3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Under Envive Nursing Holdings’s ownership, Envive of Lawrenceburg is a newly opened skilled nursing and rehabilitation community in southeastern Indiana. Operated by Adams County Memorial Hospital at 403 Bielby Road in Lawrenceburg, the facility is administered by Keith Mckee and takes Medicare, Medicaid, and private pay. This means families have flexibility in how they arrange coverage for rehabilitation or ongoing nursing care. The 100-bed facility is built to support short-term recovery and longer-term care, averaging a stay length of roughly 121 days. This timeline reflects a mix of residents: those completing post-acute rehabilitation after hospitalization, those receiving ongoing skilled nursing, and some who shifted to longer placements. The community is found in a moderately walkable neighborhood (Walk Score 64), so it’s convenient for visiting families to navigate on foot for occasional errands and drop-ins.
The home, clinically speaking, emphasizes rehabilitation and specialized nursing care. Its programs span post-surgical recovery, post-stroke rehabilitation, and respiratory therapies, including mechanical ventilator management and weaning. For residents with complex medical needs, the facility also offers IV therapy, bariatric care, and tracheotomy care. Physical, occupational, and speech therapy exist in-house, along with short-term respite options for families needing temporary care. A registered dietician develops therapeutic meal plans tailored to individual health needs, and the facility arranges transportation to medical appointments outside the home. Staffing supports this clinical focus: the facility provides roughly 2 hours and 55 minutes of total nursing care per resident day, with registered nurses, nurse aides, and LPN/LVNs distributed across shifts to maintain 24-hour coverage. This staffing pattern indicates a commitment to hands-on, direct care all the time.
State inspections have centered on life safety and emergency preparedness standards like egress and exit compliance, along with protocols for medication management and infection control during nursing operations.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 41m per day | ▲ 3% State avg: 40m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 57m per day | ▲ 24% State avg: 46m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 49m per day | ▼ 20% State avg: 2h 16m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 8m per day | ▼ 3% State avg: 3h 14m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 0m per day | ▼ 100% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 18m per day | ▼ 33% State avg: 27m per day · National avg: 28m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Envive of Lawrenceburg is legally operated by Adams County Memorial Hospital, and administered by Keith Mckee.
Key information about the people who lead and staff this community.
In Indiana, the Department of Health, Division of Long Term Care is the primary regulatory body that performs onsite inspections and quality of care reviews for all licensed facilities.
A composite 0–100 score combining this facility's inspections, deficiencies, complaints, and enforcement actions relative to the Indiana state average. The score below shows how many points this facility sits above or below the typical Indiana assisted living residence score (the benchmark); higher is better.This is a proprietary Assisted Living Magazine score.
9 points below the Indiana average for assisted living residences (83/100)
Rank #278 / 392 in Indiana Inspection Score — State benchmarked This home is ranked 278th out of 392 homes in Indiana for Inspection Score. Shows this facility's inspection score compared to the Indiana average among 392 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking. This is a proprietary Assisted Living Magazine score. Inspection score: 74 out of 100. Letter grade C. 9 points below the Indiana average for assisted living residences (83/100)
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Indiana state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 128 | 36 | This facility has 256% more total deficiencies than a typical Indiana assisted living residence (128 vs. IN avg 36).↑ 256% worse |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 42.7 | 12 | This facility has 256% more deficiencies per year than a typical Indiana assisted living residence (42.7 vs. IN avg 12).↑ 256% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 4.9 | 1.9 | This facility has 158% more deficiencies per inspection than a typical Indiana assisted living residence (4.9 vs. IN avg 1.9).↑ 158% worse |
Inspections
| This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total visits
Combined count of all on-site visits — routine inspections, complaint visits, follow-ups, and other focused visits.
| 26 | 19 | This facility has had 37% more total visits than the Indiana average (26 vs. IN avg 19). More inspections can mean more regulatory scrutiny rather than worse care.↑ 37% more |
|
Inspections with deficiencies
Inspections that resulted in at least one regulatory deficiency.
| 13 | 7 | This facility has 86% more inspections with deficiencies than a typical Indiana assisted living residence (13 vs. IN avg 7).↑ 86% worse |
|
Inspection deficiency rate
Percentage of inspections that resulted in at least one deficiency.
| 50% | 37% | This facility has 13 percentage points higher inspection deficiency rate than a typical Indiana assisted living residence (50% vs. IN avg 37%).↑ 13% worse |
|
Inspections
Routine, scheduled inspections conducted by state regulators.
| 13 | 13 | This facility has inspections in line with the Indiana average (13 vs. IN avg 13).— At avg |
Complaints & Investigations
| This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 4 | 5 | This facility has 20% fewer total complaints than a typical Indiana assisted living residence (4 vs. IN avg 5).↓ 20% better |
|
Complaints per year
Average complaints per year since 2023.
| 1.3 | 1.7 | This facility has 24% fewer complaints per year than a typical Indiana assisted living residence (1.3 vs. IN avg 1.7).↓ 24% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
State average N/A
Last Health inspection on Sep 2025
State average N/A
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
22 of 28 citations resulted from standard inspections; and 6 of 28 resulted from complaint investigations.
In line with State averageState average: N/A
In line with State averageState average: N/A
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
11 total: 6 full-time employees and 5 contractors.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.8 hoursAssists with medical care and medications.
33 total: 9 full-time employees and 24 contractors.
33
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursHelps with daily care and mobility.
37 total: 19 full-time employees and 18 contractors.
37
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,115 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 19 | 18 | 37 | 8,717 | 92 | 100% | 9.3 |
| Licensed Practical Nurse | 9 | 24 | 33 | 4,541 | 92 | 100% | 8.7 |
| Registered Nurse | 6 | 5 | 11 | 1,841 | 92 | 100% | 10.8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 955 | 83 | 90% | 8 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 920 | 66 | 72% | 7.3 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 502 | 62 | 67% | 8.1 |
| Dietitian | 1 | 0 | 1 | 428 | 54 | 59% | 7.9 |
| Qualified Activities Professional | 1 | 0 | 1 | 40 | 8 | 9% | 5 |
| Feeding Assistant | 0 | 1 | 1 | 4 | 1 | 1% | 4 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.6
In line with State averageState average: 8.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.9
13% better than State averageState average: 17.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
4.0%
67% better than State averageState average: 12.0%
Percent of long-stay residents whose ability to move independently worsened
12.5%
13% better than State averageState average: 14.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.2%
15% worse than State averageState average: 24.6%
Percent of long-stay residents experiencing one or more falls with major injury
1.9%
50% better than State averageState average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
8.4%
93% worse than State averageState average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than State averageState average: 1.2%
Percent of long-stay residents who lose too much weight
11.3%
99% worse than State averageState average: 5.7%
Percent of long-stay residents who have depressive symptoms
40.7%
69% worse than State averageState average: 24.1%
Percent of long-stay residents who received an antipsychotic medication
20.3%
63% worse than State averageState average: 12.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
82.6%
12% worse than State averageState average: 93.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
70.5%
26% worse than State averageState average: 95.4%
Number of hospitalizations per 1,000 long-stay resident days.
3.18
99% worse than State averageState average: 1.60
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.96
35% better than State averageState average: 1.48
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
39.9%
51% worse than State averageState average: 81.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
16% better than State averageState average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
52.1%
34% worse than State averageState average: 79.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
17.0%
24% better than State averageState average: 22.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
0.0%
100% better than State averageState average: 10.5%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than State averageState average: 0.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
16% of new residents, usually for short-term rehab.
24% of new residents, often for short stays.
60% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
48Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Envive of Lawrenceburg from 2012–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #216 / 294Payroll — State benchmarkedThis home is ranked 216th out of 294 homes in Indiana for Payroll. Shows total annual staff payroll benchmarked to the Indiana average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #96 / 294Payroll % — State benchmarkedThis home is ranked 96th out of 294 homes in Indiana for Payroll %. Shows payroll as a percentage of revenue versus the Indiana average. Well-run Indiana facilities typically land around 54–68% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents stay for extended periods and receive ongoing daily care.
Most new residents arrive under Medicaid (60% of admissions), and a typical Medicaid stay runs around 4 - 5 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Lawrenceburg's city center to Envive of Lawrenceburg's address, calculated via Google Maps.
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The information below is reported by the Indiana Department of Health, Division of Long Term Care.
| The Barrington of Carmel | NH AL IL MC SNF | Carmel | - | 154 | A+ | 39 | Studio / 1 Bed / 2 Bed |
| Westminster Village Muncie | NH AL IL SNF | Muncie | - | 303 | A+ | 6 | Studio / 1 Bed / 2 Bed |
| Greenwood Village South | NH AL IL MC SNF | Greenwood | - | 207 | A+ | 50 | Apartment / Cottage |
| Christian Care Retirement Community | NH AL IL MC SNF | Bluffton (Toll Gate Heights) | - | 145 | - | 4 | 1 Bed / 2 Bed / 3 Bed |
| Envive of Lawrenceburg | NH HOS RC SNF | Lawrenceburg | - | 100 | - | 64 | - |
Bonnie Burnham is the Director of Nursing at Envive of Lawrenceburg.
Envive of Lawrenceburg is legally operated by Adams County Memorial Hospital, and administered by Keith McKee.
Envive of Lawrenceburg has a walk score of 64. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to IN state health department records, Envive of Lawrenceburg's license number is 24-000022-1.
According to IN state health department records, Envive of Lawrenceburg's license expires on November 30, 2026.
Envive of Lawrenceburg's occupancy is 42%.
No, Envive of Lawrenceburg has a no-pet policy.
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