B81

ST ELIZABETH HEALTHCARE CENTER

Grade B 81/100 composite score

Non profit - Corporation

CMS Star Ratings

Overall
4/5
Health Insp.
3/5
Quality
5/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

64

Ownership

Non profit - Corporation

Total Fines

None

Last Survey

N/A

701 ARMORY RD, DELPHI, IN 46923
7655646380

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.92h
LPN
0.29h
CNA
2.12h
Total
3.34h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

WITHAM MEMORIAL HOSPITAL

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince May 2015

100%

TRILOGY HEALTHCARE OF CARROLL, LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince May 2015

BAYSTON, BRETT

IndividualCORPORATE DIRECTORSince Jan 2023

BRAND, JOHN

IndividualCORPORATE DIRECTORSince Jan 2015

CASTETTER, ANDREA

IndividualCORPORATE DIRECTORSince Jan 2023

HAWKINS, CLAUDE

IndividualCORPORATE DIRECTORSince Sep 2013

HORNBECKER, MICHAEL

IndividualCORPORATE DIRECTORSince Jan 2024

BRAVERMAN, KELLY

IndividualCORPORATE OFFICERSince Dec 2021

POGAS, GEORGE

IndividualCORPORATE OFFICERSince Nov 2002

AHLBRAND, ERIC

IndividualW-2 MANAGING EMPLOYEESince Sep 2014

BARDOCZI, STEPHEN

IndividualW-2 MANAGING EMPLOYEESince Sep 2013

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (28)

May 7, 2025Health4 deficiencies
0628EMinimal harm, Pattern

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Resident Rights Deficiencies

Corrected Jun 7, 2025
0692DMinimal harm, Isolated

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies

Corrected Jun 7, 2025
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jun 7, 2025
0565DMinimal harm, Isolated

Honor the resident's right to organize and participate in resident/family groups in the facility.

Resident Rights Deficiencies

Corrected Jun 7, 2025
April 19, 2024Health8 deficiencies
0565DMinimal harm, Isolated

Honor the resident's right to organize and participate in resident/family groups in the facility.

Resident Rights Deficiencies

Corrected May 14, 2024
0582DMinimal harm, Isolated

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Resident Rights Deficiencies

Corrected May 14, 2024
0644DMinimal harm, Isolated

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Resident Assessment and Care Planning Deficiencies

Corrected May 14, 2024
0684EMinimal harm, Pattern

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected May 14, 2024
0695EMinimal harm, Pattern

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected May 14, 2024
0761DMinimal harm, Isolated

Ensure 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.

Pharmacy Service Deficiencies

Corrected May 14, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected May 14, 2024
0921DMinimal harm, Isolated

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Environmental Deficiencies

Corrected May 14, 2024
July 13, 2023Health1 deficiency
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Mar 5, 2023
January 12, 2023Health15 deficiencies1 severe
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Feb 6, 2023
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Feb 6, 2023
0644DMinimal harm, Isolated

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Resident Assessment and Care Planning Deficiencies

Corrected Feb 6, 2023
0679DMinimal harm, Isolated

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies

Corrected Feb 6, 2023
0688DMinimal harm, Isolated

Provide 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.

Quality of Life and Care Deficiencies

Corrected Feb 6, 2023
0732CNo harm, Widespread

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Feb 6, 2023
0760GActual harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Feb 6, 2023
0761DMinimal harm, Isolated

Ensure 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.

Pharmacy Service Deficiencies

Corrected Feb 6, 2023
0565DMinimal harm, Isolated

Honor the resident's right to organize and participate in resident/family groups in the facility.

Resident Rights Deficiencies

Corrected Feb 6, 2023
0677EMinimal harm, Pattern

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Feb 6, 2023
0690DMinimal harm, Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Feb 6, 2023
0725FMinimal harm, Widespread

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Nursing and Physician Services Deficiencies

Corrected Feb 6, 2023
0812DMinimal harm, Isolated

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Feb 6, 2023
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Feb 6, 2023
0921DMinimal harm, Isolated

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Environmental Deficiencies

Corrected Feb 6, 2023

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Frequently Asked Questions

What is the CareGrader rating for ST ELIZABETH HEALTHCARE CENTER?

ST ELIZABETH HEALTHCARE CENTER in DELPHI, Indiana has a CareGrader grade of B (Good), with a composite score of 81.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for ST ELIZABETH HEALTHCARE CENTER?

ST ELIZABETH HEALTHCARE CENTER has an overall CMS star rating of 4 out of 5, a health inspection rating of 3/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does ST ELIZABETH HEALTHCARE CENTER have?

ST ELIZABETH HEALTHCARE CENTER has 28 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does ST ELIZABETH HEALTHCARE CENTER have?

ST ELIZABETH HEALTHCARE CENTER has 64 certified beds with approximately 53 current residents (83% occupancy). The facility is located at 701 ARMORY RD, DELPHI, Indiana 46923. It is a non profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.