nursing home in Indianapolis, IN
Westpark A Waters Community
1316 N Tibbs Ave, Indianapolis, IN 46222 · (317) 634-8330
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★1
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Westpark A Waters Community at a glance
Westpark A Waters Community is a 89-bed for-profit nursing home in Indianapolis, Indiana (Marion County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Indiana average of 3.1.
Residents receive about 3.3 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 3.7 hours.
Its most recent standard health inspection (June 10, 2025) found 13 health citations. The Indiana average is 7.2.
It has not received a federal fine in the past three years.
Nursing staff turnover is 76.1% per year (state average 45.9%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 89
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Infinity Healthcare Consulting
- Medicare-certified since
- November 1, 1991
- Resident/family council
- Resident
- County
- Marion County
- CMS Certification Number
- 155389
Ratings
| Measure | This facility | Indiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3.1 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 2.5 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 4.1 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 4.3 / 5 | 3.8 / 5 | Average |
Staffing
| Measure | This facility | Indiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.27 hrs | 3.69 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.62 hrs | 0.67 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.74 hrs | 2.24 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.99 hrs | 3.25 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 76.1% | 45.9% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 75% | 40.3% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Indiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 13 | 7 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 59 | 49.2 | 80.6 | Better |
Penalties
| Measure | This facility | Indiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 0 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $8,742 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 0 | 1 | Better |
Size
| Measure | This facility | Indiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 89 | 96 | 107 | |
| Average residents per day | 42 | 73 | 86 | |
| Occupancy | 47.6% | 76.2% | 80.9% |
Long-stay residents
| Measure | This facility | Indiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.5% | 3.9% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 7% | 3.6% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 12.9% | 13.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 2.6% | 1.1% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.6% | 0.4% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 5.8% | 11% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 13.4% | 11.9% | 14.1% | Average |
| Long-stay residents who lose too much weight (lower is better) | 5.6% | 5.5% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 34.3% | 25.2% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 18.1% | 23.5% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 17.9% | 23.3% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 90.6% | 95.4% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 81.3% | 93.6% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Indiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1% | 1.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 50% | 79% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 47.8% | 81.8% | 82% | Worse |
Inspection citations
State inspectors cited this home for 25 health deficiencies and 18 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| October 10, 2025 Complaint | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected December 17, 2025 |
| October 10, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected December 5, 2025 |
| June 10, 2025 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected July 8, 2025 |
| June 10, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected July 8, 2025 |
| June 10, 2025 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected July 8, 2025 |
| June 10, 2025 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected July 14, 2025 |
| June 10, 2025 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected July 14, 2025 |
| June 10, 2025 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected July 14, 2025 |
| June 10, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected July 14, 2025 |
| June 10, 2025 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected July 14, 2025 |
| June 10, 2025 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected July 14, 2025 |
| June 10, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected July 14, 2025 |
| June 10, 2025 Standard | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | D Potential harm, isolated | Corrected July 14, 2025 |
| June 10, 2025 Standard | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Tag F0847 | D Potential harm, isolated | Corrected July 14, 2025 |
| June 10, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected July 14, 2025 |
| June 10, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected July 14, 2025 |
| April 5, 2024 Fire safety | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Tag E0013 | F Potential harm, widespread | Corrected May 6, 2024 |
| April 5, 2024 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected May 6, 2024 |
| April 5, 2024 Fire safety | Develop a communication plan. Emergency Preparedness Deficiencies · Tag E0029 | F Potential harm, widespread | Corrected May 6, 2024 |
| April 5, 2024 Fire safety | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Tag E0036 | F Potential harm, widespread | Corrected May 6, 2024 |
| April 5, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected July 12, 2024 |
| April 5, 2024 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | F Potential harm, widespread | Corrected May 15, 2024 |
| April 5, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected May 15, 2024 |
| April 5, 2024 Standard | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Tag F0685 | D Potential harm, isolated | Corrected May 15, 2024 |
| April 5, 2024 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected May 15, 2024 |
| April 5, 2024 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected May 15, 2024 |
| April 5, 2024 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected May 15, 2024 |
| April 5, 2024 Standard | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | D Potential harm, isolated | Corrected May 15, 2024 |
| February 27, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected April 19, 2023 |
| February 27, 2023 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected April 19, 2023 |
| February 27, 2023 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | F Potential harm, widespread | Corrected April 19, 2023 |
| February 27, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected April 19, 2023 |
| February 27, 2023 Fire safety | Meet other general requirements that are deficient. Services Deficiencies · Tag K0500 | F Potential harm, widespread | Corrected April 19, 2023 |
| February 27, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected April 19, 2023 |
| February 27, 2023 Fire safety | Meet other general requirements. Construction Deficiencies · Tag K0100 | E Potential harm, pattern | Corrected April 19, 2023 |
| February 27, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected April 19, 2023 |
| February 27, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected April 19, 2023 |
| February 27, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected April 19, 2023 |
| February 27, 2023 Standard | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Tag F0770 | D Potential harm, isolated | Corrected March 20, 2023 |
| February 27, 2023 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected March 20, 2023 |
| February 27, 2023 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected March 20, 2023 |
| February 27, 2023 Standard | 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. Resident Rights Deficiencies · Tag F0585 | D Potential harm, isolated | Corrected March 20, 2023 |
| February 27, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected March 20, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| MAJOR HOSPITAL Organization | 5% or greater indirect ownership interest | 100% | 08/01/2012 |
| MCCARROLL, DAVID Individual | contracted managing employee | NOT APPLICABLE | 08/01/2012 |
| HORNER, JOHN Individual | corporate officer | NOT APPLICABLE | 08/01/2012 |
| BLISKO, MICHAEL Individual | operational/managerial control | NOT APPLICABLE | 06/01/2014 |
| GUBIN, MOISHE Individual | operational/managerial control | NOT APPLICABLE | 06/01/2014 |
| LERMAN, TED Individual | operational/managerial control | NOT APPLICABLE | 06/01/2014 |
| WESTPARK A WATERS COMMUNITY LLC Organization | operational/managerial control | NOT APPLICABLE | 06/01/2014 |
| COUCH, GINA Individual | w-2 managing employee | NOT APPLICABLE | 06/01/2014 |
| SPOOR, NICOLE Individual | w-2 managing employee | NOT APPLICABLE | 06/01/2014 |
Other nursing homes near Westpark A Waters Community
Alpha Home - A Waters Community
2640 Cold Spring Rd, Indianapolis, IN 46222 · 1.5 mi
For-profit · 86 beds · Part of Infinity Healthcare Consulting
★★★★★1Much below averageNorth Capitol Nursing & Rehabilitation Center
2010 N Capitol Ave, Indianapolis, IN 46202 · 2.9 mi
For-profit · 123 beds · Part of American Senior Communities
★★★★★3AverageEnvive of Indianapolis
45 Beachway Dr, Indianapolis, IN 46224 · 2.9 mi
For-profit · 184 beds · Part of Envive Healthcare
★★★★★1Much below averageNorthwest Manor Health Care Center
6440 W 34th St, Indianapolis, IN 46224 · 3.7 mi
Government · 126 beds · Part of Adams County Memorial Hospital
★★★★★3AverageEvergreen Crossing and the Lofts
5404 Georgetown Road, Indianapolis, IN 46254 · 4.7 mi
For-profit · 109 beds · Part of Communicare Health
★★★★★2Below averageEagle Valley Meadows
3017 Valley Farms Rd, Indianapolis, IN 46214 · 4.9 mi
For-profit · 114 beds · Part of American Senior Communities
★★★★★2Below average
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Frequently asked questions
What is Westpark A Waters Community's rating?
Westpark A Waters Community has 1 out of 5 stars on the CMS overall star rating. The average for Indiana nursing homes is 3.1 stars.
How many inspection citations did Westpark A Waters Community receive?
Its most recent standard health inspection found 13 citations, compared with a Indiana average of 7.2. Every citation is listed on this page with its severity.
Does Westpark A Waters Community accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Westpark A Waters Community?
It is for profit - limited liability company and part of Infinity Healthcare Consulting. The ownership section on this page lists the owners and managers reported to CMS.
Where is Westpark A Waters Community and how do I contact it?
Westpark A Waters Community is at 1316 N Tibbs Ave, Indianapolis, IN 46222. Phone: (317) 634-8330.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.