WELLBROOKE OF CARMEL
12315 PENNSYLVANIA STREET, CARMEL, IN 46032 · CCN 155833
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 74
- Avg residents/day
- 53.7
- Phone
- 3175697200
Inspection history vs Indiana & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Indiana avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2026-01-21 | 7 | 7.6 | 9.5 | -0.6 better |
| 2 | 2025-01-17 | 7 | 7.9 | 9.8 | -0.9 better |
| 3 | 2023-11-20 | 11 | 8.8 | 9.3 | +2.2 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 2 |
| Resident assessment and care planning | 1 |
| Resident rights | 1 |
| Pharmacy service | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.81 | 52.5% |
| RN staffing (reported) | 0.66 | 66.7% |
| Total nurse staffing (adjusted) | 3.52 | — |
Fines & penalties
- Total fines
- $15,646
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- TRILOGY HEALTH SERVICES
- Facilities in chain
- 125
- Chain avg overall
- 4.00 / 5
Inspection citations (25)1 immediate jeopardy1 actual harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2026-01-21 · Health · corrected 2026-01-23
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2026-01-21 · Health · corrected 2026-01-23
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2026-01-21 · Health · corrected 2026-01-28
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-02 · Health · corrected 2025-12-22
Actual harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-10-03 · Health · corrected 2025-10-04
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-12 · Health · corrected 2025-10-03
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-09-12 · Health · corrected 2025-08-22
Potential for more than minimal harm
- DF0578Honor 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.2025-01-17 · Health · corrected 2025-02-07
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-01-17 · Health · corrected 2025-02-07
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-01-17 · Health · corrected 2025-02-07
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-01-17 · Health · corrected 2025-02-07
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-01-17 · Health · corrected 2025-02-07
Potential for more than minimal harm
- DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-08-01 · Health · corrected 2024-07-18
Potential for more than minimal harm
- DF0839Employ staff that are licensed, certified, or registered in accordance with state laws.2024-05-30 · Health · corrected 2024-05-18
Potential for more than minimal harm
- DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-02-23 · Health · corrected 2024-02-15
Potential for more than minimal harm
- JF0803Ensure 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.2024-02-23 · Health · corrected 2024-01-25
Immediate jeopardy
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-01-02 · Health · corrected 2023-12-26
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-01-02 · Health · corrected 2024-01-19
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-11-20 · Health · corrected 2023-12-15
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2023-11-20 · Health · corrected 2023-12-15
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-11-20 · Health · corrected 2023-12-15
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-20 · Health · corrected 2023-12-15
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2023-11-20 · Health · corrected 2023-12-15
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-11-20 · Health · corrected 2023-12-15
Potential for more than minimal harm
- DF0758Implement 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.2023-11-20 · Health · corrected 2023-12-15
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| WITHAM MEMORIAL HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2015-07-01 |
| TRILOGY HEALTHCARE HOLDINGS INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-12-01 |
| TRILOGY PROPERTY HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-08-01 |
| RHS PARTNERS OF CARMEL LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2015-07-01 |
| CARMACK, KYLIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-03-06 |
| HAFIDH, SAAD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-07-15 |
| BAYSTON, BRETT | Individual | CORPORATE DIRECTOR | — | 2023-01-01 |
| BRAND, JOHN | Individual | CORPORATE DIRECTOR | — | 2015-01-01 |
| CASTETTER, ANDREA | Individual | CORPORATE DIRECTOR | — | 2023-01-01 |
| HAWKINS, CLAUDE | Individual | CORPORATE DIRECTOR | — | 2013-09-09 |
| HORNBECKER, MICHAEL | Individual | CORPORATE DIRECTOR | — | 2024-01-01 |
| REAGAN, JULIE | Individual | CORPORATE DIRECTOR | — | 2024-09-25 |
| BARDOCZI, STEPHEN | Individual | CORPORATE OFFICER | — | 2013-09-03 |
| BRAVERMAN, KELLY | Individual | CORPORATE OFFICER | — | 2021-12-01 |
| SELLERS, DANIEL | Individual | CORPORATE OFFICER | — | 2024-06-20 |
Other facilities in CARMEL
| Name | Overall | Beds |
|---|---|---|
| BARRINGTON OF CARMEL, THE | ★★★★★ | 8 |
| RESTORACY OF CARMEL | ★★★★☆ | 72 |
| BRIDGEWATER HEALTHCARE CENTER | ★★★★☆ | 120 |
| RETREAT AT THE STRATFORD, THE | ★★★☆☆ | 18 |
| MAJESTIC CARE OF CARMEL | ★★★☆☆ | 94 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.