Elder Care Record

Indiana › Carroll County › Delphi

St Elizabeth Healthcare Center

701 Armory Rd, Delphi, IN 46923

CCN 155290 · Non-profit, corporation · 64 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.

St Elizabeth Healthcare Center is a Non-profit, corporation nursing home in Delphi, Indiana, certified for 64 beds and caring for about 53 residents a day.

CMS gives it 4 of 5 stars overall, above the Indiana median of 3; the health inspection rating is 3, staffing 2 and quality measures 5.

Inspectors recorded 19 health deficiencies across the three most recent survey cycles (7, 4, 8 by cycle, most recent first), none at the actual-harm level. That is 29.7 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 3.3 hours per resident per day (0.8 RN), close to the Indiana median of 3.6; nursing staff turnover is 54.1%.

19health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.3nurse hours per resident per daystate median 3.6
82%occupancy (residents ÷ beds)53 residents a day

Compared with county, state and nation

MeasureThis facilityCarroll Co. medianIndiana medianUS average
Overall star rating4433.0
Health citations, 3 cycles19191928.7
Citations per 100 beds29.729.722.926.8
Total nurse hours per resident day3.33.33.63.9
RN hours per resident day0.80.80.60.7
Nursing staff turnover54.1%54.1%45.4%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (1 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)7
Cycle 24
Cycle 38

Dark bar: this facility. Grey bar: Indiana average per facility for the same cycle, as published by CMS. Standard health survey dates: 11 Mar 2026, 7 May 2025.

Severity mix: D ×14 E ×5

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
11 Mar 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey30 Mar 2026
11 Mar 2026F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey30 Mar 2026
11 Mar 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey30 Mar 2026
11 Mar 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey30 Mar 2026
11 Mar 2026F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard survey30 Mar 2026
11 Mar 2026F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey30 Mar 2026
11 Mar 2026F0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.DStandard survey30 Mar 2026
7 May 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.EStandard survey7 Jun 2025
7 May 2025F0880Provide and implement an infection prevention and control program.EStandard survey7 Jun 2025
7 May 2025F0565Honor the resident's right to organize and participate in resident/family groups in the facility.DComplaint investigation7 Jun 2025
7 May 2025F0692Provide enough food/fluids to maintain a resident's health.DStandard survey7 Jun 2025
19 Apr 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey14 May 2024
19 Apr 2024F0695Provide safe and appropriate respiratory care for a resident when needed.EStandard survey14 May 2024
19 Apr 2024F0880Provide and implement an infection prevention and control program.EStandard survey14 May 2024
19 Apr 2024F0565Honor the resident's right to organize and participate in resident/family groups in the facility.DStandard survey14 May 2024
19 Apr 2024F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey14 May 2024
19 Apr 2024F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey14 May 2024
19 Apr 2024F0761Ensure 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 survey14 May 2024
19 Apr 2024F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard survey14 May 2024

Penalties

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

Staffing

Total nursing3.25 h
Nurse aides1.99 h
LPN0.42 h
RN0.83 h
Weekend total2.71 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Indiana average. Turnover: nursing staff 54.1%, RNs 52.9%; 2 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 Stay7.3%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 Stay1.6%3.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay3.6%9.3%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.2%3.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay14.9%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: non-profit, corporation. 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
Lument Real Estate Capital LLC5% or greater mortgage interestNOT APPLICABLE01/01/2023
Trilogy Healthcare of Carroll, 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
Lument Real Estate Capital LLCAdp of the snfNOT APPLICABLE03/04/2026
Paragon Outpatient Rehabilitation Services LLCAdp of the snfNOT APPLICABLE12/01/2015
Trilogy Health Services LLCAdp of the snfNOT APPLICABLE12/01/2015
Trilogy Healthcare Master Tenant LLCAdp of the snfNOT APPLICABLE07/08/2025
Trilogy Investors LLCAdp of the snfNOT APPLICABLE12/01/2015
Trilogy Management Services LLCAdp of the snfNOT APPLICABLE09/19/2025
Trilogy Propco Finance LLCAdp of the snfNOT APPLICABLE12/01/2015
Trilogy Property Holdings 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.

Questions and answers

How many deficiencies has St Elizabeth Healthcare Center been cited for?

19 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 St Elizabeth Healthcare Center been fined?

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

How does staffing at St Elizabeth Healthcare Center compare?

Reported total nurse staffing is 3.3 hours per resident per day against a Indiana median of 3.6 and a national average of 3.9.

Who operates St Elizabeth Healthcare Center?

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

When was St Elizabeth Healthcare Center last inspected?

The most recent survey or investigation in the CMS record is dated 11 Mar 2026; the most recent standard health survey was 11 Mar 2026.

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.