Nursing Care Index

Wellbrooke Of Avon

Indianapolis, Marion County, Indiana · CCN 155811 · For-profit (Corporation) · part of Trilogy Health Services (123 facilities, chain average 4.2 stars)

CMS rates Wellbrooke Of Avon 5 of 5 overall as of August 2026. 70 certified beds, 50 residents a day on average. 17 citations on record from the current inspection cycles; no fines on record.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★★★ 5 of 5
Health inspections★★★★☆ 4 of 5
Staffing★★★★☆ 4 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay5 / 5 of 5

Staffing

Total nurse staffing3.99181 hours per resident per day
Registered nurses1.23953 hours per resident per day
Weekend total3.39176 hours per resident per day
Nursing staff turnover30.2% (registered nurses 28.6%)
Administrators who left1

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-03-13 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-10
2026-03-13 Ensure 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.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-10
2026-03-13 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-10
2026-03-13 Keep all essential equipment working safely.
Environmental Deficiencies · tag F0908
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-10
2025-03-07 Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Nursing and Physician Services Deficiencies · tag F0711
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-03-31
2025-03-07 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-03-31
2025-03-07 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-03-31
2025-03-07 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-03-31
2025-03-07 Ensure 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.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-03-31
2024-05-24
complaint survey
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-06-14
2024-05-24
complaint survey
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · tag F0726
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-06-14
2024-02-02 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-03-01
2024-02-02 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-01
2024-02-02
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-01
2024-02-02 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-01
2024-02-02 Ensure 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.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-01
2024-02-02 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-01

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Putnam County Hospital
Organization
5% or greater direct ownership interest100%2015-07-01
American Healthcare Reit Holdings Lp
Organization
adp of the snf2015-12-01
American Healthcare Reit Inc.
Organization
adp of the snf2018-10-01
Continental Merger Sub LLC
Organization
adp of the snf2021-10-01
Gahc3 Trilogy Jv LLC
Organization
adp of the snf2015-12-01
Gahc4 Trilogy Jv LLC
Organization
adp of the snf2018-10-01
Ms Avon Lp
Organization
adp of the snf2015-12-01
Paragon Outpatient Rehabilitation Services LLC
Organization
adp of the snf2015-12-01
Trilogy Healthcare Holdings Inc.
Organization
adp of the snf2025-09-19
Trilogy Investors LLC
Organization
adp of the snf2015-12-01
Trilogy Management Services LLC
Organization
adp of the snf2015-12-01
Trilogy Opco LLC
Organization
adp of the snf2025-09-19
Trilogy Pro Services LLC
Organization
adp of the snf2025-09-19
Trilogy Propco II LLC
Organization
adp of the snf2025-09-19
Trilogy Propco Master Tenant III LLC
Organization
adp of the snf2025-09-19
Trilogy Property Holdings LLC
Organization
adp of the snf2025-09-19
Trilogy Real Estate Investment Trust
Organization
adp of the snf2015-12-01
Trilogy Reit Holdings LLC
Organization
adp of the snf2015-12-01
Lcs Avon LLC
Organization
operational/managerial control2015-07-01
Hashmi, Syed
Individual
adp of the snf2025-04-15
Minito, Danielle
Individual
adp of the snf2023-06-18
Sillery, Debra
Individual
corporate director2026-01-03
Barney, Leigh
Individual
individual is an owner, partner or trustee of any adp of the snf2025-10-08
Davis, David
Individual
individual is an owner, partner or trustee of any adp of the snf2025-09-19
Bray, Arnold
Individual
managing control - governing body2012-09-01
Fry, Janice
Individual
managing control - governing body2012-09-01
Headley, Matthew
Individual
managing control - governing body2012-09-01
Landry, Keith
Individual
managing control - governing body2020-09-01
Lewis, Katrina
Individual
managing control - governing body2022-12-21
Underwood, Wendell
Individual
managing control - governing body2024-05-20
Weatherford, Dennis
Individual
managing control - governing body2012-09-18
Wood, Mark
Individual
managing control - governing body2024-08-05
Hashmi, Syed
Individual
operational/managerial control2025-04-15
Minito, Danielle
Individual
operational/managerial control2023-06-18
Weatherford, Dennis
Individual
operational/managerial control2012-09-18
Bray, Arnold
Individual
trustee of the snf2012-09-01
Fry, Janice
Individual
trustee of the snf2012-09-01
Headley, Matthew
Individual
trustee of the snf2012-09-01
Landry, Keith
Individual
trustee of the snf2020-09-01
Lewis, Katrina
Individual
trustee of the snf2022-12-21
Sillery, Debra
Individual
trustee of the snf2026-01-03
Underwood, Wendell
Individual
trustee of the snf2024-05-20
Wood, Mark
Individual
trustee of the snf2024-08-05

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Marion County.