Westpark a Waters Community

Nursing Home · Indianapolis, IN

CMS overall rating 1/5 For profit - Limited Liability company

CMS certification number155389

Contact & location

1316 N Tibbs Ave
Indianapolis, IN 46222
Marion County
Phone
(317) 634-8330
ZIP code
46222 – all care providers

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Facility details

Certified beds
89
Residents per day
42.4 (48% occupied)
Ownership
For profit - Limited Liability company
Legal name
Major Hospital
Chain
Infinity Healthcare Consulting (69 facilities, avg 2.0★)
Medicare certified since
November 1, 1991
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.1
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 2.5
Quality measures★★★★★ 4/5
State avg 4.1
Long-stay quality★★★★★ 4/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.27 (state 3.68 · U.S. 3.86)
Registered nurses (RN)
0.62 (state 0.67 · U.S. 0.69)
Licensed practical nurses
0.92 (state 0.78 · U.S. 0.86)
Nurse aides
1.74 (state 2.23 · U.S. 2.32)
Weekend total
2.99 (state 3.24 · U.S. 3.42)
Nursing staff turnover
76.1 (state 45.9 · U.S. 45.8)%
RN turnover
75.0 (state 40.3 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
June 10, 2025
Health deficiencies (last cycle)
13.0 (state 7.2 · U.S. 9.3)
From complaints
2
Citations on record (3 years)
25 health · 18 fire safety
DateCitationSeverityStatus
2025-10-10 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-17
2025-10-10 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-05
2025-06-10 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-14
2025-06-10 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-14
2025-06-10 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-14
2025-06-10 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-14
2025-06-10 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-14
2025-06-10 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-14
2025-06-10 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-14
2025-06-10 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-14
2025-06-10 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-14
2025-06-10 Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
F0847 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-14
2025-06-10 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-14
2024-04-05 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-05-15
2024-04-05 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-05-15
2024-04-05 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-05-15
2024-04-05 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-05-15
2024-04-05 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-05-15
2024-04-05 Assist a resident in gaining access to vision and hearing services.
F0685 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-05-15
2024-04-05 Provide or obtain dental services for each resident.
F0791 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-05-15
2023-02-27 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-03-20
2023-02-27 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.
F0585 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-03-20
2023-02-27 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-03-20
2023-02-27 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-03-20
2023-02-27 Provide timely, quality laboratory services/tests to meet the needs of residents.
F0770 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-03-20

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Major Hospital (organization)5%+ Indirect Ownership Interest · 100%
McCarroll, David (individual)Contracted Managing Employee · NOT APPLICABLE
Horner, John (individual)Corporate Officer · NOT APPLICABLE
Blisko, Michael (individual)Operational/managerial Control · NOT APPLICABLE
Gubin, Moishe (individual)Operational/managerial Control · NOT APPLICABLE
Lerman, Ted (individual)Operational/managerial Control · NOT APPLICABLE
Westpark a Waters Community LLC (organization)Operational/managerial Control · NOT APPLICABLE
Couch, Gina (individual)W-2 Managing Employee · NOT APPLICABLE
Spoor, Nicole (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Westpark a Waters Community?

Westpark a Waters Community has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Indiana.

How many beds does Westpark a Waters Community have?

It has 89 certified beds and cares for about 42 residents per day.

Has Westpark a Waters Community been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Westpark a Waters Community?

It is part of Infinity Healthcare Consulting and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Westpark a Waters Community?

(317) 634-8330. The facility is located at 1316 N Tibbs Ave, Indianapolis, IN 46222.

Other nursing homes in Indianapolis

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.