm 2024-12-09

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 2025-01-09

D · Potential for more than minimal harm 2024-12-09

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 2024-05-17

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2024-06-15

E · Potential for more than minimal harm 2023-10-26

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 2023-12-13

D · Potential for more than minimal harm 2023-10-26

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 2023-12-13

D · Potential for more than minimal harm 2023-10-26

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 2023-12-13

D · Potential for more than minimal harm 2023-10-26

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2023-12-13

D · Potential for more than minimal harm 2023-10-26

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-12-13

D · Potential for more than minimal harm 2023-10-26

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 2023-12-13

E · Potential for more than minimal harm 2022-07-27

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 2022-08-31