Wellbrooke of Kokomo
2200 South Dixon Road, Kokomo, IN 46902 · Howard County · 70 certified beds · avg 59 residents/day · certified since May 13, 2014
Part of chain: TRILOGY HEALTH SERVICES (123 facilities, chain avg rating 4.2★)
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Feb 14, 2024 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Mar 8, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (18)
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 |
|---|---|---|
| Feb 20, 2026 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Feb 20, 2026 | 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. |
| Feb 20, 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. |
| Feb 20, 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. |
| Feb 20, 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. |
| Aug 27, 2025 | 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 |
| Mar 18, 2025 | E · Potential for harm, repeated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Mar 18, 2025 | E · Potential for harm, repeated | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Mar 18, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Feb 14, 2024 | ▲ G · Actual 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. |
| Feb 14, 2024 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Feb 14, 2024 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Feb 14, 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. |
| Feb 14, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Feb 14, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Feb 14, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Feb 14, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Dec 1, 2023 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | D |
| 2024 | 8 | 1 | G ▲ |
| 2025 | 4 | 0 | E |
| 2026 | 5 | 0 | 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)
1 fine totaling $8,824.
| Date | Type | Amount / length |
|---|---|---|
| Feb 14, 2024 | Fine | $8,824 |
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) | 2.84 | 3.42 | 3.95 | bottom 17% in Indiana; bottom 9% in the U.S. |
| Registered Nurse hours | 0.89 | 0.62 | 0.69 | top 13% in Indiana; top 21% in the U.S. |
| Weekend total nurse staffing | 2.40 | 3.01 | 3.50 | bottom 11% in Indiana; bottom 7% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.91 | 0.47 | 0.48 | top 4% in Indiana; top 8% in the U.S. |
| Total nursing staff turnover (%) | 49.3 | 45.9 | 45.8 | bottom 39% in Indiana; bottom 39% in the U.S. |
| RN turnover (%) | 37.5 | 40.4 | 42.9 | top 44% in Indiana; top 42% 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 3.54, RN 1.11, weekend 2.99. Staffing rating: 3/5.
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: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Trilogy Healthcare Holdings INC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/01/2015 |
| Witham Memorial 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 |
| Bardoczi, Stephen | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/02/2013 |
| Barney, Leigh | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 08/28/2025 |
| Bayston, Brett | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/01/2023 |
| Brand, John | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2015 |
| Braverman, Kelly | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2021 |
| Castetter, Andrea | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2023 |
| 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 | 09/10/2025 |
| Dunkle, Amorette | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/14/2016 |
| Dunkle, Amorette | Individual | ADP of the SNF | NOT APPLICABLE | 07/03/2025 |
| 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 |
| Hawkins, Claude | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/01/2013 |
| Hornbecker, Michael | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2024 |
| LCS Kokomo LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2015 |
| Ms Kokomo, L.P. | Organization | ADP of the SNF | NOT APPLICABLE | 12/01/2015 |
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?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "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?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "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 |
|---|---|---|---|---|---|
| Kokomo Healthcare Center | 1.6 mi | Kokomo, IN | ★★★★☆ | 3/5 | |
| Brickyard Healthcare -Sycamore Village Care Center | 1.9 mi | Kokomo, IN | ★★★☆☆ | 3/5 | |
| North Woods Village | 2.1 mi | Kokomo, IN | ★★★★☆ | 3/5 | |
| Aperion Care Kokomo | 2.2 mi | Kokomo, IN | ★☆☆☆☆ | 2/5 | |
| Waterford Place Health Campus | 2.3 mi | Kokomo, IN | ★★★★★ | 4/5 | |
| Century Villa Health Care | 10.5 mi | Greentown, IN | ★★★★☆ | 4/5 | |
| Aperion Care Peru | 14.6 mi | Peru, IN | ★★☆☆☆ | 2/5 | |
| Waters of Tipton Skilled Nursing Facility, the | 14.7 mi | Tipton, IN | ★☆☆☆☆ | 1/5 | SFF |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 155819.