St Charles Health Campus — nursing home in Jasper, IN

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 68 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 53.5 CMS, MDS-derived
CMS Certification Number: 155674
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jul 31, 2000
Ownership type: For profit - Corporation
Operator (legal business name): Good Samaritan Hospital
CMS chain: Trilogy Health Services 127 facilities
Phone: (812) 634-6570
Resident & family council: None
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

9

latest Apr 25, 2025

Citations

27

10 health · 17 fire

Harm or worse

1

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D9	E6	F7
Minimal	A·	B1	C3

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 155674
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 68
First approved: Jul 31, 2000
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Indiana.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Apr 25, 2025	Health	Health Complaint	1	Actual harm	—	Open →
Dec 12, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Jun 19, 2024	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Jun 19, 2024	Health	Health Standard	3	Potential harm	—	Open →
Oct 4, 2023	Health	Health Complaint	1	Potential harm	—	Open →
Mar 7, 2023	Fire safety	Fire Safety Standard	10	Potential harm	—	Open →
Mar 7, 2023	Health	Health Standard	4	Potential harm	—	Open →
Mar 29, 2019	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Mar 29, 2019	Health	Health Standard	0	No citations	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D9	E6	F7
Minimal	A·	B1	C3

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Apr 25, 2025	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected May 17, 2025	Complaint
Dec 12, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 2, 2025	Complaint
Jun 19, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 11, 2024
Jun 19, 2024	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 20, 2024
Jun 19, 2024	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 7, 2024
Jun 19, 2024	F-0554	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 5, 2024
Jun 19, 2024	F-0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 5, 2024
Jun 19, 2024	F-0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 5, 2024
Oct 4, 2023	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 1, 2023	Complaint
Mar 7, 2023	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 14, 2023
Mar 7, 2023	K-0271	Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 14, 2023
Mar 7, 2023	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 14, 2023
Mar 7, 2023	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 14, 2023
Mar 7, 2023	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 14, 2023
Mar 7, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 14, 2023
Mar 7, 2023	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 14, 2023
Mar 7, 2023	K-0916	Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 14, 2023
Mar 7, 2023	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 31, 2023
Mar 7, 2023	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 31, 2023
Mar 7, 2023	F-0758	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Mar 31, 2023
Mar 7, 2023	F-0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Mar 31, 2023
Mar 7, 2023	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Apr 14, 2023
Mar 7, 2023	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Apr 14, 2023
Mar 29, 2019	K-0222	Add 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. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 16, 2019
Mar 29, 2019	K-0916	Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 16, 2019
Mar 29, 2019	K-0281	Install proper backup exit lighting. Egress Deficiencies · Environment & life safety	B · Minimal Pattern	Corrected Apr 16, 2019
Mar 29, 2019	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Apr 16, 2019

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.2

Health inspectionsstate 2.8

Staffingstate 2.6

Quality measuresstate 4.3

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.57

State avg 3.73US avg 3.90

Registered nurse (RN)1.17

State avg 0.68US avg 0.69

Licensed practical nurse0.49

State avg 0.78US avg 0.86

Nurse aide1.91

State avg 2.28US avg 2.35

Weekend total nurse3.06

State avg 3.26US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.19 (case-mix index 1.57).

Staff turnover

Total nursing staff turnover39.7%

State avg 45.9%US avg 45.3%

Registered nurse turnover20.0%

State avg 40.5%US avg 42.5%

Administrators who left1

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jun 19, 2024
Cycle 1 health score: 12
Total weighted score: 21

Operating entity

Good Samaritan Hospital

CMS legal business name of the certified provider. Operates 11 facilities.

VerifiedLinked by exact legal name

CMS chain

Trilogy Health Services

127 facilities in 5 states. CMS chain ID 524.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 4.2

Ownership disclosures

Disclosures

46

Organizations

17

Individuals

27

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Good Samaritan Hospital	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	May 1, 2015

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Good Samaritan Hospital	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	May 1, 2015
Leigh Barney	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Jan 28, 2026
David Davis	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Jan 28, 2026
Thomas Brink	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jan 1, 2021
Susan Brocksmith	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jun 5, 2016
Stanley Dewesse	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jun 8, 2020
Tim Ellerman	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jan 1, 2021
Craig Kirk	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jun 20, 2025
Lance Payton	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jun 2, 2025
Kellie Streeter	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Sep 19, 2016
Good Samaritan Hospital	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2015
Trilogy Healthcare of Jasper, LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 1, 2014
Leigh Barney	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 31, 2019
Kiran Burla	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 1, 2014
Jon Howard	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 1, 2014
Robert Mclin	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 6, 1992
Matthew Schuckman	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2022
Adam Thacker	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2013
Lument Real Estate Capital LLC	Organization	Mortgage / security interest	5% OR GREATER MORTGAGE INTEREST	not provided	Jan 1, 2023
American Healthcare Reit Holdings LP	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2015
American Healthcare Reit Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2018
Gahc3 Trilogy Jv LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2015
Gahc4 Trilogy Jv LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2018
Lument Real Estate Capital LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2023
Paragon Outpatient Rehabilitation Services LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2015
Trilogy Healthcare Master Tenant V, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 24, 2025
Trilogy Investors LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2015
Trilogy Management Services LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2015
Trilogy Propco II Finance B, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2000
Trilogy Propco II LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2000
Trilogy Property Holdings LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2000
Trilogy Real Estate Investment Trust	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2015
Trilogy Real Estate Jasper II, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2000
Trilogy Reit Holdings LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2015
Thomas Brink	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2021
Susan Brocksmith	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 5, 2016
Kiran Burla	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 2, 2025
Stanley Dewesse	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 8, 2020
Tim Ellerman	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2021
Jon Howard	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 2, 2025
Craig Kirk	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 2, 2025
Robert Mclin	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 6, 1992
Lance Payton	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 2, 2025
Matthew Schuckman	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2022
Kellie Streeter	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 19, 2016
Adam Thacker	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 1, 2013

Other facilities operated by Good Samaritan Hospital

All 10 →

Facility	Beds	Last inspection	Citations (window)	Fines
Amber Manor Care Center 801 E Illinois St, Petersburg, IN 47567 CCN 155361	64	Jul 7, 2026	14	—
Scenic Hills at the Monastery 710 Sunrise Drive, Ferdinand, IN 47532 CCN 155493	88	May 22, 2026	13	—
Oakwood Health Campus 1143 23rd St, Tell City, IN 47586 CCN 155671	98	Aug 20, 2025	261 harm	—
Woodmont Health Campus 1325 Rockport Rd, Boonville, IN 47601 CCN 155682	60	Jun 11, 2026	47	—
Bridgepointe Health Campus 1900 College Ave, Vincennes, IN 47591 CCN 155696	80	May 1, 2026	31	—
River Pointe Health Campus 3001 Galaxy Dr, Evansville, IN 47715 CCN 155723	68	May 19, 2026	32	—
Riveroaks Health Campus 1244 Vail St, Princeton, IN 47670 CCN 155732	68	Dec 22, 2025	26	—
Terrace at Solarbron the 1701 Mcdowell Rd, Evansville, IN 47712 CCN 155773	91	Mar 3, 2026	511 harm	$129k

Same chain in Indiana

All 126 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
St Mary Healthcare Center 2201 Cason St, Lafayette, IN 47904 CCN 155094	79	Mar 31, 2026	26	—
St Elizabeth Healthcare Center 701 Armory Rd, Delphi, IN 46923 CCN 155290	64	Mar 11, 2026	27	—
Amber Manor Care Center 801 E Illinois St, Petersburg, IN 47567 CCN 155361	64	Jul 7, 2026	14	—
Scenic Hills at the Monastery 710 Sunrise Drive, Ferdinand, IN 47532 CCN 155493	88	May 22, 2026	13	—
Paddock Springs 2695 Sheldon Street, Warsaw, IN 46582 CCN 155495	60	Jan 22, 2026	241 harm	—
Oakwood Health Campus 1143 23rd St, Tell City, IN 47586 CCN 155671	98	Aug 20, 2025	261 harm	—
Waterford Place Health Campus 800 St Joseph Dr, Kokomo, IN 46901 CCN 155678	103	Feb 2, 2026	37	—
Homewood Health Campus 2494 N Lebanon St, Lebanon, IN 46052 CCN 155680	68	Jun 16, 2026	49	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 3150 St Charles St, Jasper, IN 47546
ZIP: 47546
County: Dubois County FIPS 18037
State: Indiana
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Timbers of Jasper the 2909 Howard Dr, Jasper, IN 47546 CCN 155478	0.5 km	94	Jul 9, 2026	192 harm1 open	$17k
Serenity Spring Senior Living at Northwood 2515 Newton St, Jasper, IN 47547 CCN 155282	0.9 km	107	Apr 7, 2026	721 harm	—
Cathedral Health Care Center 520 W 9th St, Jasper, IN 47546 CCN 155720	2.6 km	65	Jul 24, 2025	44	—
Brookside Village Inc 1111 Church Ave, Jasper, IN 47546 CCN 155703	5.3 km	27	May 12, 2026	9	—
The Waters of Huntingburg 1712 Leland Dr, Huntingburg, IN 47542 CCN 155217	11.7 km	95	Aug 12, 2026	681 harm	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	155674	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	155674	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 155674

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction