Envive of Liberty
Nursing Home, Hospice Care, Respite Care & Skilled Nursing · Liberty, IN
CMS overall rating Info 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.

Envive of Liberty

Nursing Home, Hospice Care, Respite Care & Skilled Nursing · Liberty, IN
CMS overall rating Info 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.
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Envive of Liberty accepts Medicare, Medicaid, and private pay.

Overview of Envive of Liberty

Envive of Liberty is a newly opened skilled nursing home in Liberty, Indiana, operated under Adams County Memorial Hospital. The facility is led by administrator Shawn Steele, with Rebecca Smith serving as Director of Nursing. The community on West High Street serves seniors who need nursing care and rehabilitation in a moderately walkable neighborhood with nearby amenities and local services.

The home has 60 beds and is positioned to build its census, currently at 42 percent occupancy. As an SNF, it prioritizes short-term rehabilitation and longer-term nursing care, making it a good fit for residents recovering from surgery, hospitalization, or managing ongoing health conditions. The community offers comprehensive therapy services, including physical, occupational, and speech therapy, alongside specialized programs for post-surgical recovery and neurological conditions like post-stroke rehabilitation. Clinical care is anchored by consistent staffing: registered nurses provide 57 minutes of care per resident daily, nursing assistants contribute 1 hour and 59 minutes, and licensed practical nurses add 29 minutes per day. Together, this totals around 3 hours and 25 minutes of daily nursing support per resident. The facility maintains 24-hour staffing and offers respite care for families, along with specialized services including IV therapy, bariatric care, colostomy and tracheotomy care, and dietary support with a registered dietician on-staff. Also available is transportation to medical appointments.

The facility is working through the early operational phase, as shown by state inspections. On the matters reviewed, a recent compliance inspection found no deficiencies. Earlier in the year, the community noted and addressed gaps in resident protection protocols and falls documentation, which have since been corrected. Remedied by mid-year were structural and environmental matters like door latching and electrical systems, flagged in 2024.

For anyone considering a nursing facility in Liberty, touring in person will paint a clear picture of the physical plant, daily feel, and care approach. As a one-year-old community, Envive of Liberty represents a newer entry in the skilled nursing landscape. It also presents opportunities for families to help shape its culture and operations.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
Health Inspection Info 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.
Staffing Info 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.
Quality Measures Info 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.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to state averages

Total nursing care / resident Info 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.
4h 6m per day
Rank #44 / 290Nurse hours — State benchmarkedThis home is ranked 44th out of 290 homes in Indiana for Nurse Hours. Shows adjusted nurse hours per resident per day benchmarked to the Indiana average, with a ranking across 290 Indiana facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.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.
vs avg

2 of 6 metrics below state avg

Standout metric Weekend RN is +11% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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 ■ Avg State avg: 40m per day · National avg: 41m per day
LPN / LVN Info 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. 48m per day ▲ 4% State avg: 46m per day · National avg: 52m per day
Nurse Aide Info 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. 2h 7m per day ▼ 6% State avg: 2h 16m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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 17m per day ■ Avg State avg: 3h 14m per day · National avg: 3h 26m per day
Physical Therapist Info 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 Info 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. 30m per day ▲ 11% State avg: 27m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay Info 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.
270 days
Bed community size
60-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
1 year in operation
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 57 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate
42%
Rank #384 / 427Occupancy rate — State benchmarkedThis home is ranked 384th out of 427 homes in Indiana for Occupancy. Shows this facility's occupancy rate versus the Indiana average, with its Statewide rank out of 427. Higher occupancy signals strong local demand and financial stability.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.
Lower than the Indiana average: 68.1%
Occupied beds
25 / 60
Average occupied beds in Indiana homes 70 beds

License Details

Facility TypeNursing Home / Skilled Nursing Facility / Nursing Facility Dually Certified
StatusActive
IssuanceJanuary 1, 2025
ExpirationDecember 31, 2026
License Number25-000510-1
CMS Certification Number155690

Ownership & Operating Entity

Envive of Liberty is legally operated by Adams County Memorial Hospital, and administered by Shawn Steele.

Profit StatusFor-profit

Type Of Units

SNF/NF (Combined)
60 units
Total beds
60 units

Staffing

Key information about the people who lead and staff this community.

Leadership

Medical DirectorAmy Spivey
Director of NursingRebecca Smith

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

1 service
24-Hour Staffing

Contact Information

Fax(765) 458-5119

Amenities & Lifestyle

Specific Programs24/7 Nursing Care, Physical, Occupational and Speech Therapy, Post-Surgical Rehabilitation, Short-term & Long-term Care, Post CVA Program, IV Therapy, Bariatric Care, Colostomy Care, Tracheotomy Care, Therapeutic Diet Plans with Registered Dietician, Transportation to Appointments

Contact Envive of Liberty

Inspection History

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.

Since 2022 · 4 years of data 23 deficiencies 5 complaints 16 inspections
Inspection Score Info 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.

1 point above the Indiana average for assisted living residences (83/100)

Inspection score: 84 out of 100. Letter grade B. 1 point above the Indiana average for assisted living residences (83/100)

Inspection Scorecard Info 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.

Since 2022 vs. Indiana state average
Overall vs. IN average 1 Worse Metrics worse than Indiana average:
• Inspection deficiency rate (3% above)
2 At Avg Metrics at Indiana average:
• Total complaints (at IN avg)
• Complaints per year (at IN avg)
5 Better Metrics better than Indiana average:
• Total deficiencies (36% below)
• Deficiencies per year (36% below)
• Deficiencies per inspection (26% below)
• Inspections with deficiencies (14% below)
• Inspections (8% below)
Latest Inspection May 30, 2025 Complaint Investigation

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityIN Averagevs. IN Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 2336 This facility has 36% fewer total deficiencies than a typical Indiana assisted living residence (23 vs. IN avg 36).↓ 36% better
Deficiencies per year Info Average deficiencies per year since 2022. 5.89 This facility has 36% fewer deficiencies per year than a typical Indiana assisted living residence (5.8 vs. IN avg 9).↓ 36% better
Deficiencies per inspection Info Average deficiencies per inspection. 1.41.9 This facility has 26% fewer deficiencies per inspection than a typical Indiana assisted living residence (1.4 vs. IN avg 1.9).↓ 26% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityIN Averagevs. IN Avg
Total visits Info Combined count of all on-site visits — routine inspections, complaint visits, follow-ups, and other focused visits. 1619 This facility has had 16% fewer total visits than the Indiana average (16 vs. IN avg 19). More inspections can mean more regulatory scrutiny rather than worse care.↓ 16% fewer
Inspections with deficiencies Info Inspections that resulted in at least one regulatory deficiency. 67 This facility has 14% fewer inspections with deficiencies than a typical Indiana assisted living residence (6 vs. IN avg 7).↓ 14% better
Inspection deficiency rate Info Percentage of inspections that resulted in at least one deficiency. 38%37% This facility has 1 percentage point higher inspection deficiency rate than a typical Indiana assisted living residence (38% vs. IN avg 37%).↑ 1% worse
Inspections Info Routine, scheduled inspections conducted by state regulators. 1213 This facility has 8% fewer inspections than a typical Indiana assisted living residence (12 vs. IN avg 13).↓ 8% better

Complaints & Investigations Info Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.

This FacilityIN Averagevs. IN Avg
Total complaints Info Formal expressions of concern made by residents, families, or staff. 55 This facility has total complaints in line with the Indiana average (5 vs. IN avg 5).— At avg
Complaints per year Info Average complaints per year since 2022. 1.31.3 This facility has complaints per year in line with the Indiana average (1.3 vs. IN avg 1.3).— At avg

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The most recent inspection on May 30, 2025, found no deficiencies related to the complaint investigated, confirming compliance with applicable regulations.
  • The January 22, 2025 complaint investigation cited deficiencies for failure to protect a resident from verbal abuse and inadequate falls investigation and documentation.
  • The facility had recurring Life Safety Code deficiencies in 2024, including door latching, signage, and electrical issues, but corrected some by August 2024.

Penalties and fines

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.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

Long-stay resident measures
Above average State avg: 4.1 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 3.61
126% worse than State average

State average: 1.60

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.07
28% better than State average

State average: 1.48

Short-stay resident measures
Significantly above average State avg: 2.9 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 37.8%
69% worse than State average

State average: 22.4%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 6.4%
39% better than State average

State average: 10.5%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 3.6%
364% worse than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 55.0%
In line with State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 53.1%
5% better than State average

State average: 50.6%

Breakdown by payment type

Medicare

45% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

45% of new residents, often for short stays.

Typical stay 3 - 4 months

Medicaid

11% of new residents, often for long-term daily care.

Typical stay 4 - 5 years

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Corporation
Net patient revenue Info 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."
$4.3M
Net patient income Info 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."
$356.9K
For-profit Corporation
Net patient revenue Info 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."
$4.3M Rank #283 / 294Revenue — State benchmarkedThis home is ranked 283rd out of 294 homes in Indiana for Revenue. Shows this facility's annual revenue compared to the Indiana average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.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.
Net patient income Info 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."
$356.9K
Other income Info 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.
$42.1K
Payroll costs Info 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 #288 / 294Payroll — State benchmarkedThis home is ranked 288th 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.
$1.6M 37.6% of net patient revenue Info 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 #126 / 294Payroll % — State benchmarkedThis home is ranked 126th 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.
Other operating costs Info 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).
$2.3M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$3.9M

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

New residents most often arrive under Medicare (45% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
47 total

Coverage residents most often arrive under.

Medicare 45%
Private pay 45%
Medicaid 11%
Discharges
41 total

Coverage residents most often leave under.

Medicare 59%
Private pay 27%
Medicaid 15%

Places of interest near Envive of Liberty

Address 0.0 miles from city center Info Estimated distance in miles from Liberty's city center to Envive of Liberty's address, calculated via Google Maps.

Calculate Travel Distance to Envive of Liberty

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Frequently Asked Questions about Envive of Liberty

Who is the Director of Nursing at Envive of Liberty?

Rebecca Smith is the Director of Nursing at Envive of Liberty.

Who is the owner of Envive of Liberty?

Envive of Liberty is legally operated by Adams County Memorial Hospital, and administered by Shawn Steele.

Is Envive of Liberty in a walkable area?

Envive of Liberty has a walk score of 57. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Envive of Liberty?

According to IN state health department records, Envive of Liberty's license number is 25-000510-1.

When does Envive of Liberty's license expire?

According to IN state health department records, Envive of Liberty's license expires on December 31, 2026.

What is the occupancy rate at Envive of Liberty?

Envive of Liberty's occupancy is 42%.

Does Envive of Liberty operate as a for-profit or non-profit?

Envive of Liberty is registered as a for-profit in IN.

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