Westminster Village Health & Rehab
1120 E Davis Dr, Terre Haute, IN 47802 · Vigo County · (812) 232-7533
78 certified beds, about 70 residents a day · Non profit - Corporation · Medicare and Medicaid since 1983
Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 155221 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 28, 2025, inspectors cited 8 health deficiencies (the Indiana average is 7.2, the national average 9.2).
Of 32 health citations since January 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.77 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 1.02 of those hours.
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.
1101/23
803/24
303/25
804/25
103/26
107/26
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 32 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
29D
1E
0F
Potential for minimal harm
0A
0B
1C
July 1, 2026Complaint inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review, the facility failed to ensure that a physician was notified of STAT (immediate) lab results and a resident's change in condition related to low platelet count and increased confusion for 1 of 5 residents reviewed for hospitalization (Resident B).
March 13, 2026Complaint 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 interview and record review, the facility failed to ensure a resident was mechanically transferred safely resulting in harm when a resident had a fall from the mechanical lift and had a left clavicle fracture and laceration to the back of the head for 1 of 3 residents reviewed for falls (Resident C). The deficient practice was corrected by 3/8/26 prior to the start of the survey and was therefore Past Noncompliance.
April 28, 2025Standard inspection · 8 citations
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on record review and interview the facility failed to indicate the full code status of a resident upon admission to the facility according to a POST (physician's order for scope of treatment) form for 1 of 24 records reviewed. (Resident 271)
- D Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Inspectors wroteBased on interview and record review, the facility failed to ensure documentation of a resident's transfer included a progress note with pertinent information that the resident was being transferred to the hospital and the facility failed to ensure report was called to the emergency room for 1 of 1 resident reviewed for hospitalization (Resident 7).
- D Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteBased on record review and interview, the facility failed to ensure the timely transmission of a discharge Minimum Data Set (MDS) assessment for 1 of 21 residents MDS assessments reviewed (Resident 56).
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure Minimum Data Set (MDS) Assessments were coded accurately regarding the residents' dental status for 2 of 21 MDS Assessments reviewed (Residents 11 and 15).
- 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 record review and interview, the facility failed to ensure a care plan related to dementia care and resident specific interventions were implemented for 1 of 2 residents reviewed for dementia care (Resident 20).
- 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 record review, interview, and observation, the facility failed to ensure timely treatment for a urinary tract infection (UTI) (Resident 53) and to ensure Foley catheter (tube inserted into the bladder to drain urine) tubing and drainage bag were not in contact with the floor (Resident 25) for 2 of 2 residents reviewed for catheters.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on record review and interview, the facility failed to address a significant weight discrepancy for 1 of 4 residents reviewed for nutrition (Resident 25).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, record review, and interviews, the facility failed to ensure proper storage of respiratory equipment for 1 of 1 residents reviewed for respiratory care (Resident 2).
March 20, 2025Complaint inspection · 3 citations
- 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 a resident or his responsible party was issued a 30-day notice of transfer or discharge when he was not permitted to return to the facility when the emergency room (ER) determined he did not meet criteria for hospital admission for 1 of 3 residents reviewed for quality of care (Resident B).
- D Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident was allowed to return to the facility after an emergency room (ER) visit due to behaviors once the hospital determined the resident did not meet the criteria for hospital admission for 1 of 3 residents reviewed for quality of care (Resident B).
- D Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident-centered behavior management care plan was developed and interventions were identified and attempted during behavioral episodes prior to the resident being transferred to the emergency room (ER) for behaviors for 1 of 3 residents reviewed for quality of care (Resident B).
March 27, 2024Standard inspection · 8 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview, the facility failed to prepare and serve food in a sanitary manner on 3 of 3 kitchen observations.
- 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 obtain a supporting diagnosis for an indwelling Foley Catheter (a thin, flexible catheter used especially to drain urine from the bladder) for 1 of 3 residents reviewed for catheters (Resident 52).
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on record review and interview, the facility failed to address a significant weight discrepancy for 1 of 2 residents reviewed for nutrition (Resident 1).
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on record review and interview, the facility failed to ensure a post dialysis assessment was completed on 1 of 1 resident reviewed for dialysis (Resident 23).
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on record review and interview, the facility failed to ensure verbal physician's orders were counter signed per pharmacy recommendations for 2 of 5 residents reviewed for unnecessary medications (Resident 37 and 11).
- 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 record review and interview, the facility failed to ensure verbal physician's orders, for psychotropic medications (medications or other substances that affect how the brain works and causes changes in mood, awareness, thoughts, feelings, or behavior) had been signed by the physician for 2 of 5 residents reviewed for unnecessary medications (Resident 47 and 16).
- 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 observations, interviews, and record reviews, the facility failed to ensure medications were stored and labeled properly and the facility failed to ensure expired medications were disposed for 2 of 3 medication carts reviewed for medication storage (Residents 47 and 14).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation and interview, the facility failed to maintain a separation between clean linen, from the soiled linen area for 1 of 1 observation of the laundry area.
January 18, 2023Standard inspection · 11 citations
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents were provided showers as preferred for 1 of 24 residents reviewed for choices (Resident 100).
- D Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Inspectors wroteBased on record review and interview, the facility failed to ensure documented evidence of notification to the receiving hospital prior to the transfer of a resident for evaluation and treatment for 1 of 4 residents reviewed for hospitalization (Residents 9).
- 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 record review and interview, the facility failed to ensure transfer/discharge documents were developed and provided for hospital transfers for 2 of 4 residents reviewed for hospitalization (Resident 48 and 9), and notification of the transfer/discharge was provided to the Ombudsman for 1 of 4 residents reviewed for hospitalization (Resident 9).
- D Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on record review and interview, the facility failed to ensure a bed hold policy was provided to a resident with a hospitalization for 1 of 4 residents reviewed for hospitalizations (Resident 9).
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure nail care was provided to a dependent resident for 1 of 24 residents reviewed for activities of daily living (ADL) (daily tasks related to resident care and hygiene) (Resident 2).
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on interview and record review, the facility failed to assess and treat a Resident's two pressure ulcers present upon admission into the facility for 1 of 1 resident reviewed for pressure ulcers (Resident 100).
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on record review and interview, the facility failed to ensure a Resident, who had experienced significant weight loss, received a physician and registered dietician ordered health shake supplement for 1 of 1 resident reviewed for weight loss (Resident 9).
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on record review and interview, the facility failed to ensure physician's orders were followed related to monitoring a resident's daily weight and the assessment of his fistula as ordered for 1 of 1 resident reviewed for dialysis (a procedure to remove waste products and excess fluid from the blood when the kidneys stop working properly), (Resident 29).
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on record review and interview, the facility failed to ensure documentation of the administration of medications for 1 of 5 residents reviewed for unnecessary medications (Resident 18).
- 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 record review and interview, the facility failed to ensure documented physician rationale for a declination of a gradual dose reduction (GDR) of a psychotropic medication (a drug or other substance that affects how the brain works and causes changes in mood, awareness, thoughts, feelings, or behavior) and documentation of the administration of psychotropic medications for 1 of 5 residents reviewed for unnecessary medications (Resident 18).
- C Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, the facility failed to ensure the accuracy of Minimum Data Set (MDS) assessments for 4 of 18 residents' MDS assessments reviewed (Residents 18, 5, 14, and 8).
Fire safety inspections
10 fire safety citations on file: 1 on April 28, 2025, 4 on March 27, 2024, 5 on January 18, 2023.
Every fire safety citation10 citations
- C Have simulated fire drills held at unexpected times.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Provide properly protected cooking facilities.
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Have properly installed electrical wiring and gas equipment.
- F Conduct testing and exercise requirements.
- F Have simulated fire drills held at unexpected times.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Have restrictions on the use of portable space heaters.
- D 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) | 4.77 | 3.69 | 3.86 |
| Registered nurses | 1.02 | 0.67 | 0.69 |
| All nursing staff on weekends | 4.26 | 3.25 | 3.42 |
| Nurse aides | 2.99 | ||
| Licensed practical nurses | 0.76 | ||
| Nursing staff turnover (share who left in a year) | not reported | 45.9% | 45.8% |
| Registered nurse turnover | not reported | 40.3% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.98 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 4.98 on weekdays and 4.26 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 9.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.42 in April to June 2025 to 4.77 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 | 4.77 | 1.02 | 4.98 | 4.26 | 9.0% | 0 of 90 | 70 |
| Oct to Dec 2025 | 5.34 | 0.89 | 5.48 | 4.98 | 15.2% | 0 of 92 | 70 |
| Jul to Sep 2025 | 4.24 | 0.99 | 4.37 | 3.92 | 17.0% | 0 of 92 | 67 |
| Apr to Jun 2025 | 4.42 | 0.96 | 4.51 | 4.19 | 37.5% | 0 of 91 | 64 |
| 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.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Indiana
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Indiana, all employers | |||
| CNAs (nursing assistants) | $18.43 | $17.80 to $21.36 | 33,640 |
| LPNs and LVNs | $31.60 | $29.35 to $35.30 | 14,480 |
| Registered nurses | $40.14 | $37.86 to $48.28 | 68,980 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 11.5 | 11.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.9 | 1.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.4 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.3 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 23.7 | 11.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.0 | 3.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.1 | 13.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.5 | 22.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.8 | 10.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.4 | 1.8 |
Owners and operators
Legal business name: RUSH MEMORIAL HOSPITAL.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Rush Memorial Hospital | 5% or greater direct ownership interest | Organization | 100% | 04/01/2017 |
| Aulbach, Kenny | Corporate director | Individual | 01/01/2023 | |
| Bacon, Mark | Corporate director | Individual | 04/01/2017 | |
| Burkett, Kipland | Corporate director | Individual | 04/01/2017 | |
| Byrne, John | Corporate director | Individual | 04/01/2017 | |
| Mohr, Gerald | Corporate director | Individual | 01/01/2020 | |
| Spurlin, Mark | Corporate director | Individual | 01/01/2021 | |
| Jarman, Ronald | Corporate officer | Individual | 01/01/2022 | |
| Kinder, Ashley | Corporate officer | Individual | 05/01/2020 | |
| Smith, Bradley | Corporate officer | Individual | 04/01/2017 | |
| Westminster Village Terre Haute Inc | Operational/managerial control | Organization | 04/01/2017 | |
| Matthews, Colleen | Operational/managerial control | Individual | 05/03/2022 |
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 13 problems in this area, most recently on July 1, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 8 problems in this area, most recently on April 28, 2025: "Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on March 27, 2024: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on April 28, 2025: "Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment."
Other nursing homes nearby
- Southwood Healthcare Center Terre Haute, 1 mi · 1 of 5 stars · 48 citations
- Springhill Village Terre Haute, 1 mi · 4 of 5 stars · 17 citations
- Westridge Health Care Center Terre Haute, 1.1 mi · 1 of 5 stars · 21 citations
- Majestic Care of Deming Park Terre Haute, 3 mi · 2 of 5 stars · 28 citations
- Cobblestone Crossings Health Campus Terre Haute, 3.2 mi · 3 of 5 stars · 29 citations
- Harrison's Crossing Health Campus Terre Haute, 4.1 mi · 5 of 5 stars · 19 citations
- Signature Healthcare of Terre Haute Terre Haute, 4.8 mi · 1 of 5 stars · 46 citations
- Majestic Care of Terre Haute Terre Haute, 5.4 mi · 2 of 5 stars · 21 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 Westminster Village Health & Rehab's Medicare star rating?
- CMS rates Westminster Village Health & Rehab 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Westminster Village Health & Rehab get at its last inspection?
- 8 health deficiencies at the standard inspection on April 28, 2025. The Indiana average is 7.2.
- Has Westminster Village Health & Rehab been fined?
- CMS lists no fines in the last three years.
- Does Westminster Village Health & Rehab 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 Westminster Village Health & Rehab?
- CMS lists 12 owners and managers. Legal business name: RUSH 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.