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Wellbrooke of Avon

10307 E County Rd 100 N,, Indianapolis, IN 46234 · Marion County · (317) 273-2144

70 certified beds, about 50 residents a day · For profit - Corporation · Medicare and Medicaid since 2013

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 155811 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 13, 2026, inspectors cited 4 health deficiencies (the Indiana average is 7.2, the national average 9.2).

None of its 17 health citations since February 2024 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.99 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 1.24 of those hours.

30.2% of nursing staff left within the year CMS measured (Indiana average 45.9%).

CMS links it to Trilogy Health Services, an affiliated group of 127 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 17 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
15D
2E
0F
Potential for minimal harm
0A
0B
0C
March 13, 2026Standard inspection · 4 citations
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2026
    Inspectors wroteBased on record review and interview, the facility failed to hold ordered blood pressure medication when a resident's blood pressure was outside prescribed parameters for 1 of 6 residents reviewed (Resident 9) and failed to properly assess a Resident (Resident 96) for their ability to properly manage their own eye drops before they were kept at the bedside for 1 of 24 residents reviewed for medications at bedside.
  2. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2026
    Inspectors wroteBased on observation and interview, the facility failed to refrigerate a medication until opened and failed to date nasal sprays and eye ointment when opened for 1 or 2 medication carts reviewed.
  3. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2026
    Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure proper infection control practices were in place for 2 of 24 residents reviewed for infection control when a resident with a central line (a long, flexible tube inserted into a major vein in the neck, chest, or groin, extending to just above the heart) and a resident with a suprapubic urinary catheter were not in Enhanced Barrier Precautions (EBP) (an infection control strategy designed to reduce the spread of multidrug-resistant organisms (MDROs) in nursing homes) (Residents 2 and 85) and the dressing for the central line was not changed per policy for 1 of 1 resident reviewed for central lines (Resident 2).
  4. D
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2026
    Inspectors wroteBased on observations, interviews and record reviews, the facility failed to ensure essential kitchen equipment and associated systems were maintained in proper working order to prevent the potential contamination for 2 of 2 observations.
March 7, 2025Standard inspection · 5 citations
  1. E
    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
    F711 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 31, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure Medical Providers entered their visit assessments, summaries, and/or progress notes into the resident's medical records timely for facility staff access. Theis deficient practice had the potential to effect of 6 of 13 residents records reviewed, (Residents 1, 9, 12, 14, 16, and 99).
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 31, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to develop and implement a person-centered care plan related to recurrent Urinary Tract Infections (UTI) for a resident (Resident 4) who had seven UTI's in a 12-month period for 1 of 16 residents reviewed for care plans.
  3. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 31, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure appropriate/effective interventions were in place to prevent the development of new open pressure and failed to ensure accurate documentation was detailed in the medical records for 2 of 2 residents reviewed for pressure ulcers (Residents 16 and 24).
  4. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 31, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident (Resident 99) who had a history of falls, had an environment free from the potential for accidents when the rubber threshold of the shower was unattached and loose on the floor for 1 of 3 residents reviewed for accidents.
  5. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 31, 2025
    Inspectors wroteBased on observation and interview, the facility failed to date medications when opened for 1 of 3 medication carts reviewed.
May 24, 2024Complaint inspection · 2 citations
  1. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 14, 2024
    Inspectors wroteBased on record review, and interview, the facility failed to ensure showers were provided for 1 of 1 residents reviewed for bathing preference (Resident B).
  2. D
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    F726 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 14, 2024
    Inspectors wroteBased on record review, interview, and observation, the facility failed to ensure a nurse aide was competent to safely transfer a resident while using a mechanical lift for 2 of 4 residents reviewed for mechanical lifts (Resident B).
February 2, 2024Standard inspection, Complaint inspection · 6 citations
  1. E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 1, 2024
    Inspectors wroteBased on record review and interview, the facility failed to implement complete, person centered care plans for 4 of 4 residents reviewed for advance directive care plans (Residents 19, 26, 33 and 146).
  2. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 1, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident was wearing weather appropriate clothing when leaving the facility for 1 of 2 residents reviewed for dignity (Resident 104).
  3. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 1, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident, (Resident E) received appropriate and timely treatment after a fall with fracture for 1 of 4 residents reviewed for quality of care.
  4. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 1, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a Foley catheter bag (part of a urinary drainage system) was kept off the floor for a resident with a history of urinary tract infections (UTI) for 1 of 3 residents observed for closed urinary drainage system (Resident 39).
  5. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 1, 2024
    Inspectors wroteBased on record review, observation and interview, the facility failed to dispose of a controlled medication after it had expired for a resident (Resident 17) for 1 of 2 medication storage rooms observed.
  6. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 1, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to appropriately assist a resident with eating for 1 or 2 residents observed for assistance with eating (Resident 6) and failed to complete correct hand hygiene during dining services for 2 of 2 dining observations (Resident 6 and 16).

Fire safety inspections

3 fire safety citations on file: 1 on March 13, 2026, 1 on March 7, 2025, 1 on February 2, 2024.

Every fire safety citation3 citations
  1. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · March 13, 2026 · Corrected (the home has a date of correction)
  2. E
    Have proper medical gas storage and administration areas.
    K 923 · March 7, 2025 · Corrected (the home has a date of correction)
  3. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · February 2, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeIndianaUnited States
All nursing staff (RN, LPN and aides)3.993.693.86
Registered nurses1.240.670.69
All nursing staff on weekends3.393.253.42
Nurse aides2.17
Licensed practical nurses0.59
Nursing staff turnover (share who left in a year)30.2%45.9%45.8%
Registered nurse turnover28.6%40.3%42.9%
Administrators who left1

CMS expects 4.43 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.23 on weekdays and 3.39 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.04 in April to June 2025 to 3.99 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.991.244.233.39 0.0%0 of 9050
Oct to Dec 20254.121.304.323.60 0.0%0 of 9249
Jul to Sep 20254.071.304.233.64 0.0%0 of 9249
Apr to Jun 20254.041.234.273.47 0.0%0 of 9147
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Indiana, Jan to Mar 20263.630.623.803.193.4%0.4% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Indiana

JobMedianMiddle halfEmployed
Indiana, all employers
CNAs (nursing assistants)$18.43$17.80 to $21.3633,640
LPNs and LVNs$31.60$29.35 to $35.3014,480
Registered nurses$40.14$37.86 to $48.2868,980
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

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For Wellbrooke of Avon. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeIndianaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
4.311.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.43.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
9.211.914.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
0.03.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
7.013.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
15.022.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
4.310.812.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Wellbrooke of Avon's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (68.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

68.7% this home

Better than the national rate

US median of homes 51.5% · Indiana: 111 better, 7 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 302 eligible stays.

Potentially preventable readmissions

12.8% this home

No different from the national rate

US median of homes 10.7% · Indiana: 0 better, 17 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 307 eligible stays.

Infections that led to a hospital stay

7.2% this home

No different from the national rate

US median of homes 7.1% · Indiana: 0 better, 4 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 181 eligible stays.

Self-care and mobility at discharge

79.1% this home

Median of homes: Indiana60.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 134 residents counted.

Falls with major injury

0.0% this home

Median of homes: Indiana0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 190 residents counted.

New or worsened pressure ulcers

0.9% this home

Median of homes: Indiana1.4% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 190 residents counted.

Medication list given at discharge

100.0% this home

Median of homes: Indiana100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 38 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: PUTNAM COUNTY HOSPITAL. CMS links this home to Trilogy Health Services, a group of 127 nursing homes averaging 4.2 stars overall.

NameRoleTypeShareSince
Putnam County Hospital5% or greater direct ownership interestOrganization100%07/01/2015
Bray, ArnoldManaging control - governing bodyIndividual09/01/2012
Fry, JaniceManaging control - governing bodyIndividual09/01/2012
Headley, MatthewManaging control - governing bodyIndividual09/01/2012
Landry, KeithManaging control - governing bodyIndividual09/01/2020
Lewis, KatrinaManaging control - governing bodyIndividual12/21/2022
Underwood, WendellManaging control - governing bodyIndividual05/20/2024
Weatherford, DennisManaging control - governing bodyIndividual09/18/2012
Wood, MarkManaging control - governing bodyIndividual08/05/2024
Sillery, DebraCorporate directorIndividual01/03/2026
Lcs Avon LLCOperational/managerial controlOrganization07/01/2015
Hashmi, SyedOperational/managerial controlIndividual04/15/2025
Minito, DanielleOperational/managerial controlIndividual06/18/2023
Weatherford, DennisOperational/managerial controlIndividual09/18/2012
Barney, LeighIndividual is an owner, partner or trustee of any ADP of the SNFIndividual10/08/2025
Davis, DavidIndividual is an owner, partner or trustee of any ADP of the SNFIndividual09/19/2025
Bray, ArnoldTrustee of the SNFIndividual09/01/2012
Fry, JaniceTrustee of the SNFIndividual09/01/2012
Headley, MatthewTrustee of the SNFIndividual09/01/2012
Landry, KeithTrustee of the SNFIndividual09/01/2020
Lewis, KatrinaTrustee of the SNFIndividual12/21/2022
Sillery, DebraTrustee of the SNFIndividual01/03/2026
Underwood, WendellTrustee of the SNFIndividual05/20/2024
Wood, MarkTrustee of the SNFIndividual08/05/2024
American Healthcare Reit Holdings LPAdp of the SNFOrganization12/01/2015
American Healthcare Reit IncAdp of the SNFOrganization10/01/2018
Continental Merger Sub LLCAdp of the SNFOrganization10/01/2021
Gahc3 Trilogy Jv LLCAdp of the SNFOrganization12/01/2015
Gahc4 Trilogy Jv LLCAdp of the SNFOrganization10/01/2018
Ms Avon LPAdp of the SNFOrganization12/01/2015
Paragon Outpatient Rehabilitation Services LLCAdp of the SNFOrganization12/01/2015
Trilogy Healthcare Holdings IncAdp of the SNFOrganization09/19/2025
Trilogy Investors LLCAdp of the SNFOrganization12/01/2015
Trilogy Management Services LLCAdp of the SNFOrganization12/01/2015
Trilogy Opco LLCAdp of the SNFOrganization09/19/2025
Trilogy Pro Services LLCAdp of the SNFOrganization09/19/2025
Trilogy Propco II LLCAdp of the SNFOrganization09/19/2025
Trilogy Propco Master Tenant III LLCAdp of the SNFOrganization09/19/2025
Trilogy Property Holdings LLCAdp of the SNFOrganization09/19/2025
Trilogy Real Estate Investment TrustAdp of the SNFOrganization12/01/2015
Trilogy Reit Holdings LLCAdp of the SNFOrganization12/01/2015
Hashmi, SyedAdp of the SNFIndividual04/15/2025
Minito, DanielleAdp of the SNFIndividual06/18/2023

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on March 13, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on March 13, 2026: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
  3. How many nurses and aides work each shift, nights and weekends included?Inspectors cited 2 problems in this area, most recently on March 7, 2025: "Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on March 7, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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Common questions

What is Wellbrooke of Avon's Medicare star rating?
CMS rates Wellbrooke of Avon 5 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Wellbrooke of Avon get at its last inspection?
4 health deficiencies at the standard inspection on March 13, 2026. The Indiana average is 7.2.
Has Wellbrooke of Avon been fined?
CMS lists no fines in the last three years.
Does Wellbrooke of Avon accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Wellbrooke of Avon?
CMS lists 43 owners and managers, and links the home to Trilogy Health Services. Legal business name: PUTNAM COUNTY HOSPITAL.

Sources

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