Wellbrooke of Carmel
12315 Pennsylvania Street · Carmel, IN · 46032 · 3175697200
74 certified beds For profit - Limited Liability company Chain: Trilogy Health Services Hospital-based
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.73 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.86 | 0.55–0.75 |
| Weekend hours / resident-day | 3.32 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | 1 · $15,646 |
Inspection citations (25 in the current record)
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Potential for harm · D January 21, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 23, 2026 · Resident Rights
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Potential for harm · D January 21, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected January 23, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 21, 2026
Provide and implement an infection prevention and control program.
Corrected January 28, 2026 · Infection Control
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Actual harm · G December 2, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 22, 2025 · Quality of Life and Care
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Potential for harm · D October 3, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 4, 2025 · Pharmacy Service
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Potential for harm · D September 12, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 3, 2025 · Quality of Life and Care
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Potential for harm · D September 12, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 22, 2025 · Pharmacy Service
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Potential for harm · D January 17, 2025
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.
Corrected February 7, 2025 · Resident Rights
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Potential for harm · D January 17, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 17, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 7, 2025 · Quality of Life and Care
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Potential for harm · D January 17, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected February 7, 2025 · Quality of Life and Care
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Potential for harm · D January 17, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 1, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected July 18, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 30, 2024 · found via complaint
Employ staff that are licensed, certified, or registered in accordance with state laws.
Corrected May 18, 2024 · Administration
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Immediate jeopardy · J February 23, 2024 · found via complaint
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.
Corrected January 25, 2024 · Nutrition and Dietary
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Potential for harm · D February 23, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected February 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 2, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 26, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 2, 2024 · found via complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected January 19, 2024 · Quality of Life and Care
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Potential for harm · D November 20, 2023
Ensure each resident receives an accurate assessment.
Corrected December 15, 2023 · Resident Assessment and Care Planning
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Potential for harm · D November 20, 2023
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected December 15, 2023 · Resident Assessment and Care Planning
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Potential for harm · D November 20, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 15, 2023 · Quality of Life and Care
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Potential for harm · D November 20, 2023
Provide enough food/fluids to maintain a resident's health.
Corrected December 15, 2023 · Quality of Life and Care
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Potential for harm · D November 20, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 15, 2023 · Pharmacy Service
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Potential for harm · D November 20, 2023
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.
Corrected December 15, 2023 · Pharmacy Service
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Potential for harm · D November 20, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 15, 2023 · Quality of Life and Care
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 23, 2024 | Fine | $15,646 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 155833 · certified since June 3, 2015. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.