CCN 155849 · Jefferson County, Indiana
River Terrace Health Campus
120 Presbyterian Ave, Madison, IN 47250
River Terrace Health Campus is a 57-bed for-profit nursing home in Madison, Indiana, first certified for Medicare or Medicaid in 2016. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 41.9 residents a day, about 74% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 57
- Average residents per day
- 41.9 (73.5% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Harrison County Hospital
- Certified since
- May 10, 2016
- 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 | 3 of 5 | State spread: 90 at 1, 99 at 2, 83 at 3, 113 at 4, 119 at 5 | |
| Health inspections | 3 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 4.38 | 3.55 | 3.68 |
| RN hours per resident per day | 1.45 | 0.60 | 0.58 |
| Weekend nurse hours per resident per day | 3.69 | ||
| Nursing staff turnover | 47.6% | 45.3% | 44.9% |
| Occupancy (residents / beds) | 73.5% | 78.6% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 2 (Mar 6, 2026) | ||
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). River Terrace Health Campus meets that part today: 3 stars overall, 3 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% | 08/08/2018 |
| Trilogy Healthcare Operations of Madison, LLCOrganization | Operational / Managerial Control | n/a | 03/01/2019 |
| Clunie, LisaIndividual | Operational / Managerial Control | n/a | 01/08/2022 |
| Gibson, RhondaIndividual | Operational / Managerial Control | n/a | 12/01/2022 |
| Totten, MarkIndividual | 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.
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Mar 1, 2019 | Harrison County Hospital | Trilogy Healthcare Operations of Madison, LLC |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
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.