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TRILOGY HEALTH SERVICES

Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency across a group says more about an operator than any single building.

Homes

127

States

5

Beds

8,453

Avg score

80.8

Avg turnover

41%

Federal fines

$517,692

All 127 homes

B

82/100

Gateway Springs Health Campus

Hamilton, OH · Butler County

CMS 4/553 bedsFor-profitMedicaid
Nurse hours
4.20 /day
Staff turnover
45%
Serious cites
0

Gateway Springs Health Campus runs a tight ship on the clinical side. The 53-bed for-profit home logged a 5/5 on its last federal health inspection in January 2024, with five total deficiencies and none rising to harm or jeopardy, a clean record compared to what a lot of Ohio homes carry. Nurse staffing sits at 4.20 hours per resident day against a national average of 3.86, so there's more direct care here than typical, though weekend coverage dips about 12% below the weekday pace. Turnover at 44.6% tracks close to the 45.8% national figure. If you're weighing this one, the inspection history is the strongest signal.

B

81.5/100

Kingston Health Center Of Perrysburg

Perrysburg, OH · Wood County

CMS 3/562 bedsFor-profitMedicaid
Nurse hours
4.72 /day
Staff turnover
45%
Serious cites
0

Kingston Health Center Of Perrysburg runs on more nursing time than most homes, 4.72 hours per resident day against a national average of 3.86, roughly a fifth more hands-on care. The catch is weekends, when coverage drops about 16% below the home's own weekday level, so the staffing picture depends on which day you visit. Turnover sits at 45.1%, about even with the national rate, and the home carries ten deficiencies with none tied to harm, jeopardy, or abuse. Its last inspection was September 2024, and it scores 4 out of 5 on CMS's health inspection, quality measure, and staffing ratings alike. Owned by a for-profit limited liability company, it's a steady home rather than an exceptional one.

B

81/100

Paddock Springs

Warsaw, IN · Kosciusko County

CMS 5/560 bedsFor-profitMedicaid
Nurse hours
3.91 /day
Staff turnover
37%
Serious cites
0

Paddock Springs runs 60 beds in Warsaw under corporate for-profit ownership, and its last health inspection came in January 2026. The record shows seven deficiencies, one serious enough to cause harm or jeopardy, but nothing abuse-related. Staffing sits at 3.91 nurse hours per resident day, barely above the national figure of 3.86, and weekend coverage dips about 2% below weekdays, enough to notice if your family visits Saturdays. What stands out is retention: turnover is 37.3%, well under the 45.8% national average, which suggests a steadier crew than most. Quality measures score strongly, while the staffing star rating lags at 2 out of 5, so the people there are consistent even if the raw hours aren't generous.

B

81/100

North River Health Campus

Evansville, IN · Vanderburgh County

CMS 5/558 bedsGovernmentMedicaid
Nurse hours
3.77 /day
Staff turnover
48%
Serious cites
0

North River Health Campus is county-owned, which is unusual in this business, and its inspection record is genuinely clean, ten deficiencies on the books, none of them causing harm or jeopardy, none tied to abuse. That matters more than the raw count. The staffing picture is more mixed: 3.77 nurse hours per resident day sits just under the national average, and weekends run about 12% thinner than weekdays, so coverage depends on when you visit or call. Turnover at 48.1% is slightly worse than the national 45.8%, meaning CNAs and nurses cycle through. Ask which caregivers actually know your parent, and how the weekend shift is covered.

B

81/100

Kingston Health Center Of Sylvania

Sylvania, OH · Lucas County

CMS 3/5127 bedsFor-profitMedicaid
Nurse hours
4.30 /day
Staff turnover
52%
Serious cites
0

Kingston Health Center Of Sylvania runs 127 beds under for-profit LLC ownership, and its nurse staffing sits at 4.30 hours per resident day, roughly 11% above the national average of 3.86. That's a real edge, though weekends dip about 12% below the home's own weekday coverage, so care may thin out when families visit. The harder numbers are elsewhere: 51.7% annual turnover against a 45.8% national average, and 37 deficiencies on the current record, including one at harm or jeopardy level and five tied to abuse. A 5/5 quality measure rating and a recent January 2026 inspection offset some of that, but the inspection history carries weight.

B

81/100

Harrison Trail Health Campus

Harrison, OH · Hamilton County

CMS 5/554 bedsFor-profitMedicaid
Nurse hours
4.12 /day
Staff turnover
47%
Serious cites
0

Harrison Trail Health Campus sits in Hamilton County with 54 certified beds, run by a for-profit LLC. The staffing picture is decent but not uniform: 4.12 nurse hours per resident day runs about 7% above the national average, though weekends drop roughly 12% below what the home staffs on weekdays. Turnover lands at 46.9%, essentially tracking the national rate of 45.8%. Where it stands out is inspections, a perfect 5/5 health inspection rating with only 3 deficiencies on record, none at harm or jeopardy level and none abuse-related, and the most recent inspection was February 26, 2026. Quality measures also score 5/5, while staffing earns 3/5, which tells you the clinical outcomes look strong even if the workforce numbers are only steady.

B

81/100

Norwich Springs Health Campus

Hilliard, OH · Franklin County

CMS 4/554 bedsFor-profitMedicaid
Nurse hours
4.16 /day
Staff turnover
47%
Serious cites
0

Norwich Springs runs a 54-bed for-profit home in Hilliard with nurse staffing at 4.16 hours per resident day, about 8% above the national average, though weekends run roughly 14% leaner than weekdays. Staff turnover sits at 46.9%, essentially level with the national figure. The current inspection record shows 12 deficiencies with none at the harm or jeopardy level and none abuse-related, and the last survey was in May 2024. Federal ratings put quality measures at 5 out of 5 and staffing at 4 out of 5, with health inspections at 3. The picture is a decently staffed home with a clean harm record, held back mainly by that middling inspection history.

B

81/100

Willows At Bowling Green The

Bowling Green, OH · Wood County

CMS 5/550 bedsFor-profitMedicaid
Nurse hours
4.30 /day
Staff turnover
45%
Serious cites
0

Willows At Bowling Green runs about 50 beds under corporate ownership, and the numbers here are mostly steady. Nurse staffing sits at 4.30 hours per resident day, roughly 11% above the national average, though weekends drop about 13% below the home's own weekday levels, worth asking about if your family visits on Saturdays and Sundays. Staff turnover of 44.8% lands right at the national rate, so people do leave, but no faster than elsewhere. The inspection record is the strongest signal: a single deficiency on file, none involving harm or abuse, with a survey completed at the end of 2025.

B

80/100

Greenleaf Health Campus

Elkhart, IN · Elkhart County

CMS 3/560 bedsFor-profitMedicaid
Nurse hours
3.61 /day
Staff turnover
35%
Serious cites
0

Greenleaf Health Campus runs 60 beds in Elkhart under for-profit LLC ownership, and its nurse staffing sits at 3.61 hours per resident day, roughly 6% under the national average, with weekends about 8% thinner than weekdays. Turnover is 34.8%, well below the national 45.8%, so the people caring for residents tend to stick around. The tradeoff shows up in oversight: a 2/5 inspection rating, 24 deficiencies on record including one abuse-related citation, though none rose to harm or jeopardy level. That inspection happened in September 2025, so it's recent. Families weighing this one should ask how the abuse finding was resolved and what weekend coverage actually looks like on the floor.

B

80/100

Cedar Creek Health Campus

Lowell, IN · Lake County

CMS 4/558 bedsFor-profitMedicaid
Nurse hours
3.58 /day
Staff turnover
27%
Serious cites
0

Cedar Creek Health Campus runs 58 beds in Lowell under corporate for-profit ownership, and its nurse staffing sits at 3.58 hours per resident day, roughly 7% under the national average, with weekends dropping about 15% below its own weekday levels. Turnover is the bright spot: 27.1% against a national 45.8%, so the aides and nurses who are there tend to stay. The inspection record is more mixed: 25 deficiencies, one serious enough to involve harm or jeopardy, though none tied to abuse, and a single fine of $8,021. The most recent inspection was May 2026. Quality measures score well; staffing and inspections land in the middle.

B

80/100

Vienna Springs Health Campus

Dayton, OH · Montgomery County

CMS 5/554 bedsFor-profitMedicaid
Nurse hours
3.91 /day
Staff turnover
39%
Serious cites
0

Vienna Springs runs a 54-bed home in Dayton, and its staffing sits just barely over the national mark, 3.91 nurse hours per resident day against 3.86. That's not much cushion, and weekends drop about 9% below the home's own weekday coverage, so the margin gets thinner when it matters. Turnover is where it looks better: 38.6% against a national average of 45.8%, which suggests less churn than many places. Six deficiencies on record, none at harm level and none abuse-related, with an inspection in February 2025. Ownership is for-profit and individual. Federal quality measures score high; staffing scores middle.

B

79.5/100

The Oaks At Jamestown

Hudsonville, MI · Ottawa County

CMS 5/558 bedsFor-profitMedicaid
Nurse hours
4.11 /day
Staff turnover
n/a
Serious cites
0

The Oaks At Jamestown runs on about 4.11 nurse hours per resident day, roughly 7 percent more than the national average, and its record shows zero deficiencies, no harm-level findings, and no abuse citations, with an inspection completed in August 2025. What pulls the staffing score down to two stars is how that time is distributed: weekends run about 13 percent leaner than weekdays, so the coverage your family member gets on a Saturday isn't what the weekday average suggests. It's a for-profit limited liability company, and the inspection and quality measure ratings both sit at five stars, which tells you the care itself has been clean, the question worth asking is who's actually on the floor on weekends.

B

79/100

Cobblestone Crossings Health Campus

Terre Haute, IN · Vigo County

CMS 3/560 bedsFor-profitMedicaid
Nurse hours
4.04 /day
Staff turnover
52%
Serious cites
0

Cobblestone Crossings sits just above the national average for nurse staffing, at 4.04 hours per resident day, but weekends run about 7% thinner than weekdays, worth asking about if your family member needs help on Saturdays and Sundays. Staff turnover is 51.7%, higher than the 45.8% national average, so expect some unfamiliar faces. The current record shows 29 deficiencies, none rising to harm or jeopardy, though two are abuse-related; the last inspection was August 2025 and the health inspection rating came in at 2 out of 5 stars. Ownership is for-profit corporate. The quality measure score is a bright spot at 5 stars, but that reflects charted care, not necessarily the daily experience.

B

79/100

Springs Of Mooresville, The

Mooresville, IN · Morgan County

CMS 5/570 bedsGovernmentMedicaid
Nurse hours
3.89 /day
Staff turnover
41%
Serious cites
0

The Springs of Mooresville is county-owned, and that shows up in the numbers in a good way. One deficiency on the current record, none of them causing harm or tied to abuse, and a clean five-star inspection rating with a survey done as recently as July 2025, that's a home that gets the basics right. Staffing sits just barely above the national average at 3.89 hours per resident day, though weekends run about 14% thinner than weekdays, so ask how coverage holds up on a Saturday. Turnover at 40.7% is better than the 45.8% national figure but still means roughly two in five caregivers left last year. Solid, not spotless.

B

79/100

Harrison Springs Health Campus

Corydon, IN · Harrison County

CMS 5/558 bedsFor-profitMedicaid
Nurse hours
4.16 /day
Staff turnover
39%
Serious cites
0

Harrison Springs runs on more nursing hours than most homes, 4.16 per resident day, roughly 8% above the national figure, and its 39% turnover beats the 45.8% national average, which matters when you're thinking about who actually knows your mother's routines. The tradeoff shows up on weekends, when staffing drops about 9% below the home's own weekday level. Five deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, and the last inspection was April 2026 with a 4-star health inspection and a 5-star quality measure rating. Corporate for-profit ownership, 58 beds. The staffing star lands at 3, which tells you the hours are there but the consistency isn't perfect.

B

79/100

Park Terrace Health Campus

Louisville, KY · Jefferson County

CMS 4/588 bedsFor-profitMedicaid
Nurse hours
3.57 /day
Staff turnover
34%
Serious cites
0

Park Terrace runs a tight ship on inspections, six deficiencies on record, none causing harm, and the state visited as recently as July 2025. That's a good sign. Staffing is where it thins out: 3.57 nurse hours per resident day sits about 7% under the national average, and weekends dip roughly 8% below the home's own weekday level, so your visit timing matters. Turnover at 33.8% is well below the national 45.8%, meaning caregivers tend to stick around, which helps continuity. Two abuse-related deficiencies are worth asking about directly. For-profit corporate ownership.

B

79/100

The Springs At Oldham Reserve

La Grange, KY · Oldham County

CMS 4/550 bedsFor-profitMedicaid
Nurse hours
4.15 /day
Staff turnover
51%
Serious cites
0

The Springs At Oldham Reserve runs a 50-bed for-profit operation in La Grange, and its nurse staffing sits at 4.15 hours per resident day, roughly 8% above the national average of 3.86, though weekends run about 10% thinner than weekdays. Quality measure scores come in at the top of CMS's range, but staff turnover is 50.8% against a national 45.8%, meaning more than half the nursing team turns over in a year. On the health inspection side, three deficiencies are on record with none tied to harm or abuse, and seven fines total $18,878. The last inspection was December 19, 2025.

B

79/100

Kingston Health Center Of Vermilion

Vermilion, OH · Lorain County

CMS 5/5120 bedsFor-profitMedicaid
Nurse hours
3.88 /day
Staff turnover
49%
Serious cites
0

Kingston Health Center Of Vermilion runs 120 certified beds under corporate for-profit ownership, and its staffing sits right at the national mark, 3.88 nurse hours per resident day against 3.86 nationally. That thin margin matters less than the pattern inside it: weekends drop roughly 12% below weekday coverage, and turnover runs 48.5% against a 45.8% national average. The inspection record is the strongest part of the picture, with a 4/5 health inspection rating, 5/5 on quality measures, and the most recent survey completed July 31, 2025. Twenty-four deficiencies appear on the current record, none at harm or jeopardy level, though one is abuse-related.

B

79/100

Valley View Health Campus

Fremont, OH · Sandusky County

CMS 4/560 bedsFor-profitMedicaid
Nurse hours
3.81 /day
Staff turnover
48%
Serious cites
0

Valley View runs 60 certified beds in Fremont under for-profit LLC ownership. Its nurse staffing sits at 3.81 hours per resident day, just under the national average of 3.86, and weekend coverage drops roughly 9% below what the home staffs on weekdays, so the thinnest shifts land when families tend to visit. The current inspection record shows 19 deficiencies, two of them serious enough to involve harm or jeopardy, plus one fine of $16,801; the most recent inspection was April 2025. Annual turnover of 47.5% runs slightly above the national 45.8%, meaning nearly half the nursing staff leaves each year. Resident outcome measures score well, but consistent staffing and a clean inspection history are the weaker points here.

B

79/100

Willows At Bellevue

Bellevue, OH · Sandusky County

CMS 5/560 bedsFor-profitMedicaid
Nurse hours
3.79 /day
Staff turnover
41%
Serious cites
0

The Willows at Bellevue runs 3.79 nurse hours per resident day, just under the national average of 3.86, and weekend coverage drops about 13% below what it manages on weekdays. Turnover sits at 40.6%, better than the 45.8% national figure, and the home's record shows 15 deficiencies with none at the harm level and none tied to abuse; its last inspection was April 10, 2025. For a 60-bed for-profit, the inspection and quality marks come in strong, and the staffing shortfall against the national number is small enough that it reads more like a rounding gap than a pattern. The weekend dip is the number to ask about directly.

B

79/100

Violet Springs Health Campus

Pickerington, OH · Fairfield County

CMS 2/558 bedsFor-profitMedicaid
Nurse hours
3.75 /day
Staff turnover
40%
Serious cites
0

Violet Springs runs 58 beds in Pickerington under corporate ownership, and its staffing sits slightly under the national average at 3.75 nurse hours per resident day, thinning out further on weekends. Turnover at 39.7% is better than the 45.8% national figure, which matters because consistent caregivers know residents. The harder numbers are on the inspection side: 36 deficiencies on record, including two at the harm level and three tied to abuse, with a $16,801 fine. A 2/5 inspection rating alongside a 4/5 quality measure score suggests the day-to-day care metrics look better than the oversight record. Ask about those abuse-related findings directly before touring.

B

78.5/100

Glen Oaks Health Campus

New Castle, IN · Henry County

CMS 4/568 bedsFor-profitMedicaid
Nurse hours
3.16 /day
Staff turnover
33%
Serious cites
0

Glen Oaks runs lean on nurse staffing, 3.16 hours per resident day against a national average of 3.86, roughly 18% less. Weekends dip about 16% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Its inspection record shows 19 deficiencies, one abuse-related, though none rose to harm or jeopardy level, and the most recent survey was in late 2025, so that picture is current. Turnover cuts the other way: 33.3% annually against 45.8% nationally, which suggests people stay. Quality measures score well; staffing and inspections are middling. For-profit corporate ownership and 68 beds round out the profile.

B

78/100

Ashford Place Health Campus

Shelbyville, IN · Shelby County

CMS 4/568 bedsNon-profitMedicaid
Nurse hours
3.72 /day
Staff turnover
22%
Serious cites
0

Ashford Place runs a lean nursing floor, 3.72 hours of nurse staffing per resident day, a bit under the national average, and weekends get thinner still, dropping about 7% from weekday levels, which is when families tend to visit and notice. What stands out is retention: 22.4% turnover against a national average near 46%, so the aides and nurses you meet are more likely to still be there next year. The inspection record is more mixed: 26 deficiencies on file, including two at the harm level and two tied to abuse, though the most recent inspection was in August 2025 and quality measures score at the top of the range.

B

78/100

West River Health Campus

Evansville, IN · Vanderburgh County

CMS 4/561 bedsGovernmentMedicaid
Nurse hours
4.14 /day
Staff turnover
46%
Serious cites
0

West River Health Campus is county-owned and sits at 61 certified beds in Evansville. Nurse staffing averages 4.14 hours per resident day, roughly 7% above the national average, though weekends run about 3% lighter than weekdays. Staff turnover comes in at 46.2%, which lands almost exactly on the national rate of 45.8%, no real advantage there either way. The inspection record shows 18 deficiencies, 2 of them serious enough to involve harm or jeopardy, with one fine of $18,655. Quality measures score well and the most recent inspection was August 2025, so the picture is current. Solid care metrics, but the harm-level citations and average turnover are the parts worth asking about directly.

B

78/100

Villages At Oak Ridge, The

Washington, IN · Daviess County

CMS 3/558 bedsGovernmentMedicaid
Nurse hours
3.66 /day
Staff turnover
51%
Serious cites
0

The Villages at Oak Ridge is county-owned, which usually means steadier oversight but not necessarily richer staffing, and that shows here. Nurses provide 3.66 hours per resident per day, about 5% under the national average, and weekends drop roughly 14% below what the home itself staffs on weekdays. Turnover sits at 50.8%, noticeably above the 45.8% national figure, so families should expect some churn in who's providing daily care. The current record shows 16 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in April 2025. Quality measures score well; staffing and inspections land in the middle.

B

78/100

The Willows At Fritz Farm

Lexington, KY · Fayette County

CMS 3/554 bedsFor-profitMedicaid
Nurse hours
3.98 /day
Staff turnover
52%
Serious cites
0

The Willows At Fritz Farm runs a 54-bed for-profit operation in Lexington, and its numbers land mostly in decent territory. Nurse staffing sits at 3.98 hours per resident day, a bit above the national average, though weekend coverage dips roughly 6% below what the home provides on weekdays, worth asking about if you're planning visits or worrying about a Saturday fall. Staff turnover is 52% against a national 45.8%, meaning more than half the nursing staff left within a year. The current inspection record shows nine deficiencies, none involving harm or abuse, and the most recent state visit was in May 2026.

B

78/100

Springview Manor

Lima, OH · Allen County

CMS 4/562 bedsFor-profitMedicaid
Nurse hours
3.20 /day
Staff turnover
35%
Serious cites
0

Springview Manor sits in Lima with 62 certified beds and a for-profit corporate owner. The numbers tell a mixed story: 3.20 nurse staffing hours per resident day runs about 17% under the national average of 3.86, and weekends dip roughly 15% below the home's own weekday coverage. That thin staffing shows up in the 2/5 CMS staffing rating, and the current record carries 13 deficiencies, one serious enough to reach harm or jeopardy level, plus a $16,113 fine. On the other side, turnover at 34.6% actually beats the 45.8% national figure, and the 5/5 quality measure rating suggests clinical outcomes are being tracked well. The last inspection was April 2025, and that combination of weaker staffing and a harm-level deficiency is what families should weigh most.

B

78/100

Wooded Glen

Springfield, OH · Clark County

CMS 5/554 bedsFor-profitMedicaid
Nurse hours
3.89 /day
Staff turnover
52%
Serious cites
0

Wooded Glen runs a tight ship on inspections, six deficiencies on record, none of them serious enough to cause harm or involve abuse, and a five-star health inspection rating as of its March 2026 visit. Staffing is another story: 3.89 nurse hours per resident day barely edges the national average, weekends drop about 12% below weekdays, and 51.7% annual turnover tops the national rate. Corporate-owned, 54 beds. The care record looks clean; the question is whether the staff sticking around long enough to deliver it.

B

77.5/100

Riveroaks Health Campus

Princeton, IN · Gibson County

CMS 4/568 bedsGovernmentMedicaid
Nurse hours
3.27 /day
Staff turnover
36%
Serious cites
0

Riveroaks runs on 3.27 nurse hours per resident day, roughly 15% under the national average of 3.86, and weekends are thinner still, about 19% below its own weekday coverage. That's the trade-off behind a middle-tier staffing picture. Two things offset it: turnover sits at 36.4%, well below the 45.8% national figure, so the aides showing up have generally stayed, and the quality measure score is perfect at 5/5. The 20 deficiencies on record include nothing at the harm level and nothing abuse-related, and the county last inspected in December 2025. County ownership means public accountability, but also budgets set by people who don't work the floor.

B

77/100

St Mary Healthcare Center

Lafayette, IN · Tippecanoe County

CMS 3/579 bedsFor-profitMedicaid
Nurse hours
3.47 /day
Staff turnover
29%
Serious cites
0

St. Mary Healthcare Center runs 79 certified beds in Lafayette under corporate for-profit ownership, and its nurse staffing sits at 3.47 hours per resident day, roughly 10% under the national average of 3.86. The gap widens on weekends, when coverage drops about 14% below the home's own weekday level, so families should ask how that plays out on Saturdays and Sundays. Staff turnover is 29.2%, which is meaningfully better than the 45.8% national figure and suggests a relatively stable workforce. Inspections turned up 20 deficiencies, one abuse-related, none at the harm or jeopardy level, with the most recent visit dated March 31, 2026.