Nursing homeActive

Wellbrooke Of Carmel

12315 Pennsylvania Street, Carmel, IN 46032317569720074 certified beds · 53 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
10
since 2023
Deficiencies
25
0232
Penalties · 3 yrs
$15,646
1 fine
Last survey
2026-01-21
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 2
Staffing 2
Quality 5
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Indiana Department of Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-01-21Standard030CMS-2567 (Care Compare)
2025-12-02Complaint001CMS-2567 (Care Compare)
2025-10-03Complaint010CMS-2567 (Care Compare)
2025-09-12Complaint020CMS-2567 (Care Compare)
2025-01-17Standard050CMS-2567 (Care Compare)
2024-08-01Complaint010CMS-2567 (Care Compare)
2024-05-30Complaint010CMS-2567 (Care Compare)
2024-02-23Complaint011CMS-2567 (Care Compare)
2024-01-02Complaint020CMS-2567 (Care Compare)
2023-11-20Standard070CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Indiana Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-01-21Standard survey · 3 deficienciesOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-23Record 155833-20260121-F580
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-23Record 155833-20260121-F644
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-28Record 155833-20260121-F880
2025-12-02Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-12-22Record 155833-20251202-F689
2025-10-03Complaint survey · 1 deficiencyOfficial report
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-04Record 155833-20251003-F755
2025-09-12Complaint survey · 2 deficienciesOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-03Record 155833-20250912-F684
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-22Record 155833-20250912-F755
2025-01-17Standard survey · 5 deficienciesOfficial report
F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-07Record 155833-20250117-F578
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-07Record 155833-20250117-F657
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-07Record 155833-20250117-F684
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-07Record 155833-20250117-F690
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-07Record 155833-20250117-F842
2024-08-01Complaint survey · 1 deficiencyOfficial report
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-18Record 155833-20240801-F602
2024-05-30Complaint survey · 1 deficiencyOfficial report
F839Employ staff that are licensed, certified, or registered in accordance with state laws.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-18Record 155833-20240530-F839
2024-02-23Complaint survey · 2 deficienciesOfficial report
F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.Scope/severity JHarm
Food & nutrition
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-01-25Record 155833-20240223-F803
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-15Record 155833-20240223-F602
2024-01-02Complaint survey · 2 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-26Record 155833-20240102-F600
F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-19Record 155833-20240102-F676
2023-11-20Standard survey · 7 deficienciesOfficial report
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 155833-20231120-F641
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 155833-20231120-F644
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 155833-20231120-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 155833-20231120-F689
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 155833-20231120-F692
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 155833-20231120-F755
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 155833-20231120-F758

Penalties & enforcement

DateActionAmountSource
2024-02-23Civil money penalty$15,646CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.90
Facility
Indiana
National
Indiana 0.67 · National 0.69
Total nurse hours per resident day3.55
Facility
Indiana
National
Indiana 3.68 · National 3.86
Weekend total nurse hours3.14
Facility
Indiana
National
Indiana 3.24 · National 3.42
Total nursing staff turnover49%
Facility
Indiana
National
Indiana 46% · National 46%
Registered nurse turnover67%
Facility
Indiana
National
Indiana 40% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityIndianaNational
Percentage of long-stay residents with pressure ulcers
lower is better
2.5%3.6%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
5.0%3.9%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
5.9%13.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.0%1.1%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
5.0%11.0%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
5.0%5.5%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
18.6%23.5%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Witham Memorial Hospital
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Carmack, Kylie
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Hafidh, Saad
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Rhs Partners Of Carmel LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
American Healthcare Reit Holdings LP
Organization
ADP OF THE SNFNOT APPLICABLE
American Healthcare Reit Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Bardoczi, Stephen
Individual
CORPORATE OFFICERNOT APPLICABLE
Barney, Leigh
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Bayston, Brett
Individual
CORPORATE DIRECTORNOT APPLICABLE
Brand, John
Individual
CORPORATE DIRECTORNOT APPLICABLE
Braverman, Kelly
Individual
CORPORATE OFFICERNOT APPLICABLE
Carmack, Kylie
Individual
ADP OF THE SNFNOT APPLICABLE
Castetter, Andrea
Individual
CORPORATE DIRECTORNOT APPLICABLE
Continental Merger Sub LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Davis, David
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Gahc3 Trilogy Jv LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Gahc4 Trilogy Jv LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Hafidh, Saad
Individual
ADP OF THE SNFNOT APPLICABLE
Hawkins, Claude
Individual
CORPORATE DIRECTORNOT APPLICABLE
Hornbecker, Michael
Individual
CORPORATE DIRECTORNOT APPLICABLE
Paragon Outpatient Rehabilitation Services LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Reagan, Julie
Individual
CORPORATE DIRECTORNOT APPLICABLE
Sellers, Daniel
Individual
CORPORATE OFFICERNOT APPLICABLE
Trilogy Investors LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Trilogy Management Services LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Trilogy Propco Master Tenant III LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Trilogy Real Estate Investment Trust
Organization
ADP OF THE SNFNOT APPLICABLE
Trilogy Reit Holdings LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Welltower Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Trilogy Health Services123 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Indiana.

No county cost figures on file for Hamilton.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Majestic Care Of Carmel
Carmel
0.7 mi2025-07-280150
Barrington Of Carmel, The
Carmel
0.8 mi2025-09-05000
Carmel Health & Living Community
Carmel
1.6 mi2025-11-130282
Restoracy Of Carmel
Carmel
1.7 mi2026-02-200220
Retreat At The Stratford, The
Carmel
2.6 mi2026-02-120120
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01