Wellbrooke of South Bend

Name: Wellbrooke of South Bend
Address: 52565 STATE ROAD 933, South Bend, IN, 46637, US
Telephone: 5742477044

52565 State Road 933, South Bend, IN 46637 · St. Joseph County · 70 certified beds · avg 47 residents/day · certified since Sep 9, 2014

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

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.72

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

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 · Jun 25, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

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: Jul 2, 2025 (Deficient, Provider has date of correction)

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
Apr 20, 2026	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.
Apr 20, 2026	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Apr 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.
Apr 20, 2026	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.
Apr 20, 2026	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.
Apr 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.
Dec 11, 2025	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Jun 25, 2025	▲ G · Actual 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. · from a complaint
Jun 25, 2025	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 6, 2025	E · Potential for harm, repeated	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 6, 2025	E · Potential for harm, repeated	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.
Feb 6, 2025	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 6, 2025	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.
Feb 6, 2025	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.
Feb 20, 2024	F · Potential for harm, facility-wide	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.
Feb 20, 2024	E · Potential for harm, repeated	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, 2024	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.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 6).

Year	Citations	Serious (G–L)	Worst severity that year
2024	3	0	F
2025	8	1	G ▲
2026	6	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)

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)	3.72	3.42	3.95	top 25% in Indiana; bottom 48% in the U.S.
Registered Nurse hours	0.81	0.62	0.69	top 17% in Indiana; top 26% in the U.S.
Weekend total nurse staffing	3.30	3.01	3.50	top 25% in Indiana; bottom 47% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.83	0.47	0.48	top 7% in Indiana; top 10% in the U.S.
Total nursing staff turnover (%)	40.7	45.9	45.8	top 35% in Indiana; top 38% in the U.S.
RN turnover (%)	38.5	40.4	42.9	top 48% in Indiana; top 44% 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 4.31, RN 0.94, weekend 3.82. 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: 4/5

Who owns this facility

Government - County

Owner / manager	Type	Role	Stake	Since
Hancock Regional 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	08/01/2025
Bond, Maria	Individual	Managing Control - Governing Body	NOT APPLICABLE	07/01/2021
Bond, Maria	Individual	Trustee of the SNF	NOT APPLICABLE	07/01/2021
Clark, Timothy	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/01/2015
Clark, Timothy	Individual	Trustee of the SNF	NOT APPLICABLE	05/01/2015
Continental Merger Sub LLC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2021
Daugherty, Joshua	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2020
Daugherty, Joshua	Individual	Trustee of the SNF	NOT APPLICABLE	01/01/2020
Davis, David	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	08/01/2025
Dupre, Matthew	Individual	Operational/Managerial Control	NOT APPLICABLE	04/15/2025
Dupre, Matthew	Individual	ADP of the SNF	NOT APPLICABLE	04/15/2025
Felker, Dean	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/01/2015
Felker, Dean	Individual	Trustee of the SNF	NOT APPLICABLE	05/01/2015
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
Joyner, Sara	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2022
Joyner, Sara	Individual	Trustee of the SNF	NOT APPLICABLE	01/01/2022

Questions to ask on your visit

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

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"How do you explain health changes and treatment options to residents and their families?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
"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
Holy Cross Village at Notre Dame INC	1.3 mi	Notre Dame, IN	★★★☆☆	3/5
Healthwin Health & Rehabilitation	1.6 mi	South Bend, IN	★★☆☆☆	2/5
Milton Home, the	2.0 mi	South Bend, IN	★★★★★	4/5
Majestic Care of South Bend	2.1 mi	South Bend, IN	★☆☆☆☆	1/5
Cardinal Nursing and Rehabilitation Center	2.3 mi	South Bend, IN	★★★★★	5/5
Holy Cross Rehabilitation and Wellness	2.3 mi	South Bend, IN	★★☆☆☆	2/5
Brickyard Healthcare - Fountainview Care Center	3.2 mi	Mishawaka, IN	★★☆☆☆	2/5
West Woods of Niles	3.5 mi	Niles, MI	★☆☆☆☆	1/5
West Bend Nursing and Rehabilitation	4.0 mi	South Bend, IN	★★★★★	4/5
Creekside Village	4.3 mi	Mishawaka, IN	★★★★☆	3/5
Belltower Health & Rehabilitation Center	4.5 mi	Granger, IN	★★★★☆	4/5
Trailpoint Village	4.9 mi	South Bend, IN	★★☆☆☆	2/5	abuse

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 155824.

The Care File

Visit checklist — Wellbrooke of South Bend

52565 State Road 933, South Bend, IN 46637 · 5742477044

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

Most serious findings on record:

▲ Jun 25, 2025 (F-0689, Actual 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.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
☐ "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 155824 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)