The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
TERRACE AT SOLARBRON THE
EVANSVILLE, IN · Medicare-certified · 91 beds
In good standing
Non-profitChain member
2 of 5 overall
Terrace at Solarbron The in Evansville, IN has an overall 2 out of 5 stars, with 2-star health inspection and staffing ratings and a 3-star quality measures rating. Reported nurse staffing is 3.48 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months; recent citations included accident hazards, psychotropic medication use, and care planning issues.
Facility ratings
Health inspections
Staffing
3.4818 hrs/resident/day
Quality measures
Last inspection: March 3, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4818.
Staffing detail
- Registered nurses
- 0.52
- Licensed practical nurses
- 0.80
- Nurse aides
- 2.16
- Weekend nursing
- 3.10
Hours per resident per day.
Total staff turnover: 69%
Registered nurse turnover: 55%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
18.6%Improving
Residents with a fall causing major injury
8.5%Worsening
Residents with pressure ulcers (bedsores)
5.7%Worsening
Residents with a urinary tract infection
1.9%Steady
Residents who lost too much weight
5.9%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
4.3%Improving
Residents whose ability to walk got worse
8.3%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
24.9%Worsening
Short-stay residents newly given an antipsychotic
0.4%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
26%Worsening
Residents with depressive symptoms
3.7%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
96.1%Steady
Short-stay residents given the pneumonia vaccine
96.4%Worsening
What the inspectors found
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 605 — 42 CFR §483.12 — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited March 2026 — limited pattern, potential for harm.
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F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited March 2026 — limited pattern, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Other
- Chain
- Part of CARDON & ASSOCIATES · 20 homes · 3.8 stars avg
- Occupancy
- 77.2 residents on an average day (85% of 91 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 17 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.