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Skilled nursing

WESTPARK A WATERS COMMUNITY

0.00 reviews · 0 verifiedINDIANAPOLIS, INLic. 155389
Signals
VBPLower SNF VBP program ranking (#13,089)Source: CMS SNF VBP (PDC)
VBP-THigh nursing staff turnover in VBP period (69%)Source: CMS SNF VBP (PDC)
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About

Westpark a Waters Community offers a supportive environment where residents can feel safe and at home. With a focus on both short-term rehabilitation and long-term living, the facility aims to help individuals live well every day. The dedicated care team provides a range of specialized services tailored to meet unique resident needs, including wound care and respiratory support.

CMS Care CompareView on Medicare.gov →
Medicare overall
1/5Medicare.gov Care Compare stars are shown for context only. They are never part of the Unbeatable composite score.
Staffing (PBJ)
2.83 total HPRDRN 0.66 · weekend 86%Oct 2025 – Dec 2025
Survey history
7 inspections43 deficiencies on record
Federal IDs
CCN 155389

Overall: 1/5 · Health: 2/5 · Staffing: 1/5 · QM: 3/5

Unbeatable ratings come only from verified family, staff, and professional reviews on this site. CMS stars, staffing, and citations are public regulatory signals — useful for context, not blended into our score.

Recent inspections
Health surveyOct 2025 · CMS2 deficiencies
  • F-554SS DAllow residents to self-administer drugs if determined clinically appropriate.
  • F-755SS DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Health surveyJun 2025 · CMS11 deficiencies
  • F-550SS EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  • F-628SS DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  • F-657SS DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  • F-677SS DProvide care and assistance to perform activities of daily living for any resident who is unable.
  • F-684SS DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
  • F-755SS DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  • F-759SS EEnsure medication error rates are not 5 percent or greater.
  • F-761SS DEnsure 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.
  • F-804SS EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  • F-847SS DInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
  • F-880SS DProvide and implement an infection prevention and control program.
Fire safetyJun 2025 · STATE FIRE MARSHAL3 deficiencies
  • K-351SS EInstall an approved automatic sprinkler system.
  • K-920SS EEnsure proper usage of power strips and extension cords.
  • K-921SS FEnsure that testing and maintenance of electrical equipment is performed.
Health surveyApr 2024 · CMS7 deficiencies
  • F-609SS DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  • F-677SS DProvide care and assistance to perform activities of daily living for any resident who is unable.
  • F-684SS DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
  • F-685SS DAssist a resident in gaining access to vision and hearing services.
  • F-791SS DProvide or obtain dental services for each resident.
  • F-812SS EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  • F-921SS FMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Fire safetyApr 2024 · STATE FIRE MARSHAL5 deficiencies
  • E-13SS FDevelop Emergency Preparedness policies and procedures.
  • E-29SS FDevelop a communication plan.
  • E-36SS FEstablish emergency prep training and testing.
  • E-4SS FDevelop and maintain an Emergency Preparedness Program (EP).
  • K-353SS EInspect, test, and maintain automatic sprinkler systems.
Health surveyFeb 2023 · CMS5 deficiencies
  • F-554SS DAllow residents to self-administer drugs if determined clinically appropriate.
  • F-585SS DHonor 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.
  • F-677SS DProvide care and assistance to perform activities of daily living for any resident who is unable.
  • F-689SS DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-770SS DProvide timely, quality laboratory services/tests to meet the needs of residents.
Fire safetyFeb 2023 · STATE FIRE MARSHAL10 deficiencies
  • K-100SS EMeet other general requirements.
  • K-291SS FInstall emergency lighting that can last at least 1 1/2 hours.
  • K-321SS EEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
  • K-351SS FInstall an approved automatic sprinkler system.
  • K-353SS FInspect, test, and maintain automatic sprinkler systems.
  • K-363SS EInstall corridor and hallway doors that block smoke.
  • K-372SS EEnsure smoke barriers are constructed to a 1 hour fire resistance rating.
  • K-500SS FMeet other general requirements that are deficient.
  • K-511SS EHave properly installed electrical wiring and gas equipment.
  • K-521SS FEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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Ownership

Operated by INFINITY HEALTHCARE CONSULTING (privately held) since 1991.

  1. Aug 2012
    operator transition — MAJOR HOSPITAL
    5% OR GREATER INDIRECT OWNERSHIP INTEREST (100%) — MAJOR HOSPITAL
Contact

1316 N TIBBS AVE
INDIANAPOLIS, IN 46222

3176348330westparkawc.com
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