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River Terrace Health Campus

120 Presbyterian Ave, Madison, IN 47250 · Jefferson County · (812) 265-0080

57 certified beds, about 42 residents a day · For profit - Corporation · Medicare and Medicaid since 2016

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 155849 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 6, 2026, inspectors cited 2 health deficiencies (the Indiana average is 7.2, the national average 9.2).

Of 20 health citations since September 2023, 1 was rated as actual harm or immediate jeopardy to residents.

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

Nurses and nurse aides worked 4.38 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 1.45 of those hours.

47.6% of nursing staff left within the year CMS measured (Indiana average 45.9%).

CMS links it to Trilogy Health Services, an affiliated group of 127 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 20 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
13D
4E
2F
Potential for minimal harm
0A
0B
0C
March 6, 2026Standard 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) March 27, 2026
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure the kitchen was clean and in good repair for 2 of 2 observations. This deficient practice had the potential to affect 44 of 44 residents who received meals from the kitchen.
  2. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 27, 2026
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure the medical provider addressed the consultant pharmacist's recommendations for 2 of 45 residents reviewed for Drug Regimen Review. (Residents 36 and 44)
March 28, 2025Complaint inspection · 3 citations
  1. F
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) April 14, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure the facility was staffed to provide adequate care for the residents related to toileting and as needed pain medication. This deficient practice had the potential to affect 41 of 41 residents residing in the facility.
  2. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 14, 2025
    Inspectors wroteBased on interview and record review, the facility failed to provide activities of daily living (ADL) related to incontence care and personal assistance for 4 of 5 residents reviewed for ADL care. (Residents E, D, G, and C)
  3. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · 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) April 14, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure a resident's pain medication was administered timely after being requested for 1 of 3 residents reviewed for pain management. (Resident F) Findings Include: During an interview on 3/26/25 at 7:47 p.m., Resident F indicated he had waited for hours to receive pain pills, and it was the worst on evening shift. Once the pain increased so high it was hard for the medication to get control of the pain. The clinical record for Resident F was reviewed on 3/26/25 at 11:00 p.m., The resident's diagnoses included, but were not limited to, right femur fracture, chronic kidney disease, Type 2 diabetes mellitus, and anemia. The Nursing Progress note, dated 3/22/25 at 5:46 p.m., indicated the resident was alert and oriented. He required the extensive assistance of one staff member for transfers. [...]
January 22, 2025Standard inspection · 3 citations
  1. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 9, 2025
    Inspectors wroteBased on interview, observation, and record review, the facility failed to ensure staff provided proper transfer techniques during transfers for 2 of 4 residents reviewed for activities of daily living. (Residents 183 and 14)
  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) February 9, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure non-pressure wounds were documented on the Treatment Administration Record, and wound treatments were performed in a timely manner as ordered by the physician for 1 of 6 residents observed for Quality of Care. (Resident 13)
  3. 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 · Corrected (the home has a date of correction) February 9, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure pressure ulcer dressing changes were completed per the physician order; a new pressure area was measured, tracked or treated; and interventions were in place related to floating a resident's heels for a resident at risk for pressure ulcers for 1 of 2 residents reviewed for pressure ulcers. (Resident 14)
December 10, 2024Complaint inspection · 1 citation
  1. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview and record review, the facility failed to ensure a resident (Resident B) received Lantus (long-acting diabetic medication) as ordered by the physician for 1 of 3 residents reviewed for pharmacy services.
December 4, 2023Standard inspection · 10 citations
  1. E
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 22, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure 2 of 5 residents or responsible parties were provided written notice of Transfer/Discharge upon transfer to an acute care facility. (Residents 10 and 14)
  2. E
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 22, 2023
    Inspectors wroteBased on record review and interview, the facility failed to schedule 8-hour consecutive RN coverage for 5 of 8 months reviewed. (April, May, June, August and October 2023). This deficiency had the potential to affect all 36 residents currently residing in the facility.
  3. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 22, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure proper storage and disposal of medications for 2 of 2 medication storage rooms reviewed for medication storage. (200 A Hall Medication Room and 200 B Hall Medication Room)
  4. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 22, 2023
    Inspectors wroteBased on record review and interview, the facility failed to assess and re-evaluate 2 of 2 residents for self-administration of respiratory treatments or medications (inhalers). (Residents 10 and 14)
  5. D
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 22, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure 3 of 5 residents or responsible parties were provided written notice of and signed the facility's bed hold policy upon transfer to an acute care facility. (Residents 10,14 and 31)
  6. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 22, 2023
    Inspectors wroteBased on record review and interview, the facility failed to develop a Self-Administration of Medication plan of care for 2 of 2 residents who were self-administering respiratory treatments and inhalers. (Residents 10 and 14).
  7. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 22, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure showers were provided for dependent residents for 2 of 5 residents reviewed for Activities of Daily Living. (Residents 8 and 22)
  8. 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 · Corrected (the home has a date of correction) December 22, 2023
    Inspectors wroteBased on record review, and interview, the facility failed to ensure a resident received adequate supervision and interventions were properly implemented to prevent accidents for 2 of 3 residents reviewed for accidents. (Residents 8 and 23)
  9. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 22, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure appropriate pain management related to standards of practice for administering narcotic pain medication as prescribed for 1 of 5 residents reviewed for pain management. (Resident 13)
  10. D
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    F740 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 22, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure behavioral care plans were updated to reflect allegations of suicidal statements and physical aggression for 1 of 5 residents reviewed for behavioral care. (Resident 23)
September 27, 2023Complaint inspection · 1 citation
  1. G
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure staff irrigated a resident's (Resident B) Indwelling catheter with the correct dosage of acetic acid which resulted in burning pain and a transfer to the emergency department for 1 of 3 residents reviewed for Indwelling catheters.

Fire safety inspections

10 fire safety citations on file: 6 on March 6, 2026, 1 on January 22, 2025, 3 on December 4, 2023.

Every fire safety citation10 citations
  1. 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 6, 2026 · Corrected (the home has a date of correction)
  2. E
    Provide properly protected cooking facilities.
    K 324 · March 6, 2026 · Corrected (the home has a date of correction)
  3. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · March 6, 2026 · Corrected (the home has a date of correction)
  4. E
    Have restrictions on the use of highly flammable decorations.
    K 753 · March 6, 2026 · Corrected (the home has a date of correction)
  5. C
    Implement emergency and standby power systems.
    E 41 · March 6, 2026 · Corrected (the home has a date of correction)
  6. C
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 6, 2026 · Corrected (the home has a date of correction)
  7. C
    Have simulated fire drills held at unexpected times.
    K 712 · January 22, 2025 · deficient, provider has
  8. F
    Have simulated fire drills held at unexpected times.
    K 712 · December 4, 2023 · Corrected (the home has a date of correction)
  9. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · December 4, 2023 · Corrected (the home has a date of correction)
  10. B
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 4, 2023 · 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)4.383.693.86
Registered nurses1.450.670.69
All nursing staff on weekends3.693.253.42
Nurse aides2.61
Licensed practical nurses0.32
Nursing staff turnover (share who left in a year)47.6%45.9%45.8%
Registered nurse turnover46.2%40.3%42.9%
Administrators who left0

CMS expects 4.85 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 4.66 on weekdays and 3.69 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.37 in April to June 2025 to 4.38 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.381.454.663.69 0.0%0 of 9042
Oct to Dec 20254.611.664.883.91 0.0%0 of 9236
Jul to Sep 20254.201.344.353.82 0.0%0 of 9238
Apr to Jun 20254.371.434.573.86 0.0%0 of 9137
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
13.611.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.23.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.71.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
4.411.914.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
8.73.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
0.013.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.622.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
24.010.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.61.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.01.41.8

Owners and operators

Legal business name: HARRISON COUNTY HOSPITAL. CMS links this home to Trilogy Health Services, a group of 127 nursing homes averaging 4.2 stars overall.

NameRoleTypeShareSince
Harrison County Hospital5% or greater direct ownership interestOrganization100%08/08/2018
Bodney, StephenManaging control - governing bodyIndividual01/01/2022
Brown, RichardManaging control - governing bodyIndividual06/15/1991
Clunie, LisaManaging control - governing bodyIndividual01/08/2022
Hess, JudyManaging control - governing bodyIndividual01/01/2016
Shickles, LarryManaging control - governing bodyIndividual02/01/2022
Shireman, KathyManaging control - governing bodyIndividual05/01/2014
Whitis, HarrisManaging control - governing bodyIndividual01/01/2021
Wiseman, MarkManaging control - governing bodyIndividual09/01/2021
Bodney, StephenCorporate directorIndividual01/01/2022
Brown, RichardCorporate directorIndividual06/15/1991
Shickles, LarryCorporate directorIndividual02/01/2022
Whitis, HarrisCorporate directorIndividual01/01/2021
Wiseman, MarkCorporate directorIndividual09/01/2021
Clunie, LisaCorporate officerIndividual01/08/2022
Wiley, CharlesCorporate officerIndividual01/01/2019
Trilogy Healthcare Operations of Madison, LLCOperational/managerial controlOrganization03/01/2019
Clunie, LisaOperational/managerial controlIndividual01/08/2022
Gibson, RhondaOperational/managerial controlIndividual12/01/2022
Totten, MarkOperational/managerial controlIndividual04/15/2025
Barney, LeighIndividual is an owner, partner or trustee of any ADP of the SNFIndividual08/27/2025
Davis, DavidIndividual is an owner, partner or trustee of any ADP of the SNFIndividual08/18/2025
American Healthcare Reit Holdings LPAdp of the SNFOrganization12/01/2015
American Healthcare Reit IncAdp of the SNFOrganization10/01/2018
Continental Merger Sub LLCAdp of the SNFOrganization10/01/2021
Gahc3 Trilogy Jv LLCAdp of the SNFOrganization12/01/2015
Gahc4 Trilogy Jv LLCAdp of the SNFOrganization10/01/2018
Paragon Outpatient Rehabilitation Services LLCAdp of the SNFOrganization12/01/2015
Trilogy Investors LLCAdp of the SNFOrganization12/01/2015
Trilogy Management Services LLCAdp of the SNFOrganization12/01/2015
Trilogy Real Estate Investment TrustAdp of the SNFOrganization12/01/2015
Trilogy Real Estate Madison LLCAdp of the SNFOrganization08/18/2025
Trilogy Reit Holdings LLCAdp of the SNFOrganization12/01/2015
Gibson, RhondaAdp of the SNFIndividual12/01/2022
Totten, MarkAdp of the SNFIndividual04/15/2025

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 10 problems in this area, most recently on March 28, 2025: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on March 6, 2026: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on December 4, 2023: "Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights."
  4. How many nurses and aides work each shift, nights and weekends included?Inspectors cited 2 problems in this area, most recently on March 28, 2025: "Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift."

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 River Terrace Health Campus's Medicare star rating?
CMS rates River Terrace Health Campus 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did River Terrace Health Campus get at its last inspection?
2 health deficiencies at the standard inspection on March 6, 2026. The Indiana average is 7.2.
Has River Terrace Health Campus been fined?
CMS lists no fines in the last three years.
Does River Terrace Health Campus 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 River Terrace Health Campus?
CMS lists 35 owners and managers, and links the home to Trilogy Health Services. Legal business name: HARRISON COUNTY HOSPITAL.

Sources

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