Official inspection rating
Trilogy Health Services
124 nursing homes · 5 states · 8,075 beds
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Trilogy Health Services at a glance
- Nursing homes
- 124
- States
- 5
- Licensed beds
- 8,075
- Average rating
- 4.2★
- Rated 4★ or better
- 78%
Is Trilogy Health Services a good nursing home group?
Across 123 rated homes, Trilogy Health Services averages 4.2★ on official inspection ratings — above the roughly 3.0★ national average. 78% of its rated homes earn 4★ or better, while 4% sit at 1–2★. That’s a stronger-than-average record overall, but ratings still vary from location to location — judge each home on its own.
A group-wide number can’t tell you about the specific home near you — quality varies by location. Open each home below to see its own official inspection rating before you decide.
Trilogy Health Services quality vs. the national average
Across the 123 homes with an official inspection rating, Trilogy Health Services averages 4.2★. 78% are rated 4★ or better, and 4% are rated 1–2★. These are official government inspection ratings — a group-wide average hides a lot, so open each home below and judge it on its own.
| Measure | Trilogy Health Services | National average |
|---|---|---|
| Average rating | 4.2★ | 3.0★ |
| Homes rated 4★ or better | 78% | 40% |
| Homes rated 1–2★ | 4% | 41% |
How Trilogy Health Services’s homes are distributed
- 5★59
- 4★37
- 3★22
- 2★3
- 1★2
Trilogy Health Services nursing home ratings by state
Where Trilogy Health Services operates and how its homes rate in each state. Ratings are the average of that state’s homes with an official inspection rating. Pick a state to browse every nursing home there.
Highest-rated Trilogy Health Services homes
The best-rated Trilogy Health Services nursing homes we have on record, by official inspection rating.
Lowest-rated Trilogy Health Services homes
The lowest-rated Trilogy Health Services homes we have on record — the ones to look at most closely and ask the most questions about.
About Trilogy Health Services
Trilogy Health Services was founded in 1997 by Randy Bufford, who envisioned integrating hospitality into senior living and offering a full continuum of care. It began with four communities and has since grown to more than 130 campuses across five states.
Trilogy is a for-profit operator structured as a limited liability company and is fully owned by American Healthcare REIT, Inc. through Trilogy REIT Holdings, LLC, in a RIDEA structure. American Healthcare REIT acquired the remaining minority stake in September 2024, thereby gaining full ownership.
Trilogy operates 124 skilled‑nursing and senior‑living facilities in Indiana, Kentucky, Michigan, Ohio, and Wisconsin.
Trilogy provides a continuum of care including independent living, assisted living, memory care, adult day services, skilled nursing (rehabilitation), dialysis, pharmacy, and laboratory services. It also operates ancillary services—such as Paragon Rehabilitation, PCA Pharmacy, and Synchrony Rehab—to support in‑house therapy, pharmacy, and lab services.
According to CMS‑based chain analysis as of June 1, 2026, Trilogy operates 124 facilities with an average overall rating of 4.2 stars, average staffing of 3.96 nurse hours per resident per day, and includes a mix of for‑profit corporate entities and some government-affiliated facilities. It also includes 39 CCRC (continuing care retirement community) facilities.
- Founded
- 1997
- Headquarters
- Louisville, Kentucky
- Website
- trilogyhs.com
Leadership
Researched summary — facts drawn from cited public sources, in our own words. Ratings shown are official government inspection ratings.
All homes Trilogy Health Services runs
Each home is listed with its official inspection rating — from government health inspections, staffing, and quality data. A visit is still the best test.
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- Scenic Hills at the Monastery
3★ official rating · 88 beds
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- Paddock Springs
5★ official rating · 60 beds
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- The Willows at Springhurst
3★ official rating · 52 beds
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- The Oaks at Belmont
5★ official rating · 60 beds
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- Meadows of Delphos the
4★ official rating · 54 beds
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- Village Green Rehabilitation and Healthcare Center
5★ official rating · 51 beds
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Frequently asked questions about Trilogy Health Services
- How many nursing homes does Trilogy Health Services operate?
- Trilogy Health Services operates 124 nursing homes across 5 states with about 8,075 licensed beds in total.
- What states does Trilogy Health Services operate in?
- Trilogy Health Services runs nursing homes in Indiana, Kentucky, Michigan, Ohio, and Wisconsin. Its largest presence is in Indiana, Ohio, Kentucky.
- Is Trilogy Health Services a good nursing home group?
- Across 123 rated homes, Trilogy Health Services averages 4.2★ on official inspection ratings — above the roughly 3.0★ national average. 78% of its rated homes earn 4★ or better, while 4% sit at 1–2★. That’s a stronger-than-average record overall, but ratings still vary from location to location — judge each home on its own.
- Where is Trilogy Health Services headquartered?
- Trilogy Health Services is headquartered in Louisville, Kentucky.
- How are these ratings determined?
- The ratings shown are official government inspection ratings. They combine on-site health inspections, staffing levels, and clinical quality measures into an overall score from 1 to 5 stars for each home — the same official data families and regulators use.