Greenleaf Health Campus
Elkhart, Indiana · CCN 155783
22 surveys since 2011. The first finding at harm level was recorded in 2016.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 95
- Surveys
- 22
- Harm or worse
- 2
- Immediate jeopardy
- 1
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 60
- Ownership
- For profit - Limited Liability company
- Chain
- TRILOGY HEALTH SERVICES
- County
- Elkhart
- Medicare-certified since
- 2010
CMS ratings
- Overall
- 3
- Health inspection
- 2
- Staffing
- 3
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 60 for-profit facilities with fewer than 66 beds in Indiana.
Last survey on record
Jul 1, 2026
131 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.61 | 3.58 |
| Registered-nurse hours per resident day | 0.60 | — |
| Annual nurse turnover | 34.8% | 40.8% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D2184.0% | E312.0% | F14.0% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6563×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F8803×
Provide and implement an infection prevention and control program.
- F5541×
Allow residents to self-administer drugs if determined clinically appropriate.
- F5651×
Honor the resident's right to organize and participate in resident/family groups in the facility.
- F5851×
Honor 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.
In the surveyor’s words
From the most serious findings on record at Greenleaf Health Campus, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF812Sep 17, 2024
Based on observation, record review and interview, the facility failed to store food under sanitary conditions related to foods not tightly sealed, outdated foods and dirty kitchen equipment. In addition, the facility failed to prepare and serve food related to staff members not wearing hair nets as required for 2 of 2 kitchens observed. (Main and Activities kitchen) This issue had the potential to affect 57 of 57 residents who resided in the facility and received food from this dietary kitchen. Finding includes: On [DATE] at 10:09 A.M., a kitchen tour was conducted with the Assistant Director of Food Services. […]
- No harm, potential for more than minimal, patternF565Sep 26, 2025
Based on record review and interviews, the facility failed to ensure resident and resident group grievances regarding call lights were answered in a timely manner.During a Resident Council Meeting on 9/23/2025 at 2:08 P.M. 4 of 5 residents indicated call light wait times are 20-30 minutes or more and this happens 3-4 times a week, especially at night. At times they are told by the aide they will be back but never come back. A review of past Resident Council minutes indicated call light response times were a concern on 7/14/2025, 8/15/2025, and 9/5/2025. During an interview on 9/24/2025 at 8:22 P.M., LPN 8 indicated she there were 2 CNAs on the 300 hall, which was normal. […]
- No harm, potential for more than minimal, patternF726Sep 26, 2025
Based on record review and interview the facility failed to ensure nursing staff had the competencies to administer medications timely and/or sign off medications immediately after administration for 4 of 5 residents reviewed for medications. ( Residents 3, 10, 37, and 64) This deficient practice involved the following staff: QMA 5, QMA 7, RN 8, RN9, QMA 10, LPN11, RN12, QMA 13, LPN 14, QMA 15, RN 16 and RN 17Findings include:1. A record review for Resident 3 was completed on 9/24/2025 at 9:18 A.M. […]
- No harm, potential for more than minimal, patternF880Sep 26, 2025
Based on observation, interview and record review, the facility failed to maintain oxygen equipment in a sanitary manner related to dating oxygen tubing and cleaning equipment for 3 of 9 residents who were reviewed. (Residents 64, 60 and 21)Findings include:1. During an observation on 9/23/2025 at 10:22 A.M., Resident 64's portable oxygen tank and nasal cannula were hanging in the bathroom.During an observation on 9/25/2025 at 8:45 A.M., Resident 64's portable oxygen tank and nasal cannula were hanging in the bathroom.During an interview on 9/25/2025 at 9:10 A.M., Resident 64 indicated the oxygen tank and nasal cannula she was currently using had been the oxygen tank and nasal cannula from her bathroom.Resident 64's record review was completed on 9/26/2025 at 9:30 A.M. […]
- No harm, potential for more than minimal, isolatedF842Jul 1, 2026
Based on record review and interview, the facility failed to ensure clinical records were accurate and complete related to assessments completed after a change in condition for 1 of 3 residents reviewed for change of condition. (Resident E) Finding includes:The record for Resident E was reviewed on 6/30/26 at 11:35 a.m. Diagnoses included, but were not limited to, anemia (low iron), diabetes, dementia, heart failure, anxiety, delirium, and dysphagia (difficulty swallowing) The 4/17/26 Quarterly Minimum Data Set (MDS) assessment indicated the resident was moderately impaired for daily decision making, required partial to moderate assistance for eating, and required substantial to maximum assistance for oral hygiene, personal hygiene, and upper body dressing. […]
Read 22 findings in full →The most serious and the most recent: 22 of 95 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 1, 2026Complaint1 finding
- Sep 26, 2025Standard7 findings
- Sep 17, 2024Standard10 findings
- Oct 11, 2023Standard5 findings
- Aug 9, 2023Complaint2 findings
- Jul 19, 2022Standard3 findings
- Feb 18, 2022Complaint3 findings
- Jan 26, 2022Infection control1 finding
Show the 14 earlier surveys
- Dec 17, 2019Complaint4 findings
- Mar 11, 2019Standard13 findings
- Jan 19, 2018Standard10 findings
- Feb 16, 2017Standard and complaint10 findings · 1 harm
- Jun 16, 2016Complaint2 findings · 1 harm
- Dec 16, 2015Standard4 findings
- Oct 29, 2014Standard6 findings
- Aug 26, 2014Complaint1 finding
- Jul 22, 2014Complaint2 findings
- Jun 13, 2014Complaint1 finding
- Mar 7, 2014Complaint1 finding
- Nov 12, 2013—3 findings
- Jul 18, 2012—2 findings
- Aug 17, 2011—4 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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