IndianaWest Lafayette

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★)

2/5
Health inspection rating (on-site)
1
Serious findings on record
$0
Fines, last 3 years
2.80
Nurse hours/resident/day (adjusted)

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.

DateSeverityWhat the facility was cited for
Jun 16, 2025▲ G · Actual harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jun 16, 2025D · Potential for harm, one-offThe 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, 2025D · Potential for harm, one-offThe 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, 2025D · Potential for harm, one-offThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jun 16, 2025D · Potential for harm, one-offThe 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, 2025D · Potential for harm, one-offThe 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, 2025D · Potential for harm, one-offThe facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them.
Jun 16, 2025D · Potential for harm, one-offThe 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, 2025D · Potential for harm, one-offThe 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, 2024E · Potential for harm, repeatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jun 10, 2024D · Potential for harm, one-offThe 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, 2024D · Potential for harm, one-offThe 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, 2024D · Potential for harm, one-offThe facility did not provide safe and appropriate pain management for a resident who needed it.
Jun 10, 2024D · Potential for harm, one-offThe 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, 2024D · Potential for harm, one-offThe 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, 2024D · Potential for harm, one-offThe 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, 2024D · Potential for harm, one-offThe facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program.
Mar 7, 2023F · Potential for harm, facility-wideThe 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, 2023E · Potential for harm, repeatedThe 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, 2023D · Potential for harm, one-offThe 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, 2023D · Potential for harm, one-offThe facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Mar 7, 2023D · Potential for harm, one-offThe 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, 2023D · Potential for harm, one-offThe 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, 2023D · Potential for harm, one-offThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Mar 7, 2023D · Potential for harm, one-offThe 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, 2023D · Potential for harm, one-offThe 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, 2023D · Potential for harm, one-offThe 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, 2023D · Potential for harm, one-offThe 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).

YearCitationsSerious (G–L)Worst severity that year
2023110F
202480E
202591G ▲

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)

MeasureThis facilityIndiana avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)2.803.423.95bottom 15% in Indiana; bottom 8% in the U.S.
Registered Nurse hours0.630.620.69top 38% in Indiana; top 45% in the U.S.
Weekend total nurse staffing2.543.013.50bottom 20% in Indiana; bottom 10% in the U.S.
Weekend RN hours (not acuity-adjusted)0.540.470.48top 28% in Indiana; top 29% in the U.S.
Total nursing staff turnover (%)46.745.945.8bottom 46% in Indiana; bottom 45% in the U.S.
RN turnover (%)38.540.442.9top 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 / managerTypeRoleStakeSince
Witham Memorial HospitalOrganization5% or Greater Direct Ownership Interest100%05/01/2015
American Healthcare Reit Holdings LPOrganizationADP of the SNFNOT APPLICABLE12/01/2015
American Healthcare Reit INCOrganizationADP of the SNFNOT APPLICABLE10/01/2018
Bardoczi, StephenIndividualManaging Control - Governing BodyNOT APPLICABLE09/03/2013
Barney, LeighIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE09/19/2025
Bayston, BrettIndividualManaging Control - Governing BodyNOT APPLICABLE01/01/2023
Brand, JohnIndividualManaging Control - Governing BodyNOT APPLICABLE01/01/2015
Braverman, KellyIndividualOperational/Managerial ControlNOT APPLICABLE12/01/2021
Castetter, AndreaIndividualManaging Control - Governing BodyNOT APPLICABLE01/01/2023
Continental Merger Sub LLCOrganizationADP of the SNFNOT APPLICABLE10/01/2021
Davis, DavidIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE09/19/2025
Gahc3 Trilogy JV LLCOrganizationADP of the SNFNOT APPLICABLE12/01/2015
Gahc4 Trilogy JV LLCOrganizationADP of the SNFNOT APPLICABLE10/01/2018
Hawkins, ClaudeIndividualManaging Control - Governing BodyNOT APPLICABLE09/09/2013
Hornbecker, MichaelIndividualManaging Control - Governing BodyNOT APPLICABLE01/01/2024
Lument Real Estate Capital LLCOrganization5% or Greater Mortgage InterestNOT APPLICABLE01/01/2023
Lument Real Estate Capital LLCOrganizationADP of the SNFNOT APPLICABLE10/20/2025
Paragon Outpatient Rehabilitation Services LLCOrganizationADP of the SNFNOT APPLICABLE12/01/2015
Reagan, JulieIndividualManaging Control - Governing BodyNOT APPLICABLE09/25/2024
Sellers, DanielIndividualOperational/Managerial ControlNOT APPLICABLE06/21/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

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Facility data as of CMS processing date 2026-08-01. CCN 155775.