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Flatrock River Lodge

904 E 11th St., Rushville, IN 46173 · Rush County · (765) 932-2974

63 certified beds, about 28 residents a day · Government - City/county · Medicare and Medicaid since 1997

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 155630 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 10, 2026, inspectors cited 3 health deficiencies (the Indiana average is 7.2, the national average 9.2).

None of its 9 health citations since March 2024 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.88 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.44 of those hours.

53.1% of nursing staff left within the year CMS measured (Indiana average 45.9%).

CMS links it to Real Property Health Facilities, an affiliated group of 9 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 9 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
0E
1F
Potential for minimal harm
0A
0B
0C
April 10, 2026Standard inspection · 3 citations
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2026
    Inspectors wroteBased on interview, observation, and record review, the facility failed to ensure a resident was treated with dignity by timely assisting with care for 1 of 4 residents reviewed for dignity. (Resident 22)
  2. D
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2026
    Inspectors wroteBased on interview and record review, the facility failed to file grievances on behalf of a resident voicing concerns with staff for 1 of 3 residents reviewed for grievances.
  3. D
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    F676 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to assist a resident with eating who required cuing for 1 of 2 residents reviewed for Activities of Daily Living. (Resident 15)
January 30, 2026Complaint inspection · 3 citations
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 13, 2026
    Inspectors wroteBased on interview and record review, the facility failed to timely document weekly wound assessment and ensure a primary care provider's visit was completed for 1 of 4 residents reviewed for quality of care concerns. (Resident C)
  2. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 13, 2026
    Inspectors wroteBased on interview and record review, the facility failed to timely implement inventions of a pressure relieving boots for 1 of 3 residents reviewed for skin condition. (Resident J)
  3. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 13, 2026
    Inspectors wroteBased on interview and record review, the facility failed to timely follow up on fall interventions (Resident D) and notify a family of a fall (Resident E) for 2 of 3 residents reviewed for falls.
April 10, 2025Standard inspection · 1 citation
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 14, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident had compression stockings on as ordered for 1 of 1 resident reviewed for edema. (Resident 9)
March 8, 2024Standard inspection · 2 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 3, 2024
    Inspectors wroteBased on interview and observations, the facility failed to date open and/or prepare food products in the walk-in refrigerator. This deficient practices had the potential to aversively affect 34 of 34 residents who receive foods from the dietary department.
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 3, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to complete an accurate skin assessment and provide treatment for a resident experiencing bilateral foot and ankle swelling for 1 of 1 resident reviewed for edema (Resident 30).

Fire safety inspections

22 fire safety citations on file: 8 on April 10, 2026, 8 on April 10, 2025, 6 on March 8, 2024.

Every fire safety citation22 citations
  1. F
    Meet other general requirements that are deficient.
    K 500 · April 10, 2026 · Corrected (the home has a date of correction)
  2. F
    Have simulated fire drills held at unexpected times.
    K 712 · April 10, 2026 · Corrected (the home has a date of correction)
  3. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · April 10, 2026 · Corrected (the home has a date of correction)
  4. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · April 10, 2026 · Corrected (the home has a date of correction)
  5. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · April 10, 2026 · Corrected (the home has a date of correction)
  6. E
    Have an externally vented heating system.
    K 522 · April 10, 2026 · Corrected (the home has a date of correction)
  7. E
    Have restrictions on the use of portable space heaters.
    K 781 · April 10, 2026 · Corrected (the home has a date of correction)
  8. E
    Have proper medical gas storage and administration areas.
    K 923 · April 10, 2026 · Corrected (the home has a date of correction)
  9. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · April 10, 2025 · Corrected (the home has a date of correction)
  10. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 10, 2025 · Corrected (the home has a date of correction)
  11. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · April 10, 2025 · Corrected (the home has a date of correction)
  12. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · April 10, 2025 · Corrected (the home has a date of correction)
  13. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · April 10, 2025 · Corrected (the home has a date of correction)
  14. D
    Install an approved automatic sprinkler system.
    K 351 · April 10, 2025 · Corrected (the home has a date of correction)
  15. D
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · April 10, 2025 · Corrected (the home has a date of correction)
  16. C
    Have simulated fire drills held at unexpected times.
    K 712 · April 10, 2025 · Corrected (the home has a date of correction)
  17. E
    Have exits that are accessible at all times.
    K 271 · March 8, 2024 · Corrected (the home has a date of correction)
  18. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · March 8, 2024 · Corrected (the home has a date of correction)
  19. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 8, 2024 · Corrected (the home has a date of correction)
  20. E
    Install corridor and hallway doors that block smoke.
    K 363 · March 8, 2024 · Corrected (the home has a date of correction)
  21. E
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · March 8, 2024 · Corrected (the home has a date of correction)
  22. C
    Create arrangements with other facilities to receive patients.
    E 25 · March 8, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeIndianaUnited States
All nursing staff (RN, LPN and aides)3.883.693.86
Registered nurses0.440.670.69
All nursing staff on weekends3.763.253.42
Nurse aides2.32
Licensed practical nurses1.11
Nursing staff turnover (share who left in a year)53.1%45.9%45.8%
Registered nurse turnover66.7%40.3%42.9%
Administrators who left3

CMS expects 4.26 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.92 on weekdays and 3.76 on weekends, 4% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 24.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.75 in April to June 2025 to 3.88 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.880.443.923.76 24.5%1 of 9028
Oct to Dec 20253.510.703.673.13 3.3%0 of 9234
Jul to Sep 20253.650.833.823.24 1.7%0 of 9232
Apr to Jun 20253.750.753.943.26 5.5%0 of 9131
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Indiana, Jan to Mar 20263.630.623.803.193.4%0.4% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeIndianaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
29.311.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.80.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
3.61.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
7.83.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
26.511.914.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.53.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
23.313.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
26.422.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
14.610.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.91.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.01.41.8

Owners and operators

Legal business name: RUSH MEMORIAL HOSPITAL. CMS links this home to Real Property Health Facilities, a group of 9 nursing homes averaging 3.1 stars overall.

NameRoleTypeShareSince
Rush Memorial Hospital5% or greater direct ownership interestOrganization100%08/01/2012
Penn, ChristinaManaging control - governing bodyIndividual01/01/2023
Hebert, JamesCorporate officerIndividual11/22/1999
Kinder, AshleyCorporate officerIndividual05/01/2020
Marsh, DawnCorporate officerIndividual04/15/1994
Smith, BradleyCorporate officerIndividual06/29/2017
Flatrock River Lodge, LtdOperational/managerial controlOrganization05/01/2021
Real Property Health Facilities CorpOperational/managerial controlOrganization08/01/1989
Barksdale, AmyOperational/managerial controlIndividual12/02/2024
Combs, RebeccaOperational/managerial controlIndividual07/15/2024
Freimann, CherylOperational/managerial controlIndividual07/16/2011
Hebert, JamesOperational/managerial controlIndividual11/22/1999
Hillenburg, LeahOperational/managerial controlIndividual02/01/2021
Korf, AngelaOperational/managerial controlIndividual06/16/2022
Rangel, AshleyOperational/managerial controlIndividual03/03/2025
Schueller, CatherineOperational/managerial controlIndividual09/18/2017
Shackelford, TracyOperational/managerial controlIndividual04/13/1998
Smyth, ChadOperational/managerial controlIndividual03/30/2015
Sonnentag, ShellieOperational/managerial controlIndividual06/01/1994
Barksdale, AmyAdp of the SNFIndividual12/02/2024
Combs, RebeccaAdp of the SNFIndividual07/15/2024
Daas, RaidAdp of the SNFIndividual07/11/2014
Freimann, CherylAdp of the SNFIndividual07/16/2011
Guffey, JessicaAdp of the SNFIndividual02/10/2025
Hebert, JamesAdp of the SNFIndividual11/22/1999
Heider, CarlAdp of the SNFIndividual01/01/2011
Hillenburg, LeahAdp of the SNFIndividual02/01/2021
Korf, AngelaAdp of the SNFIndividual06/16/2022
Littrell, CarinaAdp of the SNFIndividual06/28/2024
Rangel, AshleyAdp of the SNFIndividual03/03/2025
Schueller, CatherineAdp of the SNFIndividual09/18/2017
Shackelford, TracyAdp of the SNFIndividual04/13/1998
Smyth, ChadAdp of the SNFIndividual03/30/2015
Sonnentag, ShellieAdp of the SNFIndividual06/01/1994
Sutter, LeslieAdp of the SNFIndividual10/01/2022

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on April 10, 2026: "Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on April 10, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on March 8, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  4. How long has the current administrator been here?CMS counts 3 administrators who left in the period it measured.

Other nursing homes nearby

Indiana contacts for a concern about a nursing home

These are the official offices in Indiana. NursingHomeClear cannot take or act on complaints.

Common questions

What is Flatrock River Lodge's Medicare star rating?
CMS rates Flatrock River Lodge 3 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Flatrock River Lodge get at its last inspection?
3 health deficiencies at the standard inspection on April 10, 2026. The Indiana average is 7.2.
Has Flatrock River Lodge been fined?
CMS lists no fines in the last three years.
Does Flatrock River Lodge accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Flatrock River Lodge?
CMS lists 35 owners and managers, and links the home to Real Property Health Facilities. Legal business name: RUSH MEMORIAL HOSPITAL.

Sources

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