Wesley Manor Health Center
1555 N Main St., Frankfort, IN 46041 · Clinton County · (765) 659-1811
96 certified beds, about 90 residents a day · Non profit - Corporation · Medicare and Medicaid since 1998
Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 155658 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 21, 2026, inspectors cited 2 health deficiencies (the Indiana average is 7.2, the national average 9.2).
Of 11 health citations since September 2023, 3 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $20,826 in the last three years; the largest was $20,826, and the latest is dated June 18, 2024.
Nurses and nurse aides worked 3.64 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.52 of those hours.
33.3% of nursing staff left within the year CMS measured (Indiana average 45.9%).
CMS links it to Bhi Senior Living, an affiliated group of 9 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.
109/23
506/24
206/25
112/25
205/26
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 11 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
8D
0E
0F
Potential for minimal harm
0A
0B
0C
May 21, 2026Standard inspection · 2 citations
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure an Interdisciplinary Team (IDT) assessment, physician's order, and care plan related to the self-administration of medications was obtained prior to the self-administration of medications for 1 of 1 resident reviewed for self-medication administration. (Resident 7)
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a physician's order for the administration of oxygen was followed for 1 of 2 residents reviewed for respiratory care. (Resident 7)
December 11, 2025Complaint inspection · 1 citation
- G 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 interview and record review, the facility failed to ensure a foley catheter placement was documented and follow-up assessments were completed after a change in urine characteristics were observed for 1 of 3 residents reviewed for catheters. (Resident B) This deficient practice resulted in Resident B being admitted to the hospital with urethral trauma.
June 3, 2025Standard inspection · 2 citations
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on interview and record review, the facility failed to ensure there was documentation the bed hold policy was provided to a resident for 1 of 3 residents reviewed for discharge. (Resident 81) The deficient practice was corrected on 5/21/25, prior to the start of the survey, and was therefore past noncompliance.
- 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 the physician's orders for peritoneal dialysis were followed for 1 of 1 resident reviewed for dialysis. (Resident 50)
June 18, 2024Standard inspection · 5 citations
- G Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a consent with the identified medical reason for the use of a restraint was completed at the initiation of the restraint, to establish a time frame for continuing the use of the restraint and to establish how the restraint would be decreased and discontinued for 1 of 1 resident reviewed for restraints. (Resident 70) This deficient practice resulted in Resident C having three (3) falls with major injuries while using the restraint, had 3 emergency room evaluations and was diagnosed with nasal fractures, lacerations to her face which required sutures, and a laceration to her upper lip which required sutures.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on interview and record review, the facility failed to ensure a thorough investigation was completed to include staff interviews after an injury of unknown source was identifed for 1 of 5 residents reviewed for accidents. (Resident 34)
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, interview and record review, the facility failed to cue and assist a resident during lunch according to the plan of care and to assess/reweigh a resident for a significant weight change for 1 of 4 residents reviewed for nutrition. (Resident 45)
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on interview and record review, the facility failed to provide documentation to show the resident specific psychosis/behaviors which were used as the rationale for declining a gradual dose reduction (GDR) of an antipsychotic for 1 of 5 residents reviewed for unnecessary medications. (Resident 38)
- D 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 employee meals were not stored in the nutrition refrigerator, failed to ensure items were dated with open dates and labeled with a name, and failed to ensure thermometers were in the refrigerator/freezers for 3 of 10 nutritional and unit refrigerators observed for safe and sanitary conditions.
September 28, 2023Complaint inspection · 1 citation
- 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 protect a resident from injury while walking with the resident from the bathroom to the resident's recliner without using a gait belt for 1 of 3 residents reviewed for accidents. (Resident B) Resident B fell and hit their head resulting in a laceration which was treated with staples and an interval development of a right frontoparietal convexity subdural hematoma (a blood vessel in the space between the skull and the brain was damaged).
Fire safety inspections
7 fire safety citations on file: 3 on May 21, 2026, 3 on June 3, 2025, 1 on June 18, 2024.
Every fire safety citation7 citations
- F Have simulated fire drills held at unexpected times.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Provide properly sized and located linen or trash receptacles.
- F Have simulated fire drills held at unexpected times.
- E Provide properly protected cooking facilities.
- E Install corridor and hallway doors that block smoke.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| June 18, 2024 | Fine | $20,826 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.64 | 3.69 | 3.86 |
| Registered nurses | 0.52 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.22 | 3.25 | 3.42 |
| Nurse aides | 2.19 | ||
| Licensed practical nurses | 0.93 | ||
| Nursing staff turnover (share who left in a year) | 33.3% | 45.9% | 45.8% |
| Registered nurse turnover | 10.0% | 40.3% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.85 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 3.81 on weekdays and 3.22 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 3.67 in April to June 2025 to 3.64 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 | 3.64 | 0.52 | 3.81 | 3.22 | 0.0% | 0 of 90 | 90 |
| Oct to Dec 2025 | 3.41 | 0.44 | 3.51 | 3.15 | 0.0% | 0 of 92 | 89 |
| Jul to Sep 2025 | 3.45 | 0.47 | 3.63 | 3.00 | 0.0% | 0 of 92 | 92 |
| Apr to Jun 2025 | 3.67 | 0.47 | 3.84 | 3.24 | 0.0% | 0 of 91 | 86 |
| 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 | 36.5 | 11.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.7 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.6 | 1.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.9 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 27.6 | 11.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.2 | 3.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 2.3 | 13.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 10.2 | 22.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.7 | 10.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.8 | 1.4 | 1.8 |
Owners and operators
Legal business name: WOODLAWN HOSPITAL. CMS links this home to Bhi Senior Living, a group of 9 nursing homes averaging 4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Woodlawn Hospital | 5% or greater direct ownership interest | Organization | 100% | 04/08/2013 |
| Bode, Glen | Managing control - governing body | Individual | 12/09/2022 | |
| Chudzynski, Kendra | Managing control - governing body | Individual | 10/15/2024 | |
| Heyde, Alison | Managing control - governing body | Individual | 09/09/2019 | |
| Johnson, Terri | Managing control - governing body | Individual | 06/13/2022 | |
| Mellinger, Gregory | Managing control - governing body | Individual | 06/13/2022 | |
| Webb, Harry | Managing control - governing body | Individual | 10/15/2023 | |
| Fisher, Alan | Corporate officer | Individual | 06/13/2022 | |
| Wesley Manor Inc. | Operational/managerial control | Organization | 02/01/2012 | |
| Fisher, Alan | Operational/managerial control | Individual | 06/13/2022 | |
| Mustaklem, Marwan | Operational/managerial control | Individual | 07/10/2023 | |
| Waymire, Gary | Operational/managerial control | Individual | 07/12/2021 | |
| Bloomstrom, John | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/07/2025 | |
| Caldwell, Jeffrey | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 05/09/2025 | |
| Dalton, Douglass | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/07/2025 | |
| Dattilo, John | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/07/2025 | |
| Ellis, Brian | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/07/2025 | |
| Jones, L. Dean | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/07/2025 | |
| Kelly, Beth | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/07/2025 | |
| Koselke, Elizabeth | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/08/2025 | |
| Meredith, Wendy | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/08/2025 | |
| Miller, Roger | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/08/2025 | |
| Richardson, Jane | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/08/2025 | |
| Robbins, Fred | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/08/2025 | |
| Seigel, Jane | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/08/2025 | |
| Terp, Jeffrey | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/08/2025 | |
| Weideman II, Roger | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/08/2025 | |
| Bode, Glen | Trustee of the SNF | Individual | 12/09/2022 | |
| Chudzynski, Kendra | Trustee of the SNF | Individual | 10/15/2024 | |
| Heyde, Alison | Trustee of the SNF | Individual | 09/09/2019 | |
| Johnson, Terri | Trustee of the SNF | Individual | 06/13/2022 | |
| Mellinger, Gregory | Trustee of the SNF | Individual | 06/13/2022 | |
| Webb, Harry | Trustee of the SNF | Individual | 10/15/2023 | |
| Bhi Retirement Communities Inc | Adp of the SNF | Organization | 02/01/2012 | |
| Bhi Senior Living, Inc. | Adp of the SNF | Organization | 02/01/2012 | |
| Wesley Manor Inc. | Adp of the SNF | Organization | 02/01/2012 | |
| Woodlawn Hospital | Adp of the SNF | Organization | 03/12/2025 | |
| Mustaklem, Marwan | Adp of the SNF | Individual | 07/10/2023 | |
| Waymire, Gary | Adp of the SNF | Individual | 07/12/2021 |
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 May 21, 2026: "Provide safe and appropriate respiratory care for a resident when needed."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on May 21, 2026: "Allow residents to self-administer drugs if determined clinically appropriate."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on June 18, 2024: "Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on June 18, 2024: "Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.22 hours per resident per day, below the Indiana average of 3.25.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Clinton House Rehabilitation and Healthcare Center Frankfort, 1.7 mi · 4 of 5 stars · 27 citations
- Mulberry Health & Rehabilitation Center Mulberry, 9.2 mi · 5 of 5 stars · 10 citations
- Milner Community Health Care Rossville, 9.3 mi · 4 of 5 stars · 12 citations
- Homewood Health Campus Lebanon, 15.3 mi · 2 of 5 stars · 35 citations
- Signature Healthcare at Parkwood Lebanon, 16.7 mi · 5 of 5 stars · 21 citations
- Creasy Springs Health Campus Lafayette, 18.5 mi · 3 of 5 stars · 33 citations
- Majestic Care of Sheridan Sheridan, 18.7 mi · 5 of 5 stars · 8 citations
- Waters of Lebanon, the Lebanon, 19.6 mi · 1 of 5 stars · 31 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 Wesley Manor Health Center's Medicare star rating?
- CMS rates Wesley Manor Health Center 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Wesley Manor Health Center get at its last inspection?
- 2 health deficiencies at the standard inspection on May 21, 2026. The Indiana average is 7.2.
- Has Wesley Manor Health Center been fined?
- Yes. CMS lists 1 fine totaling $20,826 in the last three years.
- Does Wesley Manor Health Center 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 Wesley Manor Health Center?
- CMS lists 39 owners and managers, and links the home to Bhi Senior Living. Legal business name: WOODLAWN 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.