Westpark a Waters Community

1316 N Tibbs Ave · Indianapolis, IN · 46222 · 3176348330

89 certified beds For profit - Limited Liability company Chain: Infinity Healthcare Consulting

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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Red flags

67% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 53
Serious harm & abuse 20% 100
Staffing 20% 58
Federal penalties 15% 100
Trend 10% 45
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.223.48 min · 4.1 strong
RN hours / resident-day0.660.55–0.75
Weekend hours / resident-day2.83≈ weekday level
Nursing turnover / year67%median 45%
Fines (3-yr window)none

Inspection citations (25 in the current record)

  • Potential for harm · D October 10, 2025 · found via complaint

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected December 17, 2025 · Resident Rights

  • Potential for harm · D October 10, 2025 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected December 5, 2025 · Pharmacy Service

  • Potential for harm · E June 10, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected July 14, 2025 · Resident Rights

  • Potential for harm · D June 10, 2025

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected July 14, 2025 · Resident Rights

  • Potential for harm · D June 10, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected July 14, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 10, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected July 14, 2025 · Quality of Life and Care

  • Potential for harm · D June 10, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected July 14, 2025 · Quality of Life and Care

  • Potential for harm · D June 10, 2025

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected July 14, 2025 · Pharmacy Service

  • Potential for harm · E June 10, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected July 14, 2025 · Pharmacy Service

  • Potential for harm · D June 10, 2025

    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.

    Corrected July 14, 2025 · Pharmacy Service

  • Potential for harm · E June 10, 2025

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected July 14, 2025 · Nutrition and Dietary

  • Potential for harm · D June 10, 2025

    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

    Corrected July 14, 2025 · Administration

  • Potential for harm · D June 10, 2025

    Provide and implement an infection prevention and control program.

    Corrected July 14, 2025 · Infection Control

  • Potential for harm · D April 5, 2024

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected May 15, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 5, 2024

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected May 15, 2024 · Quality of Life and Care

  • Potential for harm · D April 5, 2024

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected May 15, 2024 · Quality of Life and Care

  • Potential for harm · D April 5, 2024

    Assist a resident in gaining access to vision and hearing services.

    Corrected May 15, 2024 · Quality of Life and Care

  • Potential for harm · D April 5, 2024

    Provide or obtain dental services for each resident.

    Corrected May 15, 2024 · Quality of Life and Care

  • Potential for harm · E April 5, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 15, 2024 · Nutrition and Dietary

  • Potential for harm · F April 5, 2024

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected May 15, 2024 · Environmental

  • Potential for harm · D February 27, 2023

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected March 20, 2023 · Resident Rights

  • Potential for harm · D February 27, 2023

    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.

    Corrected March 20, 2023 · Resident Rights

  • Potential for harm · D February 27, 2023

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected March 20, 2023 · Quality of Life and Care

  • Potential for harm · D February 27, 2023

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 20, 2023 · Quality of Life and Care

  • Potential for harm · D February 27, 2023

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    Corrected March 20, 2023 · Administration

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 155389 · certified since November 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.