Westpark a Waters Community
Indianapolis, Indiana · CCN 155389
27 surveys since 2012. The first finding at harm level was recorded in 2021.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 166
- Surveys
- 27
- Harm or worse
- 7
- Immediate jeopardy
- 4
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 89
- Ownership
- For profit - Limited Liability company
- Chain
- INFINITY HEALTHCARE CONSULTING
- County
- Marion
- Medicare-certified since
- 1991
CMS ratings
- Overall
- 1
- Health inspection
- 2
- Staffing
- 1
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 106 for-profit facilities of 66–99 beds in Indiana.
Last survey on record
Oct 10, 2025
395 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.27 | 3.49 |
| Registered-nurse hours per resident day | 0.62 | — |
| Annual nurse turnover | 76.1% | 48.5% |
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
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D2080.0% | E416.0% | F14.0% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6773×
Provide care and assistance to perform activities of daily living for any resident who is unable.
- F5542×
Allow residents to self-administer drugs if determined clinically appropriate.
- F6842×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F7552×
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F5501×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
In the surveyor’s words
From the most serious findings on record at Westpark a Waters Community, in the surveyor’s own words.
- Immediate jeopardy, patternF740Apr 1, 2022
Based on observation, interview and record review, the facility failed to develop and implement effective treatment plans for residents with a history of drug and/or [CONDITION(S)] resulting in alcohol and illicit drug use in the facility and aggressive resident to resident behaviors for 13 of 43 residents in the facility (Residents B, C, 9, 2, 15, 20, 18, 1, 17, 11, 5, 31, and P) The immediate jeopardy began on [DATE], when 6 residents clinical records indicated the possible ingestion of an unknown illicit substance which was brought in by another resident. The Executive Director, Director of Nursing, Regional Support and Regional Nurse were notified of the immediate jeopardy at 3:47 p.m. on [DATE]. […]
- Immediate jeopardy, patternF880Sep 13, 2021
Based on observations, interviews and record reviews, the facility failed to properly prevent and/or contain COVID-19 by not ensuring residents in droplet transmission precautions were 6 feet apart during a smoking activity. Resident K was present at the smoking activity and tested positive for COVID-19 via a PCR [polymerase chain reaction] test obtained on 9/7/21, with results received on 9/9/21, potentially exposing the 5 other residents that were within 6 feet of him during the smoking activity to Covid-19. […]
- Immediate jeopardy, patternF887Sep 13, 2021
Based on observation, interview, and record review, the facility failed to timely provide Covid-19 vaccination to 2 residents and have documentation education was provided regarding the benefits and potential side effects of the Covid-19 vaccine, and that the resident (or representative) either accepted and received or did not receive the vaccine for 10 residents who wanted vaccinated of 38 residents in the facility and 3 of 7 Covid-19 positive residents who transferred out of the facility. (Residents B, C, D, F, G, H, J, L, N, P, Q, R, S, and Z) The Immediate Jeopardy began on 8/25/21, when Resident C had a care plan meeting requesting to be offered the Covid-19 vaccination and the facility did not take immediate action to provide vaccination. […]
- Immediate jeopardy, isolatedF689Jul 13, 2022
Based on interview and record review, the facility failed to ensure adequate supervision was in place when a resident with dementia (Resident H) exited the facility on 7/4/22 without supervision through an unknown point of exit. The resident was picked up by local police and was found walking along the interstate on 7/5/22 in the afternoon. This deficient practice resulted in Immediate Jeopardy. The Immediate Jeopardy began on 7/4/22 when a resident with dementia (Resident H) exited the facility without facility knowledge. The Executive Director (ED), Regional Director of Operations (RDO), Director of Nursing (DON), and Regional Vice President (RVP) were notified of the Immediate Jeopardy on 7/12/22 at 2:35 p.m. […]
- Actual harm, isolatedF684Apr 1, 2022
Based on interview and record review, the facility failed to provide ongoing assessment to a cognitively impaired resident after an unwitnessed fall and administer their [CONDITION(S)] medication, as ordered, resulting in a hospitalization with break through [CONDITION(S)] for 1 of 3 residents reviewed for hospitalization . (Resident T) Findings include: The clinical record for Resident T was reviewed on 3/22/22 at 1:33 p.m. The diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The 1/20/22 Quarterly MDS (Minimum Data Set) assessment indicated she was severely cognitively impaired. The seizures and at risk for injury related to tremors and/or [CONDITION(S)] activity care plan, revised 8/31/20, indicated an intervention was to provide medications as ordered. […]
Read 27 findings in full →The most serious and the most recent: 27 of 166 on record.
Every survey on record
FindingsAt actual harm or above
- Oct 10, 2025Complaint2 findings
- Jun 10, 2025Standard11 findings
- Apr 5, 2024Standard7 findings
- Feb 27, 2023Standard and complaint5 findings
- Sep 14, 2022Standard4 findings
- Jul 13, 2022Complaint2 findings · 1 harm
- Apr 1, 2022Standard and complaint29 findings · 4 harm
- Jan 27, 2022Complaint6 findings
Show the 19 earlier surveys
- Oct 13, 2021Complaint8 findings
- Sep 13, 2021Infection control3 findings · 2 harm
- Feb 3, 2021Complaint3 findings
- Dec 17, 2020Infection control3 findings
- Aug 1, 2019Standard15 findings
- Mar 27, 2019Complaint7 findings
- Dec 18, 2018Complaint1 finding
- Aug 28, 2018Standard5 findings
- Aug 14, 2018Complaint2 findings
- Dec 8, 2017Complaint1 finding
- Jul 19, 2017Standard14 findings
- Mar 10, 2017Complaint1 finding
- Jun 10, 2016Standard6 findings
- Dec 14, 2015Complaint2 findings
- Jul 1, 2015Standard6 findings
- Jun 3, 2014Standard and complaint7 findings
- Mar 22, 2013—11 findings
- Jan 19, 2012—3 findings
- Jan 5, 2012—2 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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