WELLBROOKE OF WESTFIELD
937 E 186TH STREET, WESTFIELD, IN 46074 · CCN 155808
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 70
- Avg residents/day
- 48.0
- Phone
- 3178048044
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 | 2025-04-28 | 6 | 7.6 | 9.5 | -1.6 better |
| 2 | 2024-04-04 | 9 | 7.9 | 9.8 | +1.1 worse |
| 3 | 2023-01-30 | 17 | 8.8 | 9.3 | +8.2 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 3 |
| Resident rights | 1 |
| Pharmacy service | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.46 | 45.2% |
| RN staffing (reported) | 0.65 | 45.5% |
| Total nurse staffing (adjusted) | 3.78 | — |
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 (32)
- DF0583Keep residents' personal and medical records private and confidential.2025-06-05 · Health · corrected 2025-05-08
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-04-28 · Health · corrected 2025-05-16
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.2025-04-28 · Health · corrected 2025-05-16
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-04-28 · Health · corrected 2025-05-16
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.2025-04-28 · Health · corrected 2025-05-16
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.2025-04-28 · Health · corrected 2025-05-16
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-04-04 · Health · corrected 2024-05-01
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-04-04 · Health · corrected 2024-05-01
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-04 · Health · corrected 2024-05-01
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-04-04 · Health · corrected 2024-05-01
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2024-04-04 · Health · corrected 2024-05-01
Potential for minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-04-04 · Health · corrected 2024-05-01
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.2024-04-04 · Health · corrected 2024-05-01
Potential for more than minimal harm
- DF0839Employ staff that are licensed, certified, or registered in accordance with state laws.2024-04-04 · Health · corrected 2024-05-01
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-04-04 · Health · corrected 2024-05-01
Potential for more than minimal harm
- EF0602Protect each resident from the wrongful use of the resident's belongings or money.2023-11-09 · Health · corrected 2023-11-02
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-11-09 · Health · corrected 2023-11-02
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-01-30 · Health · corrected 2023-02-23
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-01-30 · Health · corrected 2023-02-23
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-01-30 · Health · corrected 2023-02-23
Potential for more than minimal harm
- EF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2023-01-30 · Health · corrected 2023-02-23
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-01-30 · Health · corrected 2023-02-23
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-01-30 · Health · corrected 2023-02-23
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-01-30 · Health · corrected 2023-02-23
Potential for more than minimal harm
- DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2023-01-30 · Health · corrected 2023-02-23
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-01-30 · Health · corrected 2023-02-23
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-01-30 · Health · corrected 2023-02-23
Potential for more than minimal harm
- DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2023-01-30 · Health · corrected 2023-02-23
Potential for more than minimal harm
- 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.2023-01-30 · Health · corrected 2023-02-23
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-01-30 · Health · corrected 2023-02-23
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-01-30 · Health · corrected 2023-02-23
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-01-30 · Health · corrected 2023-02-23
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| HANCOCK REGIONAL HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2015-07-01 |
| LCS WESTFIELD LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2015-07-01 |
| HASHMI, SYED | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-15 |
| LONG, STEVEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-06-13 |
| MILLER, MAGGIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-05-08 |
Other facilities in WESTFIELD
| Name | Overall | Beds |
|---|---|---|
| COPPER TRACE HEALTH & LIVING COMMUNITY | ★★★★★ | 104 |
| MAPLE PARK VILLAGE | ★★★★☆ | 106 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.