Elder Care Record

Indiana › Elkhart County › Elkhart

Greenleaf Health Campus

1201 E Beardsley Ave, Elkhart, IN 46514

CCN 155783 · For-profit, limited liability company · 60 certified beds · chain Trilogy Health Services

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 60 beds, Greenleaf Health Campus serves Elkhart in Elkhart County, Indiana and has taken Medicare and Medicaid residents since 2010.

CMS gives it 3 of 5 stars overall, equal to the Indiana median; the health inspection rating is 2, staffing 3 and quality measures 5.

Inspectors recorded 25 health deficiencies across the three most recent survey cycles (8, 10, 7 by cycle, most recent first), none at the actual-harm level. That is 41.7 per 100 beds, more than the state median of 22.9.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.6 hours per resident per day (0.6 RN), close to the Indiana median of 3.6; nursing staff turnover is 34.8%.

25health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.6nurse hours per resident per daystate median 3.6
95%occupancy (residents ÷ beds)57 residents a day

Compared with county, state and nation

MeasureThis facilityElkhart Co. medianIndiana medianUS average
Overall star rating3233.0
Health citations, 3 cycles25291928.7
Citations per 100 beds41.724.122.926.8
Total nurse hours per resident day3.63.53.63.9
RN hours per resident day0.60.50.60.7
Nursing staff turnover34.8%45.2%45.4%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (13 in the county, 507 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)8
Cycle 210
Cycle 37

Dark bar: this facility. Grey bar: Indiana average per facility for the same cycle, as published by CMS. Standard health survey dates: 26 Sep 2025, 17 Sep 2024.

Severity mix: D ×21 E ×3 F ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
1 Jul 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation8 Jul 2026
26 Sep 2025F0565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard survey19 Dec 2025
26 Sep 2025F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard survey19 Dec 2025
26 Sep 2025F0880Provide and implement an infection prevention and control program.EStandard survey19 Dec 2025
26 Sep 2025F0585Honor 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.DStandard survey19 Dec 2025
26 Sep 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey19 Dec 2025
26 Sep 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey19 Dec 2025
26 Sep 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey19 Dec 2025
17 Sep 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey17 Oct 2024
17 Sep 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey17 Oct 2024
17 Sep 2024F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard survey17 Oct 2024
17 Sep 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey17 Oct 2024
17 Sep 2024F0679Provide activities to meet all resident's needs.DStandard survey17 Oct 2024
17 Sep 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey17 Oct 2024
17 Sep 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey17 Oct 2024
17 Sep 2024F0758Implement 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.DStandard survey17 Oct 2024
17 Sep 2024F0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DStandard survey17 Oct 2024
17 Sep 2024F0880Provide and implement an infection prevention and control program.DStandard survey17 Oct 2024
11 Oct 2023F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey15 Nov 2023
11 Oct 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey15 Nov 2023
11 Oct 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey15 Nov 2023
11 Oct 2023F0761Ensure 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.DStandard survey15 Nov 2023
11 Oct 2023F0880Provide and implement an infection prevention and control program.DStandard survey15 Nov 2023
9 Aug 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation8 Sep 2023
9 Aug 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation8 Sep 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.61 h
Nurse aides2.13 h
LPN0.88 h
RN0.6 h
Weekend total3.31 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Indiana average. Turnover: nursing staff 34.8%, RNs 36.4%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityIndiana medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay6.7%8.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.5%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay5.1%3.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.5%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay9.9%9.3%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.3%3.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay5.7%11.4%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Witham Memorial Hospital. Chain: Trilogy Health Services (123 facilities).

OrganisationRole in the CMS recordInterestSince
Witham Memorial Hospital5% or greater direct ownership interest100%05/01/2015
Trilogy Healthcare of Elkhart, LLCOperational/managerial controlNOT APPLICABLE05/01/2015
American Healthcare Reit Holdings LPAdp of the snfNOT APPLICABLE12/01/2015
American Healthcare Reit IncAdp of the snfNOT APPLICABLE10/01/2018
Continental Merger Sub LLCAdp of the snfNOT APPLICABLE10/01/2021
Gahc3 Trilogy Jv LLCAdp of the snfNOT APPLICABLE12/01/2015
Gahc4 Trilogy Jv LLCAdp of the snfNOT APPLICABLE10/01/2018
Paragon Outpatient Rehabilitation Services LLCAdp of the snfNOT APPLICABLE12/01/2015
Trilogy Investors LLCAdp of the snfNOT APPLICABLE12/01/2015
Trilogy Management Services LLCAdp of the snfNOT APPLICABLE12/01/2015
Trilogy Real Estate Investment TrustAdp of the snfNOT APPLICABLE12/01/2015
Trilogy Reit Holdings LLCAdp of the snfNOT APPLICABLE12/01/2015

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Elkhart County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Elkhart MeadowsElkhart58553610.3—30 Aug 2024
Hubbard Hill Estates IncElkhart6655557.6—15 Dec 2025
Waterford CrossingGoshen875451213.8—23 Mar 2026
Restoracy of Goshen, TheGoshen484342960.4—27 Aug 2025
East Lake Nursing & Rehabilitation CenterElkhart152332138.6—20 Apr 2026
Greencroft HealthcareGoshen2142143817.8—23 Dec 2025
Riverside VillageElkhart972212727.8—26 Jun 2026
Brickyard Healthcare - Elkhart Care CenterElkhart1751123922.3—1 May 2026

All 13 facilities in Elkhart County

Questions and answers

How many deficiencies has Greenleaf Health Campus been cited for?

25 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Indiana median is 19 per facility.

Has Greenleaf Health Campus been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Greenleaf Health Campus compare?

Reported total nurse staffing is 3.6 hours per resident per day against a Indiana median of 3.6 and a national average of 3.9.

Who operates Greenleaf Health Campus?

It is part of the Trilogy Health Services chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Witham Memorial Hospital and Trilogy Healthcare of Elkhart, LLC. Individual owners and managers are not listed on this site.

When was Greenleaf Health Campus last inspected?

The most recent survey or investigation in the CMS record is dated 1 Jul 2026; the most recent standard health survey was 26 Sep 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.