Federal inspection record · CMS data as of October 1, 2026
Mill Pond Health Campus
1014 Mill Pond Lane, Greencastle, IN · (765) 653-4397
- Certified beds
- 68
- Residents per day
- 55
- Ownership
- Government
- Chain
- Trilogy Health Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 16, 2005
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Indiana.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Indiana homes
Mill Pond Health Campus carries 31 inspection points. That is fewer than 56% of Indiana's 504 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Indiana: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–24 pts
- 3★ 24–42 pts
- 2★ 42–72 pts
- 1★ over 72 pts
Bars show every rated home in Indiana by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
15 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights3D
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Keep residents' personal and medical records private and confidential.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Assessment and Care Planning3D
- D
Ensure each resident receives an accurate assessment.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service3D
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Quality of Life and Care3D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspection history
2026-05-14
7 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2025-03-07
6 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-01-24
2 health deficiencies · 3 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 23 min of nursing staff time a day, 59 min of it from a registered nurse.
This home
3 h 23 min
Indiana average
3 h 44 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 44% of nursing staff and 27% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1 pts better | 0.5 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 0.9 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.3 pts better | 100.0% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.9 pts better | 100.0% | 95.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts better | 2.3% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms22.6 pts better | 2.9% | 25.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.6 pts better | 0.7% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.9 pts better | 15.6% | 23.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.8 pts better | 8.9% | 13.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4 pts worse | 15.1% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.9 pts worse | 13.7% | 10.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts better | 0.0% | 1.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.9 pts better | 19.5% | 22.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.2 pts worse | 3.7% | 3.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.6 pts better | 98.5% | 81.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.5 pts worse | 11.4% | 10.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts worse | 2.0% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine19.7 pts better | 98.9% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.6 pts worse | 27.4% | 21.8% | 23.4% |
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Who owns and runs it
46 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Putnam County Hospital | 5% Or Greater Direct Ownership Interest · Organization | 100% | 19 facilities |
| American Healthcare Reit Holdings LP | Adp Of The SNF · Organization | 0% | 77 facilities |
| American Healthcare Reit Inc | Adp Of The SNF · Organization | 0% | 78 facilities |
| Barney, Leigh | General Partnership Interest · Individual | 0% | 127 facilities |
| Barney, Leigh | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 127 facilities |
| Bray, Arnold | Managing Control - Governing Body · Individual | 0% | 19 facilities |
| Bray, Arnold | Trustee Of The SNF · Individual | 0% | 19 facilities |
| Continental Merger Sub LLC | Adp Of The SNF · Organization | 0% | 100 facilities |
| Davis, David | General Partnership Interest · Individual | 0% | 127 facilities |
| Fry, Janice | Managing Control - Governing Body · Individual | 0% | 19 facilities |
| Fry, Janice | Trustee Of The SNF · Individual | 0% | 19 facilities |
| Frye, Rachel | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Frye, Rachel | Adp Of The SNF · Individual | 0% | 1 facilities |
| Gahc3 Trilogy Jv LLC | Adp Of The SNF · Organization | 0% | 78 facilities |
| Gahc4 Trilogy Jv LLC | Adp Of The SNF · Organization | 0% | 78 facilities |
| Headley, Matthew | Managing Control - Governing Body · Individual | 0% | 19 facilities |
| Headley, Matthew | Trustee Of The SNF · Individual | 0% | 19 facilities |
| Johnson, Craig | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Johnson, Craig | Adp Of The SNF · Individual | 0% | 3 facilities |
| Landry, Keith | Managing Control - Governing Body · Individual | 0% | 19 facilities |
| Landry, Keith | Trustee Of The SNF · Individual | 0% | 19 facilities |
| Lewis, Katrina | Managing Control - Governing Body · Individual | 0% | 19 facilities |
| Lewis, Katrina | Trustee Of The SNF · Individual | 0% | 19 facilities |
| Lument Real Estate Capital LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 44 facilities |
| Paragon Outpatient Rehabilitation Services LLC | Adp Of The SNF · Organization | 0% | 61 facilities |
| Sillery, Debra | Corporate Director · Individual | 0% | 19 facilities |
| Sillery, Debra | Trustee Of The SNF · Individual | 0% | 19 facilities |
| Trilogy Health Services LLC | Adp Of The SNF · Organization | 0% | 30 facilities |
| Trilogy Healthcare Master Tenant LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Trilogy Healthcare Holdings Inc | Adp Of The SNF · Organization | 0% | 31 facilities |
| Trilogy Healthcare Of Greencastle LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Trilogy Healthcare Operations Of Greencastle, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Trilogy Healthcare Operations Of Greencastle, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Trilogy Investors LLC | Adp Of The SNF · Organization | 0% | 77 facilities |
| Trilogy Management Services LLC | Adp Of The SNF · Organization | 0% | 124 facilities |
| Trilogy Opco LLC | Adp Of The SNF · Organization | 0% | 25 facilities |
| Trilogy Pro Services LLC | Adp Of The SNF · Organization | 0% | 24 facilities |
| Trilogy Propco Finance LLC | Adp Of The SNF · Organization | 0% | 23 facilities |
| Trilogy Property Holdings LLC | Adp Of The SNF · Organization | 0% | 43 facilities |
| Trilogy Real Estate Investment Trust | Adp Of The SNF · Organization | 0% | 78 facilities |
| Trilogy Reit Holdings LLC | Adp Of The SNF · Organization | 0% | 78 facilities |
| Underwood, Wendell | Managing Control - Governing Body · Individual | 0% | 19 facilities |
| Underwood, Wendell | Trustee Of The SNF · Individual | 0% | 19 facilities |
| Weatherford, Dennis | Operational/Managerial Control · Individual | 0% | 19 facilities |
| Wood, Mark | Managing Control - Governing Body · Individual | 0% | 19 facilities |
| Wood, Mark | Trustee Of The SNF · Individual | 0% | 19 facilities |
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Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- C
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems1E
- E
Ensure proper usage of power strips and extension cords.
Egress1E
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Emergency Preparedness1C
- C
Conduct testing and exercise requirements.
·
Other homes nearby
-
Asbury Towers Health Care Center
Greencastle, IN · Sterling Healthcare
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 5 h 54 min
- Fines
- $0
-
Hickory Creek At Sunset
Greencastle, IN · American Senior Communities
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 27 min
- Fines
- $0
-
Waters Of Greencastle, The
Greencastle, IN · Infinity Healthcare Consulting
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 28 min
- Fines
- $0