The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
WELLBROOKE OF SOUTH BEND
SOUTH BEND, IN · Medicare-certified · 70 beds
In good standing
For-profitChain member
3 of 5 overall
WELLBROOKE OF SOUTH BEND has an overall 3 out of 5 stars, with strong staffing (4 stars) and quality measures (5 stars) but a weaker health inspection score (2 stars). Reported nurse staffing is 4.09 hours per resident per day, just below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.0902 hrs/resident/day
Quality measures
Last inspection: December 11, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0902.
Staffing detail
- Registered nurses
- 1.00
- Licensed practical nurses
- 0.83
- Nurse aides
- 2.27
- Weekend nursing
- 3.62
Hours per resident per day.
Total staff turnover: 34%
Registered nurse turnover: 30%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—37.7%—
Residents with a fall causing major injury
14.3%9.5%Improving
Residents with pressure ulcers (bedsores)
0%2.7%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
—1.6%—
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
—7%—
Long-stay residents on antianxiety or sleep medication
—15.4%—
Short-stay residents newly given an antipsychotic
1.6%0.8%Improving
Residents with a long-term catheter
—0%—
Residents with new or worsening incontinence
—23.2%—
Residents with depressive symptoms
0%9.5%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—99%—
Short-stay residents given the pneumonia vaccine
98.4%98.9%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited February 2025 — limited pattern, potential for harm.
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F-Tag 550 — 42 CFR §483.10(a) — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited February 2024 — limited pattern, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited December 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of TRILOGY HEALTH SERVICES · 124 homes · 4.2 stars avg
- Occupancy
- 46.9 residents on an average day (67% of 70 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 11 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.