Evansville Protestant Home
3701 Washington Ave, Evansville, IN 47714 · Vanderburgh County · 49 certified beds · avg 34 residents/day · certified since Jun 13, 2008
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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 · Apr 1, 2025 · F-0689
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: Apr 25, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (19)
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 |
|---|---|---|
| Apr 1, 2025 | ▲ 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. |
| Apr 1, 2025 | F · Potential for harm, facility-wide | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Apr 1, 2025 | E · Potential for harm, repeated | 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. |
| Apr 1, 2025 | 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. |
| Apr 1, 2025 | D · Potential for harm, one-off | 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. |
| Apr 1, 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. |
| Apr 1, 2025 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Apr 1, 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. |
| Apr 1, 2025 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Apr 1, 2025 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Apr 1, 2025 | 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. |
| Apr 1, 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. · from a complaint |
| Feb 2, 2024 | 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. |
| Feb 2, 2024 | 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. |
| Feb 2, 2024 | 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. |
| May 16, 2022 | 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. |
| May 16, 2022 | E · Potential for harm, repeated | 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. |
| May 16, 2022 | 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. |
| May 16, 2022 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 12).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 4 | 0 | E |
| 2024 | 3 | 0 | D |
| 2025 | 12 | 1 | G ▲ |
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)
No fines or payment denials in the published 3-year window.
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) | 5.41 | 3.42 | 3.95 | top 2% in Indiana; top 8% in the U.S. |
| Registered Nurse hours | 0.97 | 0.62 | 0.69 | top 9% in Indiana; top 17% in the U.S. |
| Weekend total nurse staffing | 5.00 | 3.01 | 3.50 | top 2% in Indiana; top 6% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.44 | 0.47 | 0.48 | top 45% in Indiana; top 42% in the U.S. |
| Total nursing staff turnover (%) | 46.0 | 45.9 | 45.8 | bottom 49% in Indiana; bottom 47% in the U.S. |
| RN turnover (%) | 75.0 | 40.4 | 42.9 | bottom 5% in Indiana; bottom 9% 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 5.35, RN 0.96, weekend 4.94. Staffing rating: 4/5.
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: 2/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Henry County Memorial Hospital | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/2024 |
| Carlisle Higgs, Lorrie | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2023 |
| Carlisle Higgs, Lorrie | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2023 |
| Carlisle Higgs, Lorrie | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2023 |
| Chandler, Mark | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/01/2013 |
| Chandler, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2013 |
| Chandler, Mark | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2013 |
| Dill, Lauren | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2024 |
| Dill, Lauren | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2024 |
| Dill, Lauren | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Dynes, Sheldon | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2013 |
| Dynes, Sheldon | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2013 |
| Evansville Protestant Home INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Evansville Protestant Home INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Grubb, William | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/1996 |
| Grubb, William | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/1996 |
| Grubb, William | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/1996 |
| Harbin, Ward | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Harbin, Ward | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Herrell, Michael | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2017 |
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?"
- "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "How often does the attending doctor physically see each resident, and how is that documented?"
- "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 |
|---|---|---|---|---|---|
| Envive of Evansville | 1.7 mi | Evansville, IN | ★☆☆☆☆ | 1/5 | |
| Aperion Care Lincoln | 2.0 mi | Evansville, IN | ★☆☆☆☆ | 1/5 | SFF |
| River Pointe Health Campus | 3.0 mi | Evansville, IN | ★★★★★ | 4/5 | |
| Majestic Care of Newburgh | 3.1 mi | Newburgh, IN | ★☆☆☆☆ | 1/5 | |
| Brickyard Healthcare - Brentwood Care Center | 3.2 mi | Evansville, IN | ★★★★★ | 5/5 | |
| Hamilton Pointe Health and Rehab | 3.4 mi | Newburgh, IN | ★★☆☆☆ | 1/5 | |
| Newburgh Health and Rehab | 3.7 mi | Newburgh, IN | ★☆☆☆☆ | 1/5 | SFF |
| Columbia Healthcare Center | 4.0 mi | Evansville, IN | ★★☆☆☆ | 2/5 | |
| Brickyard Healthcare - Woodbridge Care Center | 4.1 mi | Evansville, IN | ★★★☆☆ | 3/5 | |
| Envive of River City | 4.1 mi | Evansville, IN | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
All facilities in Evansville →
Facility data as of CMS processing date 2026-08-01. CCN 155768.