What is River Terrace Health Care Center's Medicare star rating?

CMS rates River Terrace Health Care Center 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did River Terrace Health Care Center get at its last inspection?

1 health deficiency at the standard inspection on December 4, 2025. The Indiana average is 7.2.

Has River Terrace Health Care Center been fined?

CMS lists no fines in the last three years.

Does River Terrace Health Care Center 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 Care Center?

CMS lists 36 owners and managers, and links the home to Ide Management Group. Legal business name: ADAMS COUNTY MEMORIAL HOSPITAL.

River Terrace Health Care Center: Inspections & Ratings

The record in brief

At its most recent standard inspection, on December 4, 2025, inspectors cited 1 health deficiency (the Indiana average is 7.2, the national average 9.2).

None of its 5 health citations since February 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 3.67 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.90 of those hours.

61.9% of nursing staff left within the year CMS measured (Indiana average 45.9%).

CMS links it to Ide Management Group, an affiliated group of 10 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.

102/24

201/25

112/25

107/26

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 5 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

July 6, 2026Complaint inspection · 1 citation

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) August 7, 2026

Inspectors wroteBased on interview and record review the facility failed to ensure residents received bathing at least 2 times a week (Resident B, Resident C) and physician orders were followed for 2 of 3 residents reviewed (Resident C, Resident D).

December 4, 2025Standard inspection, Complaint inspection · 1 citation

D

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 16, 2025

Inspectors wroteBased on a record review and interview, the facility failed to ensure discharge paperwork related to the bed hold policy was completed, for 1 of 3 resident reviewed. (Resident 30)

January 10, 2025Standard inspection · 2 citations

D

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, isolated · Corrected (the home has a date of correction) January 29, 2025

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure labeling of open date for 1 of 1 carts reviewed. (Resident 29).
D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 29, 2025

Inspectors wroteBased on interview and record review the facility failed to document catheter output for 1 of 1 resident reviewed. (Resident 12)

February 20, 2024Standard inspection · 1 citation

D

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, isolated · Corrected (the home has a date of correction) March 3, 2024

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure refrigerator temperatures were monitored for 1 of 1 medication rooms reviewed.

Fire safety inspections

30 fire safety citations on file: 20 on December 4, 2025, 5 on January 10, 2025, 5 on February 20, 2024.

Every fire safety citation30 citations

F
Conduct risk assessment and an All-Hazards approach.

E 6 · December 4, 2025 · Corrected (the home has a date of correction)
F
Establish policies and procedures for sheltering.

E 22 · December 4, 2025 · Corrected (the home has a date of correction)
F
Establish emergency prep training and testing.

E 36 · December 4, 2025 · Corrected (the home has a date of correction)
F
Establish staff and initial training requirements.

E 37 · December 4, 2025 · Corrected (the home has a date of correction)
F
Conduct testing and exercise requirements.

E 39 · December 4, 2025 · Corrected (the home has a date of correction)
F
Have simulated fire drills held at unexpected times.

K 712 · December 4, 2025 · Corrected (the home has a date of correction)
F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · December 4, 2025 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · December 4, 2025 · Corrected (the home has a date of correction)
F
Ensure that testing and maintenance of electrical equipment is performed.

K 921 · December 4, 2025 · Corrected (the home has a date of correction)
F
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

K 927 · December 4, 2025 · Corrected (the home has a date of correction)
E
Meet requirements for sections of health care facilities separated by fire resistive construction.

K 131 · December 4, 2025 · Corrected (the home has a date of correction)
E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

K 222 · December 4, 2025 · Corrected (the home has a date of correction)
E
Have corridors or aisles that are unobstructed and are at least 8 feet in width.

K 232 · December 4, 2025 · Corrected (the home has a date of correction)
E
Provide properly protected cooking facilities.

K 324 · December 4, 2025 · Corrected (the home has a date of correction)
E
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

K 342 · December 4, 2025 · Corrected (the home has a date of correction)
E
Install corridor and hallway doors that block smoke.

K 363 · December 4, 2025 · Corrected (the home has a date of correction)
E
Have an externally vented heating system.

K 522 · December 4, 2025 · Corrected (the home has a date of correction)
E
Have elevators that firefighters can control in the event of a fire.

K 531 · December 4, 2025 · Corrected (the home has a date of correction)
E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

K 741 · December 4, 2025 · Corrected (the home has a date of correction)
C
Implement emergency and standby power systems.

E 41 · December 4, 2025 · Corrected (the home has a date of correction)
F
Conduct testing and exercise requirements.

E 39 · January 10, 2025 · Corrected (the home has a date of correction)
E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

K 222 · January 10, 2025 · Corrected (the home has a date of correction)
D
Ensure proper usage of power strips and extension cords.

K 920 · January 10, 2025 · Corrected (the home has a date of correction)
C
Install emergency lighting that can last at least 1 1/2 hours.

K 291 · January 10, 2025 · Corrected (the home has a date of correction)
C
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

K 914 · January 10, 2025 · Corrected (the home has a date of correction)
F
Establish staff and initial training requirements.

E 37 · February 20, 2024 · Corrected (the home has a date of correction)
F
Install emergency lighting that can last at least 1 1/2 hours.

K 291 · February 20, 2024 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · February 20, 2024 · Corrected (the home has a date of correction)
F
Have simulated fire drills held at unexpected times.

K 712 · February 20, 2024 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · February 20, 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.

Measure	This home	Indiana	United States
All nursing staff (RN, LPN and aides)	3.67	3.69	3.86
Registered nurses	0.90	0.67	0.69
All nursing staff on weekends	3.07	3.25	3.42
Nurse aides	2.16
Licensed practical nurses	0.61
Nursing staff turnover (share who left in a year)	61.9%	45.9%	45.8%
Registered nurse turnover	50.0%	40.3%	42.9%
Administrators who left	0

CMS expects 4.22 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 3.91 on weekdays and 3.07 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.88 in April to June 2025 to 3.67 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	3.67	0.90	3.91	3.07	1.6%	0 of 90	42
Oct to Dec 2025	3.77	1.14	4.02	3.15	2.4%	0 of 92	28
Jul to Sep 2025	3.55	1.20	3.77	2.99	0.6%	0 of 92	29
Apr to Jun 2025	3.88	1.50	4.19	3.11	3.8%	0 of 91	28
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Indiana, Jan to Mar 2026	3.63	0.62	3.80	3.19	3.4%	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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Indiana

Job	Median	Middle half	Employed
Indiana, all employers
CNAs (nursing assistants)	$18.43	$17.80 to $21.36	33,640
LPNs and LVNs	$31.60	$29.35 to $35.30	14,480
Registered nurses	$40.14	$37.86 to $48.28	68,980
United States, nursing care facilities
CNAs (nursing assistants)	$20.67	$17.91 to $22.55	534,270
LPNs and LVNs	$33.86	$30.05 to $37.40	188,210
Registered nurses	$41.11	$37.85 to $47.68	142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

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

Measure	This home	Indiana	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	27.8	11.0	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.7	0.4	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	12.8	1.1	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	3.9	3.9	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	4.5	1.2	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	29.5	11.9	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	1.8	3.6	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	5.9	13.6	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	16.8	22.2	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	5.3	10.8	12.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for River Terrace Health Care Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (54.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

54.2% this home

No different from the national rate

US median of homes 51.5% · Indiana: 111 better, 7 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 26 eligible stays.

Potentially preventable readmissions

10.0% this home

No different from the national rate

US median of homes 10.7% · Indiana: 0 better, 17 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 31 eligible stays.

Infections that led to a hospital stay

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 7.1% · Indiana: 0 better, 4 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 21 eligible stays.

Self-care and mobility at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Indiana60.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 17 residents counted.

Falls with major injury

0.0% this home

Median of homes: Indiana0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 23 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Indiana1.4% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 23 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Indiana100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 7 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: ADAMS COUNTY MEMORIAL HOSPITAL. CMS links this home to Ide Management Group, a group of 10 nursing homes averaging 3.2 stars overall.

Name	Role	Type	Since
Cibc Bank USA	5% or greater mortgage interest	Organization	11/01/2020
Smith, Scott	Corporate officer	Individual	01/01/2020
Sprunger, Kyle	Corporate officer	Individual	01/01/2018
Wheeler, Dane	Corporate officer	Individual	02/01/2015
River Terrace Re Nursing and Rehabilitation LLC	Operational/managerial control	Organization	11/01/2020
Borne-Bauman, Candice	Operational/managerial control	Individual	01/01/2019
Flueckiger, Russell	Operational/managerial control	Individual	02/01/2015
Lehman, Scott	Operational/managerial control	Individual	07/14/2020
Macklin, Larry	Operational/managerial control	Individual	02/01/2015
McIntire, David	Operational/managerial control	Individual	01/01/2019
Smith, Scott	Operational/managerial control	Individual	01/01/2020
Sprunger, Kyle	Operational/managerial control	Individual	01/01/2018
Wheeler, Dane	Operational/managerial control	Individual	02/01/2015
Williams, Lloyd	Operational/managerial control	Individual	11/01/2020
Zehr, Mallory	Operational/managerial control	Individual	08/16/2024
Greatorex, Tina	Individual is an owner, partner or trustee of any ADP of the SNF	Individual	12/24/2025
Schiowitz, Marc	Individual is an owner, partner or trustee of any ADP of the SNF	Individual	12/24/2025
Sebbag, Gabriel	Individual is an owner, partner or trustee of any ADP of the SNF	Individual	12/24/2025
Borne-Bauman, Candice	Trustee of the SNF	Individual	01/01/2019
Flueckiger, Russell	Trustee of the SNF	Individual	02/01/2015
Lehman, Scott	Trustee of the SNF	Individual	07/14/2020
Macklin, Larry	Trustee of the SNF	Individual	02/01/2025
McIntire, David	Trustee of the SNF	Individual	01/01/2019
400 Caylor Propco LLC	Adp of the SNF	Organization	11/01/2020
Advanced Care Consultants LLC	Adp of the SNF	Organization	09/01/2022
Blue Management Services LLC	Adp of the SNF	Organization	01/01/2024
Clinical Consulting Services LLC	Adp of the SNF	Organization	11/01/2020
First Bank of Berne	Adp of the SNF	Organization	01/01/2020
Jsj Holdings LLC	Adp of the SNF	Organization	12/23/2025
Lme Family Holdings LLC	Adp of the SNF	Organization	11/01/2020
Midwest in Opco LLC	Adp of the SNF	Organization	12/23/2025
River Terrace Re Nursing and Rehabilitation LLC	Adp of the SNF	Organization	11/01/2020
Samara Family Holdings LLC	Adp of the SNF	Organization	12/23/2025
Summation Financial Services LLC	Adp of the SNF	Organization	11/01/2020
Williams, Lloyd	Adp of the SNF	Individual	11/01/2020
Zehr, Mallory	Adp of the SNF	Individual	08/16/2024

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.

How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on January 10, 2025: "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."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on July 6, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on December 4, 2025: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on January 10, 2025: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.07 hours per resident per day, below the Indiana average of 3.25.

Other nursing homes nearby

Christian Care Retirement Community
Bluffton, 2.6 mi · 5 of 5 stars · 5 citations
Ossian Health Care and Rehabilitation Center
Ossian, 7.8 mi · 5 of 5 stars · 6 citations
Markle Health & Rehabilitation
Markle, 7.8 mi · 5 of 5 stars · 4 citations
Heritage Pointe of Warren
Warren, 13.8 mi · 4 of 5 stars · 11 citations
Swiss Village
Berne, 14.5 mi · 5 of 5 stars · 6 citations
Envive of Berne
Berne, 14.9 mi · 4 of 5 stars · 6 citations
Adams Woodcrest
Decatur, 15 mi · 5 of 5 stars · 2 citations
Majestic Care of Fort Wayne
Fort Wayne, 16.7 mi · 5 of 5 stars · 5 citations

Indiana contacts for a concern about a nursing home

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

Inspections and complaints: Indiana Department of Health, Division of Long-Term Care, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Indiana Long-Term Care Ombudsman Program, 800-622-4484. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
State inspection reports: Indiana Department of Health, Nursing Home Report Cards, where Indiana publishes its own records on licensed homes.

Common questions

What is River Terrace Health Care Center's Medicare star rating?: CMS rates River Terrace Health Care Center 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did River Terrace Health Care Center get at its last inspection?: 1 health deficiency at the standard inspection on December 4, 2025. The Indiana average is 7.2.
Has River Terrace Health Care Center been fined?: CMS lists no fines in the last three years.
Does River Terrace Health Care Center 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 Care Center?: CMS lists 36 owners and managers, and links the home to Ide Management Group. Legal business name: ADAMS COUNTY MEMORIAL HOSPITAL.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.