Senior Care Records.

Westpark a Waters Community

1316 N TIBBS AVE, Indianapolis, IN, 46222

Nursing home89 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 13 deficiencies against Westpark a Waters Community in Indianapolis, Indiana at its most recent standard inspection on 2025-06-10, 2 of them arising from complaints. Medicare rates it 1 out of 5 overall.

1 / 5Medicare overall rating
89certified beds
13deficiencies at the last inspection
0immediate-jeopardy findings on record
0actual-harm findings on record
0federal fines
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.25
Potential for minimal harmThe least serious band.0
Most recent

The last 20 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

Allow residents to self-administer drugs if determined clinically appropriate.

Resident Rights Deficiencies · F0554 · 2025-10-10 · from a complaint · No actual harm, potential for more than minimal harm

D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies · F0755 · 2025-10-10 · from a complaint · No actual harm, potential for more than minimal harm

D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies · F0550 · 2025-06-10 · standard survey · No actual harm, potential for more than minimal harm

E

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies · F0759 · 2025-06-10 · standard survey · No actual harm, potential for more than minimal harm

E

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies · F0804 · 2025-06-10 · standard survey · No actual harm, potential for more than minimal harm

E

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Resident Rights Deficiencies · F0628 · 2025-06-10 · standard survey · No actual harm, potential for more than minimal harm

D

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 · F0657 · 2025-06-10 · standard survey · No actual harm, potential for more than minimal harm

D

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies · F0677 · 2025-06-10 · standard survey · No actual harm, potential for more than minimal harm

D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies · F0684 · 2025-06-10 · standard survey · No actual harm, potential for more than minimal harm

D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies · F0755 · 2025-06-10 · standard survey · No actual harm, potential for more than minimal harm

D

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 · F0761 · 2025-06-10 · standard survey · No actual harm, potential for more than minimal harm

D

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Administration Deficiencies · F0847 · 2025-06-10 · standard survey · No actual harm, potential for more than minimal harm

D

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2025-06-10 · standard survey · No actual harm, potential for more than minimal harm

D

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Environmental Deficiencies · F0921 · 2024-04-05 · standard survey · No actual harm, potential for more than minimal harm

F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies · F0812 · 2024-04-05 · standard survey · No actual harm, potential for more than minimal harm

E

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2024-04-05 · standard survey · No actual harm, potential for more than minimal harm

D

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies · F0677 · 2024-04-05 · standard survey · No actual harm, potential for more than minimal harm

D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies · F0684 · 2024-04-05 · standard survey · No actual harm, potential for more than minimal harm

D

Assist a resident in gaining access to vision and hearing services.

Quality of Life and Care Deficiencies · F0685 · 2024-04-05 · standard survey · No actual harm, potential for more than minimal harm

D

Provide or obtain dental services for each resident.

Quality of Life and Care Deficiencies · F0791 · 2024-04-05 · standard survey · No actual harm, potential for more than minimal harm

D
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are1 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS3.27448
Nursing staff turnoverShare of nursing staff who left in a year76.1%
Ownership

Who owns Westpark a Waters Community

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
MAJOR HOSPITALOrganization100%since 08/01/2012
MCCARROLL, DAVIDIndividualNOT APPLICABLEsince 08/01/2012
COUCH, GINAIndividualNOT APPLICABLEsince 06/01/2014
SPOOR, NICOLEIndividualNOT APPLICABLEsince 06/01/2014
HORNER, JOHNIndividualNOT APPLICABLEsince 08/01/2012
WESTPARK A WATERS COMMUNITY LLCOrganizationNOT APPLICABLEsince 06/01/2014
BLISKO, MICHAELIndividualNOT APPLICABLEsince 06/01/2014
GUBIN, MOISHEIndividualNOT APPLICABLEsince 06/01/2014
LERMAN, TEDIndividualNOT APPLICABLEsince 06/01/2014

Part of the INFINITY HEALTHCARE CONSULTING group.

Nearby

Other licensed providers within six miles

Listed by distance. Nobody paid to appear here and the order is not for sale.

Contact

Ask Westpark a Waters Community a question

This page has not been claimed, so messages sent here would reach nobody. Call them instead — we take no commission either way, so we have no reason to steer you anywhere.

What is needed

Westpark a Waters Community has not claimed this page, so there is nobody here to deliver a message to. We will not take your details and sit on them. Call them on 3176348330 — the number is from their licence record.

Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 155389.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction