Bethany Village

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

39.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 32 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.20 therapist hours per resident per day in 2026Q1 — more than 23% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 100 beds and averages 87.1 residents a day — about 87% occupied, or roughly 13 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.41 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.50 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.29 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.94 hrs/resident/day on weekends vs 3.60 on weekdays — 18% thinner on weekends. RN hours go from 0.58 to 0.28 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 60% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

20 citations, most serious first. The 10 most serious are shown; the remaining 10 are one tap away and print in full.

• Potential for harm · F2025-09-08 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure foods were served in a sanitary and safe manner for 2 of 3 kitchen observations. Staff hair was not covered while in the kitchen food preparation area. (Dietary Aide 7 and Dietary Aide 8) Findings include: 1. During a follow-up kitchen observation, on 9/2/25 from 11:35 a.m. to 11:40 a.m., the following was observed:- Dietary Aide 7 was observed walking through-out the kitchen service area where the noon meal was being prepared and near the steamtable that held the hot foods for the noon meal. Dietary Aide 7 was observed to have facial hair, approximately one-half inch in length, above and below the lip area and at the upper cheek bone area. The facial hair was observed to not be covered.- Dietary Aide 8 was observed walking through-out the kitchen service area where the noon meal was being prepared and near the steamtable that held the hot foods for the noon meal. Dietary Aide 8 was observed wearing a white hair net that covered hair from above the ears and approximately three inches above the neckline…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-09-08 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure potentially hazardous materials were kept secured and behind locked doors to prevent resident's access to the materials potentially affecting 15 self-mobile cognitively impaired residents for 1 of 1 observation. (Housekeeping/Electrical room)Finding includes:On 9/4/25 from 11:00 a.m. to 11:08 a.m., the Housekeeping/Electrical room located near the main dining room and the 300 hall was observed. Posted on the door was a sign that indicated Not An Exit and a keypad lock was observed above the door handle. The door was observed to be open. Visible inside the room were multiple tools, electric wires, cleaning supplies, and various maintenance equipment. No staff were visible in the area during that time.On 9/4/25 at 11:09 a.m., Floor Technician 6 was observed walking from the nurse's station area and past three occupied resident rooms. Floor Technician 6 walked toward the Housekeeping/Electrical room and entered the open room. During an interview at that time, Floor Technician 6 indicated the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-08 · tag F0698 — failed to provide proper dialysis care — isolated
  Provide safe, appropriate dialysis care/services for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure dialysis medical records were shared between the facility and the dialysis center for 2 of 2 residents reviewed for dialysis. (Resident 2 and Resident 13) Finding includes:1.During an interview on 9/2/25 at 10:49 a.m., Resident 2 indicated he had been using dialysis services for years. He was transported to dialysis on Tuesday, Thursday, and Saturday. Resident 2 indicated he had not taken any facility paperwork to the dialysis center, nor did he return to the facility with any paperwork from the dialysis center.On 9/2/25 at 11:00 a.m., the clinical record for Resident 2 was reviewed. The diagnoses included, but were not limited to, end stage renal disease and dependence on renal dialysis.The Quarterly Minimum Data Set (MDS) assessment, dated 8/11/25, indicated Resident 2 was cognitively intact and required dialysis services.During an interview on 9/4/25 at 10:55 a.m., Licensed Practical Nurse (LPN) 5 indicated Resident 2 was not sent with any facility paperwork and the resident did not return with any paperwork from…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-09-08 · tag F0761 — failed to label and store drugs safely — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure insulin was labeled with an open date for 2 of 2 medication carts of observed. (Rehab Cart, Skilled Cart)Findings include: During an observation on 9/3/25 at 8:35 a.m., the rehab medication cart was observed. An opened and used insulin flex pen 100 units/ml was located in the medication cart. The pen lacked a label indicating the date it was opened. During an interview at that time, LPN 2 indicated there was no label on the insulin and indicated it should have been labeled at the time it was opened. During an observation on 9/3/25 at 8:45 a.m., the medication cart on the skilled unit was observed. An opened and used insulin flex Pen 100 units/ml was observed in the medicine cart. The flex pen lacked a label indicating when the pen was opened. The pen also lacked a label indicating to whom it was prescribed. During an interview at that time LPN 3 indicated the pen in medicine cart had been opened and should have been labeled. During an interview on 9/3/25 at 9:20 a.m., the Director of Nursing Services…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-08 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to follow the current vaccine administration guidelines for both the influenza and pneumococcal vaccinations for 1 of 5 residents reviewed for vaccinations records. (Resident 10)Findings include:On 9/2/25 at 11:00 a.m., Resident 10's clinical record was reviewed and indicated the following:Resident 10's preventative health section in the electronic health record lacked records for any influenza or pneumococcal vaccinations. Resident 10's diagnoses included, but were not limited to, unspecified vascular dementia. Resident 10 had an admission date of 12/4/24 and was [AGE] years old or older.On 9/4/25 at 8:50 a.m., the DON (Director of Nursing) provided influenza and pneumococcal vaccination consent forms indicating Resident 10's guardian had consented for the resident to receive the recommended vaccinations for both influenza and pneumococcal vaccines. During an interview on 9/4/25 at 9:00 a.m., the DON indicated that there were not any records for Resident…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-08 · tag F0887 — isolated
  Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to follow the current vaccine administration guidelines for Covid-19 vaccinations for 1 of 5 residents reviewed for vaccination records. (Resident 10)Finding includes:On 9/2/25 at 11:00 a.m., Resident 10's clinical record was reviewed and indicated the following:Resident 10's preventative health section in the electronic health record lacked records for any recent Covid-19 booster vaccinations; Resident 10 last had a historical vaccine on record in 2022 from a previous facility, but no subsequent vaccinations were administered. Resident 10's diagnoses included, but were not limited to, unspecified vascular dementia. Resident 10 had an admission date of 12/4/24 and was [AGE] years old or older.On 9/4/25 at 8:50 a.m., the DON (Director of Nursing) provided a Covid-19 vaccination consent form indicating Resident 10's guardian had consented for the resident to receive the recommend vaccinations and boosters for Covid-19. During an interview on 9/4/25 at 9:00…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-24 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure a resident's medical record was complete and accurate when the resident discharged against medical advice for 1 of 3 residents reviewed for discharges. (Resident B) Findings include:During an interview on 7/24/25 at 10:56 a.m., Resident B indicated, on 6/18/25, he left the facility with his sister against medical advice. Resident B was unhappy with his care since his admission the previous night. Resident B had been made aware of the risk of discharging against medical advice but didn't care.The clinical record for Resident B was reviewed on 7/24/25 at 11:10 a.m. The diagnoses included, but were not limited to, acute osteomyelitis, acquired absence of right leg below knee, and diabetes.A progress note, dated 6/17/25 at 10:15 p.m., indicated Resident B arrived at the facility and was transferred to bed. Resident B did not have any complaints of pain.The clinical record lacked a progress note describing the details of Resident B's discharge against medical advice.During an interview on 7/24/25 at 11:32 a.m., the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-01-28 · tag F0602 — failed to protect residents from theft of their belongings — pattern
  Protect each resident from the wrongful use of the resident's belongings or money.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure the resident trust accounts were safeguarded to prevent misappropriation for 6 of 6 residents reviewed for misappropriation of property. Cash was withdrawn from resident trust accounts and was unaccounted for. (Resident B, Resident C, Resident D, Resident E, Resident F, Resident G) Findings includes: 1. During an interview on 1/28/25 at 9:04 a.m., Resident B indicated he thought there had been a discrepancy in his trust account but couldn't remember the details of the discrepancy. On 1/28/25 at 9:30 a.m., the Administrator provided a copy of an incident report, dated 12/19/24 at 3:01 p.m., with three withdrawal slips. A review of the incident report and withdrawal slips indicated money was withdrawn from Resident B's account as follows: - On 11/30/24, Resident B withdrew fifty dollars from his account. The money was disbursed by an unknown person (signature illegible) and the witness signature indicated Qualified Medication Aide (QMA) 3. The withdrawal slip was numbered 272023. - On 12/15/24, Resident B withdrew…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Potential for harm · Ecited before2024-09-10 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure the facility was free from accident hazards for 1 of 1 observation, potentially affecting 36 of 56 self-mobile residents residing in the facility. A rubber hose used for fish tank maintenance was located on the floor in the middle of a walkway area that was used by the residents. (500 hall) Finding includes: During an observation, on 9/6/24 from 9:00 a.m. to 9:13 a.m., the following was observed on the 500-hall floor space between the resident pantry and the resident lounge area: - A dark colored rubber hose, approximately one inch in diameter and approximately 25 feet in length, was observed in the middle of the walkway that ran from the resident pantry room (on the left side of the hall) to the resident lounge (on the right side of the hall) of the 500-hall. - Approximately ten feet from the lounge area, the dark colored rubber hose was observed to be curled onto itself which raised the hose approximately two inches from the floor. - Approximately eight feet from the lounge area, the dark colored…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-10 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each resident.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure reasonable accommodation of needs for 1 of 8 residents observed. A call light was not within reach. (Resident 86) Finding includes: On 9/10/24 at 1:45 p.m., observed Resident 86 in bed. Resident 86's call light was hanging over the bed and was on the floor next to the residents bed, out of the reach of the reach of the resident. During an interview at that time, the Assistant Director of Nursing (ADON) indicated the call light should have been within the reach of the resident. On 9/10/24 at 11:52 a.m., the DON provided a policy titled Resident [NAME] of Rights, dated 12/2017, and indicated it was the current policy being used by the facility. A review of the policy indicated, .(b. the resident has the right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the community . 3.1-3(v)(1)

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to AMERICAN SENIOR COMMUNITIES — 90 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 34 rows in the source record cover these 23 parties — each is shown once here with every role it holds. Nothing is omitted.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 86% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $2.5M paid to related parties — landlords or management companies under common ownership — equal to about 25% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IN