Nursing HomeInspections

Wellbrooke of Carmel

Nursing home in Carmel, IN

Medicare & Medicaid certified3★ overall (CMS)

Call (317) 569-7200Send a messageMap ↗

Public-record details

Address
12315 Pennsylvania Street, Carmel, IN 46032
Phone
(317) 569-7200
Listed under
For-profit
Medicare CCN
155833
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measures rating
5 of 5
Certified beds
74
Average residents per day
53
Ownership
For-profit, limited Liability company
Legal business name
Witham Memorial Hospital
Chain
Trilogy Health Services (123 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 3, 2015
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
Yes
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 155833. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jan 21, 2026. CMS lists 25 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 20, 2023 to Jan 21, 2026): 11 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Jan 21, 2026Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Jan 21, 2026Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jan 21, 2026Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Dec 2, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Oct 3, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 12, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 12, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 17, 2025Honor 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…
Resident Rights		D
Potential for more than minimal harm, isolated
Jan 17, 2025Develop 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		D
Potential for more than minimal harm, isolated
Jan 17, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jan 17, 2025Provide 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		D
Potential for more than minimal harm, isolated
Jan 17, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 25. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $15,646 in the last three years.

Feb 23, 2024Fine: $15,646

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.55 hours
Registered nurse (RN) time per resident per day
0.90 hours
Nurse aide time per resident per day
1.86 hours
Total nurse staffing on weekends
3.14 hours
Nursing staff turnover (yearly)
49%
RN turnover (yearly)
67%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Carmel

Bridgewater Healthcare Center14751 Carey Road · Carmel, IN 46033 · (317) 575-2208 · For-profit18 health citations in 3 inspection cycles · last standard inspection May 13, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)The Barrington of Carmel1335 S Guilford Road · Carmel, IN 46032 · (317) 810-1800 · Nonprofit4 health citations in 3 inspection cycles · last standard inspection Sep 5, 2025 · no CMS fines in 3 yrsMedicare-certified5★ overall (CMS)Restoracy of Carmel616 Green House Way · Carmel, IN 46032 · (317) 401-8888 · For-profit23 health citations in 3 inspection cycles · last standard inspection Feb 20, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)The Retreat at the Stratford2460 Glebe St · Carmel, IN 46032 · (317) 733-9560 · For-profit12 health citations in 3 inspection cycles · last standard inspection Feb 12, 2026 · no CMS fines in 3 yrsMedicare-certified4★ overall (CMS)Carmel Health & Living Community118 Medical Dr · Carmel, IN 46032 · (317) 844-4211 · Government-owned30 health citations in 3 inspection cycles · last standard inspection Sep 25, 2025 · $14,015 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)Majestic Care of Carmel12999 N Pennsylvania St · Carmel, IN 46032 · (317) 848-2448 · For-profit24 health citations in 3 inspection cycles · last standard inspection Jul 28, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified2★ overall (CMS)McGivney Health Care Center2907 East Smoky Row · Carmel, IN 46033 · (317) 846-0265 · Nonprofit43 health citations in 3 inspection cycles · last standard inspection Aug 26, 2025 · $8,189 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)

All 8 in Carmel →