Wellbrooke of Westfield
937 E 186th Street, Westfield, IN 46074 · Hamilton County · 70 certified beds · avg 52 residents/day · certified since Jul 18, 2013
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.
All citations in the current public record (19)
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 17, 2026 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Mar 17, 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. |
| Jun 5, 2025 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. · from a complaint |
| Apr 28, 2025 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Apr 28, 2025 | D · Potential for harm, one-off | 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. |
| Apr 28, 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. |
| Apr 28, 2025 | 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. |
| Apr 28, 2025 | 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. |
| Apr 4, 2024 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Apr 4, 2024 | D · Potential for harm, one-off | 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. |
| Apr 4, 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. |
| Apr 4, 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. |
| Apr 4, 2024 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint |
| Apr 4, 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. |
| Apr 4, 2024 | D · Potential for harm, one-off | The facility employed staff who were not licensed, certified, or registered as required by state law. |
| Apr 4, 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. |
| Apr 4, 2024 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Nov 9, 2023 | E · Potential for harm, repeated | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Nov 9, 2023 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (5 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | E |
| 2024 | 9 | 0 | D |
| 2025 | 6 | 0 | D |
| 2026 | 2 | 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) | 3.79 | 3.42 | 3.95 | top 23% in Indiana; top 49% in the U.S. |
| Registered Nurse hours | 0.72 | 0.62 | 0.69 | top 28% in Indiana; top 35% in the U.S. |
| Weekend total nurse staffing | 3.40 | 3.01 | 3.50 | top 21% in Indiana; top 47% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.43 | 0.47 | 0.48 | top 46% in Indiana; top 43% in the U.S. |
| Total nursing staff turnover (%) | 46.0 | 45.9 | 45.8 | bottom 49% in Indiana; bottom 47% 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 4.28, RN 0.81, weekend 3.84. 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 |
|---|---|---|---|---|
| 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 |
| 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 | 05/01/2025 |
| Clark, Timothy | Individual | Trustee of the SNF | NOT APPLICABLE | 05/01/2025 |
| 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 |
| Felker, Dean | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/01/2015 |
| Felker, Dean | Individual | Trustee of the SNF | NOT APPLICABLE | 05/01/2025 |
| 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 |
| Hashmi, Syed | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/15/2025 |
| Hashmi, Syed | Individual | ADP of the SNF | NOT APPLICABLE | 04/15/2025 |
| Joyner, Sara | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2022 |
| Joyner, Sara | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2022 |
| LCS Westfield LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2015 |
| Long, Steven | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/14/2018 |
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 screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "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 |
|---|---|---|---|---|---|
| Maple Park Village | 1.0 mi | Westfield, IN | ★★☆☆☆ | 2/5 | abuse |
| Bridgewater Healthcare Center | 4.3 mi | Carmel, IN | ★★★★★ | 4/5 | |
| Copper Trace Health & Living Community | 5.0 mi | Westfield, IN | ★★★☆☆ | 3/5 | |
| Majestic Care of Carmel | 5.6 mi | Carmel, IN | ★★☆☆☆ | 3/5 | |
| Harbour Manor Health & Living Community | 6.0 mi | Noblesville, IN | ★★★★☆ | 3/5 | |
| Restoracy of Carmel | 6.1 mi | Carmel, IN | ★★★★☆ | 3/5 | |
| Wellbrooke of Carmel | 6.3 mi | Carmel, IN | ★★★☆☆ | 2/5 | |
| Barrington of Carmel, the | 6.5 mi | Carmel, IN | ★★★★★ | 5/5 | |
| Retreat at the Stratford, the | 6.5 mi | Carmel, IN | ★★★★☆ | 4/5 | |
| Riverwalk Village | 6.6 mi | Noblesville, IN | ★★★★☆ | 4/5 | |
| McGivney Health Care Center | 6.6 mi | Carmel, IN | ★★☆☆☆ | 3/5 | |
| Majestic Care of Sheridan | 6.8 mi | Sheridan, IN | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 155808.