Cumberland Pointe Health Campus
1051 Cumberland Ave, West Lafayette, IN 47906 · Tippecanoe County · 71 certified beds · avg 59 residents/day · certified since Apr 10, 2009
Part of chain: TRILOGY HEALTH SERVICES (123 facilities, chain avg rating 4.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jun 16, 2025 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jul 7, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (28)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 16, 2025 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jun 16, 2025 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Jun 16, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jun 16, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jun 16, 2025 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Jun 16, 2025 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Jun 16, 2025 | D · Potential for harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. |
| Jun 16, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Apr 25, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Jun 10, 2024 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jun 10, 2024 | D · Potential for harm, one-off | The facility did not make sure resident assessments were done by a qualified health professional. Assessments guide all of a resident's care, so the person doing them must be properly trained. |
| Jun 10, 2024 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Jun 10, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Jun 10, 2024 | D · Potential for harm, one-off | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint |
| Jun 10, 2024 | D · Potential for harm, one-off | The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. · from a complaint |
| Jun 10, 2024 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Jun 10, 2024 | D · Potential for harm, one-off | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. |
| Mar 7, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 7, 2023 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Mar 7, 2023 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Mar 7, 2023 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Mar 7, 2023 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Mar 7, 2023 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Mar 7, 2023 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Mar 7, 2023 | D · Potential for harm, one-off | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Mar 7, 2023 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Mar 7, 2023 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 7, 2023 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 11 | 0 | F |
| 2024 | 8 | 0 | E |
| 2025 | 9 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Indiana avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.80 | 3.42 | 3.95 | bottom 15% in Indiana; bottom 8% in the U.S. |
| Registered Nurse hours | 0.63 | 0.62 | 0.69 | top 38% in Indiana; top 45% in the U.S. |
| Weekend total nurse staffing | 2.54 | 3.01 | 3.50 | bottom 20% in Indiana; bottom 10% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.54 | 0.47 | 0.48 | top 28% in Indiana; top 29% in the U.S. |
| Total nursing staff turnover (%) | 46.7 | 45.9 | 45.8 | bottom 46% in Indiana; bottom 45% in the U.S. |
| RN turnover (%) | 38.5 | 40.4 | 42.9 | top 48% in Indiana; top 44% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.22, RN 0.72, weekend 2.91. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Witham Memorial Hospital | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/01/2015 |
| American Healthcare Reit Holdings LP | Organization | ADP of the SNF | NOT APPLICABLE | 12/01/2015 |
| American Healthcare Reit INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2018 |
| Bardoczi, Stephen | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/03/2013 |
| Barney, Leigh | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 09/19/2025 |
| Bayston, Brett | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2023 |
| Brand, John | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2015 |
| Braverman, Kelly | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2021 |
| Castetter, Andrea | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2023 |
| Continental Merger Sub LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2021 |
| Davis, David | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 09/19/2025 |
| Gahc3 Trilogy JV LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/01/2015 |
| Gahc4 Trilogy JV LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2018 |
| Hawkins, Claude | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/09/2013 |
| Hornbecker, Michael | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2024 |
| Lument Real Estate Capital LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 01/01/2023 |
| Lument Real Estate Capital LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/20/2025 |
| Paragon Outpatient Rehabilitation Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/01/2015 |
| Reagan, Julie | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/25/2024 |
| Sellers, Daniel | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/21/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
- "Who on your staff manages IV therapy, and what training and monitoring is in place?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Westminster Village - West Lafayette | 0.3 mi | West Lafayette, IN | ★★★☆☆ | 2/5 | |
| Heritage Healthcare | 1.1 mi | West Lafayette, IN | ★★★☆☆ | 2/5 | |
| University Place Health Center and Assisted Living | 1.3 mi | West Lafayette, IN | ★★★★☆ | 3/5 | |
| Indiana Veterans Home | 2.1 mi | West Lafayette, IN | ★★★★☆ | 4/5 | |
| Saint Anthony Rehab and Nursing Center | 3.0 mi | Lafayette, IN | ★★★★☆ | 4/5 | |
| Rosewalk Village at Lafayette | 3.4 mi | Lafayette, IN | ★★★☆☆ | 3/5 | |
| St Mary Healthcare Center | 3.7 mi | Lafayette, IN | ★★★☆☆ | 3/5 | |
| Springs at Lafayette, the | 4.0 mi | Lafayette, IN | ★★★★★ | 4/5 | |
| Majestic Care of Lafayette | 4.6 mi | Lafayette, IN | ★☆☆☆☆ | 2/5 | |
| Creasy Springs Health Campus | 6.3 mi | Lafayette, IN | ★★★☆☆ | 2/5 | |
| Mulberry Health & Rehabilitation Center | 15.2 mi | Mulberry, IN | ★★★★★ | 5/5 | |
| St Elizabeth Healthcare Center | 15.3 mi | Delphi, IN | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 155775.