Wellbrooke Of Westfield

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

58.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 167 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 65.7% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 70 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.44 therapist hours per resident per day in 2026Q1 — more than 74% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 26% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 70 beds and averages 51.6 residents a day — about 74% occupied, or roughly 18 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.28 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.81 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.59 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.84 hrs/resident/day on weekends vs 4.46 on weekdays — 14% thinner on weekends. RN hours go from 0.96 to 0.43 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 46% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

19 citations, most serious first. The 10 most serious are shown; the remaining 9 are one tap away and print in full.

• Potential for harm · D2026-03-17 · tag F0645 — isolated
  PASARR screening for Mental disorders or Intellectual Disabilities
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure a Preadmission Screening and Resident Review (PASARR) was completed for 1 of 4 residents reviewed for PASARR. (Resident 13)Findings include:The clinical record for Resident 13 was reviewed on 3/12/26 at 11:25 a.m. The diagnoses included, but were not limited to, Parkinsonism, major depressive disorder, and dementia.A physician's order, dated 10/3/25, indicated to administer escitalopram (an antidepressant medication) 5 milligrams (mg) for depression.A physician's order, dated 10/3/25, indicated to administer quetiapine (an antipsychotic medication) 50 mg for depression.There was no PASARR screening located in Resident 13's clinical record.During an interview, on 3/12/26 at 10:35 a.m., Clinical Support Nurse 1 indicated the facility did not have a PASARR for Resident 13 and it was missed.A current facility policy, titled Indiana PASRR, undated and received from the Executive Director on 3/12/26, indicated .admission from Hospital. CSR insures hospital completes required appropriate screenings.admission from…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-03-17 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure a medication was held according to the physician's order for 2 of 2 residents reviewed for quality of care. (Resident 3 and 58) The deficient practice was corrected on 3/6/26, prior to the start of the survey, and was therefore past noncompliance.Findings include:1. The clinical record for Resident 3 was reviewed on 3/12/26 at 10:14 a.m. The diagnoses included, but were not limited to, type 2 diabetes mellitus, dementia, and chronic diastolic congestive heart failure. A care plan, dated as last reviewed on 12/19/25, indicated the resident received hypoglycemic medication and to administer the medication as ordered. A physician's order, discontinued on 2/26/26, indicated to administer seven (7) units of Novolog FlexPen U-100 Insulin (insulin aspart u-100) with breakfast and lunch and to hold for a blood sugar less than 150. The Medication Administration Record (MAR), dated January 2026, indicated Resident 3 received seven (7) units of insulin with breakfast and/or lunch with a blood sugar less than 150 on the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · D2025-06-05 · tag F0583 — failed to protect personal privacy — isolated
  Keep residents' personal and medical records private and confidential.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure staff did not take and share unauthorized photos of a resident for 2 of 3 residents reviewed for privacy. (Resident B) The deficient practice was corrected on 5/8/25, prior to the start of the survey, and was therefore past noncompliance. Findings include: A Facility Reported Incident (FRI) indicated on 5/7/25, terminated employee Qualified Medication Assistant (QMA) 3 had sent Certified Nursing Assistant (CNA) 2 an unauthorized photo of Resident B and C which had been taken on 4/30/25. 1 The clinical record for Resident B was reviewed on 6/5/25 at 10:15 a.m. The diagnoses included, but were not limited to, anxiety disorder and stage 3 chronic kidney disease. A Brief Interview for Mental Status (BIMS) assessment, dated 4/28/25, indicated Resident B had severe cognitive impairment. 2. The clinical record for Resident C was reviewed on 6/5/25 at 10:20 a.m. The diagnoses included, but were not limited to general anxiety disorder, insomnia, and depression. An assessment, dated 4/11/25, indicated Resident C had severe…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Past Non-Compliance
• Potential for harm · D2025-04-28 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure the pre-admission screening and resident review (PASARR) was completed accurately for 2 of 5 residents reviewed for PASARR. (Resident 18 and 33) Findings include: 1. The clinical record for Resident 18 was reviewed on 4/23/25 at 8:33 a.m. The diagnoses included, but were not limited to, visual hallucinations, psychosis, and major depressive disorder. The PASARR for Resident 18, dated 3/28/25, did not include all his mental health diagnoses or mental health medications. A physician's order, dated 3/31/25, indicated Resident 18 was to take aripiprazole (an antipsychotic medication). Aripiprazole was not listed on Resident 18's PASARR and the PASARR did not include a mental health diagnosis to adequately justify the need for antipsychotic medication. A physician's order, dated 3/31/25, indicated Resident 18 was to take clonazepam (an anti-anxiety medication). Clonazepam was not listed on Resident 18's PASARR and the PASARR did not include a mental health diagnosis to adequately justify the need for anti-anxiety…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-28 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure there was sufficient documentation to show a behavior care plan was prepared by an interdisciplinary team, which included the participation of the resident and the resident's representative prior to initiation and to ensure care plan meetings were conducted and documented for 3 of 8 residents reviewed for care plans. (Resident 2, 23 and 42) Findings include: 1. The clinical record for Resident 2 was reviewed on 4/23/25 at 10:01 a.m. The diagnoses included, but were not limited to, Alzheimer's disease, depression, and dementia. A quarterly Minimum Data Set (MDS) assessment, dated 2/20/25, indicated the resident was cognitively intact and had no mood or behavior concerns. A care plan, dated 4/18/25, indicated Resident 2 had impaired cognition with a short-term memory impairment and was at risk for confusion, disorientation, an altered mood, and an impaired or reduced safety awareness related to Alzheimer's disease and dementia. A care plan, dated 4/22/25, indicated Resident 2 demonstrated inappropriate behaviors which…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-28 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to ensure a resident's oxygen concentrator was turned on to deliver oxygen therapy according to the physician's order and failed to obtain a physician's order for the use of oxygen for 2 of 4 residents reviewed for respiratory care. (Resident 15 and 201) Findings include: 1. During an observation, on 4/21/25 at 1:40 p.m., a staff member walked out of Resident 15's room. Upon entering the room, Resident 15 was observed to be wearing a nasal cannula, but the oxygen concentrator was not turned on. During an observation and interview, on 4/21/25 at 1:47 p.m., Resident 15's oxygen concentrator was turned off. Licensed Practical Nurse (LPN) 6 indicated the oxygen was turned off and it should be turned on. The clinical record for Resident 15 was reviewed on 4/22/25 at 2:01 p.m. The diagnoses included, but were not limited to, a history of Covid 19, chronic respiratory failure with hypoxia, and asthma. A care plan, dated 11/11/23, indicated the resident had a potential for shortness of breath while lying flat related to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-28 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to ensure a medication was labeled with a resident's name in 1 of 2 medication carts and staff signed the narcotic count log during shift change in 2 of 2 narcotic books reviewed for medication storage. (boardwalk south and 200 south) Findings include: 1. During an observation and interview, on 4/22/25 at 10:24 a.m., a Lantus (insulin) injectable pen was observed inside the boardwalk south medication cart, and it was not labeled with the name of the resident. LPN 5 indicated there should have been a name on the insulin pen. 2. The boardwalk south medication cart Narcotic Count Sheet for April 2025 indicated there were missing signatures for the oncoming shift: On 4/4/25, for the night shift. On 4/6/25, for the evening shift. On 4/12/25, for the day and evening shift. The sheet was missing signatures for the off going shift: On 4/4/25, for the night shift. On 4/6/25, for the evening shift. On 4/12/25, for the evening and night shift. 3. The 200 south medication cart Narcotic Count Sheet for April 2025, indicated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-28 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure a resident's medical record was complete and accurately documented related to meal intakes for 1 of 1 resident reviewed for documentation. (Resident 2) Findings include: During an interview, on 4/22/25 at 10:12 a.m., Resident 2 indicated she did not get her lunch meal delivered to her sometimes. The clinical record for Resident 2 was reviewed on 4/23/25 at 10:01 a.m. The diagnoses included, but were not limited to, vitamin deficiency, repeated falls, and muscle weakness. The meal intakes for Resident 2 were reviewed and indicated: On 3/27/25, no lunch intake was documented. On 4/3/25, no lunch intake was documented. On 4/9/25, no lunch intake was documented. On 4/20/25, no lunch intake was documented. On 4/23/25, no lunch intake was documented. During an interview, on 4/24/25 at 11:18 a.m., Licensed Practical Nurse (LPN) 5 indicated meal intakes were charted in the care assist and would pop up in the vitals tab. Meal intakes should be charted before the end of the staff member's shift. If a resident refused a meal,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-04-04 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure the Skilled Nursing Facility Advance Beneficiary Notice of Non-coverage (SNF ABN) options were documented as reviewed with the resident in the Electronic Health Record (EHR) and the resident choose correctly for 2 of 3 residents reviewed for beneficiary notices. (Resident 20 and I) Findings include: 1. The SNF ABN notice for Resident 20 indicated, starting on 2/21/24, the resident may have to pay out of pocket for the care listed which may not meet Medicare requirements. The care included skilled nursing, physical therapy, occupational therapy, speech therapy, labs, X-ray, treatments, and extras as needed. The resident was to make an informed decision about their care. The resident chose Option 3 which indicated the resident did not want the care listed and understood she was not responsible for paying for the care. The resident remained in the facility and continued to receive some of the care listed on the SNF ABN notice. 2. The SNF ABN notice for Resident I indicated, starting on 2/3/24, the resident may have to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-04-04 · tag F0623 — isolated
  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to notify the Office of the State Long-Term Care Ombudsman when a resident was hospitalized for 1 of 3 residents reviewed for hospitalization. (Resident J) Finding includes: The clinical record for Resident J was reviewed on 4/4/24 at 11:35 a.m. The diagnoses included, but were not limited to, a urinary tract infection, urine retention, and obstruction and reflux uropathy (obstruction of urinary flow). A progress note, dated 7/18/23, indicated the resident was sent to the hospital to be evaluated and treated. A progress note, dated 7/30/23, indicated the resident was sent to the hospital to be evaluated and treated. The Electronic Health Record did not include notification to the Office of the State Long-Term Care Ombudsman for Resident J's hospital discharges on 7/18/23 and 7/30/23. During an interview, on 4/2/24 at 4:40 p.m., the Clinical Support Nurse indicated the Ombudsman was not notified of Resident J going out to the hospital on 7/18/23 and 7/30/23. The staff did not know they were required to report to the Ombudsman.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to TRILOGY HEALTH SERVICES — 123 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 39 rows in the source record cover these 29 parties — each is shown once here with every role it holds. Nothing is omitted.

19 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1.5M paid to related parties — landlords or management companies under common ownership — equal to about 14% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IN