| Cloverleaf of Knightsville | |
| 9325 N Crawford St, Knightsville, Indiana 47857 | |
| (812) 446-2309 | |
| Name | Cloverleaf of Knightsville |
|---|---|
| Location | 9325 N Crawford St, Knightsville, Indiana |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 102 |
| Occupancy Rate | 76.67% |
| Medicare ID (CCN) | 155542 |
| Legal Business Name | Adams County Memorial Hospital |
| Ownership Type | For Profit - Individual |
| Chain | Ide Management Group (10 nursing homes) |
| Chain Average Overall Rating | 3.2 out of 5 |
| NPI Number | 1659454148 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Adams County Memorial Hospital |
| Doing Business As | Cloverleaf of Knightsville |
| Address | 9325 N. Crawford Streeet, Knightsville, IN 47857 |
| Phone Number | 812-446-2309 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.09 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.77 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.57 | 0.86 |
| Nurse aide hours per resident per day | 1.75 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.77 | 3.42 |
| RN hours per resident per day on the weekend | 0.68 | 0.48 |
| Physical therapist hours per resident per day | 0.07 | 0.07 |
| Total nursing staff turnover | 53.7% | 45.8% |
| Registered nurse turnover | 14.3% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Feb 13, 2026 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 16, 2026 |
| Feb 13, 2026 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. F0744, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 16, 2026 |
| Feb 13, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Mar 16, 2026 |
| Dec 18, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 17, 2025 |
| Dec 18, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 17, 2025 |
| Dec 18, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 17, 2025 |
| Dec 18, 2024 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 17, 2025 |
| Dec 18, 2024 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 17, 2025 |
| Dec 18, 2024 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jan 17, 2025 |
| Dec 18, 2024 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jan 17, 2025 |
| Dec 18, 2024 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. F0803, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Jan 17, 2025 |
| Dec 18, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Jan 17, 2025 |
| Dec 18, 2024 | Implement a program that monitors antibiotic use. F0881, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Jan 17, 2025 |
| Nov 3, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Dec 8, 2023 |
| Nov 3, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Dec 8, 2023 |
| Nov 3, 2023 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 8, 2023 |
| Nov 3, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 8, 2023 |
| Nov 3, 2023 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Dec 8, 2023 |
| Nov 3, 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Dec 8, 2023 |
| Nov 3, 2023 | Implement a program that monitors antibiotic use. F0881, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Dec 8, 2023 |
| Nov 3, 2023 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. F0912, Environmental, Standard inspection | Potential for harm, isolated | Waiver has been granted |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.29 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 13.22 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.25 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.82 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 11.59 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.07 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.56 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.39 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.55 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 28.42 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.28 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 78.95 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 4.08 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.68 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 29.84 | 15.38 |