WATERFORD PLACE HEALTH CAMPUS

KOKOMO, IN

CMS provider ID 155678CMS source updated July 29, 2026

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CMS overview

CMS overall

Health inspection

Staffing

Quality-measure

No proprietary TrustHub score. These ratings are published separately by CMS.

How CMS describes these ratings

CMS overall rating: The CMS overall rating summarizes health inspections, staffing, and quality measures within Medicare's Five-Star system.
Health inspection rating: The CMS health inspection rating reflects findings from standard and complaint inspections used in Medicare's Five-Star system.
Staffing rating: The CMS staffing rating reflects staffing levels and related measures used in Medicare's Five-Star system.
Quality-measure rating: The CMS quality-measure rating summarizes selected resident assessment and claims-based measures used in Medicare's Five-Star system.

CMS certified beds: 103
Ownership descriptor: Non profit - Other
Medicare participation: Yes
Medicaid participation: Yes

Facility information

Contact

CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.

Phone: 7652361239Verified public information · checked Aug 2026

Decision guide

What to review

Factual evidence to examine before you decide. These summaries are not a score or recommendation.

Staffing

CMS publishes a 3-star staffing rating for this facility.

RN staffing was 0.80 hours per resident day in 2026Q1, calculated from CMS PBJ records.

View staffing evidence

Inspections

The latest standard inspection on Feb 2, 2026 cited 4 deficiencies.

View inspection evidence

Ownership

CMS-published records list 35 ownership or control parties.

View ownership evidence

Chain context

CMS groups this facility with a chain covering 124 facilities across 5 states or territories.

View chain evidence

Ownership & operation

Ownership & Operation

Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.

Ownership type: Non profit - OtherCMS
Chain: TRILOGY HEALTH SERVICESCMS identifies this facility as part of the TRILOGY HEALTH SERVICES chain.
Related facilities: 29Current CMS organization identity

Explore ownership network →

Who is behind this facility?

SeniorTrustHub found evidence connecting this facility to:

1 CMS-reported ownership organization
CMS reports 15 individual ownership interests
a CMS chain / common-control group

Related facilities

29 currently connected nursing homes share this CMS organization identity with WITHAM MEMORIAL HOSPITAL.

Average CMS overall rating: 3.4 stars across 29 reporting facilities
CMS monetary penalties: 4 of 29 facilities had a recorded monetary penalty in the available CMS period.
Recent CMS penalties: 0 facilities had a CMS penalty in the last 18 months.
Recent high-value CMS enforcement: 0 facilities had a high-value CMS fine or payment denial in the last 18 months.
Recent CMS complaint inspections: 16 facilities had a CMS complaint inspection in the last 18 months.
Total recorded CMS fines: $74,737

These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.

Ownership

Who CMS records show is connected to this facility

These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.

Reported party records: 35
Organizations shown: 20
Individuals shown: 15
Latest ownership source update: Jul 27, 2026

CMS-published ownership and control parties

WITHAM MEMORIAL HOSPITAL
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Nov 1, 2014
Other facilities connected through this exact CMS organization identity: 0 across IN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
LUMENT REAL ESTATE CAPITAL LLC
Organization · 5% OR GREATER MORTGAGE INTEREST
Association date reported to CMS: Jan 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across IN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
AMERICAN HEALTHCARE REIT HOLDINGS LP
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across IN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
AMERICAN HEALTHCARE REIT INC
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across IN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
CONTINENTAL MERGER SUB LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2021
Other facilities connected through this exact CMS organization identity: 0 across IN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
GAHC3 TRILOGY JV LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across IN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
GAHC4 TRILOGY JV LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across IN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
LUMENT REAL ESTATE CAPITAL LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 30, 2025
Other facilities connected through this exact CMS organization identity: 0 across IN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
NIEVES, ALMA
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 9, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
PARAGON OUTPATIENT REHABILITATION SERVICES LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across IN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
RAVINDRA, BAIKADI
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 15, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
TRILOGY HEALTHCARE MASTER TENANT V, LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 9, 2025
Other facilities connected through this exact CMS organization identity: 0 across IN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
TRILOGY INVESTORS LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across IN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
TRILOGY MANAGEMENT SERVICES LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 9, 2025
Other facilities connected through this exact CMS organization identity: 0 across IN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
TRILOGY PROPCO II FINANCE B, LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2000
Other facilities connected through this exact CMS organization identity: 0 across IN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
TRILOGY PROPCO II LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2000
Other facilities connected through this exact CMS organization identity: 0 across IN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
TRILOGY PROPERTY HOLDINGS LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2000
Other facilities connected through this exact CMS organization identity: 0 across IN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
TRILOGY REAL ESTATE INVESTMENT TRUST
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across IN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
TRILOGY REAL ESTATE KOKOMO, LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2000
Other facilities connected through this exact CMS organization identity: 0 across IN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
TRILOGY REIT HOLDINGS LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across IN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
BAYSTON, BRETT
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 1, 2023
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
BRAND, JOHN
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 1, 2015
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
CASTETTER, ANDREA
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 1, 2023
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
HAWKINS, CLAUDE
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Sep 9, 2013
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
HORNBECKER, MICHAEL
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 1, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
REAGAN, JULIE
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Sep 25, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
BARDOCZI, STEPHEN
Individual · CORPORATE OFFICER
Association date reported to CMS: Sep 3, 2013
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
BRAVERMAN, KELLY
Individual · CORPORATE OFFICER
Association date reported to CMS: Dec 1, 2021
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
SELLERS, DANIEL
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 20, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
BARNEY, LEIGH
Individual · LIMITED PARTNERSHIP INTEREST
Association date reported to CMS: Dec 1, 2015
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
DAVIS, DAVID
Individual · LIMITED PARTNERSHIP INTEREST
Association date reported to CMS: Dec 31, 2019
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
NIEVES, ALMA
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 1, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
RAVINDRA, BAIKADI
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 15, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
TRILOGY HEALTHCARE OF KOKOMO LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 1, 2014
Other facilities connected through this exact CMS organization identity: 0 across IN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
WITHAM MEMORIAL HOSPITAL
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 28 across IN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility Enrollments
CMS dataset identifier
5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source

What this means

Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.

Questions to ask

CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
CMS records connect WITHAM MEMORIAL HOSPITAL to 29 facilities. Which policies and staffing decisions are managed centrally versus locally?

Chain context

CMS groups this facility with TRILOGY HEALTH SERVICES

Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 524 is a grouping identifier, not a legal organization.

Facilities: 124
States and territories: 5
Average overall rating: 4.2
Average staffing rating: 3.3
Average total nurse HPRD: 3.9
Total fines: 29

Review CMS chain evidence

CMS-published history

Monthly chain measures
Month	Facilities	Overall rating	Staffing rating
Wed Jul	124	4.2	3.3
Mon Jun	124	4.2	3.2
Fri May	124	4.2	3.2
Wed Apr	125	4.1	3.2
Sun Mar	125	4	3.2
Sun Feb	125	4	3.2

Questions to ask

CMS groups facilities in 5 states or territories under this chain. Which operational policies are set at the chain level?
CMS reports 29 fines across the chain in this dataset. What compliance functions are managed centrally?

CMS chain source and methodology

Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.

View official CMS source

Inspections & deficiencies

What CMS inspection records show

Scope and severity terms below are CMS classifications. They are not a TrustHub score.

Latest recorded inspection

Date: Feb 2, 2026
Survey type: Fire Safety Standard
Linked findings: 0
Highest linked CMS classification: No linked health-deficiency finding in the loaded record

View source details

Dataset: Inspection Dates
CMS dataset ID: svdt-c123
CMS source updated: Jul 1, 2026
CMS provider ID: 155678
Source record locator: csv-row:43007:ccn:155678

View official CMS source

Feb 2, 2026 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Feb 2, 2026 — Health Standard — 4 linked findings

F0644 — Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 20, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
155678
Source record locator
csv-row:116183:ccn:155678
View official CMS source
F0684 — Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 20, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
155678
Source record locator
csv-row:116182:ccn:155678
View official CMS source
F0690 — Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 20, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
155678
Source record locator
csv-row:116184:ccn:155678
View official CMS source
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 20, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
155678
Source record locator
csv-row:116185:ccn:155678
View official CMS source

Feb 17, 2025 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Feb 17, 2025 — Health Complaint — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Feb 17, 2025 — Health Standard — 2 linked findings

F0684 — Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 16, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
155678
Source record locator
csv-row:116188:ccn:155678
View official CMS source
F0695 — Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 16, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
155678
Source record locator
csv-row:116186:ccn:155678
View official CMS source

Jan 9, 2024 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Jan 9, 2024 — Health Standard — 4 linked findings

F0582 — Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 31, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
155678
Source record locator
csv-row:116189:ccn:155678
View official CMS source
F0679 — Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 31, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
155678
Source record locator
csv-row:116190:ccn:155678
View official CMS source
F0684 — Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 31, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
155678
Source record locator
csv-row:116191:ccn:155678
View official CMS source
F0692 — Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 31, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
155678
Source record locator
csv-row:116192:ccn:155678
View official CMS source

Tags appearing across inspections

F0684 appears in 3 linked inspections.

Penalties & enforcement

CMS penalty records in the loaded three-year dataset

No penalty records were found for this provider in the currently loaded CMS Penalties dataset.

Questions to ask

Questions generated from the evidence above

CMS records show F0684 in 3 inspections in the available record. What changes has the facility made to address this issue?

Facility history

Facility History

7 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.

What changed recently?

Total nurse staffing decreasedTotal nurse staffing decreased from 4.30 to 3.99 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
Health inspection completed4 deficiencies were recorded.

2026

Mar 2026
Total nurse staffing decreased
Total nurse staffing decreased from 4.30 to 3.99 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
4.30 → 3.99
CMS · Reported in a source release · View related evidence
Feb 2
Health inspection completed
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence

2025

Dec 2025
RN staffing increased
RN staffing increased from 0.62 to 0.82 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.
0.62 → 0.82
CMS · Reported in a source release · View related evidence
Dec 2025
Total nurse staffing increased
Total nurse staffing increased from 4.04 to 4.30 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.
4.04 → 4.30
CMS · Reported in a source release · View related evidence
Feb 17
Complaint inspection recorded
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
Feb 17
Health inspection completed
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence

2024

Jan 9
Health inspection completed
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence

Staffing

Reported nursing staffing at a glance

CMS staffing rating: 3 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).

Inspect a PBJ quarter

Total nursing: 3.992
RN categories: 0.795
LPN/LVN categories: 0.835
CNA: 1.391

Weekday and weekend calculations

2026Q1 reported hours per resident day
Measure	Monday–Friday	Saturday–Sunday
Total nursing	4.161	3.57
RN categories	0.851	0.657

Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.

Reported RN-category hours per resident day were 0.026 lower than the prior loaded quarter.

Staffing over time

Solid bar: Total nursing · Outlined bar: RN categories

Calculated reported hours per resident day by PBJ quarter
Quarter	Total nursing	RN categories	LPN/LVN	CNA	Contract share	Days
2025Q2	3.858	0.632	0.731	1.485	0%	91
2025Q3	4.035	0.618	0.871	1.631	0%	92
2025Q4	4.299	0.821	0.92	1.566	0%	92
2026Q1	3.992	0.795	0.835	1.391	0%	90

Questions to ask

PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?

Staffing source and calculation details

Source: Centers for Medicare & Medicaid Services (CMS)
Dataset: Payroll Based Journal Daily Nurse Staffing
CMS dataset ID: 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Quarter: 2026Q1
Coverage: Jan 1, 2026–Mar 31, 2026
Days represented: 90 (90 with positive MDS census)
CMS source updated: Jul 29, 2026
Calculation version: pbj-quarter-ratio-of-sums-v1

Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.

View official CMS PBJ source

What we can verify today

Current Provider Information facts

These measures come from the current successfully ingested CMS Nursing Home Provider Information release.

CMS reports a 5-star overall rating.
CMS reports a 4-star health inspection rating.
CMS reports a 3-star staffing rating.
CMS reports a 5-star quality-measure rating.

Planned evidence layers

Additional public-source research

These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.

Trust participation

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How corrections work

Source register

See where this record came from

Provider Information

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 4pq5-n9py
Source updated: Jul 29, 2026
Retrieved: Aug 14, 2026
Supports: Overview, facility facts, and CMS ratings

View official CMS source

Inspection Dates

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: svdt-c123
Source updated: Jul 1, 2026
Retrieved: Aug 14, 2026
Supports: Inspections and facility history

View official CMS source

Health Deficiencies

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: r5ix-sfxw
Source updated: Jul 1, 2026
Retrieved: Aug 14, 2026
Supports: Health deficiencies and facility history

View official CMS source

Payroll Based Journal Daily Nurse Staffing

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Coverage: Apr 1, 2025–Mar 31, 2026
Source updated: Jul 29, 2026
Retrieved: Aug 15, 2026
Supports: PBJ staffing cards, history, and transparent calculations

View official CMS source

Ownership

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: y2hd-n93e
Source updated: Jul 1, 2026
Retrieved: Aug 15, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Skilled Nursing Facility Enrollments

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated: Jul 27, 2026
Retrieved: Aug 15, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Nursing Home Chain Performance Measures

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 97ecfad1-d3f1-4d42-b774-d74661d830bc
Coverage: Wed Jul
Source updated: Aug 12, 2026
Retrieved: Aug 16, 2026
Supports: CMS chain context, performance, and monthly history

View official CMS source

Verified public facility information

Source organization: Public facility listing
Dataset identifier: commercial-corroboration:public-listing
Source updated: Aug 18, 2026
Retrieved: Aug 18, 2026
Supports: Independently verified public website, phone, or publicly used name. Not a CMS rating or regulatory status.

How sources work

No paid placements. Facilities cannot pay to rank higher. We cite. You decide.

CMS rating overview

CMS overall

Health inspection

Staffing

Quality-measure

Contact

What to review

Staffing

Inspections

Ownership

Chain context

Ownership & Operation

Who is behind this facility?

Related facilities

Facilities currently connected to this organization

Who CMS records show is connected to this facility

CMS-published ownership and control parties

WITHAM MEMORIAL HOSPITAL

LUMENT REAL ESTATE CAPITAL LLC

AMERICAN HEALTHCARE REIT HOLDINGS LP

AMERICAN HEALTHCARE REIT INC

CONTINENTAL MERGER SUB LLC

GAHC3 TRILOGY JV LLC

GAHC4 TRILOGY JV LLC

LUMENT REAL ESTATE CAPITAL LLC

NIEVES, ALMA

PARAGON OUTPATIENT REHABILITATION SERVICES LLC

RAVINDRA, BAIKADI

TRILOGY HEALTHCARE MASTER TENANT V, LLC

TRILOGY INVESTORS LLC

TRILOGY MANAGEMENT SERVICES LLC

TRILOGY PROPCO II FINANCE B, LLC

TRILOGY PROPCO II LLC

TRILOGY PROPERTY HOLDINGS LLC

TRILOGY REAL ESTATE INVESTMENT TRUST

TRILOGY REAL ESTATE KOKOMO, LLC

TRILOGY REIT HOLDINGS LLC

BAYSTON, BRETT

BRAND, JOHN

CASTETTER, ANDREA

HAWKINS, CLAUDE

HORNBECKER, MICHAEL

REAGAN, JULIE

BARDOCZI, STEPHEN

BRAVERMAN, KELLY

SELLERS, DANIEL

BARNEY, LEIGH

DAVIS, DAVID

NIEVES, ALMA

RAVINDRA, BAIKADI

TRILOGY HEALTHCARE OF KOKOMO LLC

WITHAM MEMORIAL HOSPITAL

What this means

Questions to ask

CMS groups this facility with TRILOGY HEALTH SERVICES

CMS-published history

Questions to ask

What CMS inspection records show

Latest recorded inspection

F0644 — Resident Assessment and Care Planning Deficiencies

F0684 — Quality of Life and Care Deficiencies

F0690 — Quality of Life and Care Deficiencies

F0880 — Infection Control Deficiencies

F0684 — Quality of Life and Care Deficiencies

F0695 — Quality of Life and Care Deficiencies

F0582 — Resident Rights Deficiencies

F0679 — Quality of Life and Care Deficiencies

F0684 — Quality of Life and Care Deficiencies

F0692 — Quality of Life and Care Deficiencies

Tags appearing across inspections

CMS penalty records in the loaded three-year dataset

Questions generated from the evidence above

Facility History

What changed recently?

2026

2025

2024

Reported nursing staffing at a glance

Weekday and weekend calculations

Staffing over time