Starfile / Indiana

WELLBROOKE OF AVON

10307 E COUNTY RD 100 N,, INDIANAPOLIS, IN 46234 · CCN 155811

Inspection history vs Indiana & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

0

Payment denials

0

Chain

Chain

TRILOGY HEALTH SERVICES

Facilities in chain

125

Chain avg overall

4.00 / 5

Inspection citations (27)3 actual harm

1. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-07 · Health · corrected 2025-03-31

   Potential for more than minimal harm

2. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-03-07 · Health · corrected 2025-03-31

   Potential for more than minimal harm

3. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-07 · Health · corrected 2025-03-31

   Potential for more than minimal harm

4. EF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2025-03-07 · Health · corrected 2025-03-31

   Potential for more than minimal harm

5. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2025-03-07 · Health · corrected 2025-03-31

   Potential for more than minimal harm

6. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-05-24 · Health · corrected 2024-06-14

   Potential for more than minimal harm

7. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-05-24 · Health · corrected 2024-06-14

   Potential for more than minimal harm

8. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-02-02 · Health · corrected 2024-03-01

   Potential for more than minimal harm

9. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-02-02 · Health · corrected 2024-03-01

   Potential for more than minimal harm

10. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-02 · Health · corrected 2024-03-01

    Potential for more than minimal harm

11. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-02-02 · Health · corrected 2024-03-01

    Potential for more than minimal harm

12. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-02-02 · Health · corrected 2024-03-01

    Potential for more than minimal harm

13. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-02-02 · Health · corrected 2024-03-01

    Potential for more than minimal harm

14. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2022-10-25 · Health · corrected 2022-11-23

    Potential for more than minimal harm

15. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-10-25 · Health · corrected 2022-11-23

    Potential for more than minimal harm

16. DF0641Ensure each resident receives an accurate assessment.2022-10-25 · Health · corrected 2022-11-23

    Potential for more than minimal harm

17. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2022-10-25 · Health · corrected 2022-11-23

    Potential for more than minimal harm

18. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-10-25 · Health · corrected 2022-11-23

    Potential for more than minimal harm

19. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-10-25 · Health · corrected 2022-11-23

    Potential for more than minimal harm

20. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-10-25 · Health · corrected 2022-11-23

    Actual harm

21. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-10-25 · Health · corrected 2022-11-23

    Potential for more than minimal harm

22. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-10-25 · Health · corrected 2022-11-23

    Actual harm

23. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-10-25 · Health · corrected 2022-11-23

    Potential for more than minimal harm

24. GF0697Provide safe, appropriate pain management for a resident who requires such services.2022-10-25 · Health · corrected 2022-11-23

    Actual harm

25. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-10-25 · Health · corrected 2022-11-23

    Potential for more than minimal harm

26. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2022-10-25 · Health · corrected 2022-11-23

    Potential for more than minimal harm

27. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-10-25 · Health · corrected 2022-11-23

    Potential for more than minimal harm

Ownership

Other facilities in INDIANAPOLIS

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.