Occupancy rate
63%
8% lower than Indiana averageIndiana average: 68%
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
River Terrace Health Care Center
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.
River Terrace Health Care Center
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.
River Terrace Health Care Center is a continuing care retirement community located in Bluffton, Indiana. It offers a range of senior living options including independent living, assisted living, memory care, long-term care, and short-term rehabilitation. The community provides a warm and welcoming environment with various activities tailored to residents' abilities.
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.
Staffing hours breakdown
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 nursing care / resident
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.
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 2m per day
vs Indiana avg
+14%
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
94
Avg. Length of Stay
108 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
48% of new residents, usually for short-term rehab.
Typical stay
14 days
Private pay
38% of new residents, often for short stays.
Typical stay
2 - 3 years
Medicaid
14% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Governmental community
Operated by county authorities.
Home revenue
$7.0M
Surplus of revenue
$284.3K
Governmental community
Operated by county authorities.
Home revenue
$7.0M
Surplus of revenue
$284.3K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.5M
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.
$4.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$6.7M
94-bed community
A larger shared setting that may offer more common spaces and organized community services.
1 year in operation
A newer community that may feature more recent facilities and programs.
About this community
Occupancy
8% lower than Indiana averageOccupied beds
59 / 94
Average residents
70 per day
Facility TypeMixed Facility (nursing + Residential Care)
IssuanceJanuary 2, 2025
ExpirationJanuary 31, 2026
License Number25-003575-1
CMS Certification Number155726
River Terrace Health Care Center is legally operated by Adams County Memorial Hospital, and administrated by Mallory Zehr.
Profit StatusOTHER
SNF/NF (Combined)
30 units
Residential
64 units
Total beds
94 units
Staffing
Key information about the people who lead and staff this community.
Medical DirectorLloyd Williams
Director of NursingSHANA SCHAIBLE
Rehabilitation Services
Short-Term Rehab
Long Term Care
Short Term Rehabilitation
Fax(260) 824-8951
Dine With Friends
Hobbies Encouraged
Serene Outdoors
Celebrations
Chapel
Reading Nook
Specific ProgramsShort Term Rehabilitation, Long Term Care, Memory Care, Assisted Living, Independent Living
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.
23 total visits · Indiana avg: 19
Ranked 260th of 388 in Indiana
12
Inspections
Indiana avg: 13
8% below Indiana avg
6
Visits with Citations
Indiana avg: 7
14% below Indiana avg
18
Citations Total
Indiana avg: 34
47% below Indiana avg Ranked 122nd of 385
17
Visits without Citations
Indiana avg: 12
42% above 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
June 20, 2025
Complaint Investigation18 total citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
Indiana average: 34 citations
18 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Indiana average: 36 deficiencies
Inspection Report Summary for River Terrace Health Care Center
The most recent inspection on June 20, 2025, was a complaint investigation and found no deficiencies related to the allegations. Earlier inspections showed a pattern of deficiencies primarily involving emergency preparedness, life safety code compliance, and medication documentation. Prior reports cited issues such as failure to conduct required emergency drills and training, incomplete testing and maintenance records for safety equipment, and medication labeling and monitoring errors. Complaint investigations were generally unsubstantiated or found no deficiencies related to the allegations, with one substantiated complaint not resulting in cited deficiencies. The facility’s inspection history shows some improvement in emergency preparedness and life safety compliance in recent follow-up surveys after earlier citations.
Health Inspection History
Inspections
Total health inspections
3
Indiana average 6
Last Health inspection on Jan 2025
Total health citations
4
Indiana average 25
Citations per inspection
1.33
Indiana average 4.12
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 4 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
4 moderate citations
0 minor citations
Citations history (last 3 years)
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jan 10, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jan 10, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jan 10, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jan 10, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Feb 20, 2024
Issues related to medication management, including how drugs are stored, administered, and monitored.
Feb 20, 2024
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jan 24, 2023
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jan 24, 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 | ||||
| River Terrace Health Care 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. | Bluffton | 148 | 62.8% | -10% | 4.03 | +93% | +17% | 0 | 4 | 1.3 | 0 | 28 | - | - | Adams County Memorial Hospital | $6.5M | $2.5M | 38.3% | 155726 | ||||
| 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
120
Employees
109
Contractors
11
Staff to resident ratio
4.29:1
4285614% better than Indiana averageIndiana average ratio: 0.00:1
Avg staff/day
21
Average shift
7.1 hours
8% worse than Indiana averageIndiana average: 7.7 hours
Total staff hours (quarter)
13,516
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
22
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
6
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
55
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
2.7%
370 contractor hours this quarter
Certified Nursing Assistant: 7
Registered Nurse: 4
Staff by category
| Certified Nursing Assistant | 48 | 7 | 55 | 4,927 | 91 | 100% | 7 |
| Registered Nurse | 18 | 4 | 22 | 2,336 | 91 | 100% | 7.9 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,335 | 91 | 100% | 7 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 910 | 63 | 69% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 517 | 64 | 70% | 8.1 |
| Medication Aide/Technician | 13 | 0 | 13 | 506 | 55 | 60% | 6.3 |
| Therapeutic Recreation Specialist | 3 | 0 | 3 | 500 | 69 | 76% | 7.2 |
| Dietitian | 1 | 0 | 1 | 492 | 66 | 73% | 7.5 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Licensed Practical Nurse | 6 | 0 | 6 | 386 | 42 | 46% | 7.3 |
| Respiratory Therapist | 2 | 0 | 2 | 233 | 65 | 71% | 3.5 |
| RN Director of Nursing | 1 | 0 | 1 | 171 | 24 | 26% | 7.1 |
| Qualified Social Worker | 2 | 0 | 2 | 93 | 28 | 31% | 3.3 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 82 | 27 | 30% | 3 |
| Physical Therapy Assistant | 2 | 0 | 2 | 69 | 33 | 36% | 2.1 |
55 Certified Nursing Assistant
% of Days
100%
22 Registered Nurse
% of Days
100%
3 Other Dietary Services Staff
% of Days
100%
4 Clinical Nurse Specialist
% of Days
69%
1 Nurse Practitioner
% of Days
70%
13 Medication Aide/Technician
% of Days
60%
3 Therapeutic Recreation Specialist
% of Days
76%
1 Dietitian
% of Days
73%
1 Administrator
% of Days
67%
1 Mental Health Service Worker
% of Days
65%
6 Licensed Practical Nurse
% of Days
46%
2 Respiratory Therapist
% of Days
71%
1 RN Director of Nursing
% of Days
26%
2 Qualified Social Worker
% of Days
31%
3 Respiratory Therapy Technician
% of Days
30%
2 Physical Therapy Assistant
% of Days
36%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
28
Medicare
2
7.1% of residents
Medicaid
21
75% of residents
Private pay or other
5
17.9% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
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.
11.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.5
43% 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.
24.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.2
42% 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
16.9%
Percent of long-stay residents whose need for help with daily activities has increased
16.9%
40% worse than Indiana averageIndiana average: 12.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
27.3%
Percent of long-stay residents whose ability to move independently worsened
27.3%
91% 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
28.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.4%
16% worse than Indiana averageIndiana average: 24.6%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
In line with Indiana averageIndiana average: 3.9%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.8%
Percent of long-stay high risk residents with pressure ulcers
4.8%
10% worse 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%
545% worse than Indiana averageIndiana average: 1.2%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.4%
Percent of long-stay residents who lose too much weight
4.4%
22% better than Indiana averageIndiana average: 5.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
7.2%
Percent of long-stay residents who have depressive symptoms
7.2%
70% better than Indiana averageIndiana average: 24.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
7.1%
Percent of long-stay residents who received an antipsychotic medication
7.1%
43% better than Indiana averageIndiana average: 12.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.0%
5% better than 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
93.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.1%
14% better than 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
92.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.3%
17% 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 River Terrace Health Care Center based on CMS SNF Cost Reports.
Occupancy Rate
62.9%
↑ 2.2pp vs 2022
Net Income
$284.3K
↑ ~$1.0M vs 2022
Total Payroll
$3.2M
↓ ~$587.3K vs 2022
Profit Margin
4.4%
↑ 17.5pp vs 2022
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