Wellbrooke of South Bend
52565 State Road 933 · South Bend, IN · 46637 · 5742477044
70 certified beds Government - County Chain: Trilogy Health Services
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.09 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.00 | 0.55–0.75 |
| Weekend hours / resident-day | 3.62 | ≈ weekday level |
| Nursing turnover / year | 34% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (17 in the current record)
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Potential for harm · D April 20, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 21, 2026 · Resident Rights
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Potential for harm · D April 20, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected May 6, 2026 · Resident Rights
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Potential for harm · D April 20, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 6, 2026 · Quality of Life and Care
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Potential for harm · D April 20, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 6, 2026 · Quality of Life and Care
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Potential for harm · D April 20, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 6, 2026 · Quality of Life and Care
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Potential for harm · D April 20, 2026
Provide and implement an infection prevention and control program.
Corrected May 6, 2026 · Infection Control
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Potential for harm · D December 11, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 19, 2025 · Resident Rights
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Actual harm · G June 25, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 2, 2025 · Quality of Life and Care
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Potential for harm · D June 25, 2025 · found via complaint
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.
Corrected July 2, 2025 · Nursing and Physician Services
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Potential for harm · E February 6, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 7, 2025 · Resident Rights
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Potential for harm · D February 6, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 7, 2025 · Quality of Life and Care
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Potential for harm · E February 6, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 7, 2025 · Nutrition and Dietary
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Potential for harm · D February 6, 2025
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.
Corrected March 7, 2025 · Administration
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Potential for harm · D February 6, 2025
Provide and implement an infection prevention and control program.
Corrected March 7, 2025 · Infection Control
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Potential for harm · E February 20, 2024
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.
Corrected March 8, 2024 · Pharmacy Service
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Potential for harm · F February 20, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 8, 2024 · Nutrition and Dietary
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Potential for harm · D February 20, 2024
Provide and implement an infection prevention and control program.
Corrected March 8, 2024 · Infection Control
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 155824 · certified since September 9, 2014. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.