Elder Care Record

Indiana › Marion County › Indianapolis

Westminster Village North

11050 Presbyterian Dr, Indianapolis, IN 46236

CCN 155167 · Government, county · 148 certified beds · chain Bhi Senior Living

Continuing care retirement community
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Westminster Village North, in Indianapolis, Indiana, is certified for 148 beds under government, county ownership and belongs to the Bhi Senior Living chain.

CMS gives it 2 of 5 stars overall, below the Indiana median of 3; the health inspection rating is 2, staffing 3 and quality measures 4.

Inspectors recorded 41 health deficiencies across the three most recent survey cycles (11, 19, 11 by cycle, most recent first), none at the actual-harm level. That is 27.7 per 100 beds, about the same as the state median of 22.9.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.8 hours per resident per day (0.6 RN), close to the Indiana median of 3.6; nursing staff turnover is 44.1%.

41health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.8nurse hours per resident per daystate median 3.6
79%occupancy (residents ÷ beds)117 residents a day

Compared with county, state and nation

MeasureThis facilityMarion Co. medianIndiana medianUS average
Overall star rating2333.0
Health citations, 3 cycles41251928.7
Citations per 100 beds27.726.322.926.8
Total nurse hours per resident day3.83.63.63.9
RN hours per resident day0.60.60.60.7
Nursing staff turnover44.1%50.0%45.4%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (46 in the county, 507 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)11
Cycle 219
Cycle 311

Dark bar: this facility. Grey bar: Indiana average per facility for the same cycle, as published by CMS. Standard health survey dates: 24 Nov 2025, 18 Jul 2024.

Severity mix: D ×33 E ×8

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
24 Nov 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.EStandard survey19 Dec 2025
24 Nov 2025F0578Honor 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.DStandard survey19 Dec 2025
24 Nov 2025F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey24 Dec 2025
24 Nov 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey24 Dec 2025
24 Nov 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey24 Dec 2025
24 Nov 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey24 Dec 2025
24 Nov 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey24 Dec 2025
24 Nov 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey24 Dec 2025
19 Aug 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation1 Aug 2025
19 Aug 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation18 Sep 2025
19 Aug 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation18 Sep 2025
16 Dec 2024F0641Ensure each resident receives an accurate assessment.DComplaint investigation31 Jan 2025
16 Dec 2024F0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DComplaint investigation31 Jan 2025
16 Dec 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation31 Jan 2025
18 Jul 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey8 Sep 2024
18 Jul 2024F0565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard survey8 Sep 2024
18 Jul 2024F0585Honor 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.EComplaint investigation8 Sep 2024
18 Jul 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation8 Sep 2024
18 Jul 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey8 Sep 2024
18 Jul 2024F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EStandard survey8 Sep 2024
18 Jul 2024F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey8 Sep 2024
18 Jul 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation8 Sep 2024
18 Jul 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation8 Sep 2024
18 Jul 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation8 Sep 2024
18 Jul 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey8 Sep 2024
18 Jul 2024F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation8 Sep 2024
18 Jul 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey8 Sep 2024
18 Jul 2024F0761Ensure 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.DStandard survey8 Sep 2024
18 Jul 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard survey8 Sep 2024
18 Jul 2024F0880Provide and implement an infection prevention and control program.DStandard survey8 Sep 2024
23 Feb 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation14 Mar 2024
23 Feb 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation14 Mar 2024
24 Mar 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey7 Apr 2023
24 Mar 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey7 Apr 2023
24 Mar 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey7 Apr 2023
24 Mar 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey7 Apr 2023
24 Mar 2023F0692Provide enough food/fluids to maintain a resident's health.DStandard survey7 Apr 2023
24 Mar 2023F0693Ensure 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.DStandard survey7 Apr 2023
24 Mar 2023F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey7 Apr 2023
24 Mar 2023F0761Ensure 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.DStandard survey7 Apr 2023
24 Mar 2023F0791Provide or obtain dental services for each resident.DStandard survey7 Apr 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.75 h
Nurse aides2.1 h
LPN1.06 h
RN0.59 h
Weekend total3.44 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Indiana average. Turnover: nursing staff 44.1%, RNs 36.8%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityIndiana medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay10.2%8.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.4%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.5%0.5%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay5.2%3.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.2%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay17.9%9.3%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.6%3.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay7.5%11.4%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: government, county. Legal business name: Hancock Regional Hospital. Chain: Bhi Senior Living (9 facilities).

OrganisationRole in the CMS recordInterestSince
Hancock Regional Hospital5% or greater direct ownership interest100%02/01/2012
Westminster Village North, Inc.Operational/managerial controlNOT APPLICABLE02/01/2012
Bhi Retirement Communities IncAdp of the snfNOT APPLICABLE02/01/2012
Bhi Senior Living, Inc.Adp of the snfNOT APPLICABLE02/01/2012
Hancock Regional HospitalAdp of the snfNOT APPLICABLE02/26/2025
Westminster Village North, Inc.Adp of the snfNOT APPLICABLE02/01/2012

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Marion County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Fairway VillageIndianapolis5355300.0——
MarquetteIndianapolis575451526.3—2 Feb 2026
Southpointe Healthcare CenterIndianapolis10055366.0—3 Mar 2026
St Augustine Home For the AgedIndianapolis2354—1356.5—2 Jul 2025
Wellbrooke of AvonIndianapolis705441724.3—13 Mar 2026
Altenheim Health & Living CommunityIndianapolis874411112.6—25 Mar 2026
Arlington Place Health CampusIndianapolis844322125.0—29 May 2026
Beech Grove MeadowsBeech Grove1184321311.0$21K27 Mar 2026

All 46 facilities in Marion County

Questions and answers

How many deficiencies has Westminster Village North been cited for?

41 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Indiana median is 19 per facility.

Has Westminster Village North been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Westminster Village North compare?

Reported total nurse staffing is 3.8 hours per resident per day against a Indiana median of 3.6 and a national average of 3.9.

Who operates Westminster Village North?

It is part of the Bhi Senior Living chain. Ownership type is government, county. Organisations in the CMS ownership record include Hancock Regional Hospital and Westminster Village North, Inc.. Individual owners and managers are not listed on this site.

When was Westminster Village North last inspected?

The most recent survey or investigation in the CMS record is dated 24 Nov 2025; the most recent standard health survey was 24 Nov 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.