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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Wellbrooke of Carmel (formerly Wellbrooke of Avon) is a 70-bed skilled nursing and assisted living facility at 12315 Pennsylvania Street in Carmel, Indiana. Owned by Witham Memorial Hospital and operated by Trilogy Health Services, the community serves Hamilton County under the leadership of Executive Director Danielle Minito.
The community provides a care continuum including short-term rehabilitation, memory care, and traditional long-term nursing. It currently maintains a 4-star overall CMS rating, supported by a 4-star health inspection score and a 5-star quality measures rating. While historical records indicate a cycle of deficiencies, recent 2026 data shows that the facility currently maintains a citations-per-inspection rate of zero based on its most recent standard survey. Average length of stay is 56 days, reflecting a high volume of Medicare-supported rehabilitative admissions.
Staffing levels are characterized by high clinical oversight, with Registered Nurse (RN) hours at 1 hour and 18 minutes per resident per day, 95% above the Indiana state average. Total nursing hours reach 3 hours and 7 minutes per day, supported by a 2.27:1 resident-to-staff ratio that trends slightly better than regional benchmarks. The clinical team coordinates specialized wound care, physical therapy (performing 25% above state norms), and speech-language services. Long-stay quality outcomes are particularly strong, with a 1.4% major injury fall rate and a urinary tract infection prevalence of zero.
The campus features a modern, hospitality-focused design with private and semi-private rooms equipped with emergency call systems and safety-focused bathrooms. All-inclusive monthly fees cover three chef-prepared meals daily in a bistro-style dining room, as well as weekly housekeeping and personal laundry.
Common areas include a private movie theater, a full-service salon, and secure walking paths designed for physical engagement. Residents benefit from a social calendar featuring educational workshops, live entertainment, and scheduled transportation for medical appointments and shopping trips.
Those seeking high-intensity clinical care or short-term recovery in a suburban setting may find this community appropriate. Prospective residents should contact the administrator directly to discuss current staffing levels and schedule a tour to assess the 2026 quality performance and residential neighborhoods firsthand.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 128th out of 287 homes in Indiana. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 18m per day | ▲ 95% State avg: 40m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 30m per day | ▼ 35% State avg: 46m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 16m per day | ■ Avg State avg: 2h 16m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 28m per day | ▲ 7% State avg: 3h 14m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 5m per day | ▲ 25% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 1h 4m per day | ▲ 137% State avg: 27m per day · National avg: 28m per day |
Lower than the Indiana average: 68.1%Wellbrooke of Avon is legally operated by Putnam County Hospital, and administrated by Danielle Minito.
Key information about the people who lead and staff this community.
In Indiana, the Department of Health, Division of Long Term Care is the primary regulatory body that performs onsite inspections and quality of care reviews for all licensed facilities.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Indiana state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 41 | 36 | This facility has 14% more total deficiencies than a typical Indiana nursing home (41 vs. IN avg 36).↑ 14% worse |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 10.3 | 9 | This facility has 14% more deficiencies per year than a typical Indiana nursing home (10.3 vs. IN avg 9).↑ 14% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 2.3 | 1.9 | This facility has 21% more deficiencies per inspection than a typical Indiana nursing home (2.3 vs. IN avg 1.9).↑ 21% worse |
Inspections
| This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total visits
Combined count of all on-site visits — routine inspections, complaint visits, follow-ups, and other focused visits.
| 18 | 19 | This facility has 5% fewer total visits than a typical Indiana nursing home (18 vs. IN avg 19).↓ 5% better |
|
Inspections with deficiencies
Inspections that resulted in at least one regulatory deficiency.
| 7 | 7 | This facility has inspections with deficiencies in line with the Indiana average (7 vs. IN avg 7).— At avg |
|
Inspection deficiency rate
Percentage of inspections that resulted in at least one deficiency.
| 39% | 37% | This facility has 2 percentage points higher inspection deficiency rate than a typical Indiana nursing home (39% vs. IN avg 37%).↑ 2% worse |
|
Inspections
Routine, scheduled inspections conducted by state regulators.
| 11 | 13 | This facility has 15% fewer inspections than a typical Indiana nursing home (11 vs. IN avg 13).↓ 15% better |
Complaints & Investigations
| This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 4 | 5 | This facility has 20% fewer total complaints than a typical Indiana nursing home (4 vs. IN avg 5).↓ 20% better |
|
Complaints per year
Average complaints per year since 2022.
| 1 | 1.3 | This facility has 23% fewer complaints per year than a typical Indiana nursing home (1 vs. IN avg 1.3).↓ 23% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on May 13, 2025, found Wellbrooke of Avon in compliance with Medicare/Medicaid participation requirements and Life Safety Code standards, with no deficiencies cited. Earlier inspections showed a pattern of deficiencies primarily related to resident care, including care plan development, pressure ulcer prevention, fall hazard management, medication dating, and resident rights, as well as some Life Safety Code issues such as unsecured gas cylinders and smoke barrier door failures. Complaint investigations were mostly unsubstantiated, though a substantiated complaint in May 2024 noted deficiencies involving resident bathing preferences, nursing staff competency, and protection of a resident’s property from misuse by an employee. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility appears to be improving over time, with recent inspections showing correction of prior deficiencies and compliance with key regulatory requirements.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsFederal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.3%
In line with Indiana averageIndiana average: 22.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
5.5%
48% better than Indiana averageIndiana average: 10.5%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Indiana averageIndiana average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
69.9%
30% better than Indiana averageIndiana average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
68.7%
36% better than Indiana averageIndiana average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Most residents typically stay for a few weeks or months before returning home or moving on.
2.6 miles from city center
Estimated distance in miles from Carmel's city center to Wellbrooke of Avon's address, calculated via Google Maps.
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Wellbrooke of Avon is located in CARMEL, Indiana.
Here are the financial assistance programs available to residents in Indiana.
The information below is reported by the Indiana Department of Health, Division of Long Term Care.
| The Barrington of Carmel |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Carmel | 154 | 71.4% | +3% | 9.22 | -61% | +168% | $0 | 5 | 2.5 | - | 110 | A+ | 39 | Bhi Retirement Communities Inc | $17.3M | $7.5M | 43.1% | 155817 | ||||
| The Restoracy of Carmel |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Carmel (Carmel Arts & Design District) | 72 | 94.4% | +36% | 4.61 | -46% | +34% | $79.7k | 44 | 6.3 | 2 | 69 | A+ | 77 | Euson Lindsay Legacy, LLC | $10.5M | $5.3M | 50.6% | 155846 | ||||
| Wellbrooke of Carmel |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Carmel | 119 | 46.2% | -33% | 3.22 | -27% | -6% | $15.6k | 36 | 4.0 | 2 | 53 | - | 48 | Board Of Trustees Of The Flavius J Witham Memorial | $11.2M | $6.2M | 55.4% | 155833 | ||||
| Carmel Health & Living Community |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Carmel (Newark Village) | 188 | 75.5% | +9% | 3.73 | +22% | +8% | $0 | 33 | 4.1 | 1 | 142 | A+ | 78 | Cardon Management Company LLC | $24.8M | $10.7M | 43.2% | 155181 |
Rachelle Morgan is the Director of Nursing at Wellbrooke of Avon.
The legal owner and operator of Wellbrooke of Avon is Putnam County Hospital.
Wellbrooke of Avon has a walk score of 12. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to IN state health department records, Wellbrooke of Avon's license number is 25-013085-1.
According to IN state health department records, Wellbrooke of Avon's license expires on June 30, 2026.
Wellbrooke of Avon's occupancy is 38%.
Danielle Minito is the administrator of Wellbrooke of Avon.
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