Occupancy rate
25%
64% lower than Indiana averageIndiana average: 68%
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.
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Nursing Home in Indiana
CMS overall rating
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.
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.
Flatrock River Lodge
Nursing Home in Indiana
CMS overall rating
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.
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.
Flatrock River Lodge
Flatrock River Lodge is a skilled nursing facility located in Rushville, Indiana. It offers rehabilitation therapy, skilled nursing, and assisted living services. The facility is committed to providing high-quality care and a homelike atmosphere for its residents.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
114
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
24.6%
Residents per day (avg)
31
Occupancy rate
24.6%
Residents per day (avg)
31
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
29% of new residents, usually for short-term rehab.
Typical stay
26 days
Private pay
39% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
31% of new residents, often for long-term daily care.
Typical stay
7 - 8 months
Finances and operations
Governmental community
Operated by county authorities.
Home revenue
$4.1M
Surplus of revenue
$203.9K
Governmental community
Operated by county authorities.
Home revenue
$4.1M
Surplus of revenue
$203.9K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$3.9M
114-bed community
A larger shared setting that may offer more common spaces and organized community services.
2 years in operation
A newer community that may feature more recent facilities and programs.
About this community
Occupancy
64% lower than Indiana averageOccupied beds
28 / 114
Average residents
70 per day
Facility TypeMixed Facility (nursing + Residential Care)
IssuanceJanuary 8, 2024
ExpirationJuly 31, 2025
License Number24-001126-1
CMS Certification Number155630
Flatrock River Lodge is legally operated by Rush Memorial Hospital, and administrated by Justin Lai.
Profit StatusOTHER
SNF/NF (Combined)
63 units
Residential
51 units
Total beds
114 units
Staffing
Key information about the people who lead and staff this community.
Director of NursingREBECCA COMBS
Rehabilitation Services
Skilled Nursing
Fax(765) 938-1333
Outdoor Gazebo And Patio Area
Quiet Country Setting
Suites And Private Rooms Available
Shopping Services
Beauty Salon And Barber Shop
Private Family Space
Walking Path
Cable Tv And Free Wifi
Chef And Dietician Directed Menus
Specific ProgramsRehabilitation Therapy, Skilled Nursing, Assisted/Residential Living, Restorative Nursing, Activities, Amenities, Dining
Food DescriptionChef and dietician directed menus with varying alternate food items available for all meals. Snacks are offered three times a day between meals.
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.
Inspection Overview
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
18 total visits · Indiana avg: 19
Ranked 184th of 388 in Indiana
6
Inspections
Indiana avg: 13
54% below Indiana avg
8
Visits with Citations
Indiana avg: 7
14% above Indiana avg
33
Citations Total
Indiana avg: 34
3% below Indiana avg Ranked 223rd of 385
10
Visits without Citations
Indiana avg: 12
17% below Indiana avg
Show Inspection Reports
1 complaint
Formal expressions of dissatisfaction or concern made by residents, or their families regarding various aspects of the care, services, and environment provided.
Indiana average: 5 complaints
Latest inspection
Date
April 28, 2025
Life Safety33 total citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
Indiana average: 34 citations
32 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Indiana average: 36 deficiencies
Inspection Report Summary for Flatrock River Lodge
The most recent inspection on April 28, 2025, identified several deficiencies related to Life Safety Code requirements, including documentation and maintenance of emergency lighting, sprinkler systems, fire extinguishers, fire dampers, fire drills, electrical receptacles, and generator testing. Earlier inspections showed a pattern of Life Safety Code issues, such as problems with fire doors, sprinkler maintenance, and emergency preparedness, as well as some resident care deficiencies involving compression stocking use and skin assessments. Complaint investigations were mostly unsubstantiated, except for one substantiated complaint in August 2022 regarding staff not properly using personal protective equipment during COVID-19 testing, which resulted in a cited deficiency. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s inspection history shows ongoing challenges with Life Safety Code compliance, with some fluctuations but no clear overall improvement or worsening trend.
Health Inspection History
Inspections
Total health inspections
3
Indiana average 6
Last Health inspection on Apr 2025
Total health citations
9
Indiana average 25
Citations per inspection
3
Indiana average 4.12
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 9 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Indiana averageIndiana average: 0.2
Serious Health citations
0
0
100% better than Indiana averageIndiana average: 0.6
0 critical citations
0 serious citations
9 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 10, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 10, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 08, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 08, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 08, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 08, 2024
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jan 10, 2023
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jan 10, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Indiana The information below is reported by the Indiana Department of Health, Division of Long Term Care.
Filter by care type
| Adams Woodcrest |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Decatur | 143 | 67.1% | -3% | 3.69 | -10% | +7% | 0 | 2 | 2.0 | 0 | 108 | - | - | Adams County Memorial Hospital | $12.2M | $5.6M | 46.1% | 155747 | ||||
| Flatrock River Lodge |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Rushville | 114 | 30.7% | -56% | 4.42 | +36% | +29% | 0 | 9 | 3.0 | 0 | 31 | - | - | Flatrock River Lodge, Ltd | $4.1M | $1.4M | 34.6% | 155630 | ||||
| Adams Heritage |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Monroeville | 61 | 60.7% | -13% | 4.12 | +29% | +20% | 0 | 2 | 1.0 | 0 | 39 | A+ | - | Adams County Memorial Hospital | $5.1M | $2.5M | 49.1% | 155729 | ||||
| Addison Pointe Health & Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Chesterton | 100 | 93.0% | +34% | 3.16 | -5% | -8% | 1 | 27 | 4.5 | 1 | 93 | - | - | Dobben, Steven | $15.2M | $5.3M | 34.8% | 155805 | ||||
| Albany Health Care & Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Albany | 102 | 75.5% | +9% | 3.51 | +4% | +2% | 0 | 19 | 3.2 | 1 | 77 | - | - | Troxwell, Melanie | $12.3M | $4.3M | 35% | 155432 |
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
70
Employees
43
Contractors
27
Staff to resident ratio
2.12:1
2121112% better than Indiana averageIndiana average ratio: 0.00:1
Avg staff/day
18
Average shift
7.6 hours
0% compared with Indiana averageIndiana average: 7.7 hours
Total staff hours (quarter)
12,446
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
30
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
9.6%
1,190 contractor hours this quarter
Certified Nursing Assistant: 7
Licensed Practical Nurse: 5
Registered Nurse: 4
Physical Therapy Aide: 2
Respiratory Therapy Technician: 2
Speech Language Pathologist: 2
Administrator: 1
Occupational Therapy Aide: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Mental Health Service Worker: 1
Staff by category
| Certified Nursing Assistant | 23 | 7 | 30 | 5,968 | 91 | 100% | 7.2 |
| Licensed Practical Nurse | 4 | 5 | 9 | 1,989 | 91 | 100% | 9.3 |
| Registered Nurse | 5 | 4 | 9 | 1,621 | 91 | 100% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 542 | 63 | 69% | 8.6 |
| Administrator | 1 | 1 | 2 | 444 | 53 | 58% | 8.4 |
| Nurse Practitioner | 2 | 0 | 2 | 438 | 56 | 62% | 7.8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 361 | 55 | 60% | 6.6 |
| RN Director of Nursing | 1 | 0 | 1 | 291 | 39 | 43% | 7.4 |
| Speech Language Pathologist | 0 | 2 | 2 | 192 | 43 | 47% | 4.5 |
| Dietitian | 1 | 0 | 1 | 128 | 19 | 21% | 6.7 |
| Medication Aide/Technician | 3 | 0 | 3 | 125 | 17 | 19% | 6.9 |
| Physical Therapy Aide | 0 | 2 | 2 | 122 | 36 | 40% | 3.4 |
| Occupational Therapy Aide | 0 | 1 | 1 | 69 | 12 | 13% | 5.8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 64 | 21 | 23% | 3.1 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 43 | 6 | 7% | 7.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 21 | 3 | 3% | 6.9 |
| Mental Health Service Worker | 0 | 1 | 1 | 18 | 2 | 2% | 9 |
| Medical Director | 0 | 1 | 1 | 12 | 6 | 7% | 2 |
30 Certified Nursing Assistant
% of Days
100%
9 Licensed Practical Nurse
% of Days
100%
9 Registered Nurse
% of Days
100%
1 Dental Services Staff
% of Days
69%
2 Administrator
% of Days
58%
2 Nurse Practitioner
% of Days
62%
1 Other Dietary Services Staff
% of Days
60%
1 RN Director of Nursing
% of Days
43%
2 Speech Language Pathologist
% of Days
47%
1 Dietitian
% of Days
21%
3 Medication Aide/Technician
% of Days
19%
2 Physical Therapy Aide
% of Days
40%
1 Occupational Therapy Aide
% of Days
13%
2 Respiratory Therapy Technician
% of Days
23%
1 Clinical Nurse Specialist
% of Days
7%
1 Occupational Therapy Assistant
% of Days
3%
1 Mental Health Service Worker
% of Days
2%
1 Medical Director
% of Days
7%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
33
Medicare
5
15.2% of residents
Medicaid
24
72.7% of residents
Private pay or other
4
12.1% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.1
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.1
27% worse than Indiana averageIndiana average: 8.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.9
28% worse than Indiana averageIndiana average: 17.1
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
21.8%
Percent of long-stay residents whose need for help with daily activities has increased
21.8%
81% worse than Indiana averageIndiana average: 12.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
22.7%
Percent of long-stay residents whose ability to move independently worsened
22.7%
58% worse than Indiana averageIndiana average: 14.4%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.1%
14% better than Indiana averageIndiana average: 24.6%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.5%
Percent of long-stay residents experiencing one or more falls with major injury
3.5%
11% better than Indiana averageIndiana average: 3.9%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
0.0%
Percent of long-stay high risk residents with pressure ulcers
0.0%
100% better than Indiana averageIndiana average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
7.8%
Percent of long-stay residents with a urinary tract infection
7.8%
538% worse than Indiana averageIndiana average: 1.2%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.7%
Percent of long-stay residents who lose too much weight
2.7%
52% better than Indiana averageIndiana average: 5.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.8%
Percent of long-stay residents who have depressive symptoms
1.8%
93% better than Indiana averageIndiana average: 24.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
28.4%
Percent of long-stay residents who received an antipsychotic medication
28.4%
129% worse than Indiana averageIndiana average: 12.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.6%
In line with Indiana averageIndiana average: 93.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Indiana averageIndiana average: 95.4%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
83.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
83.7%
In line with Indiana averageIndiana average: 81.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Indiana averageIndiana average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
84.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
84.6%
7% better than Indiana averageIndiana average: 79.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Flatrock River Lodge based on CMS SNF Cost Reports.
Occupancy Rate
27.7%
↓ 7.2pp vs 2022
Net Income
$203.9K
↓ ~$69.2K vs 2022
Total Payroll
$2.0M
↓ ~$100.6K vs 2022
Profit Margin
5.0%
↓ 0.7pp vs 2022
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