Envive of Evansville
601 N Boeke Rd, Evansville, IN 47711 · Vanderburgh County · 200 certified beds · avg 117 residents/day · certified since Feb 24, 2003
Part of chain: ENVIVE HEALTHCARE (12 facilities, chain avg rating 2.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · May 14, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jun 6, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Dec 6, 2023 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jan 1, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (44)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 16, 2026 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Mar 16, 2026 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 16, 2026 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Mar 16, 2026 | D · Potential for harm, one-off | The facility did not make sure residents actually saw their doctor face-to-face at all required visits. Doctors must examine nursing home residents in person on a regular schedule. |
| Mar 16, 2026 | D · Potential for harm, one-off | The facility did not provide routine dental care and 24-hour emergency dental care for residents. |
| Mar 16, 2026 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Mar 13, 2025 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Mar 13, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Mar 13, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jan 27, 2025 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Jan 27, 2025 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jan 27, 2025 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Jan 27, 2025 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Jan 27, 2025 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Jan 27, 2025 | D · Potential for harm, one-off | The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. |
| Jan 27, 2025 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Jan 27, 2025 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Jan 27, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jan 27, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Jan 27, 2025 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Jan 27, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jan 27, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jan 27, 2025 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Jan 27, 2025 | D · Potential for harm, one-off | The facility did not make sure residents actually saw their doctor face-to-face at all required visits. Doctors must examine nursing home residents in person on a regular schedule. |
| Jan 27, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Oct 22, 2024 | D · Potential for harm, one-off | The facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand. · from a complaint |
| Oct 22, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Oct 22, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| May 14, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Dec 6, 2023 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Dec 6, 2023 | F · Potential for harm, facility-wide | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. |
| Dec 6, 2023 | F · Potential for harm, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| Dec 6, 2023 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Dec 6, 2023 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| Dec 6, 2023 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Dec 6, 2023 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Dec 6, 2023 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint |
| Dec 6, 2023 | D · Potential for harm, one-off | The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · from a complaint |
| Dec 6, 2023 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Dec 6, 2023 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Dec 6, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Dec 6, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Dec 6, 2023 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Dec 6, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (16 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 15 | 1 | G ▲ |
| 2024 | 4 | 1 | G ▲ |
| 2025 | 19 | 0 | E |
| 2026 | 6 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
9 fines totaling $67,886.
| Date | Type | Amount / length |
|---|---|---|
| May 14, 2024 | Fine | $8,970 |
| Feb 20, 2024 | Fine | $4,938 |
| Feb 12, 2024 | Fine | $4,938 |
| Jan 22, 2024 | Fine | $14,814 |
| Jan 8, 2024 | Fine | $4,938 |
| Jan 2, 2024 | Fine | $4,587 |
| Dec 11, 2023 | Fine | $12,703 |
| Nov 20, 2023 | Fine | $3,529 |
| Oct 30, 2023 | Fine | $8,469 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Indiana avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.20 | 3.42 | 3.95 | bottom 45% in Indiana; bottom 22% in the U.S. |
| Registered Nurse hours | 0.54 | 0.62 | 0.69 | bottom 46% in Indiana; bottom 43% in the U.S. |
| Weekend total nurse staffing | 3.08 | 3.01 | 3.50 | top 37% in Indiana; bottom 35% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.48 | 0.47 | 0.48 | top 35% in Indiana; top 35% in the U.S. |
| Total nursing staff turnover (%) | 44.4 | 45.9 | 45.8 | top 45% in Indiana; top 49% in the U.S. |
| RN turnover (%) | 27.3 | 40.4 | 42.9 | top 26% in Indiana; top 24% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.62, RN 0.61, weekend 3.48. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 4/5 · short-stay residents: 1/5
Who owns this facility
Government - County
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Adams County Memorial Hospital | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2023 |
| Blue Management Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Borne-Bauman, Candice | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2023 |
| Borne-Bauman, Candice | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2023 |
| Envive Healthcare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2023 |
| Evansville Propco Holdco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2023 |
| First Bank of Berne | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2023 |
| Flueckiger, Russell | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2023 |
| Flueckiger, Russell | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2023 |
| Good Sam Opco LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2023 |
| Good Sam Opco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2023 |
| Lehman, Scott | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2023 |
| Lehman, Scott | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2023 |
| LT Care Acquisition Corp | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2023 |
| LT Care Acquisition Corp | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2023 |
| Macklin, Larry | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2023 |
| Macklin, Larry | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2023 |
| McIntire, David | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2023 |
| McIntire, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2023 |
| NBH Bank | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 07/01/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How often does the attending doctor physically see each resident, and how is that documented?"
- "How do residents get routine dental care, and what happens if someone has a dental emergency at night?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Aperion Care Lincoln | 1.5 mi | Evansville, IN | ★☆☆☆☆ | 1/5 | SFF |
| Evansville Protestant Home | 1.7 mi | Evansville, IN | ★★☆☆☆ | 2/5 | |
| River Pointe Health Campus | 2.1 mi | Evansville, IN | ★★★★★ | 4/5 | |
| Brickyard Healthcare - Brentwood Care Center | 2.7 mi | Evansville, IN | ★★★★★ | 5/5 | |
| Columbia Healthcare Center | 2.9 mi | Evansville, IN | ★★☆☆☆ | 2/5 | |
| Brickyard Healthcare - Woodbridge Care Center | 3.0 mi | Evansville, IN | ★★★☆☆ | 3/5 | |
| Envive of River City | 3.0 mi | Evansville, IN | ★☆☆☆☆ | 1/5 | |
| North Park Nursing Center | 3.4 mi | Evansville, IN | ★★★★☆ | 3/5 | |
| Heritage Center | 3.9 mi | Evansville, IN | ★★☆☆☆ | 2/5 | |
| Hamilton Pointe Health and Rehab | 4.0 mi | Newburgh, IN | ★★☆☆☆ | 1/5 | |
| Majestic Care of Newburgh | 4.2 mi | Newburgh, IN | ★☆☆☆☆ | 1/5 | |
| Parkview Care Center | 4.6 mi | Evansville, IN | ★★★☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 155716.