Westpark A Waters Community

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.

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 13% 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 89 beds and averages 42.4 residents a day — about 48% occupied, or roughly 47 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 3.27 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.62 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.74 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 2.99 hrs/resident/day on weekends vs 3.39 on weekdays — 12% thinner on weekends. RN hours go from 0.68 to 0.46 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 76% is well above the national median of 45%. 1 administrator has left in the past year.

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 more than at the previous inspection — worsening. 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.

25 citations, most serious first. The 10 most serious are shown; the remaining 15 are one tap away and print in full.

• Potential for harm · Dcited before2025-10-10 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  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 have the interdisciplinary team determine and document that a resident was capable to safely self-administer medications for 1 of 1 resident randomly observed. (Resident C) Findings include: The clinical record for Resident C was reviewed on 10/10/25 at 11:00 a.m. The diagnoses included, but were not limited to, gastro-esophageal reflux disease (GERD). A physician's order, dated 7/8/25, indicated Resident C was to receive 500 milligrams of a chewable calcium carbonate tablet three times a day. An observation was conducted of Resident C's room on 10/10/25 at 11:27 a.m. The resident's room was observed with the door open. A medication cup with a pink tablet was observed on a bedside table. The resident nor staff member was present in the room at that time. An observation was conducted of Resident C's room with the Director of Nursing on 10/10/25 at 11:53 a.m. The resident's door was observed open with a medication cup that contained a pink tablet on a bedside table. The resident nor a staff member was present.…

  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 Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-10-10 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  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 ensure controlled medications were obtained timely from the pharmacy for 3 of 3 residents reviewed for availability of medications. (Residents B, C, and D) Findings include: 1. The clinical record for Resident C was reviewed on [DATE] at 11:00 a.m. The diagnoses included, but were not limited to, gastro-esophageal reflux disease (GERD). An Annual [DATE] Minimum Data Set (MDS) assessment indicated Resident C was moderately cognitively impaired. A physician's order, dated [DATE], indicated Resident C was to receive two tablets of 5-325 milligrams (mg) of hydrocodone-acetaminophen three times a day. The medication was to be administered at 6:00 a.m., 2:00 p.m., and 10:00 p.m. The two tablets of hydrocodone-acetaminophen medication was discontinued and changed, on [DATE], to one tablet. A physician's order, dated [DATE], indicated Resident C was to receive one tablet of 5-325 milligrams of hydrocodone-acetaminophen three times a day. The medication was to…

  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 · E2025-06-10 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  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 residents were treated with dignity for 15 of 16 residents reviewed for dignity. (Residents' 6, 8, 9, 12, 13, 14, 16, 24, 28, 34, 37, 42, 44, 47, and an Anonymous Resident) Findings include: 1. The clinical record for Resident 14 was reviewed on 6/4/25 at 11:18 a.m. The diagnoses included, but were not limited to, hypertension and congestive heart failure. A Quarterly Minimum Data Set (MDS) assessment, completed 3/5/25, indicated he was cognitively intact During an interview on 6/4/25 at 2:18 p.m., Resident 14 indicated he felt the facility staff did not care what the residents of the facility had to say. The staff sat in their offices and went to meetings but never came out and talked with the residents to find out about the problems they were having. He felt the upper management made it all about the budget and not about the residents. 2. On 6/4/25 at 2:12 p.m., Resident 44 was observed sitting in her wheelchair in her room. She turned on her call light to get assistance going back to bed. Her call…

  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 Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-06-10 · tag F0759 — failed to keep medication error rate low — pattern
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  3. On 6/6/25 at 11:04 a.m., Licensed Practical Nurse (LPN) 2 was randomly observed administering medications to Resident 33. LPN 2 removed the medication cards from the medication cart and began to place the prescribed medication doses into a plastic medication cup. LPN 2 indicated that Resident 33's folic acid, multivitamin, vitamin B-12 and Thiamine (Vitamin B-1) were not available to be given in the medication cart. LPN 2 went to the Cubex (machine that supplies medications at the facility) to obtain the folic acid, multivitamin, vitamin B-12 and Thiamine for Resident 33. LPN 2 was unable to obtain the medications from the Cubex. LPN 2 went to the drug overflow cart and attempted to find the folic acid, multivitamin, vitamin B-12 and Thiamine to administer. LPN 2 was unable to locate the missing medications from the overflow medication cart. LPN 2 indicated the medications had been previously reordered from the pharmacy and had been delivered to the facility yet. The pharmacy often did not deliver medications timely. LPN 2 indicated Resident 33 would not receive the folic acid,…

  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 · E2025-06-10 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  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 palatable food was provided for 12 of 14 residents reviewed for food. (Residents' 6, 8, 9, 13, 14, 16, 24, 26, 28, 34, 37, and 42) Findings include: 1. The clinical record for Resident 14 was reviewed on 6/4/25 at 11:18 a.m. The diagnoses included, but were not limited to, hypertension and congestive heart failure. A Quarterly Minimum Data Set (MDS) assessment, completed 3/5/25, indicated he was cognitively intact. During an interview on 6/4/25 at 2:18 p.m., Resident 14 indicated the food was raggedy and low grade. The same things were served over and over. 5. The clinical record for Resident 8 was reviewed on 6/4/25. The diagnoses included, but were not limited to, chronic obstructive pulmonary disease. A Quarterly MDS assessment, dated 5/14/25, indicated the resident was cognitively intact. During an interview on 6/4/25 at 11:12 a.m., Resident 8 indicated she did not like the taste of the food. 6. A resident council meeting was conducted on 6/5/25 at 2:06 p.m. During this meeting, Resident 28…

  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 · D2025-06-10 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  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 adequately document a discharge in a resident's electronic health record (EHR) for 1 of 1 resident reviewed for discharge in a closed record review (Resident 43). Findings include: The clinical record for Resident 43 was reviewed on 6/9/25 at 9:46 a.m. The diagnoses included, but were not limited to, congestive heart failure (the heart becomes weakened and cannot pump blood very well), dementia, and myocardial infarction (heart attack). Resident 43 admitted to the facility on [DATE] and was discharged to another long-term care facility on 5/23/25. A Care Plan Meeting progress note, dated 5/12/25, indicated Resident 43's friend discussed senior living for the resident, but facility nursing and the MDS (Minimum Data Set) Coordinator explained that Resident 43 had dementia and memory issues and would require supervision 24 hours a day. Resident 43's friend indicated she would investigate alternatives. A Discharge MDS assessment, dated 5/22/25, indicated…

  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 Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-10 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  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 care plan meetings were conducted quarterly for 1 of 1 resident reviewed for care planning. (Resident 42) Findings include: The clinical record for Resident 42 was reviewed on 6/5/25 at 10:00 a.m. The diagnoses included, but were not limited to, paraplegia and major depressive disorder. A Quarterly Minimum Data Set (MDS) assessment, dated 4/30/25, indicated Resident 42 was cognitively intact. During an interview on 6/5/25 at 10:11 a.m., Resident 42 indicated he had not been invited to any care plan meetings since his admission in January of 2025. On 6/5/25 at 3:20 p.m., the Regional Director of Operations (RDO) provided a care plan meeting progress note dated 1/28/25. This progress note included a list of interdisciplinary team members present and a summary of his care plan meeting. No other care plan meeting progress notes were provided. During an interview on 6/6/25 at 1:59 p.m., the MDS Nurse indicated the facility conducted care plan meetings quarterly or as needed. Resident 42 was scheduled to have a care plan…

  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 · Dcited before2025-06-10 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  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 provide timely perineal (genital and anal area) care for 1 of 1 resident observed for activities of daily living (ADLs). (Resident 24) Findings include: The clinical record for Resident 24 was reviewed on 6/9/25 at 2:03 p.m. The diagnoses included, but were not limited to, chronic obstructive pulmonary disease (COPD, lung and airway disease which restricts breathing), chronic heart failure, pulmonary embolism (clot in lung), weakness, vertigo (dizziness), and difficulty walking. A Quarterly Minimum Data Set (MDS) assessment, dated 4/17/25, indicated the resident was cognitively intact and needed set up or clean up assistance with toileting hygiene. A care plan for ADLs noted an intervention, initiated on 6/17/22, to where staff were to assist Resident 24 with toileting as needed. Another intervention, initiated on 6/17/22, indicated staff were to keep skin clean and dry, provide peri-care (genital/groin/anal area cleaning) and clothing changes as needed. An intervention, initiated on 3/25/25, indicated staff…

  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 before2025-06-10 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to hold cardiac medication when vital signs were outside of prescribed parameters and to administer insulin as ordered for 2 of 5 residents reviewed for unnecessary medications. (Resident 14 and Resident 17) Findings include: 1. The clinical record for Resident 14 was reviewed on 6/4/25 at 11:18 a.m. The diagnoses included, but were not limited to, hypertension and congestive heart failure. A physician's order, dated 4/9/24, indicated he was to receive digoxin (cardiac medication) 125 micrograms (mcg); one tablet daily for heart failure. The parameters were listed to hold the medication dose for pulse under 60 beats per minute. A physician's order, dated 4/9/24, indicated he was to receive metoprolol succinate extended release (ER) 50 milligrams (mg) twice daily for hypertension. The parameters were listed to hold the medication dose for systolic blood pressure below 100 or pulse below 60. A care plan, last revised on 6/19/24, indicated Resident 14 had the potential for cardiac distress related to a diagnosis of coronary…

  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 before2025-06-10 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  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 medications were received timely from the pharmacy for 1 of 5 residents reviewed for unnecessary medications and 1 of 1 resident reviewed for tube feedings (Resident 14 and Resident 41). Findings include: 1. The clinical record for Resident 14 was reviewed on 6/4/25 at 11:18 a.m. The diagnoses included, but were not limited to, hypertension and congestive heart failure. A physician's order, dated 6/3/25, indicated Resident 14 was to receive trazadone (medication for depression) 50 milligram (mg); two tablets at bedtime nightly for insomnia. The June 2025 Medication Administration Record (MAR) indicated Resident 14 had not received his prescribed dose of trazadone on 6/3/25, 6/4/25, and 6/5/25. He began receiving the prescribed dose on 6/6/25. During an interview on 6/9/25 at 2:14 p.m., the Director of Nursing (DON) indicated Resident 14 had not received his trazadone on 6/3/25, 6/4/25, and 6/5/25 because the medication had not been delivered from the pharmacy and was not available in the Cubex (a machine located at…

  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

“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 INFINITY HEALTHCARE CONSULTING — 69 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

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 76% 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 $1.0M paid to related parties — landlords or management companies under common ownership — equal to about 18% 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. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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