Nursing homeActive
River Terrace Health Campus
120 Presbyterian Ave, Madison, IN 47250812265008057 certified beds · 42 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
6
since 2023
Deficiencies
20
● 0● 19● 1
Penalties · 3 yrs
—
none on file
Last survey
2026-03-06
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 3
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Indiana Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-03-06 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2025-03-28 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2025-01-22 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2024-12-10 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-12-04 | Standard | 0100 | CMS-2567 (Care Compare) | — |
| 2023-09-27 | Complaint | 001 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Indiana Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-27Record 155849-20260306-F756
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-03-27Record 155849-20260306-F812
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-14Record 155849-20250328-F677
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-14Record 155849-20250328-F697
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-04-14Record 155849-20250328-F725
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-09Record 155849-20250122-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-09Record 155849-20250122-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-09Record 155849-20250122-F686
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-18Record 155849-20241210-F755
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-22Record 155849-20231204-F554
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-22Record 155849-20231204-F623
F625Notify 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-22Record 155849-20231204-F625
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-22Record 155849-20231204-F657
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-22Record 155849-20231204-F677
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-22Record 155849-20231204-F689
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-22Record 155849-20231204-F697
F727Have 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.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-22Record 155849-20231204-F727
F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-22Record 155849-20231204-F740
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-22Record 155849-20231204-F761
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-09-25Record 155849-20230927-F690
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.45
Facility
Indiana
National
Indiana 0.67 · National 0.69
Total nurse hours per resident day4.38
Facility
Indiana
National
Indiana 3.68 · National 3.86
Weekend total nurse hours3.69
Facility
Indiana
National
Indiana 3.24 · National 3.42
Total nursing staff turnover48%
Facility
Indiana
National
Indiana 46% · National 46%
Registered nurse turnover46%
Facility
Indiana
National
Indiana 40% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Indiana | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 8.7% | 3.6% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.2% | 3.9% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 0.0% | 13.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 1.1% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 13.6% | 11.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 0.0% | 5.5% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 28.3% | 23.5% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Harrison County Hospital Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Clunie, Lisa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Gibson, Rhonda Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Totten, Mark Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Trilogy Healthcare Operations Of Madison, LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| American Healthcare Reit Holdings LP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| American Healthcare Reit Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Barney, Leigh Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bodney, Stephen Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Bodney, Stephen Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Brown, Richard Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Brown, Richard Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Clunie, Lisa Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Clunie, Lisa Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Continental Merger Sub LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Davis, David Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gahc3 Trilogy Jv LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gahc4 Trilogy Jv LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gibson, Rhonda Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hess, Judy Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Paragon Outpatient Rehabilitation Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Shickles, Larry Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Shickles, Larry Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Shireman, Kathy Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Totten, Mark Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Trilogy Investors LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Trilogy Management Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Trilogy Real Estate Investment Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Trilogy Real Estate Madison LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Trilogy Reit Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Whitis, Harris Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Whitis, Harris Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Wiley, Charles Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Wiseman, Mark Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Wiseman, Mark Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
Part of a chain
Trilogy Health Services — 123 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Indiana.
No county cost figures on file for Jefferson.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Hickory Creek At Madison Madison | 2.0 mi | 2025-09-18 | 070 |
| Waters Of Clifty Falls, The Madison | 2.3 mi | 2026-05-14 | 1451 |
| Thornton Terrace Health Campus Hanover | 5.2 mi | 2025-09-10 | 090 |
| Aperion Care Hanover Hanover | 5.7 mi | 2026-04-16 | 0561 |
| Bedford Springs Health and Rehabilitation Bedford | 11.2 mi | 2026-04-30 | 000 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |