Federal inspection record · CMS data as of October 1, 2026
Wellbrooke Of Westfield
937 E 186th Street, Westfield, IN · (317) 804-8044
- CMS high-performer trophy
- Certified beds
- 70
- Residents per day
- 49
- Ownership
- For-Profit
- Chain
- Trilogy Health Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 18, 2013
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Indiana.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Indiana homes
Wellbrooke Of Westfield carries 17 inspection points. That is fewer than 79% of Indiana's 504 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Indiana: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–24 pts
- 3★ 24–42 pts
- 2★ 42–72 pts
- 1★ over 72 pts
Bars show every rated home in Indiana by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
19 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning4D
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Quality of Life and Care4D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service4E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Rights3D
- D
Keep residents' personal and medical records private and confidential.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Administration1D
- D
Employ staff that are licensed, certified, or registered in accordance with state laws.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Freedom from Abuse, Neglect, and Exploitation1E
- E
Protect each resident from the wrongful use of the resident's belongings or money.
Inspection history
2026-03-17
2 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2025-04-28
6 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2024-04-04
11 health deficiencies · 9 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 22 min of nursing staff time a day, 47 min of it from a registered nurse.
This home
4 h 22 min
Indiana average
3 h 44 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 52% of nursing staff and 40% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.5 pts better | 0 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 1.2 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.4 pts worse | 92.3% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.4 pts better | 97.5% | 95.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1 pts better | 2.8% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms22.5 pts better | 3.0% | 25.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight2 pts worse | 7.3% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication9.8 pts better | 13.7% | 23.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.8 pts better | 9.9% | 13.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.8 pts better | 2.3% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.4 pts better | 2.4% | 10.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts better | 0.0% | 1.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.8 pts worse | 23.2% | 22.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.5 pts better | 1.0% | 3.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.2 pts worse | 78.7% | 81.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.5 pts better | 8.4% | 10.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts better | 0.4% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.4 pts better | 85.6% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.6 pts better | 20.2% | 21.8% | 23.4% |
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Who owns and runs it
39 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Hancock Regional Hospital | 5% Or Greater Direct Ownership Interest · Organization | 100% | 27 facilities |
| American Healthcare Reit Holdings LP | Adp Of The SNF · Organization | 0% | 77 facilities |
| American Healthcare Reit Inc | Adp Of The SNF · Organization | 0% | 78 facilities |
| Bond, Maria | Managing Control - Governing Body · Individual | 0% | 27 facilities |
| Bond, Maria | Trustee Of The SNF · Individual | 0% | 27 facilities |
| Clark, Timothy | Managing Control - Governing Body · Individual | 0% | 27 facilities |
| Clark, Timothy | Trustee Of The SNF · Individual | 0% | 27 facilities |
| Continental Merger Sub LLC | Adp Of The SNF · Organization | 0% | 100 facilities |
| Daugherty, Joshua | Managing Control - Governing Body · Individual | 0% | 27 facilities |
| Daugherty, Joshua | Trustee Of The SNF · Individual | 0% | 27 facilities |
| Felker, Dean | Managing Control - Governing Body · Individual | 0% | 27 facilities |
| Felker, Dean | Trustee Of The SNF · Individual | 0% | 27 facilities |
| Gahc3 Trilogy Jv LLC | Adp Of The SNF · Organization | 0% | 78 facilities |
| Gahc4 Trilogy Jv LLC | Adp Of The SNF · Organization | 0% | 78 facilities |
| Hashmi, Syed | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Hashmi, Syed | Adp Of The SNF · Individual | 0% | 7 facilities |
| Joyner, Sara | Managing Control - Governing Body · Individual | 0% | 27 facilities |
| Joyner, Sara | Trustee Of The SNF · Individual | 0% | 27 facilities |
| Lcs Westfield LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Long, Steven | Managing Control - Governing Body · Individual | 0% | 27 facilities |
| Long, Steven | Operational/Managerial Control · Individual | 0% | 27 facilities |
| Miller, Maggie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Miller, Maggie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Ms Westfield LP | Adp Of The SNF · Organization | 0% | 1 facilities |
| Paragon Outpatient Rehabilitation Services LLC | Adp Of The SNF · Organization | 0% | 61 facilities |
| Trilogy Healthcare Holdings Inc | Adp Of The SNF · Organization | 0% | 31 facilities |
| Trilogy Investors LLC | Adp Of The SNF · Organization | 0% | 77 facilities |
| Trilogy Management Services LLC | Adp Of The SNF · Organization | 0% | 124 facilities |
| Trilogy Opco LLC | Adp Of The SNF · Organization | 0% | 25 facilities |
| Trilogy Pro Services LLC | Adp Of The SNF · Organization | 0% | 24 facilities |
| Trilogy Propco Ii LLC | Adp Of The SNF · Organization | 0% | 17 facilities |
| Trilogy Propco Master Tenant Iii LLC | Adp Of The SNF · Organization | 0% | 12 facilities |
| Trilogy Property Holdings LLC | Adp Of The SNF · Organization | 0% | 43 facilities |
| Trilogy Real Estate Investment Trust | Adp Of The SNF · Organization | 0% | 78 facilities |
| Trilogy Reit Holdings LLC | Adp Of The SNF · Organization | 0% | 78 facilities |
| Willard, Lacey | Managing Control - Governing Body · Individual | 0% | 27 facilities |
| Willard, Lacey | Trustee Of The SNF · Individual | 0% | 27 facilities |
| Wilson, Roy | Managing Control - Governing Body · Individual | 0% | 27 facilities |
| Wilson, Roy | Trustee Of The SNF · Individual | 0% | 27 facilities |
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Fire safety
10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Have an alternate power supply for its alarm system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
Gas, Vacuum, and Electrical Systems2F
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Emergency Preparedness1F
- F
Implement emergency and standby power systems.
Services1F
- F
Meet other general requirements that are deficient.
Egress1E
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
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Other homes nearby
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Maple Park Village
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
- 3 h 27 min
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- $0
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Bridgewater Healthcare Center
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- Nursing / resident / day
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Copper Trace Health & Living Community
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
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