IndianaDelphi

St Elizabeth Healthcare Center

701 Armory Rd, Delphi, IN 46923 · Carroll County · 64 certified beds · avg 53 residents/day · certified since Nov 11, 1986

Part of chain: TRILOGY HEALTH SERVICES (123 facilities, chain avg rating 4.2★)

3/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
3.15
Nurse hours/resident/day (adjusted)

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.

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.

DateSeverityWhat the facility was cited for
Mar 11, 2026D · 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 11, 2026D · 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.
Mar 11, 2026D · Potential for harm, one-offThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Mar 11, 2026D · 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.
Mar 11, 2026D · Potential for harm, one-offThe facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Mar 11, 2026D · 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.
Mar 11, 2026D · Potential for harm, one-offThe facility did not provide appropriate treatment and services to residents with a mental health condition, difficulty adjusting emotionally, or a history of trauma or post-traumatic stress disorder (PTSD).
May 7, 2025E · Potential for harm, repeatedThe facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
May 7, 2025E · Potential for harm, repeatedThe 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.
May 7, 2025D · Potential for harm, one-offThe facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · from a complaint
May 7, 2025D · 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.
Apr 19, 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.
Apr 19, 2024E · Potential for harm, repeatedThe 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 19, 2024E · Potential for harm, repeatedThe 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.
Apr 19, 2024D · Potential for harm, one-offThe facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Apr 19, 2024D · Potential for harm, one-offThe facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Apr 19, 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.
Apr 19, 2024D · 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.
Apr 19, 2024D · Potential for harm, one-offThe facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (4 → 7).

YearCitationsSerious (G–L)Worst severity that year
202480E
202540E
202670D

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)3.153.423.95bottom 39% in Indiana; bottom 19% in the U.S.
Registered Nurse hours0.810.620.69top 18% in Indiana; top 27% in the U.S.
Weekend total nurse staffing2.633.013.50bottom 28% in Indiana; bottom 13% in the U.S.
Weekend RN hours (not acuity-adjusted)0.520.470.48top 30% in Indiana; top 31% in the U.S.
Total nursing staff turnover (%)54.145.945.8bottom 26% in Indiana; bottom 27% in the U.S.
RN turnover (%)52.940.442.9bottom 27% in Indiana; bottom 31% 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 3.25, RN 0.83, weekend 2.71. 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
Barney, LeighIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE07/08/2025
Bayston, BrettIndividualCorporate DirectorNOT APPLICABLE01/01/2023
Brand, JohnIndividualCorporate DirectorNOT APPLICABLE01/01/2015
Braverman, KellyIndividualCorporate OfficerNOT APPLICABLE12/01/2021
Castetter, AndreaIndividualCorporate DirectorNOT 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
Dyrek, ShellyIndividualOperational/Managerial ControlNOT APPLICABLE09/08/2025
Dyrek, ShellyIndividualADP 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, ClaudeIndividualCorporate DirectorNOT APPLICABLE09/09/2013
Hornbecker, MichaelIndividualCorporate DirectorNOT APPLICABLE01/01/2024
Lument Real Estate Capital LLCOrganization5% or Greater Mortgage InterestNOT APPLICABLE01/01/2023
Lument Real Estate Capital LLCOrganizationADP of the SNFNOT APPLICABLE03/04/2026
Paragon Outpatient Rehabilitation Services LLCOrganizationADP of the SNFNOT APPLICABLE12/01/2015
Reagan, JulieIndividualCorporate DirectorNOT APPLICABLE09/25/2024

Questions to ask on your visit

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

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Milner Community Health Care12.0 miRossville, IN★★★★☆4/5
White Oak Health Campus12.8 miMonticello, IN★★★★★4/5
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Monticello Healthcare13.5 miMonticello, IN★★★★☆3/5
Heritage Healthcare14.1 miWest Lafayette, IN★★★☆☆2/5
Rosewalk Village at Lafayette15.0 miLafayette, IN★★★☆☆3/5
Saint Anthony Rehab and Nursing Center15.0 miLafayette, IN★★★★☆4/5
St Mary Healthcare Center15.0 miLafayette, IN★★★☆☆3/5
Springs at Lafayette, the15.1 miLafayette, IN★★★★★4/5
Westminster Village - West Lafayette15.2 miWest Lafayette, IN★★★☆☆2/5
Cumberland Pointe Health Campus15.3 miWest Lafayette, IN★★★☆☆2/5
Creasy Springs Health Campus15.3 miLafayette, IN★★★☆☆2/5

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Facility data as of CMS processing date 2026-08-01. CCN 155290.