Westminster Village North
Indianapolis, Marion County, Indiana · CCN 155167 · Government (County) · part of Bhi Senior Living (9 facilities, chain average 4 stars)
CMS rates Westminster Village North 2 of 5 overall as of August 2026. 148 certified beds, 117 residents a day on average. 41 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 5 / 3 of 5 |
Staffing
| Total nurse staffing | 3.7533 hours per resident per day |
|---|---|
| Registered nurses | 0.5863 hours per resident per day |
| Weekend total | 3.43922 hours per resident per day |
| Nursing staff turnover | 44.1% (registered nurses 36.8%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-11-24 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · tag F0628 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-12-19 |
| 2025-11-24 | Honor 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. Resident Rights Deficiencies · tag F0578 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-19 |
| 2025-11-24 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-24 |
| 2025-11-24 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-24 |
| 2025-11-24 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-24 |
| 2025-11-24 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-24 |
| 2025-11-24 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-24 |
| 2025-11-24 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-24 |
| 2025-08-19 complaint survey |
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 No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 2025-08-01 |
| 2025-08-19 complaint survey |
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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-18 |
| 2025-08-19 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-18 |
| 2024-12-16 complaint survey |
Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-31 |
| 2024-12-16 complaint survey |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · tag F0744 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-31 |
| 2024-12-16 complaint survey |
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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-31 |
| 2024-07-18 | 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 No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-08 |
| 2024-07-18 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · tag F0565 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-08 |
| 2024-07-18 complaint survey |
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 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-08 |
| 2024-07-18 complaint survey |
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 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-08 |
| 2024-07-18 | 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 No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-08 |
| 2024-07-18 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · tag F0925 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-08 |
| 2024-07-18 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-08 |
| 2024-07-18 complaint survey |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-08 |
| 2024-07-18 complaint survey |
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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-08 |
| 2024-07-18 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-08 |
| 2024-07-18 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-08 |
| 2024-07-18 complaint survey |
Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-08 |
| 2024-07-18 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0698 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-08 |
| 2024-07-18 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-08 |
| 2024-07-18 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-08 |
| 2024-07-18 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-08 |
| 2024-02-23 complaint survey |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-14 |
| 2024-02-23 complaint survey |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-14 |
| 2023-03-24 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-04-07 |
| 2023-03-24 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-07 |
| 2023-03-24 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-07 |
| 2023-03-24 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-07 |
| 2023-03-24 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-07 |
| 2023-03-24 | Ensure 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. Quality of Life and Care Deficiencies · tag F0693 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-07 |
| 2023-03-24 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-07 |
| 2023-03-24 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-07 |
| 2023-03-24 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · tag F0791 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-07 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Hancock Regional Hospital Organization | 5% or greater direct ownership interest | 100% | 2012-02-01 |
| Bhi Retirement Communities Inc. Organization | adp of the snf | — | 2012-02-01 |
| Bhi Senior Living, Inc. Organization | adp of the snf | — | 2012-02-01 |
| Hancock Regional Hospital Organization | adp of the snf | — | 2025-02-26 |
| Westminster Village North, Inc. Organization | adp of the snf | — | 2012-02-01 |
| Westminster Village North, Inc. Organization | operational/managerial control | — | 2012-02-01 |
| Gaskins, Chuck Individual | adp of the snf | — | 2014-02-28 |
| Long, Steven Individual | corporate officer | — | 2014-08-01 |
| Bloomstrom, John Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-07 |
| Caldwell, Jeffrey Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-07 |
| Dalton, Douglass Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-07 |
| Dattilo, John Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-07 |
| Ellis, Brian Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-07 |
| Jones, L. Dean Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-07 |
| Kelly, Beth Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-07 |
| Koselke, Elizabeth Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-07 |
| Meredith, Wendy Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-07 |
| Miller, Roger Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-07 |
| Richardson, Jane Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-07 |
| Robbins, Fred Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-07 |
| Seigel, Jane Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-07 |
| Terp, Jeffrey Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-07 |
| Weideman II, Roger Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-07 |
| Bond, Maria Individual | managing control - governing body | — | 2021-07-01 |
| Clark, Timothy Individual | managing control - governing body | — | 2012-02-01 |
| Daugherty, Joshua Individual | managing control - governing body | — | 2020-01-01 |
| Felker, Dean Individual | managing control - governing body | — | 2012-02-01 |
| Joyner, Sara Individual | managing control - governing body | — | 2019-07-01 |
| Miller, James Individual | managing control - governing body | — | 2012-02-01 |
| Willard, Lacey Individual | managing control - governing body | — | 2022-07-01 |
| Wilson, Roy Individual | managing control - governing body | — | 2012-02-01 |
| Gaskins, Chuck Individual | operational/managerial control | — | 2014-02-28 |
| Long, Steven Individual | operational/managerial control | — | 2014-08-01 |
| Bond, Maria Individual | trustee of the snf | — | 2021-07-01 |
| Clark, Timothy Individual | trustee of the snf | — | 2012-02-01 |
| Daugherty, Joshua Individual | trustee of the snf | — | 2020-01-01 |
| Felker, Dean Individual | trustee of the snf | — | 2012-02-01 |
| Joyner, Sara Individual | trustee of the snf | — | 2019-07-01 |
| Miller, James Individual | trustee of the snf | — | 2012-02-01 |
| Willard, Lacey Individual | trustee of the snf | — | 2022-07-01 |
| Wilson, Roy Individual | trustee of the snf | — | 2012-02-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Westminster Village North.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Marion County.