Deficiency Index

Bethany Village

Indianapolis, Indiana · CCN 155237

20 surveys since 2011. The first finding at harm level was recorded in 2015.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
72
Surveys
20
Harm or worse
2
Immediate jeopardy
0
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worse2

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file14/20

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
100
Ownership
For profit - Corporation
Chain
AMERICAN SENIOR COMMUNITIES
County
Marion
Medicare-certified since
1984

CMS ratings

Overall
2
Health inspection
2
Staffing
1
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 67 for-profit facilities of 100–127 beds in Indiana.

Last survey on record

Sep 8, 2025

427 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.413.43
Registered-nurse hours per resident day0.50—
Annual nurse turnover59.6%48.6%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1575.0%E420.0%F15.0%
No harm, potential for minimalA—B—C—
CMS’s current file: 20 of the 72 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6892×

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

  • F7612×

    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.

  • F5581×

    Reasonably accommodate the needs and preferences of each resident.

  • F6021×

    Protect each resident from the wrongful use of the resident's belongings or money.

  • F6231×

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

In the surveyor’s words

From the most serious findings on record at Bethany Village, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Sep 8, 2025

    Based on observation, interview, and record review, the facility failed to ensure foods were served in a sanitary and safe manner for 2 of 3 kitchen observations. Staff hair was not covered while in the kitchen food preparation area. (Dietary Aide 7 and Dietary Aide 8) Findings include: 1. During a follow-up kitchen observation, on 9/2/25 from 11:35 a.m. to 11:40 a.m., the following was observed:- Dietary Aide 7 was observed walking through-out the kitchen service area where the noon meal was being prepared and near the steamtable that held the hot foods for the noon meal. Dietary Aide 7 was observed to have facial hair, approximately one-half inch in length, above and below the lip area and at the upper cheek bone area. […]

  • No harm, potential for more than minimal, patternF689Sep 8, 2025

    Based on observation, interview, and record review, the facility failed to ensure potentially hazardous materials were kept secured and behind locked doors to prevent resident's access to the materials potentially affecting 15 self-mobile cognitively impaired residents for 1 of 1 observation. (Housekeeping/Electrical room)Finding includes:On 9/4/25 from 11:00 a.m. to 11:08 a.m., the Housekeeping/Electrical room located near the main dining room and the 300 hall was observed. Posted on the door was a sign that indicated Not An Exit and a keypad lock was observed above the door handle. The door was observed to be open. Visible inside the room were multiple tools, electric wires, cleaning supplies, and various maintenance equipment. […]

  • No harm, potential for more than minimal, patternF602Jan 28, 2025

    Based on interview and record review, the facility failed to ensure the resident trust accounts were safeguarded to prevent misappropriation for 6 of 6 residents reviewed for misappropriation of property. Cash was withdrawn from resident trust accounts and was unaccounted for. (Resident B, Resident C, Resident D, Resident E, Resident F, Resident G) Findings includes: 1. During an interview on 1/28/25 at 9:04 a.m., Resident B indicated he thought there had been a discrepancy in his trust account but couldn't remember the details of the discrepancy. On 1/28/25 at 9:30 a.m., the Administrator provided a copy of an incident report, dated 12/19/24 at 3:01 p.m., with three withdrawal slips. […]

  • No harm, potential for more than minimal, patternF689Sep 10, 2024

    Based on observation, interview, and record review, the facility failed to ensure the facility was free from accident hazards for 1 of 1 observation, potentially affecting 36 of 56 self-mobile residents residing in the facility. A rubber hose used for fish tank maintenance was located on the floor in the middle of a walkway area that was used by the residents. (500 hall) Finding includes: During an observation, on 9/6/24 from 9:00 a.m. to 9:13 a.m., the following was observed on the 500-hall floor space between the resident pantry and the resident lounge area: - A dark colored rubber hose, approximately one inch in diameter and approximately 25 feet in length, was observed in the middle of the walkway that ran from the resident pantry room (on the left side of the hall) to the resident… […]

  • No harm, potential for more than minimal, patternF695Sep 29, 2023

    Based on observation, interview, and record review, the facility failed to date and label oxygen tubing for 4 of 5 residents reviewed for oxygen. (Resident 148, Resident 63, Resident 36, Resident 146) Finding includes: 1. During an interview on 9/26/23 at 8:55 a.m., Resident 148 indicated he constantly needed the oxygen delivery from the machine and nasal cannula. On 9/26/23 at 11:00 a.m., Resident 148 was observed in bed in his room receiving 2 liters of oxygen via a nasal cannula from an oxygen concentrator machine (a machine that takes in air from the room to filter out nitrogen in order to provide higher amounts of oxygen for oxygen therapy). […]

Read 22 findings in full →The most serious and the most recent: 22 of 72 on record.

Every survey on record

FindingsAt actual harm or above

  • Sep 8, 2025Standard6 findings
  • Jul 24, 2025Complaint1 finding
  • Jan 28, 2025Complaint1 finding
  • Sep 10, 2024Standard7 findings
  • Dec 1, 2023Complaint3 findings
  • Sep 29, 2023Standard2 findings
  • Aug 11, 2022Standard4 findings
  • Oct 8, 2021Standard3 findings
Show the 12 earlier surveys
  • May 17, 2021Complaint1 finding
  • May 17, 2019Standard4 findings
  • Jun 29, 2018Standard6 findings
  • Jul 31, 2017Standard7 findings · 1 harm
  • Jul 15, 2016Standard3 findings
  • Jun 3, 2015Standard4 findings · 1 harm
  • Sep 9, 2014Complaint1 finding
  • Apr 29, 2014Standard6 findings
  • Mar 11, 2013—2 findings
  • Feb 9, 2012—6 findings
  • Aug 17, 2011—2 findings
  • Mar 17, 2011—3 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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