CCN 155734 · Jefferson County, Indiana
Thornton Terrace Health Campus
188 Thornton Rd, Hanover, IN 47243
Thornton Terrace Health Campus is a 55-bed for-profit nursing home in Hanover, Indiana, first certified for Medicare or Medicaid in 2004. CMS rates it 5 out of 5 stars overall in its September 2026 data, and it averaged 48.2 residents a day, about 88% of its certified beds. It has an active FHA-insured Section 232 loan: $5.8 million originally, at 3.31%, with $5.1 million outstanding as of September 30, 2026 and maturity in October 2053.
Facility facts
- Certified beds
- 55
- Average residents per day
- 48.2 (87.6% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Harrison County Hospital
- Certified since
- Aug 6, 2004
- Chain or affiliated group
- Trilogy Health Services (127 facilities, chain average 4.2 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Indiana median | US median |
|---|---|---|---|
| Overall rating | 5 of 5 | State spread: 90 at 1, 99 at 2, 83 at 3, 113 at 4, 119 at 5 | |
| Health inspections | 4 of 5 | ||
| Quality measures | 5 of 5 | ||
| Staffing | 4 of 5 | ||
| Total nurse hours per resident per day | 3.83 | 3.55 | 3.68 |
| RN hours per resident per day | 0.91 | 0.60 | 0.58 |
| Weekend nurse hours per resident per day | 3.39 | ||
| Nursing staff turnover | 40.0% | 45.3% | 44.9% |
| Occupancy (residents / beds) | 87.6% | 78.6% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 5 (Sep 10, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Thornton Terrace Health Campus meets that part today: 5 stars overall, 4 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Harrison County HospitalOrganization | Direct Ownership Interest | 100% | 11/01/2020 |
| Keybank National AssociationOrganization | Mortgage Interest | n/a | 09/11/2018 |
| Trilogy Healthcare of Hanover LLCOrganization | Operational / Managerial Control | n/a | 11/01/2014 |
| Adams, TheresaIndividual | Operational / Managerial Control | n/a | 02/24/2025 |
| Clunie, LisaIndividual | Operational / Managerial Control | n/a | 01/08/2022 |
| Murphy, ScottIndividual | Operational / Managerial Control | n/a | 04/15/2025 |
In its Medicare enrollment record, the facility reported a real estate investment trust owner: American Healthcare REIT Inc, Trilogy Real Estate Investment Trust. Those flags are self-reported to CMS and many PE and REIT ties go unflagged.
Holders of a 5% or greater mortgage interest reported in the enrollment record: Keybank National Association.
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Nov 1, 2020 | Harrison County Hospital | Dearborn County Hospital |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Sep 11, 2018 | 223(f) refinance or purchaseHUD project name: Trilogy - Thornton Terrace Health Campus, 79 beds. Lender at endorsement: Keybank National Association | $5,840,000 | Active: 3.31%, $5,070,889 balanceMatures Oct 1, 2053. Servicer: Keybank National Association | 07322314 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.