Wesley Manor Health Center
Frankfort, Clinton County, Indiana · CCN 155658 · Non-profit (Corporation) · part of Bhi Senior Living (9 facilities, chain average 4 stars)
CMS rates Wesley Manor Health Center 3 of 5 overall as of August 2026. 96 certified beds, 90 residents a day on average. 11 citations on record from the current inspection cycles, 3 involving actual harm; 1 fine totalling $20,826.
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 | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 3 / 4 of 5 |
Staffing
| Total nurse staffing | 3.63978 hours per resident per day |
|---|---|
| Registered nurses | 0.51859 hours per resident per day |
| Weekend total | 3.21692 hours per resident per day |
| Nursing staff turnover | 33.3% (registered nurses 10%) |
| Administrators who left | 1 |
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 |
|---|---|---|---|
| 2026-05-21 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-22 |
| 2026-05-21 | 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 2026-06-04 |
| 2025-12-11 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 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2026-01-01 |
| 2025-06-03 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · tag F0628 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 2025-05-21 |
| 2025-06-03 | 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 2025-06-18 |
| 2024-06-18 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0604 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-07-18 |
| 2024-06-18 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-07-18 |
| 2024-06-18 | 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 2024-07-18 |
| 2024-06-18 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-07-18 |
| 2024-06-18 | 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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-07-18 |
| 2023-09-28 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 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2023-10-20 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-06-18 | Fine | $20,826 |
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 |
|---|---|---|---|
| Woodlawn Hospital Organization | 5% or greater direct ownership interest | 100% | 2013-04-08 |
| Bhi Retirement Communities Inc. Organization | adp of the snf | — | 2012-02-01 |
| Bhi Senior Living, Inc. Organization | adp of the snf | — | 2012-02-01 |
| Wesley Manor Inc. Organization | adp of the snf | — | 2012-02-01 |
| Woodlawn Hospital Organization | adp of the snf | — | 2025-03-12 |
| Wesley Manor Inc. Organization | operational/managerial control | — | 2012-02-01 |
| Mustaklem, Marwan Individual | adp of the snf | — | 2023-07-10 |
| Waymire, Gary Individual | adp of the snf | — | 2021-07-12 |
| Fisher, Alan Individual | corporate officer | — | 2022-06-13 |
| 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 | — | 2025-05-09 |
| 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 | — | 2025-04-08 |
| Meredith, Wendy Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-08 |
| Miller, Roger Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-08 |
| Richardson, Jane Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-08 |
| Robbins, Fred Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-08 |
| Seigel, Jane Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-08 |
| Terp, Jeffrey Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-08 |
| Weideman II, Roger Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-08 |
| Bode, Glen Individual | managing control - governing body | — | 2022-12-09 |
| Chudzynski, Kendra Individual | managing control - governing body | — | 2024-10-15 |
| Heyde, Alison Individual | managing control - governing body | — | 2019-09-09 |
| Johnson, Terri Individual | managing control - governing body | — | 2022-06-13 |
| Mellinger, Gregory Individual | managing control - governing body | — | 2022-06-13 |
| Webb, Harry Individual | managing control - governing body | — | 2023-10-15 |
| Fisher, Alan Individual | operational/managerial control | — | 2022-06-13 |
| Mustaklem, Marwan Individual | operational/managerial control | — | 2023-07-10 |
| Waymire, Gary Individual | operational/managerial control | — | 2021-07-12 |
| Bode, Glen Individual | trustee of the snf | — | 2022-12-09 |
| Chudzynski, Kendra Individual | trustee of the snf | — | 2024-10-15 |
| Heyde, Alison Individual | trustee of the snf | — | 2019-09-09 |
| Johnson, Terri Individual | trustee of the snf | — | 2022-06-13 |
| Mellinger, Gregory Individual | trustee of the snf | — | 2022-06-13 |
| Webb, Harry Individual | trustee of the snf | — | 2023-10-15 |
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 Wesley Manor Health Center.
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 Clinton County.