Bethany Village
3518 S Shelby St., Indianapolis, IN 46227 · Marion County · (317) 783-4042
100 certified beds, about 87 residents a day · For profit - Corporation · Medicare and Medicaid since 1984
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 155237 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 8, 2025, inspectors cited 6 health deficiencies (the Indiana average is 7.2, the national average 9.2).
None of its 20 health citations since September 2023 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 3.41 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.50 of those hours.
59.6% of nursing staff left within the year CMS measured (Indiana average 45.9%).
CMS links it to American Senior Communities, an affiliated group of 90 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.
209/23
312/23
709/24
101/25
107/25
609/25
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 20 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
4E
1F
Potential for minimal harm
0A
0B
0C
September 8, 2025Standard inspection · 6 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, interview, and record review, the facility failed to ensure foods were served in a sanitary and safe manner for 2 of 3 kitchen observations. Staff hair was not covered while in the kitchen food preparation area. (Dietary Aide 7 and Dietary Aide 8)
- E 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 potentially hazardous materials were kept secured and behind locked doors to prevent resident's access to the materials potentially affecting 15 self-mobile cognitively impaired residents for 1 of 1 observation. (Housekeeping/Electrical room)
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on interview and record review, the facility failed to ensure dialysis medical records were shared between the facility and the dialysis center for 2 of 2 residents reviewed for dialysis. (Resident 2 and Resident 13)
- 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure insulin was labeled with an open date for 2 of 2 medication carts of observed. (Rehab Cart, Skilled Cart)
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview and record review, the facility failed to follow the current vaccine administration guidelines for both the influenza and pneumococcal vaccinations for 1 of 5 residents reviewed for vaccinations records. (Resident 10)
- D Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Inspectors wroteBased on interview and record review, the facility failed to follow the current vaccine administration guidelines for Covid-19 vaccinations for 1 of 5 residents reviewed for vaccination records. (Resident 10)
July 24, 2025Complaint inspection · 1 citation
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident's medical record was complete and accurate when the resident discharged against medical advice for 1 of 3 residents reviewed for discharges. (Resident B)
January 28, 2025Complaint inspection · 1 citation
- E Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteBased on interview and record review, the facility failed to ensure the resident trust accounts were safeguarded to prevent misappropriation for 6 of 6 residents reviewed for misappropriation of property. Cash was withdrawn from resident trust accounts and was unaccounted for. (Resident B, Resident C, Resident D, Resident E, Resident F, Resident G)
September 10, 2024Standard inspection, Complaint inspection · 7 citations
- E 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 the facility was free from accident hazards for 1 of 1 observation, potentially affecting 36 of 56 self-mobile residents residing in the facility. A rubber hose used for fish tank maintenance was located on the floor in the middle of a walkway area that was used by the residents. (500 hall)
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure reasonable accommodation of needs for 1 of 8 residents observed. A call light was not within reach. (Resident 86)
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on interview and record review, the facility failed to ensure that written notification was provided to the Office of the State Long-Term Care Ombudsman for 1 of 4 residents reviewed for written transfer and discharge notification. (Resident 39)
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interview and record review, the facility failed to ensure an accurate Minimum Data Set (MDS) assessment was completed for 2 of 4 residents reviewed for accuracy of MDS assessments. Falls were not coded correctly. (Resident 35, Resident 92)
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide services to a resident with an ulcer on her right heel for 1 of 3 residents reviewed for pressure ulcers. (Resident 86)
- 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.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a treatment cart was locked and secured for 1 of 1 random observations. (Memory Care Treatment Cart)
- D Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a homelike atmosphere for 1 of 8 rooms observed for a homelike setting. Drywall was missing. (room [ROOM NUMBER], Resident 86)
December 1, 2023Complaint inspection · 3 citations
- 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide care and services to a resident with a suprapubic catheter (a urinary catheter that is inserted through the skin and advanced to the bladder to drain urine) for 1 of 3 residents reviewed. (Resident C)
- D Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide care and services for a resident that required continuous g-tube (gastric tube that is inserted into the skin and advanced to the stomach used to provide nutrients) feedings for 1 of 2 residents reviewed. (Resident B)
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that a glucometer (machine used to test a resident's blood sugar by blood drop), that was used for multiple residents, was disinfected before entering a resident's room to test the resident's blood sugar for 1 of 1 observations. (Resident B, QMA 1)
September 29, 2023Standard inspection · 2 citations
- E Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to date and label oxygen tubing for 4 of 5 residents reviewed for oxygen. (Resident 148, Resident 63, Resident 36, Resident 146)
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident centered comprehensive care plan was developed for 1 of 3 residents reviewed for wanderguards and 1 of 5 residents reviewed for oxygen therapy. A care plan for wanderguards and C-PAP machine use was not developed. (Resident 78, Resident 83)
Fire safety inspections
19 fire safety citations on file: 6 on September 8, 2025, 6 on September 10, 2024, 7 on September 29, 2023.
Every fire safety citation19 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Install an approved automatic sprinkler system.
- E Have properly installed electrical wiring and gas equipment.
- D Have an externally vented heating system.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Ensure proper usage of power strips and extension cords.
- D Install an approved automatic sprinkler system.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have properly installed electrical wiring and gas equipment.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install an approved automatic sprinkler system.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Install corridor and hallway doors that block smoke.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- C Have simulated fire drills held at unexpected times.
- B Ensure proper usage of power strips and extension cords.
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) | 3.41 | 3.69 | 3.86 |
| Registered nurses | 0.50 | 0.67 | 0.69 |
| All nursing staff on weekends | 2.94 | 3.25 | 3.42 |
| Nurse aides | 2.29 | ||
| Licensed practical nurses | 0.63 | ||
| Nursing staff turnover (share who left in a year) | 59.6% | 45.9% | 45.8% |
| Registered nurse turnover | 68.4% | 40.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.02 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 3.60 on weekdays and 2.94 on weekends, 18% 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 3.35 in April to June 2025 to 3.41 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 | 3.41 | 0.50 | 3.60 | 2.94 | 0.0% | 0 of 90 | 87 |
| Oct to Dec 2025 | 3.29 | 0.41 | 3.45 | 2.89 | 0.0% | 0 of 92 | 85 |
| Jul to Sep 2025 | 3.47 | 0.46 | 3.67 | 2.97 | 0.1% | 1 of 92 | 83 |
| Apr to Jun 2025 | 3.35 | 0.40 | 3.53 | 2.91 | 0.2% | 0 of 91 | 87 |
| 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.
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 | 3.7 | 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 | 0.3 | 1.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.6 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.6 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.2 | 11.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.5 | 3.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.5 | 13.6 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.7 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.4 | 1.8 |
Owners and operators
Legal business name: HENRY COUNTY MEMORIAL HOSPITAL. CMS links this home to American Senior Communities, a group of 90 nursing homes averaging 3.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Henry County Memorial Hospital | 5% or greater direct ownership interest | Organization | 100% | 01/01/2023 |
| Chies, Steven | Managing control - governing body | Individual | 01/01/2023 | |
| Dynes, Sheldon | Managing control - governing body | Individual | 01/01/2013 | |
| Jackson, Blake | Managing control - governing body | Individual | 01/01/2023 | |
| Jackson, Ethan | Managing control - governing body | Individual | 01/01/2023 | |
| Jackson, Mark | Managing control - governing body | Individual | 01/01/2023 | |
| Jackson, Michael | Managing control - governing body | Individual | 05/14/2024 | |
| Jackson, Wessley | Managing control - governing body | Individual | 01/01/2023 | |
| Justice, David | Managing control - governing body | Individual | 01/01/2023 | |
| Kelsey, Donna | Managing control - governing body | Individual | 07/18/2024 | |
| Pidgeon, John | Managing control - governing body | Individual | 01/01/2013 | |
| Shore, Marion | Managing control - governing body | Individual | 01/01/2013 | |
| Stitle, Stephen | Managing control - governing body | Individual | 01/01/2023 | |
| Ware, Deborah | Managing control - governing body | Individual | 08/27/2021 | |
| Wright, Theressa | Managing control - governing body | Individual | 01/01/2023 | |
| American Senior Communities LLC | Operational/managerial control | Organization | 01/01/2023 | |
| Dice, Mark | Operational/managerial control | Individual | 06/01/2023 | |
| Fingers, Holly | Operational/managerial control | Individual | 02/24/2025 | |
| Hafidh, Saad | Operational/managerial control | Individual | 01/01/2023 | |
| Ring, Brian | Operational/managerial control | Individual | 01/01/2023 | |
| Shane, Andrew | Operational/managerial control | Individual | 02/01/2023 | |
| Van Camp, Steven | Operational/managerial control | Individual | 06/01/2023 | |
| Voss, Jennifer | Operational/managerial control | Individual | 12/14/2024 | |
| Dynes, Sheldon | Trustee of the SNF | Individual | 01/01/2013 | |
| Pidgeon, John | Trustee of the SNF | Individual | 01/01/2013 | |
| Shore, Marion | Trustee of the SNF | Individual | 01/01/2013 | |
| Ware, Deborah | Trustee of the SNF | Individual | 08/27/2021 | |
| American Senior Communities LLC | Adp of the SNF | Organization | 03/31/2025 | |
| Henry County Memorial Hospital | Adp of the SNF | Organization | 04/28/2025 | |
| Dice, Mark | Adp of the SNF | Individual | 06/01/2023 | |
| Hafidh, Saad | Adp of the SNF | Individual | 03/18/2025 | |
| Shane, Andrew | Adp of the SNF | Individual | 02/01/2023 | |
| Van Camp, Steven | Adp of the SNF | Individual | 06/01/2023 | |
| Voss, Jennifer | Adp of the SNF | Individual | 03/18/2025 |
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 7 problems in this area, most recently on September 8, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- 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 September 8, 2025: "Develop and implement policies and procedures for flu and pneumonia vaccinations."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on July 24, 2025: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on September 8, 2025: "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."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.94 hours per resident per day, below the Indiana average of 3.25.
Other nursing homes nearby
- Waters of Indianapolis, the Indianapolis, 1.1 mi · 2 of 5 stars · 25 citations
- Fairway Village Indianapolis, 1.4 mi · 5 of 5 stars · 0 citations
- Forest Creek Village Indianapolis, 1.6 mi · 4 of 5 stars · 31 citations
- Brickyard Healthcare - Churchman Care Center Indianapolis, 1.8 mi · 5 of 5 stars · 15 citations
- Altenheim Health & Living Community Indianapolis, 1.9 mi · 4 of 5 stars · 11 citations
- Beech Grove Meadows Beech Grove, 2 mi · 4 of 5 stars · 13 citations
- Envive of Beech Grove Beech Grove, 2.2 mi · 4 of 5 stars · 11 citations
- Majestic Care of Southport Indianapolis, 3.2 mi · 3 of 5 stars · 20 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 Bethany Village's Medicare star rating?
- CMS rates Bethany Village 2 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Bethany Village get at its last inspection?
- 6 health deficiencies at the standard inspection on September 8, 2025. The Indiana average is 7.2.
- Has Bethany Village been fined?
- CMS lists no fines in the last three years.
- Does Bethany Village 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 Bethany Village?
- CMS lists 34 owners and managers, and links the home to American Senior Communities. Legal business name: HENRY COUNTY MEMORIAL 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.