WESTSIDE RETIREMENT VILLAGE
WESTSIDE RETIREMENT VILLAGE is a 132-bed nursing home in INDIANAPOLIS, Indiana. CMS has certified it for Medicare and Medicaid since 1997-01-01. It averages 86.7 residents a day.
What harm was found in the violations cited at WESTSIDE RETIREMENT VILLAGE?
CMS lists 74 health-inspection deficiencies for WESTSIDE RETIREMENT VILLAGE, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-06-25.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-25 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2026-03-20 | F0552, F0600, F0609, F0610 | Ensure that residents are fully informed and understand their health status, care and treatments. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. | D |
| 2026-03-06 | F0801, F0812 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2026-03-06 | F0550, F0628 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E |
| 2026-03-06 | F0558, F0605, F0641, F0644, F0677, F0919 | Reasonably accommodate the needs and preferences of each resident. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Ensure each resident receives an accurate assessment. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2025-07-22 | F0684, F0695, F0880 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / Provide and implement an infection prevention and control program. | D |
| 2025-05-21 | F0804, F0921 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2025-05-21 | F0558, F0585 | Reasonably accommodate the needs and preferences of each resident. / 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. | D |
| 2025-01-15 | F0561, F0565, F0584, F0689, F0880 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Honor the resident's right to organize and participate in resident/family groups in the facility. / Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide and implement an infection prevention and control program. | E |
| 2025-01-15 | F0550, F0578, F0641, F0645, F0657, F0677, F0693, F0695, F0757, F0761, F0908 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / Keep all essential equipment working safely. | D |
| 2024-11-07 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E |
| 2024-11-07 | F0761 | 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. | D |
| 2024-08-16 | F0550, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide and implement an infection prevention and control program. | D |
| 2024-06-28 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E |
| 2024-04-17 | F0657, F0686 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2023-12-04 | F0804, F0812, F0908 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Keep all essential equipment working safely. | F |
| 2023-12-04 | F0565, F0584, F0641, F0656, F0688, F0725, F0744, F0761, F0880, F0883 | Honor the resident's right to organize and participate in resident/family groups in the facility. / Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / 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. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | E |
| 2023-12-04 | F0550, F0677, F0684, F0686, F0689, F0690, F0692, F0694, F0697, F0757, F0803 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough food/fluids to maintain a resident's health. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D |
| 2023-10-12 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2023-10-12 | F0609, F0657, F0689, F0919 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
How is WESTSIDE RETIREMENT VILLAGE staffed?
| Measure | This facility | IN average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.71711 | 3.67961 |
| Total nursing staff turnover (%) | 40.3 | 45.9 |
| Average number of residents per day | 86.7 | 72.5 |
Who owns WESTSIDE RETIREMENT VILLAGE, and what chain is it in?
WESTSIDE RETIREMENT VILLAGE is registered with CMS as For profit - Corporation, operates under the legal business name HENDRICKS COUNTY HOSPITAL and belongs to the LIFE CARE CENTERS OF AMERICA chain.
| Role | Owner | Association date |
|---|---|---|
| MANAGING CONTROL - GOVERNING BODY | ENGELS, ERIN, GENTRY, MARK, STARKEY, TYLER, WAITE, JOHN, WHICKER, TIMOTHY | since 01/12/2022 |
| CORPORATE OFFICER | FENOUGHTY, DEANNA | since 07/10/2023 |
| OPERATIONAL/MANAGERIAL CONTROL | LIFE CARE CENTERS OF AMERICA, INC., WESTSIDE SNF OPERATIONS LLC, CROSS, CINDY, FENOUGHTY, DEANNA, FLETCHER, TODD, HENRY, TERRY, LAY, LISA, LINENBERGER, CHARITY, PRESTON, AUBREY, PRESTON, FORREST, SWANKER, RICHARD, THURMOND, JOAN, WALBRIDGE, TIMOTHY, ZIEGLER, JAMES | since 02/01/2024 |
| TRUSTEE OF THE SNF | ENGELS, ERIN, GENTRY, MARK, STARKEY, TYLER, WAITE, JOHN, WHICKER, TIMOTHY | since 01/12/2022 |
| ADP OF THE SNF | HENDRICKS COUNTY HOSPITAL, LIFE CARE CENTERS OF AMERICA, INC., WESTSIDE SNF OPERATIONS LLC, LINENBERGER, CHARITY, PRESTON, FORREST, WALBRIDGE, TIMOTHY | since 02/01/2024 |
Were you or a family member harmed at WESTSIDE RETIREMENT VILLAGE?