Wellbrooke of Avon

Name: Wellbrooke of Avon
Address: 10307 E COUNTY RD 100 N,, Indianapolis, IN, 46234, US
Telephone: 3172732144

10307 E County Rd 100 N,, Indianapolis, IN 46234 · Marion County · 70 certified beds · avg 50 residents/day · certified since Oct 23, 2013

Part of chain: TRILOGY HEALTH SERVICES (123 facilities, chain avg rating 4.2★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.46

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (17)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 13, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Mar 13, 2026	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Mar 13, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 13, 2026	D · Potential for harm, one-off	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Mar 7, 2025	E · Potential for harm, repeated	The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit.
Mar 7, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Mar 7, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Mar 7, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Mar 7, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
May 24, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
May 24, 2024	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint
Feb 2, 2024	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Feb 2, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Feb 2, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Feb 2, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Feb 2, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Feb 2, 2024	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 4).

Year	Citations	Worst severity that year
2024	8	E
2025	5	E
2026	4	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Indiana avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.46	3.42	3.95	top 39% in Indiana; bottom 35% in the U.S.
Registered Nurse hours	1.07	0.62	0.69	top 5% in Indiana; top 13% in the U.S.
Weekend total nurse staffing	2.94	3.01	3.50	top 44% in Indiana; bottom 28% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.87	0.47	0.48	top 5% in Indiana; top 9% in the U.S.
Total nursing staff turnover (%)	30.2	45.9	45.8	top 9% in Indiana; top 14% in the U.S.
RN turnover (%)	28.6	40.4	42.9	top 28% in Indiana; top 26% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.99, RN 1.24, weekend 3.39. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Putnam County Hospital	Organization	5% or Greater Direct Ownership Interest	100%	07/01/2015
American Healthcare Reit Holdings LP	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2015
American Healthcare Reit INC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2018
Barney, Leigh	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	10/08/2025
Bray, Arnold	Individual	Managing Control - Governing Body	NOT APPLICABLE	09/01/2012
Bray, Arnold	Individual	Trustee of the SNF	NOT APPLICABLE	09/01/2012
Continental Merger Sub LLC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2021
Davis, David	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	09/19/2025
Fry, Janice	Individual	Managing Control - Governing Body	NOT APPLICABLE	09/01/2012
Fry, Janice	Individual	Trustee of the SNF	NOT APPLICABLE	09/01/2012
Gahc3 Trilogy JV LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2015
Gahc4 Trilogy JV LLC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2018
Hashmi, Syed	Individual	Operational/Managerial Control	NOT APPLICABLE	04/15/2025
Hashmi, Syed	Individual	ADP of the SNF	NOT APPLICABLE	04/15/2025
Headley, Matthew	Individual	Managing Control - Governing Body	NOT APPLICABLE	09/01/2012
Headley, Matthew	Individual	Trustee of the SNF	NOT APPLICABLE	09/01/2012
Landry, Keith	Individual	Managing Control - Governing Body	NOT APPLICABLE	09/01/2020
Landry, Keith	Individual	Trustee of the SNF	NOT APPLICABLE	09/01/2020
LCS Avon LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	07/01/2015
Lewis, Katrina	Individual	Managing Control - Governing Body	NOT APPLICABLE	12/21/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you inspect and maintain essential equipment, and how quickly are repairs made?"
"How often does each resident's doctor visit and review their care in person?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Brooke Knoll Village	0.7 mi	Avon, IN	★★☆☆☆	2/5
Westside Retirement Village	1.2 mi	Indianapolis, IN	★★☆☆☆	1/5
Eagle Valley Meadows	2.8 mi	Indianapolis, IN	★★☆☆☆	1/5
Countryside Meadows	3.0 mi	Avon, IN	★★★☆☆	2/5
Washington Healthcare Center	3.4 mi	Indianapolis, IN	★★★★☆	3/5
Envive of Indianapolis	3.8 mi	Indianapolis, IN	★☆☆☆☆	1/5
Northwest Manor Health Care Center	4.2 mi	Indianapolis, IN	★★★☆☆	2/5
Brownsburg Health Care Center	4.3 mi	Brownsburg, IN	★☆☆☆☆	1/5	abuseSFF
Plainfield Health Care Center	5.2 mi	Plainfield, IN	★★☆☆☆	1/5	SFF
Brownsburg Meadows	5.3 mi	Brownsburg, IN	★★★☆☆	2/5
Majestic Care of Avon	5.4 mi	Avon, IN	★★☆☆☆	2/5
Westpark a Waters Community	6.4 mi	Indianapolis, IN	★☆☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Indianapolis →

Facility data as of CMS processing date 2026-08-01. CCN 155811.

The Care File

Visit checklist — Wellbrooke of Avon

10307 E County Rd 100 N,, Indianapolis, IN 46234 · 3172732144

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
☐ "How often does each resident's doctor visit and review their care in person?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 155811 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)