Wellbrooke of Carmel — nursing home in Carmel, IN

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 74 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 50.8 CMS, MDS-derived
CMS Certification Number: 155833
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jun 3, 2015
Ownership type: For profit - Limited Liability company
Operator (legal business name): Witham Memorial Hospital
CMS chain: Trilogy Health Services 127 facilities
Phone: (317) 569-7200
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

13

latest Jan 21, 2026

Citations

34

25 health · 9 fire

Harm or worse

2

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G1	H·	I·
Potential harm	D23	E7	F2
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$15,646

Payment denials

0

Latest

Feb 23, 2024

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 155833
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 74
First approved: Jun 3, 2015
Located in a hospital: Yes
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Indiana.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jan 21, 2026	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Jan 21, 2026	Health	Health Standard	3	Potential harm	—	Open →
Dec 2, 2025	Health	Health Complaint	1	Actual harm	—	Open →
Oct 3, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Sep 12, 2025	Health	Health Complaint	2	Potential harm	—	Open →
Jan 17, 2025	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Jan 17, 2025	Health	Health Standard	5	Potential harm	—	Open →
Aug 1, 2024	Health	Health Complaint	1	Potential harm	—	Open →
May 30, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Feb 23, 2024	Health	Health Complaint	2	Immediate jeopardy	—	Open →
Jan 2, 2024	Health	Health Complaint	2	Potential harm	—	Open →
Nov 20, 2023	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Nov 20, 2023	Health	Health Complaint, Health Standard	7	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Feb 23, 2024	Civil money penalty (fine)	$15,646	—	155833\|Fine\|51430

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G1	H·	I·
Potential harm	D23	E7	F2
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jan 21, 2026	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 4, 2026
Jan 21, 2026	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 4, 2026
Jan 21, 2026	K-0781	Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Mar 4, 2026
Jan 21, 2026	F-0580	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 · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 23, 2026
Jan 21, 2026	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 23, 2026
Jan 21, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jan 28, 2026
Dec 2, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Dec 22, 2025	Complaint
Oct 3, 2025	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Oct 4, 2025	Complaint
Sep 12, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 3, 2025	Complaint
Sep 12, 2025	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Past non-compliance Aug 22, 2025	Complaint
Jan 17, 2025	K-0293	Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 13, 2025
Jan 17, 2025	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 13, 2025
Jan 17, 2025	F-0578	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 · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 7, 2025
Jan 17, 2025	F-0657	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 · Clinical care	D · Potential harm Isolated	Corrected Feb 7, 2025
Jan 17, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 7, 2025
Jan 17, 2025	F-0690	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 · Clinical care	D · Potential harm Isolated	Corrected Feb 7, 2025
Jan 17, 2025	F-0842	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 · Clinical care	D · Potential harm Isolated	Corrected Feb 7, 2025
Aug 1, 2024	F-0602	Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Past non-compliance Jul 18, 2024	Complaint
May 30, 2024	F-0839	Employ staff that are licensed, certified, or registered in accordance with state laws. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Past non-compliance May 18, 2024	Complaint
Feb 23, 2024	F-0803	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 · Food, nutrition & hydration	J · Immediate jeopardy Isolated	Past non-compliance Jan 25, 2024	Complaint
Feb 23, 2024	F-0602	Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Past non-compliance Feb 15, 2024	Complaint
Jan 2, 2024	F-0600	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 · Resident rights & abuse/neglect	D · Potential harm Isolated	Past non-compliance Dec 26, 2023	Complaint
Jan 2, 2024	F-0676	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 · Clinical care	D · Potential harm Isolated	Corrected Jan 19, 2024	Complaint
Nov 20, 2023	K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 28, 2023
Nov 20, 2023	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 28, 2023
Nov 20, 2023	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 28, 2023
Nov 20, 2023	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 28, 2023
Nov 20, 2023	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 15, 2023
Nov 20, 2023	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 15, 2023
Nov 20, 2023	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 15, 2023	Complaint
Nov 20, 2023	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 15, 2023
Nov 20, 2023	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 15, 2023
Nov 20, 2023	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Dec 15, 2023
Nov 20, 2023	F-0758	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 · Medication management	D · Potential harm Isolated	Corrected Dec 15, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.2

Health inspectionsstate 2.8

Staffingstate 2.6

Quality measuresstate 4.3

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.95

State avg 3.73US avg 3.90

Registered nurse (RN)1.08

State avg 0.68US avg 0.69

Licensed practical nurse0.79

State avg 0.78US avg 0.86

Nurse aide2.08

State avg 2.28US avg 2.35

Weekend total nurse3.46

State avg 3.26US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.60 (case-mix index 1.54).

Staff turnover

Total nursing staff turnover48.5%

State avg 45.9%US avg 45.3%

Registered nurse turnover45.5%

State avg 40.5%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jan 21, 2026
Cycle 1 health score: 36
Total weighted score: 45

Operating entity

Witham Memorial Hospital

CMS legal business name of the certified provider. Operates 29 facilities.

VerifiedLinked by exact legal name

CMS chain

Trilogy Health Services

127 facilities in 5 states. CMS chain ID 524.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 4.2

Ownership disclosures

Disclosures

29

Organizations

14

Individuals

15

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Witham Memorial Hospital	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jul 1, 2015

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Witham Memorial Hospital	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jul 1, 2015
Leigh Barney	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Jul 9, 2025
David Davis	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Aug 29, 2025
Rhs Partners of Carmel LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 1, 2015
Kylie Carmack	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 6, 2023
Saad Hafidh	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 15, 2025
Brett Bayston	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2023
John Brand	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2015
Andrea Castetter	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2023
Claude Hawkins	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Sep 9, 2013
Michael Hornbecker	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2024
Julie Reagan	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Sep 25, 2024
Stephen Bardoczi	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Sep 3, 2013
Kelly Braverman	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Dec 1, 2021
Daniel Sellers	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jun 20, 2024
American Healthcare Reit Holdings LP	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2015
American Healthcare Reit Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2018
Continental Merger Sub LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2021
Gahc3 Trilogy Jv LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2015
Gahc4 Trilogy Jv LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2018
Paragon Outpatient Rehabilitation Services LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2015
Trilogy Investors LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2015
Trilogy Management Services LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 15, 2025
Trilogy Propco Master Tenant III LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jul 9, 2025
Trilogy Real Estate Investment Trust	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2015
Trilogy Reit Holdings LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2015
Welltower Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2015
Kylie Carmack	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 9, 2025
Saad Hafidh	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 15, 2025

Other facilities operated by Witham Memorial Hospital

All 28 →

Facility	Beds	Last inspection	Citations (window)	Fines
St Mary Healthcare Center 2201 Cason St, Lafayette, IN 47904 CCN 155094	79	Mar 31, 2026	26	—
Vermillion Convalescent Center 1705 S Main St, Clinton, IN 47842 CCN 155124	100	Jun 18, 2026	30	—
Westminster Village Kentuckiana 2210 Greentree N, Clarksville, IN 47129 CCN 155191	94	Jun 23, 2026	41	—
Twin City Health Care 627 E North H Street, Gas City, IN 46933 CCN 155232	75	Aug 14, 2025	12	—
Westridge Health Care Center 125 W Margaret Ave, Terre Haute, IN 47802 CCN 155234	66	Mar 19, 2026	231 harm	—
St Elizabeth Healthcare Center 701 Armory Rd, Delphi, IN 46923 CCN 155290	64	Mar 11, 2026	27	—
Camelot Care Center 1555 Commerce St, Logansport, IN 46947 CCN 155385	91	May 12, 2026	121 open	—
Ambassador Healthcare 705 E Main St, Centerville, IN 47330 CCN 155490	137	May 13, 2026	741 IJ	$42k

Same chain in Indiana

All 126 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
St Mary Healthcare Center 2201 Cason St, Lafayette, IN 47904 CCN 155094	79	Mar 31, 2026	26	—
St Elizabeth Healthcare Center 701 Armory Rd, Delphi, IN 46923 CCN 155290	64	Mar 11, 2026	27	—
Amber Manor Care Center 801 E Illinois St, Petersburg, IN 47567 CCN 155361	64	Jul 7, 2026	14	—
Scenic Hills at the Monastery 710 Sunrise Drive, Ferdinand, IN 47532 CCN 155493	88	May 22, 2026	13	—
Paddock Springs 2695 Sheldon Street, Warsaw, IN 46582 CCN 155495	60	Jan 22, 2026	241 harm	—
Oakwood Health Campus 1143 23rd St, Tell City, IN 47586 CCN 155671	98	Aug 20, 2025	261 harm	—
St Charles Health Campus 3150 St Charles St, Jasper, IN 47546 CCN 155674	68	Apr 25, 2025	271 harm	—
Waterford Place Health Campus 800 St Joseph Dr, Kokomo, IN 46901 CCN 155678	103	Feb 2, 2026	37	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 12315 Pennsylvania Street, Carmel, IN 46032
ZIP: 46032
County: Hamilton County FIPS 18057
State: Indiana
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Majestic Care of Carmel 12999 N Pennsylvania St, Carmel, IN 46032 CCN 155618	1.1 km	94	Jul 28, 2025	38	—
The Barrington of Carmel 1335 S Guilford Road, Carmel, IN 46032 CCN 155817	1.2 km	8	Sep 5, 2025	5	—
Carmel Health & Living Community 118 Medical Dr, Carmel, IN 46032 CCN 155181	2.6 km	188	Nov 13, 2025	472 harm	$9,110
Restoracy of Carmel 616 Green House Way, Carmel, IN 46032 CCN 155846	2.7 km	72	Feb 20, 2026	40	—
The Retreat at the Stratford 2460 Glebe St, Carmel, IN 46032 CCN 155794	4.2 km	18	Feb 12, 2026	39	—
Copper Trace Health & Living Community 1250 W 146th Street, Westfield, IN 46074 CCN 155841	5.4 km	104	Mar 17, 2026	221 harm	—
Bridgewater Healthcare Center 14751 Carey Road, Carmel, IN 46033 CCN 155790	5.6 km	120	Jun 11, 2026	30	—
Mcgivney Health Care Center 2907 East Smoky Row, Carmel, IN 46033 CCN 155855	6.5 km	37	Aug 21, 2026	611 harm1 open	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	155833	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	155833	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 155833

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction