ST MARY HEALTHCARE CENTER

2201 CASON ST
LAFAYETTE, IN, 47904
7654474102
CCN: 155094
3
Overall
3
Health
3
Staffing
4
Quality
ChainTRILOGY HEALTH SERVICES
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (1)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
W & M HEALTHCARE, INC
1128a1
Excluded 2003-11-20
Ownership
NameRole%
WITHAM MEMORIAL HOSPITAL5% OR GREATER DIRECT OWNERSHIP INTEREST100%
KEYBANK NATIONAL ASSOCIATION5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
HORNBECKER, MICHAELCORPORATE DIRECTORNOT APPLICABLE
CASTETTER, ANDREACORPORATE DIRECTORNOT APPLICABLE
HAWKINS, CLAUDECORPORATE DIRECTORNOT APPLICABLE
REAGAN, JULIECORPORATE DIRECTORNOT APPLICABLE
BAYSTON, BRETTCORPORATE DIRECTORNOT APPLICABLE
BRAND, JOHNCORPORATE DIRECTORNOT APPLICABLE
SELLERS, DANIELCORPORATE OFFICERNOT APPLICABLE
BRAVERMAN, KELLYCORPORATE OFFICERNOT APPLICABLE
BARDOCZI, STEPHENCORPORATE OFFICERNOT APPLICABLE
BARNEY, LEIGHLIMITED PARTNERSHIP INTERESTNOT APPLICABLE
DAVIS, DAVIDLIMITED PARTNERSHIP INTERESTNOT APPLICABLE
GRENARD, HOLLYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
TRILOGY HEALTHCARE OF LAKE, LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
THOMAS, JOHNOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (26)
2025-08-22 · Health
D
F628 · Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
2025-05-19 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F582 · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
F578 · Resident Rights Deficiencies
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.
E
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2024-11-14 · Health
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-04-29 · Health
D
F921 · Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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
F757 · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
F698 · Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
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.
E
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
2023-10-05 · Health
D
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
2023-02-13 · Health
D
F921 · Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
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
F744 · Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
F697 · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
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
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.25
3.68
RN Hrs/Resident/Day
0.74
0.54
LPN Hrs/Resident/Day
0.30
0.81
CNA Hrs/Resident/Day
2.21
2.33
PT Hrs/Resident/Day
0.05
0.12
Data as of 2026-03-01