Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

RIVER TERRACE HEALTH CARE CENTER

BLUFFTON, IN · 67 certified beds · Last Life Safety survey December 4, 2025

CMS Certification Number 155726 · first certified February 2004

Ownership

Operated by IDE MANAGEMENT GROUP · Government - County

No change of ownership on CMS record since January 1, 2016, when the records begin.

30
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
6
Tags cited more than once
Across separate surveys
10
Inspection & testing records
Of the citations on file

Position within IN

30 citations — more than 87% of the 507 certified nursing homes in IN. Compared within IN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 20 citations; the earlier surveys in the window averaged 5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens November 2026 — about 1 month from now. This facility’s last Life Safety survey was December 2025. Facilities in IN are typically surveyed 11–14 months after the last one (median 13), measured over 883 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

8 of the 30 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

How that compares

Citations on file over three years

Compared with the median facility in IN, and nationally. Surveyors differ markedly between states, so the IN figure is the meaningful one.

This facility30IN median15National median11
Citations on file over three years, compared
MeasureCitations
This facility30
Median facility in IN15
Median facility nationally11

Survey history

Citations at each Life Safety survey
52024-0252025-01202025-12
Citations at each Life Safety survey
Survey dateCitations
February 20, 20245
January 10, 20255
December 4, 202520

Most-cited tags

Most-cited tags at this facility
K-07122K-02912E-00392K-02222E-00372K-09182E-00221K-03631
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0712Have simulated fire drills held at unexpected times.22025-12-04
K-0291Install emergency lighting that can last at least 1 1/2 hours.22025-01-10
E-0039Conduct testing and exercise requirements.22025-12-04
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.22025-12-04
E-0037Establish staff and initial training requirements.22025-12-04
K-0918Have generator or other power source capable of supplying service within 10 seconds.22025-12-04
E-0022Establish policies and procedures for sheltering.12025-12-04
K-0363Install corridor and hallway doors that block smoke.12025-12-04

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 8
  • Gas, Vacuum, and Electrical Systems Deficiencies 6
  • Egress Deficiencies 5
  • Miscellaneous Deficiencies 4
  • Other 7
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies8
Gas, Vacuum, and Electrical Systems Deficiencies6
Egress Deficiencies5
Miscellaneous Deficiencies4
Smoke Deficiencies4
Services Deficiencies2
Construction Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

December 4, 2025 — 20 citations

Citations issued on December 4, 2025
TagWhat the surveyor checksStatus
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (February 20, 2026)
E-0022Establish policies and procedures for sheltering.Deficient, Provider has date of correction (February 20, 2026)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (February 20, 2026)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (February 20, 2026)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (February 20, 2026)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (February 20, 2026)
K-0131Meet requirements for sections of health care facilities separated by fire resistive construction.Deficient, Provider has date of correction (February 20, 2026)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (February 20, 2026)
K-0232Have corridors or aisles that are unobstructed and are at least 8 feet in width.Deficient, Provider has date of correction (February 20, 2026)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (February 20, 2026)
K-0342Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.Deficient, Provider has date of correction (February 20, 2026)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (February 20, 2026)
K-0522Have an externally vented heating system.Deficient, Provider has date of correction (February 20, 2026)
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (February 20, 2026)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (February 20, 2026)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (February 20, 2026)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (February 20, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 20, 2026)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (February 20, 2026)
K-0927Have proper fire barriers, ventilation and signs for the transfilling of oxygen.Deficient, Provider has date of correction (February 20, 2026)

January 10, 2025 — 5 citations

Citations issued on January 10, 2025
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (February 8, 2025)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (February 8, 2025)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (February 8, 2025)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (February 8, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (February 8, 2025)

February 20, 2024 — 5 citations

Citations issued on February 20, 2024
TagWhat the surveyor checksStatus
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (April 7, 2024)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (April 7, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 7, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (April 7, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 7, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.