Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around October 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Wellbrooke Of Crawfordsville during CMS and state inspections, most recent first.
The facility failed to ensure proper handwashing practices during dining observations, affecting all residents who ate meals from the kitchen. Staff members were observed washing hands inadequately, either for less than 20 seconds or without using paper towels to turn off faucets, before serving food to residents. This was contrary to the facility's hand hygiene policy, as confirmed by interviews with staff.
The facility did not ensure that resolutions to concerns raised by the Resident Council were communicated back to them. A resident reported that department managers did not attend meetings to discuss grievances. Meeting minutes showed unresolved issues in nursing, maintenance, and dietary departments. The Activity Director documented concerns but rarely received responses, and the Executive Director confirmed that resolutions were not communicated back to the council as per policy.
The facility failed to conduct quarterly care plan meetings for three residents, leading to a deficiency in care planning. A resident's family member and two residents reported not recalling recent meetings, and records confirmed missing documentation for required meetings. Facility staff were aware of the backlog and had initiated an audit action plan to address the issue.
A resident with dementia and dysphasia experienced a significant weight loss of 9.3% over 30 days, which the facility failed to address. Despite care plans indicating the resident was at risk for malnutrition, the weight loss was not documented or acted upon. Staff interviews revealed discrepancies in intake records and dietician assessments, and the facility's weight tracking policy was not followed.
A facility failed to properly label medications on a medication cart, with undated and opened insulin medications found for two residents. An insulin pen with an incomplete label was also discovered, lacking essential information. Interviews revealed that the medications should have been dated when opened, but the facility's policy was not followed.
Improper Handwashing Practices Observed in Dining Area
Penalty
Summary
The facility failed to ensure proper handwashing practices during two dining observations, which had the potential to affect all 53 residents who consumed meals from the kitchen. During the first observation, multiple staff members, including a dietary services assistant and an activity associate, were seen washing their hands inadequately. They either washed their hands for less than the recommended 20 seconds or failed to use a paper towel to turn off the faucet, instead using their bare hands. This improper technique was observed as they returned to the kitchen and served food to residents, potentially compromising food safety. In the second observation, similar handwashing deficiencies were noted. Staff members continued to wash their hands for insufficient durations and touched faucet handles with bare hands, contrary to the facility's hand hygiene policy. Interviews with a Certified Residential Medication Aide and a Registered Nurse confirmed that staff were expected to use paper towels to turn off faucets to prevent recontamination. The Director of Nursing provided the facility's hand hygiene policy, which outlined the correct procedure, indicating a failure in adherence to established guidelines.
Failure to Communicate Resolutions to Resident Council
Penalty
Summary
The facility failed to ensure that resolutions to concerns voiced by the Resident Council were communicated back to the council. During an interview, a resident indicated that department managers or other staff members had not attended Resident Council meetings to discuss grievances. The review of the Resident Council Meeting Minutes revealed that concerns related to nursing, maintenance, and dietary departments lacked documented responses from the respective departments. The Activity Director stated that she documented the Resident Council's concerns and placed them in the mailboxes of the appropriate department directors, but rarely received responses. The Executive Director confirmed that staff would only attend Resident Council meetings if invited and that grievances were documented and forwarded to department directors for resolution. However, the resolutions were not communicated back to the Resident Council as required by the facility's policy.
Failure to Conduct Quarterly Care Plan Meetings
Penalty
Summary
The facility failed to conduct care plan meetings at least quarterly for three residents, leading to a deficiency in care planning. Resident 34's daughter-in-law reported not recalling any quarterly care plan meetings over the past year. The resident's records confirmed a lack of documentation for meetings between July 2023 and May 2024, despite the resident having severe cognitive deficits. Similarly, Resident 23, who was cognitively intact, could not remember attending a recent care plan meeting, and records showed no meetings between August 2023 and May 2024. Resident 1, also cognitively intact, reported not being invited to recent meetings, with records lacking documentation of meetings from July 2023 to May 2024. Interviews with facility staff revealed awareness of the backlog in conducting quarterly care plan meetings. The Social Service Director, hired in November 2023, acknowledged the delay and was working to catch up. The Regional MDS Support confirmed the facility identified the issue in January 2024 and initiated an audit action plan, which was still ongoing. The Director of Nursing provided a policy document indicating that meetings should occur quarterly, highlighting the facility's failure to adhere to its guidelines.
Failure to Address Significant Weight Loss in Resident
Penalty
Summary
The facility failed to address a significant weight loss in a resident, identified as Resident 34, who experienced a weight loss of 9.3% over a 30-day period. The resident's medical history included unspecified dementia and dysphasia, which required supervision with eating. Despite a care plan indicating the resident was at risk for malnutrition and had impaired swallowing, the facility did not document or act upon the weight loss when it occurred. The resident's weight dropped from 129.8 pounds to 121 pounds between May 5 and June 5, 2024, but there was no documentation of this weight loss being identified or addressed in the resident's records. Interviews with facility staff revealed uncertainty about why the weight loss was not addressed, with discrepancies noted between actual intake records and dietician assessments. The facility's policy required notification of significant weight variances, but this was not followed in the case of Resident 34. The facility's guidelines for weight tracking were not adhered to, as the resident's significant weight loss was not documented or acted upon in a timely manner, leading to a deficiency in the care provided to the resident.
Improper Medication Labeling and Storage
Penalty
Summary
The facility failed to ensure proper labeling of medications for one of the two medication carts observed during a survey. During an observation, it was found that the 200-hall medication cart contained undated and opened insulin medications labeled for specific residents. Specifically, a Humalog insulin for one resident and a Lantus insulin for another were found without dates indicating when they were opened. Additionally, a Lantus insulin pen was found with an incomplete label, missing the resident's full name, room number, and date of opening, with only a handwritten first name present. Interviews with the LPN and DON revealed that the insulins should have been dated when opened, and the incomplete label on the insulin pen was due to it being pulled from the MedBank tower. However, there was no record of when it was pulled or opened, and the system did not log the removal of the insulin pen for the third resident. The facility's policy requires medications to be dated when the manufacturer's seal is broken, but this was not adhered to, leading to the deficiency.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Crawfordsville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hickory Creek At Crawfordsville | 1.3 mi | — | 2 | 0 |
| Lane House, The | 1.8 mi | — | 4 | 1 |
| Ben Hur Health And Rehabilitation | 3 mi | — | 2 | 0 |
| Majestic Care Of Lafayette | 22.6 mi | — | 4 | 0 |
| Homewood Health Campus | 22.7 mi | — | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.