IndianaLafayette

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★)

3/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
3.18
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: 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.

DateSeverityWhat the facility was cited for
Mar 31, 2026F · 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 31, 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.
Aug 22, 2025D · Potential for harm, one-offThe 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, 2025E · Potential for harm, repeatedThe 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, 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.
May 19, 2025D · 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.
May 19, 2025D · Potential for harm, one-offThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
May 19, 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.
May 19, 2025D · Potential for harm, one-offThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
May 19, 2025D · Potential for harm, one-offThe 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, 2024D · 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. · from a complaint
Nov 14, 2024D · 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
Apr 29, 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 29, 2024D · 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.
Apr 29, 2024D · Potential for harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Apr 29, 2024D · Potential for harm, one-offThe facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Apr 29, 2024D · Potential for harm, one-offThe 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, 2024D · 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.
Apr 29, 2024D · Potential for harm, one-offThe facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Oct 5, 2023D · Potential for harm, one-offThe 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).

YearCitationsSerious (G–L)Worst severity that year
202310D
202490E
202580E
202620F

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)3.183.423.95bottom 41% in Indiana; bottom 20% in the U.S.
Registered Nurse hours0.570.620.69top 48% in Indiana; bottom 48% in the U.S.
Weekend total nurse staffing2.723.013.50bottom 36% in Indiana; bottom 17% in the U.S.
Weekend RN hours (not acuity-adjusted)0.500.470.48top 32% in Indiana; top 32% in the U.S.
Total nursing staff turnover (%)29.245.945.8top 8% in Indiana; top 13% in the U.S.
RN turnover (%)33.340.442.9top 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 / managerTypeRoleStakeSince
Trilogy Healthcare Holdings INCOrganizationIndirect Ownership InterestNOT APPLICABLE12/01/2015
Witham Memorial HospitalOrganization5% or Greater Direct Ownership Interest100%11/01/2014
American Healthcare Reit Holdings LPOrganizationADP of the SNFNOT APPLICABLE12/01/2015
American Healthcare Reit INCOrganizationADP of the SNFNOT APPLICABLE10/01/2018
Bardoczi, StephenIndividualCorporate OfficerNOT APPLICABLE09/03/2013
Barney, LeighIndividualLimited Partnership InterestNOT APPLICABLE12/01/2015
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, DavidIndividualLimited Partnership InterestNOT APPLICABLE12/31/2019
Gahc3 Trilogy JV LLCOrganizationADP of the SNFNOT APPLICABLE12/01/2015
Gahc4 Trilogy JV LLCOrganizationADP of the SNFNOT APPLICABLE10/01/2018
Grenard, HollyIndividualOperational/Managerial ControlNOT APPLICABLE03/07/2022
Grenard, HollyIndividualADP of the SNFNOT APPLICABLE07/07/2025
Hawkins, ClaudeIndividualCorporate DirectorNOT APPLICABLE09/01/2013
Hornbecker, MichaelIndividualCorporate DirectorNOT APPLICABLE01/01/2024
Keybank National AssociationOrganization5% or Greater Mortgage InterestNOT APPLICABLE04/27/2017
Keybank National AssociationOrganizationADP of the SNFNOT APPLICABLE07/07/2025

Questions to ask on your visit

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

Nearby facilities (within 20 miles)

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Facility data as of CMS processing date 2026-08-01. CCN 155094.