Wellbrooke Of Carmel
Carmel, Hamilton County, Indiana · CCN 155833 · For-profit (LLC) · part of Trilogy Health Services (123 facilities, chain average 4.2 stars)
CMS rates Wellbrooke Of Carmel 3 of 5 overall as of August 2026. 74 certified beds, 53 residents a day on average. 25 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $15,646.
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 | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / 4 of 5 |
Staffing
| Total nurse staffing | 3.55207 hours per resident per day |
|---|---|
| Registered nurses | 0.90372 hours per resident per day |
| Weekend total | 3.14328 hours per resident per day |
| Nursing staff turnover | 49.2% (registered nurses 66.7%) |
| Administrators who left | 0 |
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.
| Survey | Finding | 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. Resident Rights Deficiencies · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-23 |
| 2026-01-21 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-23 |
| 2026-01-21 | 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 2026-01-28 |
| 2025-12-02 complaint survey |
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 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2025-12-22 |
| 2025-10-03 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-10-04 |
| 2025-09-12 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 2025-10-03 |
| 2025-09-12 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 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. Resident Rights Deficiencies · tag F0578 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-07 |
| 2025-01-17 | 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 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. 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 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. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-07 |
| 2024-08-01 complaint survey |
Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0602 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 2024-07-18 |
| 2024-05-30 complaint survey |
Employ staff that are licensed, certified, or registered in accordance with state laws. Administration Deficiencies · tag F0839 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 2024-05-18 |
| 2024-02-23 complaint survey |
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. Nutrition and Dietary Deficiencies · tag F0803 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2024-01-25 |
| 2024-02-23 complaint survey |
Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0602 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 2024-02-15 |
| 2024-01-02 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 2023-12-26 |
| 2024-01-02 complaint survey |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · tag F0676 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-19 |
| 2023-11-20 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-12-15 |
| 2023-11-20 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-12-15 |
| 2023-11-20 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 2023-12-15 |
| 2023-11-20 | 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 2023-12-15 |
| 2023-11-20 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-12-15 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-02-23 | Fine | $15,646 |
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.
| Name | Role | Share | Since |
|---|---|---|---|
| Witham Memorial Hospital Organization | 5% or greater direct ownership interest | 100% | 2015-07-01 |
| American Healthcare Reit Holdings Lp Organization | adp of the snf | — | 2015-12-01 |
| American Healthcare Reit Inc. Organization | adp of the snf | — | 2018-10-01 |
| Continental Merger Sub LLC Organization | adp of the snf | — | 2021-10-01 |
| Gahc3 Trilogy Jv LLC Organization | adp of the snf | — | 2015-12-01 |
| Gahc4 Trilogy Jv LLC Organization | adp of the snf | — | 2018-10-01 |
| Paragon Outpatient Rehabilitation Services LLC Organization | adp of the snf | — | 2015-12-01 |
| Trilogy Investors LLC Organization | adp of the snf | — | 2015-12-01 |
| Trilogy Management Services LLC Organization | adp of the snf | — | 2025-10-15 |
| Trilogy Propco Master Tenant III LLC Organization | adp of the snf | — | 2025-07-09 |
| Trilogy Real Estate Investment Trust Organization | adp of the snf | — | 2015-12-01 |
| Trilogy Reit Holdings LLC Organization | adp of the snf | — | 2015-12-01 |
| Welltower Inc. Organization | adp of the snf | — | 2015-12-01 |
| Rhs Partners Of Carmel LLC Organization | operational/managerial control | — | 2015-07-01 |
| Carmack, Kylie Individual | adp of the snf | — | 2025-07-09 |
| Hafidh, Saad Individual | adp of the snf | — | 2025-07-15 |
| Bayston, Brett Individual | corporate director | — | 2023-01-01 |
| Brand, John Individual | corporate director | — | 2015-01-01 |
| Castetter, Andrea Individual | corporate director | — | 2023-01-01 |
| Hawkins, Claude Individual | corporate director | — | 2013-09-09 |
| Hornbecker, Michael Individual | corporate director | — | 2024-01-01 |
| Reagan, Julie Individual | corporate director | — | 2024-09-25 |
| Bardoczi, Stephen Individual | corporate officer | — | 2013-09-03 |
| Braverman, Kelly Individual | corporate officer | — | 2021-12-01 |
| Sellers, Daniel Individual | corporate officer | — | 2024-06-20 |
| Barney, Leigh Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-07-09 |
| Davis, David Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-08-29 |
| Carmack, Kylie Individual | operational/managerial control | — | 2023-03-06 |
| Hafidh, Saad Individual | operational/managerial control | — | 2025-07-15 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Wellbrooke Of Carmel.
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 Hamilton County.