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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.
For the residents of Wellbrooke of Kokomo, the staff are ready to assist you with your daily tasks. From comprehensive services to simple tasks, we provide assistance including round-the-clock nursing, coordinated medical care, and more. The amenities in Wellbrooke are designed and built well giving the residents what they truly need.
Aside from the comprehensive care services, the seniors here are also encouraged to join community activities and events. These can range from bible study to painting to happy hour, and more. These programs of Wellbrooke are done to keep the residents happy and mentally stimulated while they are staying here.
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 208th 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 9m per day | ▲ 72% 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.
| 34m per day | ▼ 26% 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.
| 1h 51m per day | ▼ 18% 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 17m per day | ■ Avg 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.
| 50m per day | ▲ 85% State avg: 27m per day · National avg: 28m per day |
Similar to the Indiana average: 68.1%Wellbrooke of Kokomo is legally operated by Board Of Trustees Of The Flavius J Witham Memorial, and administrated by Amorette Renwald.
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.
| 55 | 36 | This facility has 53% more total deficiencies than a typical Indiana nursing home (55 vs. IN avg 36).↑ 53% worse |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 13.8 | 9 | This facility has 53% more deficiencies per year than a typical Indiana nursing home (13.8 vs. IN avg 9).↑ 53% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 2.5 | 1.9 | This facility has 32% more deficiencies per inspection than a typical Indiana nursing home (2.5 vs. IN avg 1.9).↑ 32% 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.
| 22 | 19 | This facility has 16% more total visits than a typical Indiana nursing home (22 vs. IN avg 19).↑ 16% worse |
|
Inspections with deficiencies
Inspections that resulted in at least one regulatory deficiency.
| 9 | 7 | This facility has 29% more inspections with deficiencies than a typical Indiana nursing home (9 vs. IN avg 7).↑ 29% worse |
|
Inspection deficiency rate
Percentage of inspections that resulted in at least one deficiency.
| 41% | 37% | This facility has 4 percentage points higher inspection deficiency rate than a typical Indiana nursing home (41% vs. IN avg 37%).↑ 4% worse |
|
Inspections
Routine, scheduled inspections conducted by state regulators.
| 13 | 13 | This facility has inspections in line with the Indiana average (13 vs. IN avg 13).— At avg |
Complaints & Investigations
| This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 5 | 5 | This facility has total complaints in line with the Indiana average (5 vs. IN avg 5).— At avg |
|
Complaints per year
Average complaints per year since 2022.
| 1.3 | 1.3 | This facility has complaints per year in line with the Indiana average (1.3 vs. IN avg 1.3).— At avg |
|
Complaint visits
On-site visits triggered by formal complaints. Formal complaints can result in multiple visits.
| 13 | 8 | This facility has 63% more complaint visits than a typical Indiana nursing home (13 vs. IN avg 8).↑ 63% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on April 10, 2025, identified deficiencies related to Life Safety Code requirements, including issues with commercial cooking equipment, portable space heater policies, and oxygen transfilling room signage. Earlier inspections showed a mixed pattern, with prior Life Safety Code surveys also citing fire safety and door closure issues, and annual surveys noting deficiencies in resident notification and oxygen administration. Main themes across deficiencies involved Life Safety Code compliance, medication administration, resident care documentation, and oxygen use. Several complaint investigations were conducted, most of which were unsubstantiated, though a substantiated complaint in early 2023 involved medication errors that led to hospital readmission and deficiencies in narcotic documentation and confidentiality. The facility’s inspection history shows ongoing challenges with regulatory compliance, particularly in safety and clinical care areas, with some improvement noted in complaint resolution but persistent Life Safety Code issues.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsIndiana average 6
Last Health inspection on Aug 2025
Indiana average 25
Indiana average 4.12
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
20 of 36 citations resulted from standard inspections; 5 of 36 resulted from complaint investigations; and 11 of 36 came from combined inspections (standard and complaint).
100% better than Indiana averageIndiana average: 0.2
233% worse than Indiana averageIndiana average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
2392757% better than Indiana average
5% worse than Indiana average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,350 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 32 | 0 | 32 | 5,785 | 92 | 100% | 7.1 |
| Registered Nurse | 20 | 0 | 20 | 4,006 | 92 | 100% | 8.2 |
| Medication Aide/Technician | 16 | 0 | 16 | 3,882 | 92 | 100% | 7.5 |
| Other Dietary Services Staff | 10 | 0 | 10 | 3,025 | 92 | 100% | 7.1 |
| Licensed Practical Nurse | 11 | 0 | 11 | 2,575 | 92 | 100% | 8 |
| Clinical Nurse Specialist | 13 | 0 | 13 | 1,726 | 77 | 84% | 7.5 |
| Speech Language Pathologist | 0 | 5 | 5 | 1,568 | 72 | 78% | 6.8 |
| Physical Therapy Aide | 0 | 5 | 5 | 1,344 | 74 | 80% | 7.5 |
| Mental Health Service Worker | 2 | 0 | 2 | 873 | 69 | 75% | 8.2 |
| Physical Therapy Assistant | 0 | 3 | 3 | 862 | 76 | 83% | 7.1 |
| RN Director of Nursing | 1 | 0 | 1 | 497 | 56 | 61% | 8.9 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 457 | 66 | 72% | 6.1 |
| Dietitian | 1 | 0 | 1 | 436 | 60 | 65% | 7.3 |
| Administrator | 1 | 0 | 1 | 432 | 54 | 59% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 384 | 49 | 53% | 7.8 |
| Nurse Aide in Training | 2 | 0 | 2 | 370 | 45 | 49% | 7.4 |
| Qualified Social Worker | 0 | 3 | 3 | 121 | 48 | 52% | 2.5 |
| Occupational Therapy Assistant | 3 | 0 | 3 | 35 | 25 | 27% | 1.3 |
Includes penalties issued in 2024
Federal 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 (Data as of Jan 2026)
68% lower than Indiana averageIndiana average: $27K
28% fewer fines than Indiana averageIndiana average: 1.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Indiana averageIndiana average: 0.4
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Feb 14, 2024 · $9K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 14, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.3
In line with Indiana averageIndiana average: 8.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.8
7% better than Indiana averageIndiana average: 17.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
9.3%
23% better than Indiana averageIndiana average: 12.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.4%
9% better than Indiana averageIndiana average: 24.6%
Percent of long-stay residents experiencing one or more falls with major injury
7.5%
93% worse than Indiana averageIndiana average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
4.7%
8% worse than Indiana averageIndiana average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Indiana averageIndiana average: 1.2%
Percent of long-stay residents who lose too much weight
11.8%
107% worse than Indiana averageIndiana average: 5.7%
Percent of long-stay residents who have depressive symptoms
3.2%
87% better than Indiana averageIndiana average: 24.1%
Percent of long-stay residents who received an antipsychotic medication
3.0%
76% better than Indiana averageIndiana average: 12.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.0%
In line with Indiana averageIndiana average: 93.7%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.5%
16% better than Indiana averageIndiana average: 81.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
60% better than Indiana averageIndiana average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
90.1%
14% better than Indiana averageIndiana average: 79.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.8%
6% worse than Indiana averageIndiana average: 22.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
20.2%
92% worse than Indiana averageIndiana average: 10.5%
Percentage of SNF residents who experience falls with major injury during their stay.
0.8%
In line with Indiana averageIndiana average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
75.4%
40% better than Indiana averageIndiana average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
68.2%
35% 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.
55% of new residents, usually for short-term rehab.
43% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
56Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Wellbrooke of Kokomo based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #85 / 290Payroll — State benchmarkedThis home is ranked 85th out of 290 homes in Indiana. Shows total annual staff payroll benchmarked to the Indiana average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Pets Allowed
Room Sizes: 140 - 355 sq. ft
Housing Options: Studio / 1 Bed
Building Type: Two-story
Transportation Services
Fitness and Recreation
Most residents typically stay for a few weeks or months before returning home or moving on.
2.9 miles from city center
Estimated distance in miles from Kokomo's city center to Wellbrooke of Kokomo's address, calculated via Google Maps.
— 0.15 miles to nearest hospital (American Health Network - Kokomo)
Add your location
Wellbrooke of Kokomo is located in Kokomo, Indiana.
Here are the financial assistance programs available to residents in Indiana.
Wellbrooke of Kokomo is in the Orleans Southwest neighborhood of Kokomo.
Deborah Sherron is the Director of Nursing at Wellbrooke of Kokomo.
The legal owner and operator of Wellbrooke of Kokomo is Board Of Trustees Of The Flavius J Witham Memorial.
Wellbrooke of Kokomo has a walk score of 25. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to IN state health department records, Wellbrooke of Kokomo's license number is 25-013153-1.
According to IN state health department records, Wellbrooke of Kokomo's license expires on June 30, 2026.
Wellbrooke of Kokomo's occupancy is 70%.
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