TRILOGY HEALTH SERVICES
Ownership rollup across 123 nursing homes in 5 states: Indiana, Kentucky, Michigan, Ohio, Wisconsin. The "follow the money" view of an operator’s whole portfolio — the pattern a single facility page can’t show.
The chain’s homes average 4.2 of 5 stars on the CMS overall rating — about 1.1 stars above the ~3.1 average of the 5 states it operates in — better than its local peers. It has been broadly flat, moving +0.13 stars across the same 119 homes rated throughout between 2025-02 and 2026-06. We benchmark against its own states because CMS ranks the health-inspection star within each state, so a national comparison (national average ~3.0) partly measures where a chain operates rather than how it operates.
Where the rating comes from
The CMS overall star blends three different things. Split apart across the whole portfolio, they say different things about an operator: thin staffing is a budget decision made above the building, while a weak inspection score is what surveyors actually found inside it.
| Component | Chain average | Basis | |
|---|---|---|---|
| Health inspection | 3.5 of 5 | 122 rated homes | state surveyors’ findings, ranked within each state |
| Staffing | 3.3 of 5 | 122 rated homes | from payroll (PBJ) hours |
| Quality measures | 4.8 of 5 | 122 rated homes | largely self-reported clinical data |
Averaged across this chain’s rated homes. Health-inspection stars are assigned within each state’s own distribution, so for a chain spanning several states this component mixes distributions and is best read alongside each home’s actual citations.
Portfolio red flags
How many of this chain’s homes carry the most serious CMS markers. One flagged home can be local; a pattern across the portfolio is an operator-level signal worth researching.
19 of this chain’s 123 homes are tied to private-equity ownership and a real-estate investment trust (REIT) in CMS ownership records. Private-equity and REIT operators are the focus of most research into how money is moved out of nursing homes — often through the related-party payments shown below. CMS under-reports these ties, so read this as a floor.
Follow the money — chain finances
Aggregated from each home’s CMS Medicare cost report (HCRIS). Related-party payments are dollars a home sends to landlords or management companies under common ownership — the main channel through which private-equity and REIT owners can pull money out of a home while its own books still show a thin margin.
Only homes with a cost report on file are included, so the related-party total is a floor. Cost reports are self-filed, unaudited, and a year or two behind.
Weighted by each home’s average daily census, across the 118 of 123 homes that report both a usable payer mix and a census. Homes whose cost report fails the same validity check the facility pages apply are left out of this figure entirely rather than counted as zero.
Every home in this chain
Lowest-rated first, so the homes most worth a closer look sit at the top. Each links to its full inspection, staffing, fines, and ownership record.
| Home | CMS rating | Flags |
|---|---|---|
| Heritage TheFindlay, OH | 1 of 5 | — |
| The Oaks Rehabilitation and Healthcare CenterZanesville, OH | 1 of 5 | $54,030 fined |
| Homewood Health CampusLebanon, IN | 2 of 5 | — |
| Woodmont Health CampusBoonville, IN | 2 of 5 | — |
| Violet Springs Health CampusPickerington, OH | 2 of 5 | $16,801 fined PE-backed |
| Cobblestone Crossings Health CampusTerre Haute, IN | 3 of 5 | — |
| Creasy Springs Health CampusLafayette, IN | 3 of 5 | $8,018 fined |
| Cumberland Pointe Health CampusWest Lafayette, IN | 3 of 5 | — |
| Forest Park Health CampusRichmond, IN | 3 of 5 | — |
| Greenleaf Health CampusElkhart, IN | 3 of 5 | — |
| River Terrace Health CampusMadison, IN | 3 of 5 | — |
| Scenic Hills At The MonasteryFerdinand, IN | 3 of 5 | — |
| Springhurst Health CampusGreenfield, IN | 3 of 5 | $21,645 fined |
| Springs Of Richmond, TheRichmond, IN | 3 of 5 | $25,760 fined |
| St Mary Healthcare CenterLafayette, IN | 3 of 5 | — |
| Villages At Oak Ridge, TheWashington, IN | 3 of 5 | — |
| Wellbrooke Of CarmelCarmel, IN | 3 of 5 | $15,646 fined |
| Franciscan Health Care CenterLouisville, KY | 3 of 5 | REIT-owned |
| The Willows at Fritz FarmLexington, KY | 3 of 5 | — |
| The Willows at HamburgLexington, KY | 3 of 5 | 2 immediate-jeopardy $61,627 fined |
| The Willows at HarrodsburgHarrodsburg, KY | 3 of 5 | $12,529 fined REIT-owned |
| The Willows at SpringhurstLouisville, KY | 3 of 5 | — |
| Stonegate Health CampusLapeer, MI | 3 of 5 | $66,414 fined |
| Smiths Mill Health CampusNew Albany, OH | 3 of 5 | REIT-owned |
| Taylor Springs Health CampusGahanna, OH | 3 of 5 | $17,225 fined |
| Sun Prairie Senior LivingSun Prairie, WI | 3 of 5 | REIT-owned |
| Waunakee Valley Senior LivingWaunakee, WI | 3 of 5 | 1 immediate-jeopardy $32,856 fined REIT-owned |
| Arlington Place Health CampusIndianapolis, IN | 4 of 5 | — |
| Ashford Place Health CampusShelbyville, IN | 4 of 5 | 1 immediate-jeopardy |
| Aspen Place Health CampusGreensburg, IN | 4 of 5 | — |
| Avalon Springs Health CampusValparaiso, IN | 4 of 5 | — |
| Bethany Pointe Health CampusAnderson, IN | 4 of 5 | $12,740 fined |
| Blair Ridge Health CampusPeru, IN | 4 of 5 | — |
| Bridgepointe Health CampusVincennes, IN | 4 of 5 | — |
| Cedar Creek Health CampusLowell, IN | 4 of 5 | $8,021 fined |
| Clearvista Lake Health CampusIndianapolis, IN | 4 of 5 | — |
| Glen Oaks Health CampusNew Castle, IN | 4 of 5 | — |
| Mill Pond Health CampusGreencastle, IN | 4 of 5 | — |
| Morrison Woods Health CampusMuncie, IN | 4 of 5 | — |
| Oakwood Health CampusTell City, IN | 4 of 5 | — |
| Orchard Pointe Health CampusKendallville, IN | 4 of 5 | — |
| Ridgewood Health CampusLawrenceburg, IN | 4 of 5 | — |
| Riveroaks Health CampusPrinceton, IN | 4 of 5 | — |
| Silver Oaks Health CampusColumbus, IN | 4 of 5 | $8,824 fined |
| St Andrews Health CampusBatesville, IN | 4 of 5 | REIT-owned |
| St Elizabeth Healthcare CenterDelphi, IN | 4 of 5 | — |
| Villages At Historic Silvercrest TheNew Albany, IN | 4 of 5 | — |
| Wellbrooke Of CrawfordsvilleCrawfordsville, IN | 4 of 5 | — |
| Wellbrooke Of South BendSouth Bend, IN | 4 of 5 | — |
| Wellbrooke Of WabashWabash, IN | 4 of 5 | — |
| West River Health CampusEvansville, IN | 4 of 5 | $18,655 fined |
| Forest Springs Health CampusLouisville, KY | 4 of 5 | — |
| Glen Ridge Health CampusLouisville, KY | 4 of 5 | 2 immediate-jeopardy |
| Park Terrace Health CampusLouisville, KY | 4 of 5 | — |
| The Springs At Oldham ReserveLa Grange, KY | 4 of 5 | $18,878 fined |
| The Willows at CitationLexington, KY | 4 of 5 | REIT-owned |
| The Oaks at Battle CreekBattle Creek, MI | 4 of 5 | PE-backed |
| The Oaks at WoodfieldGrand Blanc, MI | 4 of 5 | — |
| Westlake Health CampusCommerce, MI | 4 of 5 | — |
| Meadows Of Delphos TheDelphos, OH | 4 of 5 | — |
| Meadows Of Ottawa TheOttawa, OH | 4 of 5 | — |
| Norwich Springs Health CampusHilliard, OH | 4 of 5 | REIT-owned |
| Springview ManorLima, OH | 4 of 5 | $16,113 fined |
| Valley View Health CampusFremont, OH | 4 of 5 | $16,801 fined |
| Amber Manor Care CenterPetersburg, IN | 5 of 5 | — |
| Autumn Woods Health CampusNew Albany, IN | 5 of 5 | REIT-owned |
| Covered Bridge Health CampusSeymour, IN | 5 of 5 | — |
| Hampton Oaks Health CampusScottsburg, IN | 5 of 5 | — |
| Harrison Springs Health CampusCorydon, IN | 5 of 5 | — |
| Harrison's Crossing Health CampusTerre Haute, IN | 5 of 5 | — |
| Hearthstone Health CampusBloomington, IN | 5 of 5 | REIT-owned |
| North River Health CampusEvansville, IN | 5 of 5 | — |
| Paddock SpringsWarsaw, IN | 5 of 5 | — |
| Prairie Lakes Health CampusNoblesville, IN | 5 of 5 | — |
| River Pointe Health CampusEvansville, IN | 5 of 5 | — |
| Springs At Lafayette, TheLafayette, IN | 5 of 5 | — |
| Springs Of Mooresville, TheMooresville, IN | 5 of 5 | — |
| St Charles Health CampusJasper, IN | 5 of 5 | — |
| Stonebridge Health CampusBedford, IN | 5 of 5 | — |
| Stonecroft Health CampusBloomington, IN | 5 of 5 | — |
| Thornton Terrace Health CampusHanover, IN | 5 of 5 | — |
| Waterford CrossingGoshen, IN | 5 of 5 | — |
| Waterford Place Health CampusKokomo, IN | 5 of 5 | — |
| Wellbrooke Of AvonIndianapolis, IN | 5 of 5 | — |
| Wellbrooke Of KokomoKokomo, IN | 5 of 5 | $8,824 fined |
| Wellbrooke Of WestfieldWestfield, IN | 5 of 5 | — |
| White Oak Health CampusMonticello, IN | 5 of 5 | — |
| Woodbridge Health CampusLogansport, IN | 5 of 5 | — |
| Cedar Ridge Health CampusCynthiana, KY | 5 of 5 | REIT-owned |
| Sanders Ridge Health CampusMount Washington, KY | 5 of 5 | — |
| The Springs at Stony BrookLouisville, KY | 5 of 5 | — |
| Westport Place Health CampusLouisville, KY | 5 of 5 | — |
| Harbor Terrace Senior LivingMuskegon, MI | 5 of 5 | REIT-owned |
| Novi Lakes Health CampusNovi, MI | 5 of 5 | — |
| Orchard Grove Health CampusRomeo, MI | 5 of 5 | — |
| Shelby Crossing Health CampusShelby Townhip, MI | 5 of 5 | — |
| The Oaks at BelmontBelmont, MI | 5 of 5 | — |
| The Oaks at Byron CenterByron Center, MI | 5 of 5 | — |
| The Oaks at JamestownHudsonville, MI | 5 of 5 | PE-backed |
| The Willows At East LansingEast Lansing, MI | 5 of 5 | — |
| The Willows At OkemosOkemos, MI | 5 of 5 | — |
| The Willows at HowellHowell, MI | 5 of 5 | — |
| Briar Hill Health CampusNorth Baltimore, OH | 5 of 5 | — |
| Cypress Pointe Health CampusEnglewood, OH | 5 of 5 | — |
| Gateway Springs Health CampusHamilton, OH | 5 of 5 | — |
| Genoa Retirement VillageGenoa, OH | 5 of 5 | — |
| Glen TheCincinnati, OH | 5 of 5 | — |
| Harrison Trail Health CampusHarrison, OH | 5 of 5 | — |
| Lakes Of Monclova Health Campus TheMaumee, OH | 5 of 5 | — |
| Lakes Of Sylvania, TheSylvania, OH | 5 of 5 | — |
| Meadows Of KalidaKalida, OH | 5 of 5 | — |
| Meadows Of LeipsicLeipsic, OH | 5 of 5 | — |
| Oaks At Bethesda TheZanesville, OH | 5 of 5 | — |
| Springs Of Lima TheLima, OH | 5 of 5 | — |
| The Springs At Wyandot TrailLancaster, OH | 5 of 5 | PE-backed |
| The Willows At TiffinTiffin, OH | 5 of 5 | — |
| Triple Creek Retirement CommunityCincinnati, OH | 5 of 5 | — |
| Vienna Springs Health CampusDayton, OH | 5 of 5 | — |
| Willows At BellevueBellevue, OH | 5 of 5 | REIT-owned |
| Willows At Bowling Green TheBowling Green, OH | 5 of 5 | REIT-owned |
| Willows At Willard TheWillard, OH | 5 of 5 | — |
| Wooded GlenSpringfield, OH | 5 of 5 | — |
| Liberty Station Health CampusLiberty Twp, OH | Not rated | REIT-owned |
Source: CMS Provider Data Catalog (nursing-home ratings, deficiencies, penalties, and ownership) and the CMS Medicare cost report (HCRIS) for finances. Chain membership is as reported to CMS. CMS extracts retrieved 30 August 2026; CMS refreshes them monthly, so counts here are as of that date. Verify with the facility and your state regulator.