Wellbrooke of Carmel
Nursing Home · Carmel, IN
CMS certification number155833
Contact & location
12315 Pennsylvania StreetCarmel, IN 46032
Hamilton County
- Phone
- (317) 569-7200
- ZIP code
- 46032 – all care providers
Facility details
- Certified beds
- 74
- Residents per day
- 53.4 (72% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Witham Memorial Hospital
- Chain
- Trilogy Health Services (123 facilities, avg 4.2★)
- Medicare certified since
- June 3, 2015
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.55 (state 3.68 · U.S. 3.86)
- Registered nurses (RN)
- 0.90 (state 0.67 · U.S. 0.69)
- Licensed practical nurses
- 0.79 (state 0.78 · U.S. 0.86)
- Nurse aides
- 1.86 (state 2.23 · U.S. 2.32)
- Weekend total
- 3.14 (state 3.24 · U.S. 3.42)
- Nursing staff turnover
- 49.2 (state 45.9 · U.S. 45.8)%
- RN turnover
- 66.7 (state 40.3 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- January 21, 2026
- Health deficiencies (last cycle)
- 7.0 (state 7.2 · U.S. 9.3)
- From complaints
- 4
- Citations on record (3 years)
- 25 health · 9 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-01-21 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-23 |
| 2026-01-21 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-23 |
| 2026-01-21 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-28 |
| 2025-12-02 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-12-22 |
| 2025-10-03 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-04 |
| 2025-09-12 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-09-12 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-22 |
| 2025-01-17 | Honor 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. F0578 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-07 |
| 2025-01-17 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-07 |
| 2025-01-17 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-07 |
| 2025-01-17 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-07 |
| 2025-01-17 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-07 |
| 2024-08-01 | Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-18 |
| 2024-05-30 | Employ staff that are licensed, certified, or registered in accordance with state laws. F0839 · Administration Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-18 |
| 2024-02-23 | Ensure 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. F0803 · Nutrition and Dietary Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-01-25 |
| 2024-02-23 | Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-15 |
| 2024-01-02 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-26 |
| 2024-01-02 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-19 |
| 2023-11-20 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-15 |
| 2023-11-20 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-15 |
| 2023-11-20 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-15 |
| 2023-11-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-15 |
| 2023-11-20 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-15 |
| 2023-11-20 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-15 |
| 2023-11-20 | Implement 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. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-15 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $15,646 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-02-23 | Fine | $15,646 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Witham Memorial Hospital (organization) | 5%+ Direct Ownership Interest · 100% | |
| American Healthcare Reit Holdings LP (organization) | Administrator · NOT APPLICABLE | |
| American Healthcare Reit INC (organization) | Administrator · NOT APPLICABLE | |
| Carmack, Kylie (individual) | Administrator · NOT APPLICABLE | |
| Continental Merger Sub LLC (organization) | Administrator · NOT APPLICABLE | |
| Gahc3 Trilogy JV LLC (organization) | Administrator · NOT APPLICABLE | |
| Gahc4 Trilogy JV LLC (organization) | Administrator · NOT APPLICABLE | |
| Hafidh, Saad (individual) | Administrator · NOT APPLICABLE | |
| Paragon Outpatient Rehabilitation Services LLC (organization) | Administrator · NOT APPLICABLE | |
| Trilogy Investors LLC (organization) | Administrator · NOT APPLICABLE | |
| Trilogy Management Services LLC (organization) | Administrator · NOT APPLICABLE | |
| Trilogy Propco Master Tenant III LLC (organization) | Administrator · NOT APPLICABLE | |
| Trilogy Real Estate Investment Trust (organization) | Administrator · NOT APPLICABLE | |
| Trilogy Reit Holdings LLC (organization) | Administrator · NOT APPLICABLE | |
| Welltower INC (organization) | Administrator · NOT APPLICABLE | |
| Bayston, Brett (individual) | Corporate Director · NOT APPLICABLE | |
| Brand, John (individual) | Corporate Director · NOT APPLICABLE | |
| Castetter, Andrea (individual) | Corporate Director · NOT APPLICABLE | |
| Hawkins, Claude (individual) | Corporate Director · NOT APPLICABLE | |
| Hornbecker, Michael (individual) | Corporate Director · NOT APPLICABLE | |
| Reagan, Julie (individual) | Corporate Director · NOT APPLICABLE | |
| Bardoczi, Stephen (individual) | Corporate Officer · NOT APPLICABLE | |
| Braverman, Kelly (individual) | Corporate Officer · NOT APPLICABLE | |
| Sellers, Daniel (individual) | Corporate Officer · NOT APPLICABLE | |
| Barney, Leigh (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Davis, David (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Carmack, Kylie (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Hafidh, Saad (individual) | Operational/managerial Control · NOT APPLICABLE | |
| RHS Partners of Carmel LLC (organization) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Wellbrooke of Carmel?
Wellbrooke of Carmel has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Indiana.
How many beds does Wellbrooke of Carmel have?
It has 74 certified beds and cares for about 53 residents per day.
Has Wellbrooke of Carmel been fined?
Yes. CMS lists 1 penalty totaling $15,646 in the last three years.
Who owns Wellbrooke of Carmel?
It is part of Trilogy Health Services and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Wellbrooke of Carmel?
(317) 569-7200. The facility is located at 12315 Pennsylvania Street, Carmel, IN 46032.
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.