GREENLEAF HEALTH CAMPUS

1201 E BEARDSLEY AVE
ELKHART, IN, 46514
5742060086
CCN: 155783
3
Overall
2
Health
3
Staffing
5
Quality
ChainTRILOGY HEALTH SERVICES
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
WITHAM MEMORIAL HOSPITAL5% OR GREATER DIRECT OWNERSHIP INTEREST100%
BAYSTON, BRETTCORPORATE DIRECTORNOT APPLICABLE
BRAND, JOHNCORPORATE DIRECTORNOT APPLICABLE
CASTETTER, ANDREACORPORATE DIRECTORNOT APPLICABLE
HAWKINS, CLAUDECORPORATE DIRECTORNOT APPLICABLE
JONES, JACKCORPORATE DIRECTORNOT APPLICABLE
BARDOCZI, STEPHENCORPORATE OFFICERNOT APPLICABLE
BRAVERMAN, KELLYCORPORATE OFFICERNOT APPLICABLE
POGAS, GEORGECORPORATE OFFICERNOT APPLICABLE
TRILOGY HEALTHCARE OF ELKHART, LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BARDOCZI, STEPHENW-2 MANAGING EMPLOYEENOT APPLICABLE
PLANTINGA, JUDYW-2 MANAGING EMPLOYEENOT APPLICABLE
Health Deficiencies (24)
2025-09-26 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F756 · Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
E
F726 · Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F585 · Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
E
F565 · Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
2024-09-17 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F773 · Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
D
F758 · Pharmacy Service Deficiencies
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.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F679 · Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F636 · Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2023-10-11 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F761 · Pharmacy Service Deficiencies
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
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F554 · Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
2023-08-09 · Health
D
F690 · 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.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.71
3.68
RN Hrs/Resident/Day
0.70
0.54
LPN Hrs/Resident/Day
0.80
0.81
CNA Hrs/Resident/Day
2.21
2.33
PT Hrs/Resident/Day
0.08
0.12
Data as of 2026-03-01