1/5
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.
1/5
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.
Situated at 1236 Lincoln Avenue in Evansville, Indiana, University Nursing and Rehabilitation is a 47-bed nursing home serving long-term care residents in the Rosedale South neighborhood, approximately 2 miles from the city center. Operated as a governmental community by Aperion Care Lincoln, LLC, the facility accepts Medicare, Medicaid, and private-pay admissions. Walk score of 58 positions it in a moderately walkable area. Current occupancy is 80%, with 46 residents and average stays of 286 days.
The facility carries a 1-star overall CMS rating, 67.6% below Indiana’s state benchmark, placing it among the lowest-performing facilities in the state. Health inspection ratings mirror this, scoring 1 star and 64.4% below state average.
Paradoxically, staffing presents differently: total nursing hours average 3 hours 40 minutes per resident daily, 7% above the state average of 3 hours 26 minutes. Registered nurse presence is particularly high at 1 hour 7 minutes daily; a 67% excess over the state average. Weekend RN coverage of 50 minutes daily stands 85% above peers, an exceptional strength.
Payroll expenditure represents 68.4% of revenue; the highest level among well-managed facilities and ranking 27th of 290 statewide, indicating substantial staff investment.
Depressive symptoms manifest in 82.9% of long-stay residents; 244% worse than the state average. Residents experience major falls in 9.6% of cases (147% above state norm) and unintended weight loss in 13.0% (130% worse than state). Hospitalization rates reach 3.24 per 1,000 resident days, double the state average. Physical therapy delivery averages just 1 minute per resident daily, 75% below state norms.
Federal enforcement pressure is minimal: cumulative fines of $10,000 trail state average by 63%, with zero payment denials.
University Nursing and Rehabilitation demonstrates above-average RN presence yet substantial clinical outcome deficiencies, particularly in psychiatric symptom management, fall prevention, and rehabilitation therapy access.
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.
This home is ranked 72nd out of 291 homes in Indiana for nurse hours. 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.
| 35m per day | ▼ 13% 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.
| 58m per day | ▲ 26% 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.
| 2h 37m per day | ▲ 15% State avg: 2h 16m per day · National avg: 2h 21m 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 31m per day | ▲ 9% 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.
| 1m per day | ▼ 75% 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.
| 29m per day | ▲ 7% State avg: 27m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
2586857% more staff per resident than Indiana average
6% worse than Indiana average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
20 total: 6 full-time employees and 14 contractors.
20
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursAssists with medical care and medications.
14 total: 11 full-time employees and 3 contractors.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursHelps with daily care and mobility.
39 total: 36 full-time employees and 3 contractors.
39
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,850 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 36 | 3 | 39 | 8,356 | 92 | 100% | 7.2 |
| Licensed Practical Nurse | 11 | 3 | 14 | 3,730 | 92 | 100% | 7.5 |
| Medication Aide/Technician | 10 | 12 | 22 | 2,121 | 92 | 100% | 7.3 |
| Registered Nurse | 6 | 14 | 20 | 1,398 | 88 | 96% | 8.4 |
| Nurse Practitioner | 1 | 0 | 1 | 534 | 66 | 72% | 8.1 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 1 | 2 | 495 | 61 | 66% | 8 |
| Mental Health Service Worker | 1 | 1 | 2 | 448 | 55 | 60% | 8 |
| Speech Language Pathologist | 0 | 2 | 2 | 416 | 63 | 68% | 6 |
| Qualified Social Worker | 0 | 1 | 1 | 392 | 50 | 54% | 7.8 |
| Clinical Nurse Specialist | 1 | 3 | 4 | 392 | 47 | 51% | 6.2 |
| RN Director of Nursing | 0 | 1 | 1 | 144 | 18 | 20% | 8 |
| Physical Therapy Assistant | 0 | 2 | 2 | 115 | 47 | 51% | 2.4 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 68 | 33 | 36% | 2 |
| Physical Therapy Aide | 0 | 1 | 1 | 38 | 20 | 22% | 1.9 |
| Other Dietary Services Staff | 1 | 0 | 1 | 35 | 4 | 4% | 8.8 |
| Medical Director | 0 | 1 | 1 | 30 | 3 | 3% | 10 |
| Occupational Therapy Aide | 0 | 2 | 2 | 18 | 8 | 9% | 2.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 15 | 3 | 3% | 5 |
Includes penalties issued in 2024
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 (Data as of Jan 2026)
63% lower than Indiana averageIndiana average: $27K
28% fewer fines than Indiana averageIndiana average: 1.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Indiana averageIndiana average: 0.4
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Mar 4, 2024 · $10K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 4, 2024Last updated: Jan 2026
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.
12.7
59% worse than Indiana averageIndiana average: 8.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.8
34% worse than Indiana averageIndiana 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
14.9%
24% worse than Indiana averageIndiana average: 12.0%
Percent of long-stay residents whose ability to move independently worsened
23.7%
65% worse than Indiana averageIndiana average: 14.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.8%
21% worse than Indiana averageIndiana average: 24.6%
Percent of long-stay residents experiencing one or more falls with major injury
9.6%
147% worse than Indiana averageIndiana average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
2.3%
47% better than Indiana averageIndiana average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.7%
47% better than Indiana averageIndiana average: 1.2%
Percent of long-stay residents who lose too much weight
13.0%
130% worse than Indiana averageIndiana average: 5.7%
Percent of long-stay residents who have depressive symptoms
82.9%
244% worse than Indiana averageIndiana average: 24.1%
Percent of long-stay residents who received an antipsychotic medication
14.4%
16% worse than Indiana averageIndiana average: 12.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
86.6%
8% worse than Indiana averageIndiana average: 93.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
82.5%
14% worse than Indiana averageIndiana average: 95.4%
Number of hospitalizations per 1,000 long-stay resident days.
3.24
103% worse than Indiana averageIndiana average: 1.60
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.32
11% better than Indiana averageIndiana 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
64.1%
22% worse than Indiana averageIndiana average: 81.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Indiana averageIndiana average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
23.7%
70% worse than Indiana averageIndiana average: 79.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
28.7%
28% worse than Indiana averageIndiana average: 22.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.8%
31% worse than Indiana averageIndiana average: 10.5%
Percentage of SNF residents who experience falls with major injury during their stay.
4.8%
518% worse than Indiana averageIndiana average: 0.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
21% of new residents, usually for short-term rehab.
21% of new residents, often for short stays.
58% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
46Data 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 University Nursing and Rehabilitation from 2014–2023, based on CMS SNF Cost Reports.
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 #231 / 294Payroll — State benchmarkedThis home is ranked 231st out of 294 homes in Indiana. 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.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in 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 #27 / 294Payroll % — State benchmarkedThis home is ranked 27th out of 294 homes in Indiana. 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.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in 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 (58% of admissions), and a typical Medicaid stay runs around 1 - 2 years.
Coverage residents most often arrive under.
Coverage residents most often leave under.
2.0 miles from city center
Estimated distance in miles from Evansville's city center to University Nursing and Rehabilitation's address, calculated via Google Maps.
— 0.64 miles to nearest hospital (Acacia Center)
Add your location
The information below is reported by the Indiana Department of Health, Division of Long Term Care.
| North River Health Campus | NH ADC AL IL MC | Evansville (East Baseline Road) | 95
Facility
95
IN AVG
116
Rank
#269 / 437 |
50.5%
Facility
50.5%
IN AVG
69.4%
Rank
#346 / 434 | -27% | 3.66
Facility
3.66
IN AVG
3.44
Rank
#72 / 291 | +63% | +7% | $0
Facility
$0
IN AVG
$31.4k
Rank
#1 / 293 | 91
Facility
91
IN AVG
83
Rank
#71 / 384 | 10
Facility
10
IN AVG
25.0
Rank
#41 / 292 | 3.3
Facility
3.3
IN AVG
4.1
Rank
#108 / 292 | - | 53 | A+ |
11
Facility
11
IN AVG
37
Rank
#456 / 587 | Thomas Cook | $10.8M
Facility
$10.8M
IN AVG
$10.7M
Rank
#134 / 294 | $5.8M
Facility
$5.8M
IN AVG
$4.2M
Rank
#101 / 294 | 53.6%
Facility
53.6%
IN AVG
42%
Rank
#101 / 294 | 155854 | ||||
| River Pointe Health Campus | NH AL RC | Evansville (Galaxy Drive) | 124
Facility
124
IN AVG
116
Rank
#157 / 437 |
46.8%
Facility
46.8%
IN AVG
69.4%
Rank
#371 / 434 | -33% | 4.28
Facility
4.28
IN AVG
3.44
Rank
#33 / 291 | -8% | +24% | $0
Facility
$0
IN AVG
$31.4k
Rank
#1 / 293 | 75
Facility
75
IN AVG
83
Rank
#256 / 384 | 19
Facility
19
IN AVG
25.0
Rank
#118 / 292 | 3.8
Facility
3.8
IN AVG
4.1
Rank
#136 / 292 | 1 | 57 | A+ |
52
Facility
52
IN AVG
37
Rank
#199 / 587 | Randall Thompson | $11.6M
Facility
$11.6M
IN AVG
$10.7M
Rank
#108 / 294 | $6.1M
Facility
$6.1M
IN AVG
$4.2M
Rank
#91 / 294 | 52.6%
Facility
52.6%
IN AVG
42%
Rank
#129 / 294 | 155723 | ||||
| West River Health Campus | NH ADC AL MC RC | Evansville (Westside) | 131
Facility
131
IN AVG
116
Rank
#138 / 437 |
74.0%
Facility
74.0%
IN AVG
69.4%
Rank
#155 / 434 | +7% | 4.56
Facility
4.56
IN AVG
3.44
Rank
#27 / 291 | -1% | +33% | $18.7k
Facility
$18.7k
IN AVG
$31.4k
Rank
#266 / 293 | 73
Facility
73
IN AVG
83
Rank
#284 / 384 | 17
Facility
17
IN AVG
25.0
Rank
#105 / 292 | 2.1
Facility
2.1
IN AVG
4.1
Rank
#34 / 292 | 2 | 97 | A+ |
2
Facility
2
IN AVG
37
Rank
#546 / 587 | Carla Baker | $10.1M
Facility
$10.1M
IN AVG
$10.7M
Rank
#151 / 294 | $5.4M
Facility
$5.4M
IN AVG
$4.2M
Rank
#124 / 294 | 53.1%
Facility
53.1%
IN AVG
42%
Rank
#106 / 294 | 155785 | ||||
| Hamilton Pointe Health and Rehabilitation Center | NH AL IL MC RC | Newburgh | 201
Facility
201
IN AVG
116
Rank
#28 / 437 |
46.3%
Facility
46.3%
IN AVG
69.4%
Rank
#373 / 434 | -33% | 3.65
Facility
3.65
IN AVG
3.44
Rank
#88 / 291 | +25% | +6% | $0
Facility
$0
IN AVG
$31.4k
Rank
#1 / 293 | 69
Facility
69
IN AVG
83
Rank
#341 / 384 | 38
Facility
38
IN AVG
25.0
Rank
#226 / 292 | 3.8
Facility
3.8
IN AVG
4.1
Rank
#136 / 292 | 1 | 100 | A+ |
11
Facility
11
IN AVG
37
Rank
#456 / 587 | Riverview Hospital | $14.2M
Facility
$14.2M
IN AVG
$10.7M
Rank
#30 / 294 | $8.2M
Facility
$8.2M
IN AVG
$4.2M
Rank
#44 / 294 | 57.9%
Facility
57.9%
IN AVG
42%
Rank
#231 / 294 | 155803 | ||||
| University Nursing and Rehabilitation | NH AL | Evansville (Rosedale South) | 47
Facility
47
IN AVG
116
Rank
#406 / 437 |
80.0%
Facility
80.0%
IN AVG
69.4%
Rank
#96 / 434 | +15% | 3.67
Facility
3.67
IN AVG
3.44
Rank
#72 / 291 | +71% | +7% | $53.5k
Facility
$53.5k
IN AVG
$31.4k
Rank
#281 / 293 | - | 48
Facility
48
IN AVG
25.0
Rank
#259 / 292 | 6.9
Facility
6.9
IN AVG
4.1
Rank
#262 / 292 | 3 | 44 | - |
58
Facility
58
IN AVG
37
Rank
#163 / 587 | Aperion Care Lincoln, LLC | $5.1M
Facility
$5.1M
IN AVG
$10.7M
Rank
#259 / 294 | $3.0M
Facility
$3.0M
IN AVG
$4.2M
Rank
#231 / 294 | 58.3%
Facility
58.3%
IN AVG
42%
Rank
#27 / 294 | 155820 |
University Nursing and Rehabilitation is located in Evansville, Indiana.
Here are the financial assistance programs available to residents in Indiana.
University Nursing and Rehabilitation is in the Rosedale South neighborhood.
University Nursing and Rehabilitation has a walk score of 58. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
University Nursing and Rehabilitation's occupancy is 80.0%.
Yes — there are 3 photos of University Nursing and Rehabilitation in the photo gallery on this page.
(812) 464-3607 will put you in contact with the team at University Nursing and Rehabilitation.
Yes — University Nursing and Rehabilitation is a CMS-certified provider of Medicare and Medicaid.
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