Indiana University Health Bedford Hospital
A critical access hospital in Bedford, Indiana 47421
2900 W 16th St, Bedford, Indiana 47421. (812) 275-1200.
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The short answer
Record last released by CMS on Oct 20, 2026.
- 3of 5 CMS’s overall rating
- Not rated patient survey rating
- 2 deficiencies cited in the last three years
- 25 beds
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Apr 21, 2026: a complaint inspection.
2 deficiencies cited in the last three years, 2 of them under EMTALA, the law requiring an emergency department to examine and stabilise anyone who comes to it.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
2 deficiencies in 1 month of the last 36. Last cited Apr 2026. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
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| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Apr 21, 2026: complaint inspection2 deficiencies
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Compliance With 489.24
“COMPLIANCE WITH 489.24 CFR(s): 489.20(l) [The provider agrees,] in the case of a hospital as defined in §489.24(b), to comply with §489.24. This Standard is not met as evidenced by: 50584 Based on document review and interview, the facility failed to provide a medical screening exam (MSE) for 1 of 20 patients (P3) due to incorrect triage level assignment and patient left prior to the MSE due to wait time. Findings Include: 1. See findings cited at 42 CFR 489.24, A2406.”
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Medical Screening Exam
The inspectors’ words, 1,242 words
“MEDICAL SCREENING EXAM CFR(s): 489.24(a) and 489.24(c) (a) Applicability of provisions of this section. (1) In the case of a hospital that has an emergency department, if an individual (whether or not eligible for Medicare benefits and regardless of ability to pay) “comes to the emergency department”, as defined in paragraph (b) of this section, the hospital must- (i) Provide an appropriate medical screening examination within the capability of the hospital’s emergency department, including ancillary services routinely available to the emergency department, to determine whether or not an emergency medical condition exists. The examination must be conducted by an individual(s) who is determined qualified by hospital bylaws or rules and regulations and who meets the requirements of §482.55 of this chapter concerning emergency services personnel and direction; and (ii) If an emergency medical condition is determined to exist, provide any necessary stabilizing treatment, as defined in paragraph (d) of this section, or an appropriate transfer as defined in paragraph (e) of this section. If the hospital admits the individual as an inpatient for further treatment, the hospital’s obligation under this section ends, as specified in paragraph (d)(2) of this section. (2)(i) When a waiver has been issued in accordance with section 1135 of the Act that includes a waiver under section 1135(b)(3) of the Act, sanctions under this section for an inappropriate transfer or for the direction or relocation of an individual to receive medical screening at an alternate location do not apply to a hospital with a dedicated emergency department if the following conditions are met: (A) The transfer is necessitated by the circumstances of the declared emergency in the emergency area during the emergency period. (B) The direction or relocation of an individual to receive medical screening at an alternate location is pursuant to an appropriate State emergency preparedness plan or, in the case of a public health emergency that involves a pandemic infectious disease, pursuant to a State pandemic preparedness plan. (C) The hospital does not discriminate on the basis of an individual’s source of payment or ability to pay. (D) The hospital is located in an emergency area during an emergency period, as those terms are defined in section 1135(g)(1) of the Act. (E) There has been a determination that a waiver of sanctions is necessary. (ii) A waiver of these sanctions is limited to a 72-hour period beginning upon the implementation of a hospital disaster protocol, except that, if a public health emergency involves a pandemic infectious disease (such as pandemic influenza), the waiver will continue in effect until the termination of the applicable declaration of a public health emergency, as provided under section 1135(e)(1)(B) of the Act. (c) Use of dedicated emergency department for nonemergency services. If an individual comes to a hospital’s dedicated emergency department and a request is made on his or her behalf for examination or treatment for a medical condition, but the nature of the request makes it clear that the medical condition is not of an emergency nature, the hospital is required only to perform such screening as would be appropriate for any individual presenting in that manner, to determine that the individual does not have an emergency medical condition. This Standard is not met as evidenced by: 50584 Based on document review and interview, the facility failed to provide a medical screening exam (MSE) for 1 of 20 patients (P3) due to incorrect triage level assignment and patient left prior to the MSE due to wait time. Findings include: 1. Facility policy titled Emergency Medical Treatment and Labor Act (EMTALA), no policy number, Publication Date: 1/15/2025, Page 1, under I. Purpose: To ensure all patients coming to the Hospital Property or Premises requesting emergency services receive an appropriate medical screening examination and stabilization prior to being transferred to another institution or discharged as required by the Emergency Medical Treatment and Labor Act (“EMTALA”). Page 2, under VI. Procedures: I. Medical Screening Examination. D. How to Provide the Medical Screening Examination. 1. The hospital is obligated to perform a Medical Screening Exam to determine if an emergency medical condition exists. Triage alone is not equivalent to a Medical Screening Examination. Triage merely determines the “order” in which patients will be seen, not the presence or absence of an emergency medical condition. E. No Delay in Screening or Examination. 1. There shall be no delay in providing a Medical Screening Examination and/or necessary stabilizing treatment for an emergency medical condition. 2. Facility policy titled Guidelines for Triage in Emergency Departments, no policy number, Publication Date: 04/02/2026, indicated under I. Purpose: To establish instructions for the prioritization of patients’ evaluation and treatment of according to their healthcare needs. II. Definitions: Acuity: determined by hemodynamic stability and the potential for life, limb, or organ threat. Emergency Severity Index (ESI): a validated methodology for perfoming a triage assessment to determine the patient’s medical priority and predicted resource allocation needs. Resource needs: the number of resources a particular patient may need for a disposition. III. Guideline: A. Patients presenting to the ED will be triaged by trained personnel. Acuity is determined by ESI, incorporating the patient’s physical and psychosocial needs. ESI Triage Algorithm, v4, B. Severe pain/distress is determined by clinical observation and/or patient rating greater than or equal to 7 on 0-10 pain scale, level 2, consider level 3 if vital signs are stable. 2. Review of P3 MR from F1 (CAH [Critical Access Hospital]) indicated: a. On 3/30/26 at 1653 hours P3 presented to F1 with chief complaint of right leg pain. b. On 3/30/25 at 1701 hours P3 was triaged an ESI level 4 acuity. FM1 (family member) reported P3 hurt his/her right lower extremity while on a trampoline just prior to arrival. Pain score: 8/10. Heart Rate: 132, SpO2 (peripheral oxygen saturation): 97% (percent), Temperature: 36.3 degrees Celsius, Respiratory rate: 24. c. MR lacked documentation of correct ESI level 3 acuity due to severe pain rating, need for x-ray, with stable vital signs per policy. d. On 3/30/26 at 1755 hours P3 LWBS (Left Without Being Seen). 3. Review of P3 MR from F2 (acute care hospital) indicated: a. On 3/30/26 at 1833 hours P3 presented to F2 ED with complaint of right leg injury. b. On 3/30/26 at 1841 hours P3 was triaged at acuity level 3, injury to the right leg, Heart rate: 112, Respiratory rate: 22, Oxygen Saturation: 99%, Pain level: 6/10, Temperature 98.5 degrees F (Fahrenheit). c. On 3/30/26 at 1852 hours a stat x-ray of P3’s lower right leg was ordered. d. On 3/30/26 at 2016 hours provider note indicated X-ray to right lower extremity indicated a nondisplaced transverse fracture of the proximal metaphysis of the tibia. Progress and Procedures: Long leg OCL (occlusal) splint applied to right lower leg. 4. In interview on 4/21/26 at 1115 hours with A4 (Interim ED Manager), he/she confirmed that if a patient presented to the ED with a pain score of 8/10 with the need for an x-ray, he/she would have triaged that patient at ESI level 3. 5. In interview on 4/21/26 at 1315 hours with N3 (Registered Nurse-RN), N3 confirmed he/she charted P3’s triage level as a 4. N3 confirmed with P3 pain level 8/10 and the need for an x-ray, P3 should have been triaged ESI level 3. 6. In interview on 4/21/26 at 1400 hours with A5 (RN Clinical Specialist), he/she confirmed with an 8/10 pain score he/she would have triaged P3 at ESI level 3.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Apr 21, 2026 | Complaint inspection | 2 deficiencies cited |
How do patients fare?
- CMS’s overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System. for it is 3 of 5.
- Of the measures behind its CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System., CMS counts against the national value: mortality, 0 better and 0 worse of 6; safety of care, 1 better and 0 worse of 2; readmission, 1 better and 0 worse of 8.
- CMS gives no CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.: “Results are not available for this reporting period.”
- Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): catheter urinary tract infections (CAUTI), no different than national benchmark; C. diff infections, better than the national benchmark.
- Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart attack 11.9%, heart failure 11.7%, pneumonia 15.4%, COPD 8.7%, stroke 13.4%. CMS gives no comparison with the national rate for them in this release.
- Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart attack 14.7%, heart failure 21%, pneumonia 16.8%, COPD 20%. CMS gives no comparison with the national rate for them in this release.
- After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; hospital admissions after outpatient chemotherapy, no different than the national rate; emergency visits after outpatient chemotherapy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
- Emergency department patients spent a median of 192 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 3% left before being seen.
- 56% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | 3 of 5 |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | Not rated |
Is it certified, and in good standing?
- Medicare-certified critical access hospital since Oct 1, 2005.
- Ownership: voluntary non-profit - private.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
- Voluntary non-profit - Private.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- CMS’s HAC Reduction Program file has no result for it: the program covers general acute care hospitals Medicare pays under its inpatient prospective payment system.
- 2 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- 85% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- Indiana University Health Inc. runs it.
- 23 owners or officers are people: Corinna Repetto (corporate director); Larry Bailey (corporate officer); Larry Bailey (managing employee (on the payroll)); Brian Stremming (corporate director); Skylar E Whiteman (corporate director); Richard Hendrickson (corporate officer); Richard Hendrickson (corporate director); Denzil Ross (corporate officer); Denzil Ross (corporate director); Denzil Ross (runs it (operational or managerial control)); Joyce Poling (corporate director); Mohan Shenoy (corporate director); Whitney Aiken (corporate officer); Kevin Bernard Gebke (corporate director); Tashera Perry (corporate director); Paul Quick (corporate director); Jack Kenworthy (corporate officer); Jack Kenworthy (corporate director); Michael Craig (corporate officer); Michael Craig (managing employee (on the payroll)); Michael Craig (runs it (operational or managerial control)); Kent N Rodgers (corporate director); Kamal Girgis (corporate director).
- CMS’s Provider of Services file records no change of ownership.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Indiana University Health Inc. | Runs it (operational or managerial control) | 100% | Sep 15, 2005 |
How does it compare nearby?
- No other hospital CMS lists is in Lawrence County.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
- In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.