Wellbrooke of South Bend
52565 State Road 933, South Bend, IN 46637 · St. Joseph County · (574) 247-7044
70 certified beds, about 47 residents a day · Government - County · Medicare and Medicaid since 2014
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 155824 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 20, 2026, inspectors cited 6 health deficiencies (the Indiana average is 7.2, the national average 9.2).
Of 17 health citations since February 2024, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.31 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.94 of those hours.
40.7% 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.
302/24
502/25
206/25
112/25
604/26
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
1G
0H
0I
Potential for more than minimal harm
12D
3E
1F
Potential for minimal harm
0A
0B
0C
April 20, 2026Standard inspection · 6 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on record review and interview, the facility failed to ensure a resident's dignity was maintained related to a staff member making a disrespectful comment to a resident for 1 of 1 resident reviewed for dignity. The deficient practice was corrected on 2/21/26, prior to the start of the survey, and was therefore past noncompliance. (Resident 34)
- D Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on record review and interview, the facility failed to ensure a resident's legal guardian was informed of a change in treatment related to psychotropic medication for 1 of 5 residents reviewed for unnecessary medications. (Resident 7)
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents received the necessary treatment and services related to medications not administered as ordered for 1 of 5 residents reviewed for unnecessary medications. (Resident 30) The facility also failed to ensure physician's orders were followed related to a resident's compression wraps for 1 of 2 residents reviewed for edema. (Resident 7)
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure pressure ulcer treatment was provided as ordered for 1 of 2 residents reviewed for pressure. (Resident 9)
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure fall interventions were care planned for and/ or in place for a resident with a history of falls for 1 of 1 resident reviewed for accidents. (Resident 34)
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure infection control guidelines were followed related to a nurse touching a resident's medications with ungloved hands during a medication pass observation for 1 of 5 residents observed during medication pass. (Resident 59, LPN 1)
December 11, 2025Complaint inspection · 1 citation
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interviews, and record review, the facility failed to notify a resident's responsible party when a urinary catheter had become dislodged and was replaced, for 1 of 3 residents reviewed for hospice care, (Resident B). Finding Includes:On 12/10/25 at 10:00 A.M., Resident B's clinical record was reviewed. The resident was admitted to the facility from home under hospice services for 6 days of respite care. Diagnoses included but were not limited to degenerative disease of the nervous system, senile degeneration of the brain, dementia, Alzheimer's disease, hypertension, and chronic kidney disease. Resident B's MDS (Minimum Data Set) assessment dated [DATE] for Discharge Assessment, indicated the resident had severe cognitive impairment. The resident had a catheter and was frequently incontinent of bowel. [...]
June 25, 2025Complaint inspection · 2 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a CNA (Certified Nursing Aide) followed the resident's comprehensive care plan regarding fall prevention for 1 of 3 residents reviewed for falls. (Resident B) This resulted in the resident falling to the floor, fracturing both femurs (thigh bones) and required surgical repair of the fractures and hospitalization after the staff member left the resident seated on the side of their bed, without supervision. (Resident B)
- 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.
Inspectors wroteBased an observation, interview and record review, the facility failed to ensure 3 of 5 staff members (CNA 4, 5 and 6) reviewed followed fall protocols after a resident experienced a fall for 1 of 3 residents reviewed for falls. (Resident C)
February 6, 2025Standard inspection · 5 citations
- E Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on interview and record review, the facility failed to have a process for residents to file a grievance anonymously. This had the potential to affect 54 of 54 residents who resided in the facility.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview, the facility failed to serve food in a sanitary manner for 1 of 3 dining rooms observed. This had the potential to affect 9 of 9 residents ate in the dining room.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observations, interviews and record review, the facility failed to proved Activities of Daily Living (ADLs) for a a dependent resident related to shaving for 1 of 4 residents reviewed for ADLs. (Resident 4)
- D Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure coordination of Hospice care and documentation of care provided was maintained in the facility for 1 of 1 residents reviewed for Hospice care. (Resident 21)
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review the facility failed to follow standard precautions during the performance of routine testing of blood glucose and the administration of insulin for 1 of 1 reviewed for infection control. (Resident 21)
February 20, 2024Standard inspection · 3 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, record review, and interview, the facility failed to store food under sanitary conditions, related to foods not tightly sealed, outdated foods, and dirty kitchen equipment, for 1 of 1 kitchen observed. This had the potential to affect all residents who resided in the facility and received food from this dietary kitchen.
- E 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medications were kept in a locked cart when unattended, failed to ensure a medication cart was clean and free from loose medications, failed to put an opened-on date on opened medications, and failed to ensure over the counter medications had resident identifiers, for 2 of 2 medication carts observed. (110 & 100 Hall Medication Carts)
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation and interview, the facility failed to ensure proper infection control practices were implemented, related to lack of changing gloves and handwashing during peri-care for 1 of 1 resident observed for peri-care and failed to ensure that a blood glucose was completed in a sanitary manner for 1 of 1 resident observed for glucometer use. (Residents 31 and 30)
Fire safety inspections
26 fire safety citations on file: 12 on April 20, 2026, 5 on February 6, 2025, 9 on February 20, 2024.
Every fire safety citation26 citations
- F Conduct testing and exercise requirements.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Install an approved automatic sprinkler system.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Have properly installed electrical wiring and gas equipment.
- E Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
- D Install corridor and hallway doors that block smoke.
- C Implement emergency and standby power systems.
- C Have generator or other power source capable of supplying service within 10 seconds.
- F Conduct testing and exercise requirements.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have proper medical gas storage and administration areas.
- E Have properly located and lighted "Exit" signs.
- E Provide properly protected cooking facilities.
- F Address subsistence needs for staff and patients.
- F Establish staff and initial training requirements.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Use approved construction type or materials.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Ensure proper usage of power strips and extension cords.
- C Have simulated fire drills held at unexpected times.
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.
| Measure | This home | Indiana | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.31 | 3.69 | 3.86 |
| Registered nurses | 0.94 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.82 | 3.25 | 3.42 |
| Nurse aides | 2.36 | ||
| Licensed practical nurses | 1.01 | ||
| Nursing staff turnover (share who left in a year) | 40.7% | 45.9% | 45.8% |
| Registered nurse turnover | 38.5% | 40.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.44 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 4.51 on weekdays and 3.82 on weekends, 15% 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 4.10 in April to June 2025 to 4.31 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.31 | 0.94 | 4.51 | 3.82 | 0.0% | 0 of 90 | 47 |
| Oct to Dec 2025 | 4.09 | 1.00 | 4.27 | 3.62 | 0.0% | 0 of 92 | 47 |
| Jul to Sep 2025 | 4.04 | 1.02 | 4.26 | 3.48 | 0.0% | 0 of 92 | 47 |
| Apr to Jun 2025 | 4.10 | 0.88 | 4.28 | 3.64 | 0.0% | 0 of 91 | 47 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Indiana, Jan to Mar 2026 | 3.63 | 0.62 | 3.80 | 3.19 | 3.4% | 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.
Official wage estimates for Indiana
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Indiana, all employers | |||
| CNAs (nursing assistants) | $18.43 | $17.80 to $21.36 | 33,640 |
| LPNs and LVNs | $31.60 | $29.35 to $35.30 | 14,480 |
| Registered nurses | $40.14 | $37.86 to $48.28 | 68,980 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Indiana | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 7.0 | 11.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 10.8 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.0 | 1.2 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.5 | 3.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 37.3 | 13.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.3 | 22.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.3 | 10.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 1.4 | 1.8 |
Owners and operators
Legal business name: HANCOCK REGIONAL HOSPITAL. CMS links this home to Trilogy Health Services, a group of 127 nursing homes averaging 4.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Hancock Regional Hospital | 5% or greater direct ownership interest | Organization | 100% | 07/01/2015 |
| Bond, Maria | Managing control - governing body | Individual | 07/01/2021 | |
| Clark, Timothy | Managing control - governing body | Individual | 05/01/2015 | |
| Daugherty, Joshua | Managing control - governing body | Individual | 01/01/2020 | |
| Felker, Dean | Managing control - governing body | Individual | 05/01/2015 | |
| Joyner, Sara | Managing control - governing body | Individual | 01/01/2022 | |
| Miller, James | Managing control - governing body | Individual | 12/31/2023 | |
| Willard, Lacey | Managing control - governing body | Individual | 07/01/2022 | |
| Wilson, Roy | Managing control - governing body | Individual | 05/01/2015 | |
| Long, Steven | Corporate officer | Individual | 07/01/2015 | |
| Lcs South Bend LLC | Operational/managerial control | Organization | 07/01/2015 | |
| Trilogy Management Services LLC | Operational/managerial control | Organization | 07/01/2015 | |
| Dupre, Matthew | Operational/managerial control | Individual | 04/15/2025 | |
| Long, Steven | Operational/managerial control | Individual | 06/13/2022 | |
| Steinhaus, Karl | Operational/managerial control | Individual | 03/20/2023 | |
| Barney, Leigh | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 08/01/2025 | |
| Davis, David | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 08/01/2025 | |
| Bond, Maria | Trustee of the SNF | Individual | 07/01/2021 | |
| Clark, Timothy | Trustee of the SNF | Individual | 05/01/2015 | |
| Daugherty, Joshua | Trustee of the SNF | Individual | 01/01/2020 | |
| Felker, Dean | Trustee of the SNF | Individual | 05/01/2015 | |
| Joyner, Sara | Trustee of the SNF | Individual | 01/01/2022 | |
| Miller, James | Trustee of the SNF | Individual | 12/31/2023 | |
| Willard, Lacey | Trustee of the SNF | Individual | 07/01/2022 | |
| Wilson, Roy | Trustee of the SNF | Individual | 05/01/2015 | |
| American Healthcare Reit Holdings LP | Adp of the SNF | Organization | 12/01/2015 | |
| American Healthcare Reit Inc | Adp of the SNF | Organization | 10/01/2018 | |
| Continental Merger Sub LLC | Adp of the SNF | Organization | 10/01/2021 | |
| Gahc3 Trilogy Jv LLC | Adp of the SNF | Organization | 12/01/2015 | |
| Gahc4 Trilogy Jv LLC | Adp of the SNF | Organization | 10/01/2018 | |
| Paragon Outpatient Rehabilitation Services LLC | Adp of the SNF | Organization | 12/01/2015 | |
| Trilogy Investors LLC | Adp of the SNF | Organization | 12/01/2015 | |
| Trilogy Real Estate Investment Trust | Adp of the SNF | Organization | 12/01/2015 | |
| Trilogy Reit Holdings LLC | Adp of the SNF | Organization | 12/01/2015 | |
| Welltower Inc | Adp of the SNF | Organization | 12/01/2015 | |
| Dupre, Matthew | Adp of the SNF | Individual | 04/15/2025 | |
| Steinhaus, Karl | Adp of the SNF | Individual | 03/20/2023 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on April 20, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on April 20, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on April 20, 2026: "Provide and implement an infection prevention and control program."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on February 6, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Other nursing homes nearby
- Holy Cross Village at Notre Dame Inc Notre Dame, 1.3 mi · 3 of 5 stars · 14 citations
- Healthwin Health & Rehabilitation South Bend, 1.6 mi · 2 of 5 stars · 34 citations
- Milton Home, the South Bend, 2 mi · 5 of 5 stars · 15 citations
- Majestic Care of South Bend South Bend, 2.1 mi · 1 of 5 stars · 53 citations
- Cardinal Nursing and Rehabilitation Center South Bend, 2.3 mi · 5 of 5 stars · 13 citations
- Holy Cross Rehabilitation and Wellness South Bend, 2.3 mi · 2 of 5 stars · 26 citations
- Brickyard Healthcare - Fountainview Care Center Mishawaka, 3.2 mi · 2 of 5 stars · 45 citations
- West Woods of Niles Niles, 3.5 mi · 1 of 5 stars · 43 citations
Indiana contacts for a concern about a nursing home
These are the official offices in Indiana. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Indiana Department of Health, Division of Long-Term Care, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Indiana Long-Term Care Ombudsman Program, 800-622-4484. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Indiana Department of Health, Nursing Home Report Cards, where Indiana publishes its own records on licensed homes.
Common questions
- What is Wellbrooke of South Bend's Medicare star rating?
- CMS rates Wellbrooke of South Bend 4 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Wellbrooke of South Bend get at its last inspection?
- 6 health deficiencies at the standard inspection on April 20, 2026. The Indiana average is 7.2.
- Has Wellbrooke of South Bend been fined?
- CMS lists no fines in the last three years.
- Does Wellbrooke of South Bend 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 South Bend?
- CMS lists 37 owners and managers, and links the home to Trilogy Health Services. Legal business name: HANCOCK REGIONAL HOSPITAL.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.