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Home / Indiana / Indianapolis

Westminster Village North

11050 Presbyterian Dr, Indianapolis, IN 46236 · Marion County · (317) 823-6841

148 certified beds, about 117 residents a day · Government - County · Medicare and Medicaid since 1974

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
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 155167 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on November 24, 2025, inspectors cited 8 health deficiencies (the Indiana average is 7.2, the national average 9.2).

None of its 42 health citations since March 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 3.75 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.59 of those hours.

44.1% 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.

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 42 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
34D
8E
0F
Potential for minimal harm
0A
0B
0C
July 13, 2026Complaint inspection · 1 citation
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 31, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure an allegation of physical abuse was reported to the state survey agency for 1 of 3 residents reviewed for abuse. (Resident B)
November 24, 2025Standard inspection · 8 citations
  1. E
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 19, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure written discharge and bed hold information was provided directly to the resident and the resident's representative upon transfer for 4 of 5 residents reviewed for hospitalization. (Resident 7, 13, 1 and 4)
  2. 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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 19, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure the clinical record did not contain conflicting physician's orders related to code status for 2 of 2 residents reviewed for advanced directives. (Resident 23 and 117)
  3. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 24, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure a new Preadmission Screening and Resident Review (PASSAR) level I was completed after antipsychotic medications were initiated for 2 of 5 residents reviewed for PASSAR. (Resident 124 and 28)
  4. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 24, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure regularly scheduled care plan meetings were held with the resident or resident's representative and documented in the clinical record for 1 of 2 residents reviewed for care plan conferences. (Resident 23)
  5. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 24, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a resident's preferences were reevaluated to ensure the resident maintained the highest practicable level of mental and social needs for 1 of 1 resident reviewed for activities of daily living care. (Resident 8)
  6. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 24, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to notify the physician of a weight gain as ordered and to hold a blood pressure medication according to the physician's parameters for 2 of 2 residents reviewed for quality of care. (Resident 2 and 5)
  7. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 24, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a gait belt was used during a transfer for 1 of 1 resident reviewed for accidents. (Resident 106)
  8. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 24, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure assessments were accurately documented for 1 of 1 resident reviewed for accurate assessments. (Resident 134)
August 19, 2025Complaint inspection · 3 citations
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure adequate supervision was provided to prevent a cognitively impaired resident from leaving a secured memory unit unsupervised for 1 of 3 residents reviewed for dementia care. (Resident B)
  2. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 18, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure a newly ordered medication was received timely from the facility contracted pharmacy and administered, as ordered by the physician, for 1 of 3 residents reviewed for unnecessary medications. (Resident E)
  3. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 18, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure personal protective equipment (PPE) was worn during a wound treatment and to ensure hand hygiene was performed after doffing disposable gloves for 1 of 3 residents reviewed for wound care (Resident E).
December 16, 2024Complaint inspection · 3 citations
  1. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 31, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure Minimum Data Set (MDS) assessment accuracy for behaviors for 1 of 3 residents reviewed for behavior management. (Resident B)
  2. D
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
    F744 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 31, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure a resident with dementia and behaviors was care planned for behaviors along with resident specific interventions on approach to care, ensure visits were conducted of a mental health provider, and document approaches to care when Resident B exhibited behaviors for 1 of 3 residents reviewed for behavior management.
  3. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 31, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure a narcotic pain medication was administered per the physician orders for 1 of 3 residents reviewed for pain management. (Resident B)
July 18, 2024Standard inspection, Complaint inspection · 16 citations
  1. E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 8, 2024
    Inspectors wroteBased on interview and record review the facility failed to assure residents were treated with dignity and respect for 3 of 9 residents interviewed during Resident Council and 2 of 2 residents reviewed for dignity. (Resident B, P, 52, N, and K)
  2. E
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    F565 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 8, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to promptly act on a resident council grievance about tablecloths in the dining room. This had the potential to affect 9 of 123 residents who attend resident council.
  3. E
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 8, 2024
    Inspectors wroteBased on interview and record review, the facility failed to timely address resident grievances, provide dates that grievances were resolved, provide dates that follow up was done with the individual who brought forward the grievance, indicate that grievances were confirmed or not confirmed, and to provide a means for residents to file a grievance anonymously for 7 of 7 grievances reviewed. (Residents N, P, and R)
  4. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 8, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure incident reports were completed after each fall event, post fall assessments were completed on every shift (morning, evening, and night) for 72 hours, and fall interventions were in place for 5 of 8 residents reviewed for accidents. (Residents E, C, F, M, and D)
  5. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 8, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a clean, sanitized, and well maintained kitchen by staff who failed to wear beard restraints to prevent hair from contacting food, ensure proper storage of food products by keeping track of when to discard perishable foods stored in the refrigerator, maintain a minimum washing temperature in 1 of 2 dishwashers in the facility, and failed to sanitize rolling kitchen carts before placing them in the storage room in kitchen 1 of 2 where food products are stored with the potential to affect 97 of 123 residents who receive food from the kitchen. (Facility)
  6. E
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    F925 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 8, 2024
    Inspectors wroteBased on observation and interview, the facility failed to maintain an effective pest control program so that it remained free of flying insects in a food storage area within 1 of 2 kitchens potentially affecting 97 out of 123 residents. (Facility)
  7. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 8, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to timely provide a resident with a wheelchair that accommodated his height for 1 of 1 resident reviewed for positioning. (Resident D)
  8. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 8, 2024
    Inspectors wroteBased on interview and record review, the facility failed to notify a resident's representative of a fall event for 1 of 8 residents reviewed for accidents. (Resident F)
  9. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 8, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure that all alleged violations involving abuse or neglect were timely reported to IDOH (Indiana Department of Health) for 1 of 2 residents investigated for dignity. (Resident N)
  10. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 8, 2024
    Inspectors wrote3. The clinical record for Resident F was reviewed on 7/10/24 at 2:00 p.m. The resident's diagnosis included, but was not limited to, Alzheimer's disease. The resident was admitted on [DATE]. An admission MDS assessment, dated 6/13/24, indicated Resident F was cognitively impaired. A hospital Discharge summary, dated [DATE], indicated Resident F was referred for a neurology consultation. The summary provided the neurology contact information. A care plan meeting summary for Resident F, dated 6/10/24, indicated the resident's representatives had requested a neurology consultation, since it had been discussed in the hospital prior to discharge. The resident's clinical record did not include documentation date and time of the neurology consultation nor arrangement of transportation to the appointment. [...]
  11. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 8, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident who was on continuous oxygen therapy had a physician's order for the oxygen in the electronic health record (EHR) and was provided the necessary care and services by not changing the humidification container as per policy for 1 of 2 residents reviewed for respiratory care. (Resident C)
  12. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 8, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to administer a pain-relieving patch as ordered for 1 of 4 residents reviewed for pain. (Resident K)
  13. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 8, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure pre and post assessments were conducted to a resident receiving dialysis for 1 of 1 resident reviewed for dialysis. (Resident 176)
  14. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 8, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medications stored in the facility's medication carts were not expired for 1 of 6 medication carts observed within the facility. (Facility)
  15. D
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 8, 2024
    Inspectors wroteBased on interview and record review, the facility failed to provide residents with a palatable grilled cheese sandwich for 2 of 5 residents reviewed for food. (Residents 62 and 93)
  16. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 8, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure infection control practices were maintained during medication administration by picking up dropped pills with bare hands and not cleaning a blood pressure device in-between resident use for 2 of 3 medication administration observations. (Residents 275, 176, 173, 72, and K)
February 23, 2024Complaint inspection · 2 citations
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 14, 2024
    Inspectors wroteBased on interview and record review, the facility failed to timely notify a cognitively impaired resident's POA (Power of Attorney) of a new medication order for 1 of 3 residents reviewed for change in condition (Resident B).
  2. 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.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 14, 2024
    Inspectors wroteBased on interview and record review, the facility failed to accurately monitor urinary output and urine characteristics for a resident with a indwelling urinary catheter resulting in hospitalization for acute urinary tract infection and urinary obstruction for 1 of 3 resident reviewed for change in condition. (Resident B).
March 24, 2023Standard inspection · 9 citations
  1. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 7, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to monitor and assess the condition of a resident's wound, ensure two residents with wounds were provided wound care in accordance with their physician's orders, and to ensure timely application of a resident's geri-sleeves, as ordered, for 4 of 4 residents reviewed for skin conditions and to timely clarify with the medical provider to restart a medication for 1 of 5 residents reviewed for unnecessary medications. (Resident 21, 29, 59, 88 and Resident 178)
  2. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 7, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to carry out activities of daily living (ADLs) for a resident who was unable to perform oral hygiene by not providing the appropriate oral care as prescribed by a dentist and/or dental hygienist for 1 of 3 residents reviewed for ADLs. (Resident 11)
  3. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 7, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to recognize and address an issue with a resident's fall intervention and to assure fall interventions were implemented for 2 of 2 residents reviewed for accidents. (Resident 51 and 35).
  4. 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.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 7, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to assure an indwelling urinary catheter bag and tubing were not touching the floor for 1 of 2 residents reviewed for urinary catheters (Resident 12).
  5. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 7, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a supplement, as ordered by the physician, for 1 of 1 resident reviewed for nutrition (Resident 35).
  6. 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.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 7, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to follow the appropriate guidelines for tube feedings per facility policy by not labeling tube feeding bags as required, not capping a tube feeding properly when not in use, and not administering the tube feeding as ordered for 1 of 1 residents with tube feedings. (Resident 20)
  7. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 7, 2023
    Inspectors wroteBased on interview and record review, the facility failed to assess a location of a resident's pain, and develop and implement non-pharmacological interventions to address a resident's pain for 1 of 3 residents reviewed for pain. (Resident 88)
  8. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 7, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medications were stored in a secure location for 1 of 5 medication carts reviewed.
  9. D
    Provide or obtain dental services for each resident.
    F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 7, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to timely follow up on a dental recommendation for 1 of 1 resident reviewed for dental services (Resident 73).

Fire safety inspections

33 fire safety citations on file: 19 on November 24, 2025, 11 on July 18, 2024, 3 on March 24, 2023.

Every fire safety citation33 citations
  1. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · November 24, 2025 · Corrected (the home has a date of correction)
  2. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · November 24, 2025 · Corrected (the home has a date of correction)
  3. F
    Have simulated fire drills held at unexpected times.
    K 712 · November 24, 2025 · Corrected (the home has a date of correction)
  4. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · November 24, 2025 · Corrected (the home has a date of correction)
  5. E
    Have horizontal exits used in accordance with safety requirements.
    K 226 · November 24, 2025 · Corrected (the home has a date of correction)
  6. E
    Have corridors or aisles that are unobstructed and are at least 8 feet in width.
    K 232 · November 24, 2025 · Corrected (the home has a date of correction)
  7. E
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · November 24, 2025 · Corrected (the home has a date of correction)
  8. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · November 24, 2025 · Corrected (the home has a date of correction)
  9. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · November 24, 2025 · Corrected (the home has a date of correction)
  10. E
    Install corridor and hallway doors that block smoke.
    K 363 · November 24, 2025 · Corrected (the home has a date of correction)
  11. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · November 24, 2025 · Corrected (the home has a date of correction)
  12. E
    Ensure proper usage of power strips and extension cords.
    K 920 · November 24, 2025 · Corrected (the home has a date of correction)
  13. E
    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
    K 927 · November 24, 2025 · Corrected (the home has a date of correction)
  14. C
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · November 24, 2025 · Corrected (the home has a date of correction)
  15. C
    Develop Emergency Preparedness policies and procedures.
    E 13 · November 24, 2025 · Corrected (the home has a date of correction)
  16. C
    Develop a communication plan.
    E 29 · November 24, 2025 · Corrected (the home has a date of correction)
  17. C
    Establish emergency prep training and testing.
    E 36 · November 24, 2025 · Corrected (the home has a date of correction)
  18. C
    Follow proper procedures when the fire alarm was out of service for more than 4 hours.
    K 346 · November 24, 2025 · Corrected (the home has a date of correction)
  19. C
    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
    K 354 · November 24, 2025 · Corrected (the home has a date of correction)
  20. F
    Conduct testing and exercise requirements.
    E 39 · July 18, 2024 · Corrected (the home has a date of correction)
  21. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · July 18, 2024 · Corrected (the home has a date of correction)
  22. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · July 18, 2024 · Corrected (the home has a date of correction)
  23. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · July 18, 2024 · Corrected (the home has a date of correction)
  24. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · July 18, 2024 · Corrected (the home has a date of correction)
  25. E
    Meet requirements for sections of health care facilities separated by fire resistive construction.
    K 131 · July 18, 2024 · Corrected (the home has a date of correction)
  26. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 18, 2024 · Corrected (the home has a date of correction)
  27. E
    Install corridor and hallway doors that block smoke.
    K 363 · July 18, 2024 · Corrected (the home has a date of correction)
  28. E
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · July 18, 2024 · Corrected (the home has a date of correction)
  29. E
    Ensure proper usage of power strips and extension cords.
    K 920 · July 18, 2024 · Corrected (the home has a date of correction)
  30. D
    Provide properly protected cooking facilities.
    K 324 · July 18, 2024 · Corrected (the home has a date of correction)
  31. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · March 24, 2023 · Corrected (the home has a date of correction)
  32. E
    Install corridor and hallway doors that block smoke.
    K 363 · March 24, 2023 · Corrected (the home has a date of correction)
  33. C
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · March 24, 2023 · Corrected (the home has a date of correction)

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.

MeasureThis homeIndianaUnited States
All nursing staff (RN, LPN and aides)3.753.693.86
Registered nurses0.590.670.69
All nursing staff on weekends3.443.253.42
Nurse aides2.10
Licensed practical nurses1.06
Nursing staff turnover (share who left in a year)44.1%45.9%45.8%
Registered nurse turnover36.8%40.3%42.9%
Administrators who left0

CMS expects 4.19 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 3.88 on weekdays and 3.44 on weekends, 11% 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 3.98 in April to June 2025 to 3.75 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.750.593.883.44 0.0%0 of 90117
Oct to Dec 20253.280.473.353.12 0.0%0 of 92123
Jul to Sep 20253.220.453.332.92 0.0%0 of 92129
Apr to Jun 20253.980.584.103.68 0.0%0 of 91128
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Indiana, Jan to Mar 20263.630.623.803.193.4%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.

MeasureThis homeIndianaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
10.211.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.40.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.51.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
5.23.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.21.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
17.911.914.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.63.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
7.513.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
29.822.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
21.510.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.21.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.51.41.8

Owners and operators

Legal business name: HANCOCK REGIONAL HOSPITAL. CMS links this home to Bhi Senior Living, a group of 9 nursing homes averaging 4 stars overall.

NameRoleTypeShareSince
Hancock Regional Hospital5% or greater direct ownership interestOrganization100%02/01/2012
Bond, MariaManaging control - governing bodyIndividual07/01/2021
Clark, TimothyManaging control - governing bodyIndividual02/01/2012
Daugherty, JoshuaManaging control - governing bodyIndividual01/01/2020
Felker, DeanManaging control - governing bodyIndividual02/01/2012
Joyner, SaraManaging control - governing bodyIndividual07/01/2019
Miller, JamesManaging control - governing bodyIndividual02/01/2012
Willard, LaceyManaging control - governing bodyIndividual07/01/2022
Wilson, RoyManaging control - governing bodyIndividual02/01/2012
Long, StevenCorporate officerIndividual08/01/2014
Westminster Village North, Inc.Operational/managerial controlOrganization02/01/2012
Gaskins, ChuckOperational/managerial controlIndividual02/28/2014
Long, StevenOperational/managerial controlIndividual08/01/2014
Bloomstrom, JohnIndividual is an owner, partner or trustee of any ADP of the SNFIndividual04/07/2025
Caldwell, JeffreyIndividual is an owner, partner or trustee of any ADP of the SNFIndividual04/07/2025
Dalton, DouglassIndividual is an owner, partner or trustee of any ADP of the SNFIndividual04/07/2025
Dattilo, JohnIndividual is an owner, partner or trustee of any ADP of the SNFIndividual04/07/2025
Ellis, BrianIndividual is an owner, partner or trustee of any ADP of the SNFIndividual04/07/2025
Jones, L. DeanIndividual is an owner, partner or trustee of any ADP of the SNFIndividual04/07/2025
Kelly, BethIndividual is an owner, partner or trustee of any ADP of the SNFIndividual04/07/2025
Koselke, ElizabethIndividual is an owner, partner or trustee of any ADP of the SNFIndividual04/07/2025
Meredith, WendyIndividual is an owner, partner or trustee of any ADP of the SNFIndividual04/07/2025
Miller, RogerIndividual is an owner, partner or trustee of any ADP of the SNFIndividual04/07/2025
Richardson, JaneIndividual is an owner, partner or trustee of any ADP of the SNFIndividual04/07/2025
Robbins, FredIndividual is an owner, partner or trustee of any ADP of the SNFIndividual04/07/2025
Seigel, JaneIndividual is an owner, partner or trustee of any ADP of the SNFIndividual04/07/2025
Terp, JeffreyIndividual is an owner, partner or trustee of any ADP of the SNFIndividual04/07/2025
Weideman II, RogerIndividual is an owner, partner or trustee of any ADP of the SNFIndividual04/07/2025
Bond, MariaTrustee of the SNFIndividual07/01/2021
Clark, TimothyTrustee of the SNFIndividual02/01/2012
Daugherty, JoshuaTrustee of the SNFIndividual01/01/2020
Felker, DeanTrustee of the SNFIndividual02/01/2012
Joyner, SaraTrustee of the SNFIndividual07/01/2019
Miller, JamesTrustee of the SNFIndividual02/01/2012
Willard, LaceyTrustee of the SNFIndividual07/01/2022
Wilson, RoyTrustee of the SNFIndividual02/01/2012
Bhi Retirement Communities IncAdp of the SNFOrganization02/01/2012
Bhi Senior Living, Inc.Adp of the SNFOrganization02/01/2012
Hancock Regional HospitalAdp of the SNFOrganization02/26/2025
Westminster Village North, Inc.Adp of the SNFOrganization02/01/2012
Gaskins, ChuckAdp of the SNFIndividual02/28/2014

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 19 problems in this area, most recently on November 24, 2025: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  2. 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 November 24, 2025: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on November 24, 2025: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on August 19, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."

Other nursing homes nearby

Indiana contacts for a concern about a nursing home

These are the official offices in Indiana. NursingHomeClear cannot take or act on complaints.

Common questions

What is Westminster Village North's Medicare star rating?
CMS rates Westminster Village North 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Westminster Village North get at its last inspection?
8 health deficiencies at the standard inspection on November 24, 2025. The Indiana average is 7.2.
Has Westminster Village North been fined?
CMS lists no fines in the last three years.
Does Westminster Village North 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 North?
CMS lists 41 owners and managers, and links the home to Bhi Senior Living. Legal business name: HANCOCK REGIONAL HOSPITAL.

Sources

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