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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D30 | E13 | F2 |
| Minimal | A· | B· | C4 |
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.
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.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jun 16, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 10, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 19, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| May 19, 2025 | Health | Health Complaint, Health Standard | 13 | Potential harm | — | Open → |
| Aug 22, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 21, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| May 21, 2024 | Health | Health Complaint, Health Standard | 11 | Potential harm | — | Open → |
| Mar 7, 2023 | Fire safety | Fire Safety Standard | 13 | Potential harm | — | Open → |
| Mar 7, 2023 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D30 | E13 | F2 |
| Minimal | A· | B· | C4 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 16, 2026 | 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 Jul 10, 2026 | Complaint |
| Sep 10, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 12, 2025 | Complaint |
“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.
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.
CMS legal business name of the certified provider. Operates 29 facilities.
127 facilities in 5 states. CMS chain ID 524.
Chain average overall rating (CMS): 4.2
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Witham Memorial Hospital | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | May 1, 2015 |
| Trilogy Healthcare of Lebanon, LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | May 1, 2015 |
| Trilogy Opco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 1, 2015 |
| Trilogy Pro Services LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 1, 2015 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Witham Memorial Hospital | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | May 1, 2015 |
| Trilogy Healthcare of Lebanon, LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | May 1, 2015 |
| Trilogy Opco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 1, 2015 |
| Trilogy Pro Services LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| St Mary Healthcare Center 2201 Cason St, Lafayette, IN 47904 CCN 155094 | 79 | Mar 31, 2026 | 26 | — | |
| Vermillion Convalescent Center 1705 S Main St, Clinton, IN 47842 CCN 155124 | 100 |
| Facility | Beds | CMS overall | 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 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Signature Healthcare at Parkwood 1001 N Grant St, Lebanon, IN 46052 CCN 155378 | 2.4 km | 106 | Mar 6, 2026 | 261 harm | $8,018 | |
| The Waters of Lebanon 1585 Perry Worth Rd, Lebanon, IN 46052 CCN 155211 | 7.3 km | 64 | Sep 11, 2025 | 36 | — | |
| The Restoracy of Whitestown 6712 Restoracy Drive, Whitestown, IN 46075 CCN 155858 | 14.7 km | 72 | Feb 13, 2026 | 12 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 155680 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 155680 | 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 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| May 19, 2025 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 23, 2025 |
| May 19, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 23, 2025 |
| May 19, 2025 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 23, 2025 |
| May 19, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 23, 2025 |
| May 19, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 23, 2025 |
| May 19, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 23, 2025 |
| May 19, 2025 | 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 Jun 23, 2025 |
| May 19, 2025 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 23, 2025 | Complaint |
| May 19, 2025 | 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 Jun 23, 2025 |
| May 19, 2025 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Jun 23, 2025 | Complaint |
| May 19, 2025 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 23, 2025 |
| May 19, 2025 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 23, 2025 |
| May 19, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 23, 2025 | Complaint |
| Aug 22, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 15, 2024 | Complaint |
| Aug 22, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 15, 2024 | Complaint |
| May 21, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 4, 2024 |
| May 21, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 28, 2024 | Complaint |
| May 21, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 28, 2024 |
| May 21, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 28, 2024 | Complaint |
| May 21, 2024 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 28, 2024 | Complaint |
| May 21, 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 Jun 28, 2024 |
| May 21, 2024 | 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 Jun 28, 2024 |
| May 21, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jun 28, 2024 |
| May 21, 2024 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 28, 2024 |
| May 21, 2024 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jun 28, 2024 |
| May 21, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jun 28, 2024 |
| May 21, 2024 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Past non-compliance Apr 26, 2024 |
| Mar 7, 2023 | K-0100 | Meet other general requirements. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 24, 2023 |
| Mar 7, 2023 | K-0131 | Meet requirements for sections of health care facilities separated by fire resistive construction. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 23, 2023 |
| 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 May 23, 2023 |
| Mar 7, 2023 | 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 Mar 24, 2023 |
| Mar 7, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 24, 2023 |
| Mar 7, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 24, 2023 |
| Mar 7, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 24, 2023 |
| Mar 7, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 24, 2023 |
| Mar 7, 2023 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 24, 2023 |
| Mar 7, 2023 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 30, 2023 |
| Mar 7, 2023 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 30, 2023 |
| Mar 7, 2023 | F-0659 | Provide care by qualified persons according to each resident's written plan of care. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 30, 2023 |
| Mar 7, 2023 | 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 Mar 30, 2023 |
| Mar 7, 2023 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 30, 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 | D · Potential harm Isolated | Corrected Mar 30, 2023 |
| Mar 7, 2023 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Mar 24, 2023 |
| Mar 7, 2023 | E-0013 | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Mar 24, 2023 |
| Mar 7, 2023 | E-0029 | Develop a communication plan. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Mar 24, 2023 |
| Mar 7, 2023 | E-0036 | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Mar 24, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.20 (case-mix index 1.57).
| not provided |
| Dec 1, 2015 |
| Leigh Barney | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Sep 22, 2025 |
| David Davis | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Sep 22, 2025 |
| Trilogy Healthcare of Lebanon, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2015 |
| Amisha Shah | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 12, 2023 |
| Brett Bayston | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2023 |
| John Brand | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2015 |
| Andrea Castetter | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2023 |
| Claude Hawkins | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 9, 2013 |
| Michael Hornbecker | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2024 |
| Julie Reagan | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 25, 2024 |
| Kelly Braverman | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 1, 2021 |
| Daniel Sellers | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 20, 2024 |
| Keybank National Association | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Oct 11, 2013 |
| 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 |
| Continental Merger Sub LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2021 |
| 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 |
| Keybank National Association | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 11, 2025 |
| Paragon Outpatient Rehabilitation Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 1, 2015 |
| Trilogy Health Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 9, 2000 |
| Trilogy Healthcare Master Tenant II, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 10, 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 | Jul 10, 2025 |
| Trilogy Propco Finance LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 9, 2000 |
| Trilogy Property Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 9, 2000 |
| Trilogy Real Estate Investment Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 1, 2015 |
| Trilogy Real Estate of Lebanon, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 9, 2000 |
| Trilogy Reit Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 1, 2015 |
| Ibrar Paracha | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 10, 2025 |
| Amisha Shah | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 10, 2025 |
| Jun 18, 2026 |
30 |
| — |
| Westminster Village Kentuckiana 2210 Greentree N, Clarksville, IN 47129 CCN 155191 | 94 | Jun 23, 2026 | 41 | — |
| Twin City Health Care 627 E North H Street, Gas City, IN 46933 CCN 155232 | 75 | Aug 14, 2025 | 12 | — |
| Westridge Health Care Center 125 W Margaret Ave, Terre Haute, IN 47802 CCN 155234 | 66 | Mar 19, 2026 | 231 harm | — |
| St Elizabeth Healthcare Center 701 Armory Rd, Delphi, IN 46923 CCN 155290 | 64 | Mar 11, 2026 | 27 | — |
| Camelot Care Center 1555 Commerce St, Logansport, IN 46947 CCN 155385 | 91 | May 12, 2026 | 121 open | — |
| Ambassador Healthcare 705 E Main St, Centerville, IN 47330 CCN 155490 | 137 | May 13, 2026 | 741 IJ | $42k |
| 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 | — |
| St Charles Health Campus 3150 St Charles St, Jasper, IN 47546 CCN 155674 | 68 | Apr 25, 2025 | 271 harm | — |
| Waterford Place Health Campus 800 St Joseph Dr, Kokomo, IN 46901 CCN 155678 | 103 | Feb 2, 2026 | 37 | — |