Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

WHITE OAK HEALTH CAMPUS

MONTICELLO, IN · 61 certified beds · Last Life Safety survey June 2, 2026

CMS Certification Number 155782 · first certified September 2010

Ownership

Operated by TRILOGY HEALTH SERVICES · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

13
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within IN

13 citations — more than 41% of the 507 certified nursing homes in IN. Compared within IN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 9 citations; the earlier surveys in the window averaged 2. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens May 2027 — about 7 months from now. This facility’s last Life Safety survey was June 2026. Facilities in IN are typically surveyed 11–14 months after the last one (median 13), measured over 883 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

1 physical-environment citation on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 13 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in IN, and nationally. Surveyors differ markedly between states, so the IN figure is the meaningful one.

This facility13IN median15National median11
Citations on file over three years, compared
MeasureCitations
This facility13
Median facility in IN15
Median facility nationally11

Survey history

Citations at each Life Safety survey
22024-0222025-0392026-06
Citations at each Life Safety survey
Survey dateCitations
February 12, 20242
March 10, 20252
June 2, 20269

Most-cited tags

Most-cited tags at this facility
K-09142K-03532K-03451K-03721K-05111K-07531K-03631K-09201
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.22026-06-02
K-0353Inspect, test, and maintain automatic sprinkler systems.22026-06-02
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12026-06-02
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12026-06-02
K-0511Have properly installed electrical wiring and gas equipment.12026-06-02
K-0753Have restrictions on the use of highly flammable decorations.12024-02-12
K-0363Install corridor and hallway doors that block smoke.12024-02-12
K-0920Ensure proper usage of power strips and extension cords.12026-06-02

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 6
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Egress Deficiencies 2
  • Miscellaneous Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies6
Gas, Vacuum, and Electrical Systems Deficiencies3
Egress Deficiencies2
Miscellaneous Deficiencies1
Services Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

June 2, 2026 — 9 citations

Citations issued on June 2, 2026
TagWhat the surveyor checksStatus
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has plan of correction (July 31, 2026)
K-0281Install proper backup exit lighting.Deficient, Provider has plan of correction (July 31, 2026)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has plan of correction (July 31, 2026)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has plan of correction (July 31, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has plan of correction (July 31, 2026)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has plan of correction (July 31, 2026)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has plan of correction (July 31, 2026)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has plan of correction (July 31, 2026)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has plan of correction (July 31, 2026)

March 10, 2025 — 2 citations

Citations issued on March 10, 2025
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 3, 2025)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (April 3, 2025)

February 12, 2024 — 2 citations

Citations issued on February 12, 2024
TagWhat the surveyor checksStatus
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (April 4, 2024)
K-0753Have restrictions on the use of highly flammable decorations.Deficient, Provider has date of correction (April 4, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.