WELLBROOKE OF CARMEL

12315 PENNSYLVANIA STREET
CARMEL, IN, 46032
3175697200
CCN: 155833
3
Overall
2
Health
3
Staffing
5
Quality
ChainTRILOGY HEALTH SERVICES
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
WITHAM MEMORIAL HOSPITAL5% OR GREATER DIRECT OWNERSHIP INTEREST100%
TRILOGY PROPERTY HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
TRILOGY HEALTHCARE HOLDINGS INC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
REAGAN, JULIECORPORATE DIRECTORNOT APPLICABLE
BAYSTON, BRETTCORPORATE DIRECTORNOT APPLICABLE
BRAND, JOHNCORPORATE DIRECTORNOT APPLICABLE
CASTETTER, ANDREACORPORATE DIRECTORNOT APPLICABLE
HAWKINS, CLAUDECORPORATE DIRECTORNOT APPLICABLE
HORNBECKER, MICHAELCORPORATE DIRECTORNOT APPLICABLE
BARDOCZI, STEPHENCORPORATE OFFICERNOT APPLICABLE
BRAVERMAN, KELLYCORPORATE OFFICERNOT APPLICABLE
SELLERS, DANIELCORPORATE OFFICERNOT APPLICABLE
RHS PARTNERS OF CARMEL LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CARMACK, KYLIEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HAFIDH, SAADOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (1)
DateTypeAmount
2024-02-23Fine$16K
Health Deficiencies (25)
2026-01-21 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F644 · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
F580 · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2025-12-02 · Health
G
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-10-03 · Health
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
2025-09-12 · Health
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2025-01-17 · Health
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F578 · Resident Rights Deficiencies
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.
2024-08-01 · Health
D
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
2024-05-30 · Health
D
F839 · Administration Deficiencies
Employ staff that are licensed, certified, or registered in accordance with state laws.
2024-02-23 · Health
J
F803 · Nutrition and Dietary Deficiencies
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.
D
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
2024-01-02 · Health
D
F676 · Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2023-11-20 · Health
D
F758 · Pharmacy Service Deficiencies
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.
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F644 · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.81
3.68
RN Hrs/Resident/Day
0.66
0.54
LPN Hrs/Resident/Day
1.05
0.81
CNA Hrs/Resident/Day
2.10
2.33
PT Hrs/Resident/Day
0.08
0.12
Data as of 2026-03-01