River Terrace Health Campus

120 Presbyterian Ave · Madison, IN · 47250 · 8122650080

57 certified beds For profit - Corporation Chain: Trilogy Health Services

  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 66
Serious harm & abuse 20% 94
Staffing 20% 88
Federal penalties 15% 100
Trend 10% 85
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day4.613.48 min · 4.1 strong
RN hours / resident-day1.660.55–0.75
Weekend hours / resident-day3.91≈ weekday level
Nursing turnover / year49%median 45%
Fines (3-yr window)none

Inspection citations (20 in the current record)

  • Potential for harm · D 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.

    Corrected March 27, 2026 · Pharmacy Service

  • Potential for harm · F March 6, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 27, 2026 · Nutrition and Dietary

  • Potential for harm · E March 28, 2025 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected April 14, 2025 · Quality of Life and Care

  • Potential for harm · D March 28, 2025 · found via complaint

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected April 14, 2025 · Quality of Life and Care

  • Potential for harm · F March 28, 2025 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected April 14, 2025 · Nursing and Physician Services

  • Potential for harm · D January 22, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected February 9, 2025 · Quality of Life and Care

  • Potential for harm · D January 22, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected February 9, 2025 · Quality of Life and Care

  • Potential for harm · D January 22, 2025

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected February 9, 2025 · Quality of Life and Care

  • Potential for harm · D December 10, 2024 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected November 18, 2024 · Pharmacy Service

  • Potential for harm · D December 4, 2023

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected December 22, 2023 · Resident Rights

  • Potential for harm · E 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.

    Corrected December 22, 2023 · Resident Rights

  • Potential for harm · D December 4, 2023

    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.

    Corrected December 22, 2023 · Resident Rights

  • Potential for harm · D December 4, 2023

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected December 22, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D December 4, 2023

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected December 22, 2023 · Quality of Life and Care

  • Potential for harm · D December 4, 2023

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected December 22, 2023 · Quality of Life and Care

  • Potential for harm · D December 4, 2023

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected December 22, 2023 · Quality of Life and Care

  • Potential for harm · E December 4, 2023

    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.

    Corrected December 22, 2023 · Nursing and Physician Services

  • Potential for harm · D December 4, 2023

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Corrected December 22, 2023 · Quality of Life and Care

  • Potential for harm · E December 4, 2023

    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.

    Corrected December 22, 2023 · Pharmacy Service

  • Actual harm · G September 27, 2023 · found via complaint

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected September 25, 2023 · Quality of Life and Care

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 155849 · certified since May 10, 2016. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.