Silver Oaks Health Campus
2011 Chapa Street, Columbus, IN 47203 · Bartholomew County · 80 certified beds · avg 58 residents/day · certified since Aug 29, 2001
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: ★★★☆☆3/5 · CMS overall rating: 4/5
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 · Sep 9, 2024 · F-0689 · triggered by a complaint
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: Aug 14, 2024 (Past Non-Compliance)
▲ Actual harm, one-off · May 8, 2024 · F-0687 · triggered by a complaint
The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults.
Why it matters: Neglected feet can develop painful sores and infections, especially dangerous for residents with diabetes.
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: Apr 4, 2024 (Past Non-Compliance)
All citations in the current public record (19)
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 |
|---|---|---|
| May 12, 2026 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| May 12, 2026 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| May 12, 2026 | 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. |
| May 12, 2026 | 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. |
| May 12, 2026 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Feb 10, 2026 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Apr 17, 2025 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Apr 17, 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. |
| Apr 17, 2025 | D · Potential for 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. |
| Apr 17, 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. |
| Apr 17, 2025 | 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. |
| Apr 17, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Sep 9, 2024 | ▲ 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. · from a complaint |
| May 8, 2024 | ▲ G · Actual harm, one-off | The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. · from a complaint |
| May 8, 2024 | 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. · from a complaint |
| May 8, 2024 | 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. · from a complaint |
| May 8, 2024 | 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. |
| May 8, 2024 | 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. |
| Feb 14, 2024 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 7 | 2 | G ▲ |
| 2025 | 6 | 0 | D |
| 2026 | 6 | 0 | D |
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)
1 fine totaling $8,824.
| Date | Type | Amount / length |
|---|---|---|
| Sep 9, 2024 | Fine | $8,824 |
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) | 3.93 | 3.42 | 3.95 | top 17% in Indiana; top 42% in the U.S. |
| Registered Nurse hours | 0.87 | 0.62 | 0.69 | top 16% in Indiana; top 23% in the U.S. |
| Weekend total nurse staffing | 3.73 | 3.01 | 3.50 | top 11% in Indiana; top 32% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.85 | 0.47 | 0.48 | top 6% in Indiana; top 9% in the U.S. |
| Total nursing staff turnover (%) | 35.5 | 45.9 | 45.8 | top 19% in Indiana; top 25% in the U.S. |
| RN turnover (%) | 25.0 | 40.4 | 42.9 | top 22% in Indiana; top 20% 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 4.80, RN 1.06, weekend 4.56. Staffing rating: 4/5.
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
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Henry County Memorial Hospital | Organization | 5% or Greater Direct Ownership Interest | 100% | 11/01/2014 |
| American Healthcare Reit Holdings LP | Organization | ADP of the SNF | NOT APPLICABLE | 11/21/2025 |
| American Healthcare Reit INC | Organization | ADP of the SNF | NOT APPLICABLE | 11/21/2025 |
| Cole, Pamela | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2022 |
| Cole, Pamela | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2022 |
| 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 | 10/10/2025 |
| Dynes, Sheldon | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2013 |
| Dynes, Sheldon | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2013 |
| Gahc3 Trilogy JV LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/21/2025 |
| Gahc4 Trilogy JV LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/21/2025 |
| Mustaklem, Marwan | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/15/2025 |
| Mustaklem, Marwan | Individual | ADP of the SNF | NOT APPLICABLE | 04/15/2025 |
| Paragon Outpatient Rehabilitation Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/01/2015 |
| Pidgeon, John | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2013 |
| Pidgeon, John | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2013 |
| Ring, Brian | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/01/2022 |
| Ring, Brian | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2022 |
| Shore, Marion | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2013 |
| Shore, Marion | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2013 |
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 is routine foot care handled here, and does a podiatrist visit regularly?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "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 |
|---|---|---|---|---|---|
| Willow Crossing Health & Rehabilitation Center | 0.5 mi | Columbus, IN | ★★☆☆☆ | 2/5 | abuse |
| Four Seasons Retirement Center | 2.5 mi | Columbus, IN | ★★★★★ | 5/5 | |
| Hickory Creek at Columbus | 2.7 mi | Columbus, IN | ★★★★☆ | 4/5 | |
| Belmont Health & Rehabilitation, the | 6.0 mi | Columbus, IN | ★★☆☆☆ | 3/5 | |
| Miller's Merry Manor | 8.1 mi | Hope, IN | ★★★☆☆ | 3/5 | |
| Compass Park | 17.3 mi | Franklin, IN | ★★★★★ | 5/5 | |
| Homeview Center of Franklin | 17.4 mi | Franklin, IN | ★★★★★ | 5/5 | |
| Brown County Health and Living Community | 18.3 mi | Nashville, IN | ★★★★★ | 5/5 | |
| Otterbein Franklin Seniorlife Comm Res & Com Care | 18.5 mi | Franklin, IN | ★★★☆☆ | 3/5 | |
| Especially Kidz Health & Rehab | 18.8 mi | Shelbyville, IN | ★★★☆☆ | 4/5 | |
| Willows of Shelbyville | 18.8 mi | Shelbyville, IN | ★★☆☆☆ | 2/5 | |
| Franklin Meadows | 18.9 mi | Franklin, IN | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 155693.