Elder Care Record

Indiana › Hamilton County › Carmel

Wellbrooke of Carmel

12315 Pennsylvania Street, Carmel, IN 46032

CCN 155833 · For-profit, limited liability company · 74 certified beds · chain Trilogy Health Services

Located in a hospital
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 74 beds, Wellbrooke of Carmel serves Carmel in Hamilton County, Indiana and has taken Medicare and Medicaid residents since 2015.

CMS gives it 3 of 5 stars overall, equal to the Indiana median; the health inspection rating is 2, staffing 2 and quality measures 5.

Inspectors recorded 25 health deficiencies across the three most recent survey cycles (7, 6, 12 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 33.8 per 100 beds, more than the state median of 22.9.

CMS lists 1 penalty in the period covered: fines totalling $16K.

Reported nurse staffing is 3.6 hours per resident per day (0.9 RN), close to the Indiana median of 3.6; nursing staff turnover is 49.2%.

25health deficiencies, 3 survey cycles2 at actual harm or worse
$16Kfines listed by CMS1 penalty in period
3.6nurse hours per resident per daystate median 3.6
72%occupancy (residents ÷ beds)53 residents a day

Compared with county, state and nation

MeasureThis facilityHamilton Co. medianIndiana medianUS average
Overall star rating3433.0
Health citations, 3 cycles25211928.7
Citations per 100 beds33.819.922.926.8
Total nurse hours per resident day3.63.63.63.9
RN hours per resident day0.90.60.60.7
Nursing staff turnover49.2%49.2%45.4%45.8%
Fines listed$15,646$0$0—

County and state figures are medians across facilities (17 in the county, 507 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)7
Cycle 26
Cycle 312

Dark bar: this facility. Grey bar: Indiana average per facility for the same cycle, as published by CMS. Standard health survey dates: 21 Jan 2026, 17 Jan 2025.

Severity mix: J ×1 G ×1 D ×23

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
21 Jan 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey23 Jan 2026
21 Jan 2026F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey23 Jan 2026
21 Jan 2026F0880Provide and implement an infection prevention and control program.DStandard survey28 Jan 2026
2 Dec 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation22 Dec 2025
3 Oct 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation4 Oct 2025
12 Sep 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation3 Oct 2025
12 Sep 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation22 Aug 2025
17 Jan 2025F0578Honor 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.DStandard survey7 Feb 2025
17 Jan 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey7 Feb 2025
17 Jan 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey7 Feb 2025
17 Jan 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey7 Feb 2025
17 Jan 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey7 Feb 2025
1 Aug 2024F0602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint investigation18 Jul 2024
30 May 2024F0839Employ staff that are licensed, certified, or registered in accordance with state laws.DComplaint investigation18 May 2024
23 Feb 2024F0803Ensure 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.JComplaint investigation25 Jan 2024
23 Feb 2024F0602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint investigation15 Feb 2024
2 Jan 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation26 Dec 2023
2 Jan 2024F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DComplaint investigation19 Jan 2024
20 Nov 2023F0641Ensure each resident receives an accurate assessment.DStandard survey15 Dec 2023
20 Nov 2023F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey15 Dec 2023
20 Nov 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation15 Dec 2023
20 Nov 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey15 Dec 2023
20 Nov 2023F0692Provide enough food/fluids to maintain a resident's health.DStandard survey15 Dec 2023
20 Nov 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey15 Dec 2023
20 Nov 2023F0758Implement 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.DStandard survey15 Dec 2023

Penalties

DateTypeAmountDetail
23 Feb 2024Fine$15,646

Staffing

Total nursing3.55 h
Nurse aides1.86 h
LPN0.79 h
RN0.9 h
Weekend total3.14 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Indiana average. Turnover: nursing staff 49.2%, RNs 66.7%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityIndiana medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay5.0%8.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.5%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay5.0%3.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.3%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay6.2%9.3%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.5%3.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay5.9%11.4%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Witham Memorial Hospital. Chain: Trilogy Health Services (123 facilities).

OrganisationRole in the CMS recordInterestSince
Witham Memorial Hospital5% or greater direct ownership interest100%07/01/2015
Rhs Partners of Carmel LLCOperational/managerial controlNOT APPLICABLE07/01/2015
American Healthcare Reit Holdings LPAdp of the snfNOT APPLICABLE12/01/2015
American Healthcare Reit IncAdp of the snfNOT APPLICABLE10/01/2018
Continental Merger Sub LLCAdp of the snfNOT APPLICABLE10/01/2021
Gahc3 Trilogy Jv LLCAdp of the snfNOT APPLICABLE12/01/2015
Gahc4 Trilogy Jv LLCAdp of the snfNOT APPLICABLE10/01/2018
Paragon Outpatient Rehabilitation Services LLCAdp of the snfNOT APPLICABLE12/01/2015
Trilogy Investors LLCAdp of the snfNOT APPLICABLE12/01/2015
Trilogy Management Services LLCAdp of the snfNOT APPLICABLE10/15/2025
Trilogy Real Estate Investment TrustAdp of the snfNOT APPLICABLE12/01/2015
Trilogy Reit Holdings LLCAdp of the snfNOT APPLICABLE12/01/2015
Welltower IncAdp of the snfNOT APPLICABLE12/01/2015

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Hamilton County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Barrington of Carmel, TheCarmel8554450.0—9 Jun 2023
Bridgewater Healthcare CenterCarmel1205431815.0—11 Jun 2026
Majestic Care of SheridanSheridan80542810.0—10 Apr 2026
Prairie Lakes Health CampusNoblesville61542711.5—29 Jan 2026
Wellbrooke of WestfieldWestfield705441927.1—17 Mar 2026
Harbour Manor Health & Living CommunityNoblesville1294331713.2—19 May 2026
Restoracy of CarmelCarmel724332331.9—20 Feb 2026
Retreat At the Stratford, TheCarmel184441266.7—12 Feb 2026

All 17 facilities in Hamilton County

Questions and answers

How many deficiencies has Wellbrooke of Carmel been cited for?

25 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Indiana median is 19 per facility.

Has Wellbrooke of Carmel been fined?

Yes. CMS lists fines totalling $16K in the period covered.

How does staffing at Wellbrooke of Carmel compare?

Reported total nurse staffing is 3.6 hours per resident per day against a Indiana median of 3.6 and a national average of 3.9.

Who operates Wellbrooke of Carmel?

It is part of the Trilogy Health Services chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Witham Memorial Hospital and Rhs Partners of Carmel LLC. Individual owners and managers are not listed on this site.

When was Wellbrooke of Carmel last inspected?

The most recent survey or investigation in the CMS record is dated 21 Jan 2026; the most recent standard health survey was 21 Jan 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.