St Mary Healthcare Center
2201 Cason St, Lafayette, IN 47904 · Tippecanoe County · 79 certified beds · avg 66 residents/day · certified since May 26, 1969
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: 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.
All citations in the current public record (20)
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 |
|---|---|---|
| Mar 31, 2026 | 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 31, 2026 | 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. |
| Aug 22, 2025 | D · Potential for harm, one-off | The 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). · from a complaint |
| May 19, 2025 | E · Potential for harm, repeated | 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. |
| May 19, 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. |
| May 19, 2025 | D · Potential for harm, one-off | The 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. |
| May 19, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| May 19, 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. |
| May 19, 2025 | 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. |
| May 19, 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. |
| Nov 14, 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 |
| Nov 14, 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. · from a complaint |
| Apr 29, 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. |
| Apr 29, 2024 | 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. |
| Apr 29, 2024 | 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 29, 2024 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Apr 29, 2024 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Apr 29, 2024 | 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. |
| Apr 29, 2024 | D · Potential for harm, one-off | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Oct 5, 2023 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (7 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | D |
| 2024 | 9 | 0 | E |
| 2025 | 8 | 0 | E |
| 2026 | 2 | 0 | F |
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) | 3.18 | 3.42 | 3.95 | bottom 41% in Indiana; bottom 20% in the U.S. |
| Registered Nurse hours | 0.57 | 0.62 | 0.69 | top 48% in Indiana; bottom 48% in the U.S. |
| Weekend total nurse staffing | 2.72 | 3.01 | 3.50 | bottom 36% in Indiana; bottom 17% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.50 | 0.47 | 0.48 | top 32% in Indiana; top 32% in the U.S. |
| Total nursing staff turnover (%) | 29.2 | 45.9 | 45.8 | top 8% in Indiana; top 13% in the U.S. |
| RN turnover (%) | 33.3 | 40.4 | 42.9 | top 35% in Indiana; top 33% 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 3.47, RN 0.63, weekend 2.97. Staffing rating: 3/5.
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: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Trilogy Healthcare Holdings INC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/01/2015 |
| Witham 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 | 12/01/2015 |
| American Healthcare Reit INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2018 |
| Bardoczi, Stephen | Individual | Corporate Officer | NOT APPLICABLE | 09/03/2013 |
| Barney, Leigh | Individual | Limited Partnership Interest | NOT APPLICABLE | 12/01/2015 |
| Bayston, Brett | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Brand, John | Individual | Corporate Director | NOT APPLICABLE | 01/01/2015 |
| Braverman, Kelly | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2021 |
| Castetter, Andrea | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Continental Merger Sub LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2021 |
| Davis, David | Individual | Limited Partnership Interest | NOT APPLICABLE | 12/31/2019 |
| 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 |
| Grenard, Holly | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/07/2022 |
| Grenard, Holly | Individual | ADP of the SNF | NOT APPLICABLE | 07/07/2025 |
| Hawkins, Claude | Individual | Corporate Director | NOT APPLICABLE | 09/01/2013 |
| Hornbecker, Michael | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Keybank National Association | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 04/27/2017 |
| Keybank National Association | Organization | ADP of the SNF | NOT APPLICABLE | 07/07/2025 |
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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "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 |
|---|---|---|---|---|---|
| Springs at Lafayette, the | 0.3 mi | Lafayette, IN | ★★★★★ | 4/5 | |
| Rosewalk Village at Lafayette | 0.3 mi | Lafayette, IN | ★★★☆☆ | 3/5 | |
| Saint Anthony Rehab and Nursing Center | 0.8 mi | Lafayette, IN | ★★★★☆ | 4/5 | |
| Majestic Care of Lafayette | 2.3 mi | Lafayette, IN | ★☆☆☆☆ | 2/5 | |
| Creasy Springs Health Campus | 2.6 mi | Lafayette, IN | ★★★☆☆ | 2/5 | |
| Westminster Village - West Lafayette | 3.5 mi | West Lafayette, IN | ★★★☆☆ | 2/5 | |
| Heritage Healthcare | 3.5 mi | West Lafayette, IN | ★★★☆☆ | 2/5 | |
| Indiana Veterans Home | 3.7 mi | West Lafayette, IN | ★★★★☆ | 4/5 | |
| Cumberland Pointe Health Campus | 3.7 mi | West Lafayette, IN | ★★★☆☆ | 2/5 | |
| University Place Health Center and Assisted Living | 3.8 mi | West Lafayette, IN | ★★★★☆ | 3/5 | |
| Mulberry Health & Rehabilitation Center | 11.7 mi | Mulberry, IN | ★★★★★ | 5/5 | |
| St Elizabeth Healthcare Center | 15.0 mi | Delphi, IN | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 155094.