Federal inspection record · CMS data as of October 1, 2026
St Mary Healthcare Center
2201 Cason St, Lafayette, IN · (765) 447-4102
- Certified beds
- 79
- Residents per day
- 63
- Ownership
- For-Profit
- Chain
- Trilogy Health Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 26, 1969
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
St Mary Healthcare Center carries 27 inspection points. That is fewer than 60% 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
20 health citations on record since 2023. 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
Quality of Life and Care6E
- 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 appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Resident Rights4E
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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 the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Pharmacy Service3D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Environmental1D
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from the wrongful use of the resident's belongings or money.
Inspection history
2026-03-31
2 health deficiencies · 2 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2025-05-19
10 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2024-04-29
8 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 17 min of nursing staff time a day, 34 min of it from a registered nurse.
This home
3 h 17 min
Indiana average
3 h 44 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 30% of nursing staff and 30% 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 days0.3 pts better | 1.2 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse | 1.5 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.4 pts better | 99.1% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.3 pts better | 98.4% | 95.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts worse | 4.0% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms17.6 pts better | 7.9% | 25.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.9 pts better | 3.4% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2 pts better | 21.5% | 23.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication12.2 pts worse | 25.9% | 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 worsened3 pts better | 8.1% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.1 pts better | 8.7% | 10.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same | 0.3% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts better | 0.4% | 1.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.2 pts better | 18.2% | 22.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2 pts better | 1.5% | 3.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.4 pts better | 91.3% | 81.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.5 pts better | 7.4% | 10.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts better | 0.9% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine1.4 pts better | 80.6% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission12.2 pts worse | 34.0% | 21.8% | 23.4% |
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Who owns and runs it
35 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 |
|---|---|---|---|
| Witham Memorial Hospital | 5% Or Greater Direct Ownership Interest · Organization | 100% | 29 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 |
| Bardoczi, Stephen | Corporate Officer · Individual | 0% | 14 facilities |
| Barney, Leigh | Limited Partnership Interest · Individual | 0% | 127 facilities |
| Bayston, Brett | Corporate Director · Individual | 0% | 29 facilities |
| Brand, John | Corporate Director · Individual | 0% | 29 facilities |
| Braverman, Kelly | Corporate Officer · Individual | 0% | 29 facilities |
| Castetter, Andrea | Corporate Director · Individual | 0% | 29 facilities |
| Continental Merger Sub LLC | Adp Of The SNF · Organization | 0% | 100 facilities |
| Davis, David | Limited Partnership Interest · Individual | 0% | 127 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 |
| Grenard, Holly | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Grenard, Holly | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hawkins, Claude | Corporate Director · Individual | 0% | 29 facilities |
| Hornbecker, Michael | Corporate Director · Individual | 0% | 29 facilities |
| Keybank National Association | 5% Or Greater Mortgage Interest · Organization | 0% | 45 facilities |
| Keybank National Association | Adp Of The SNF · Organization | 0% | 45 facilities |
| Paragon Outpatient Rehabilitation Services LLC | Adp Of The SNF · Organization | 0% | 61 facilities |
| Reagan, Julie | Corporate Director · Individual | 0% | 28 facilities |
| Sellers, Daniel | Corporate Officer · Individual | 0% | 29 facilities |
| Thomas, John | Operational/Managerial Control · Individual | 0% | 18 facilities |
| Thomas, John | Adp Of The SNF · Individual | 0% | 18 facilities |
| Trilogy Health Services LLC | Adp Of The SNF · Organization | 0% | 30 facilities |
| Trilogy Healthcare Holdings Inc | Indirect Ownership Interest · Organization | 0% | 31 facilities |
| Trilogy Healthcare Master Tenant Ii, LLC | Adp Of The SNF · Organization | 0% | 5 facilities |
| Trilogy Healthcare Of Lake, LLC | Operational/Managerial Control · 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 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 Real Estate Of Lafayette, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Trilogy Reit Holdings LLC | Adp Of The SNF · Organization | 0% | 78 facilities |
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Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4E
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
Gas, Vacuum, and Electrical Systems1F
- F
Ensure that testing and maintenance of electrical equipment is performed.
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Other homes nearby
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Springs At Lafayette, The
Lafayette, IN · Trilogy Health Services
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 52 min
- Fines
- $0
-
Rosewalk Village At Lafayette
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★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 19 min
- Fines
- $0
-
Saint Anthony Rehab And Nursing Center
Lafayette, IN · Major Hospital
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 38 min
- Fines
- $0