WESTSIDE RETIREMENT VILLAGE
8616 W 10TH ST, INDIANAPOLIS, IN 46234 · CCN 155606
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★★ 5
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- Government - Hospital district
- Certified beds
- 132
- Avg residents/day
- 93.9
- Phone
- 3172092800
Inspection history vs Indiana & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Indiana avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-01-15 | 21 | 7.6 | 9.5 | +13.4 worse |
| 2 | 2023-12-04 | 33 | 7.9 | 9.8 | +25.1 worse |
| 3 | 2022-09-01 | 22 | 8.8 | 9.3 | +13.2 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 5 |
| Resident assessment and care planning | 2 |
| Resident rights | 7 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
| Environmental | 2 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.68 | 51.1% |
| RN staffing (reported) | 0.40 | 57.1% |
| Total nurse staffing (adjusted) | 3.54 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- LIFE CARE CENTERS OF AMERICA
- Facilities in chain
- 194
- Chain avg overall
- 3.50 / 5
Inspection citations (76)1 actual harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-07-22 · Health · corrected 2025-08-22
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-07-22 · Health · corrected 2025-08-22
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-07-22 · Health · corrected 2025-08-22
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-05-21 · Health · corrected 2025-06-27
Potential for more than minimal harm
- DF0585Honor 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.2025-05-21 · Health · corrected 2025-06-27
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-05-21 · Health · corrected 2025-06-27
Potential for more than minimal harm
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-05-21 · Health · corrected 2025-06-27
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-01-15 · Health · corrected 2025-02-17
Potential for more than minimal harm
- EF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2025-01-15 · Health · corrected 2025-02-17
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2025-01-15 · Health · corrected 2025-02-17
Potential for more than minimal harm
- DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2025-01-15 · Health · corrected 2025-02-17
Potential for more than minimal harm
- EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2025-01-15 · Health · corrected 2025-02-17
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-01-15 · Health · corrected 2025-02-17
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-01-15 · Health · corrected 2025-02-17
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-01-15 · Health · corrected 2025-02-17
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-01-15 · Health · corrected 2025-02-17
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-15 · Health · corrected 2025-02-17
Potential for more than minimal harm
- DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2025-01-15 · Health · corrected 2025-02-17
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-01-15 · Health · corrected 2025-02-17
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-01-15 · Health · corrected 2025-02-17
Potential for more than minimal harm
- DF0761Ensure 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.2025-01-15 · Health · corrected 2025-02-17
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-01-15 · Health · corrected 2025-02-17
Potential for more than minimal harm
- DF0908Keep all essential equipment working safely.2025-01-15 · Health · corrected 2025-02-17
Potential for more than minimal harm
- EF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2024-11-07 · Health · corrected 2024-12-13
Potential for more than minimal harm
- DF0761Ensure 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.2024-11-07 · Health · corrected 2024-12-13
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-08-16 · Health · corrected 2024-09-13
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-08-16 · Health · corrected 2024-09-13
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-06-28 · Health · corrected 2024-07-24
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-04-17 · Health · corrected 2024-05-15
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-04-17 · Health · corrected 2024-05-15
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-12-04 · Health · corrected 2024-01-04
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-12-04 · Health · corrected 2024-01-04
Potential for more than minimal harm
- EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-12-04 · Health · corrected 2024-01-04
Potential for more than minimal harm
- EF0641Ensure each resident receives an accurate assessment.2023-12-04 · Health · corrected 2024-01-04
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-12-04 · Health · corrected 2024-01-04
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-12-04 · Health · corrected 2024-01-04
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-12-04 · Health · corrected 2024-01-04
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-12-04 · Health · corrected 2024-01-04
Potential for more than minimal harm
- EF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2023-12-04 · Health · corrected 2024-01-04
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-04 · Health · corrected 2024-01-04
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-12-04 · Health · corrected 2024-01-04
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2023-12-04 · Health · corrected 2024-01-04
Potential for more than minimal harm
- DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2023-12-04 · Health · corrected 2024-01-04
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-12-04 · Health · corrected 2024-01-04
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-12-04 · Health · corrected 2024-01-04
Potential for more than minimal harm
- EF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2023-12-04 · Health · corrected 2024-01-04
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-12-04 · Health · corrected 2024-01-04
Potential for more than minimal harm
- EF0761Ensure 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.2023-12-04 · Health · corrected 2024-01-04
Potential for more than minimal harm
- DF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2023-12-04 · Health · corrected 2024-01-04
Potential for more than minimal harm
- FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-12-04 · Health · corrected 2024-01-04
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-12-04 · Health · corrected 2024-01-04
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-12-04 · Health · corrected 2024-01-04
Potential for more than minimal harm
- EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-12-04 · Health · corrected 2024-01-04
Potential for more than minimal harm
- FF0908Keep all essential equipment working safely.2023-12-04 · Health · corrected 2024-01-04
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-10-12 · Health · corrected 2023-11-03
Actual harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-10-12 · Health · corrected 2023-11-03
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-10-12 · Health · corrected 2023-11-03
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-12 · Health · corrected 2023-11-03
Potential for more than minimal harm
- DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-10-12 · Health · corrected 2023-11-03
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-04-11 · Health · corrected 2023-04-28
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2022-09-01 · Health · corrected 2022-10-01
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2022-09-01 · Health · corrected 2022-10-01
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-09-01 · Health · corrected 2022-10-01
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2022-09-01 · Health · corrected 2022-10-01
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2022-09-01 · Health · corrected 2022-10-01
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-09-01 · Health · corrected 2022-10-01
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-09-01 · Health · corrected 2022-10-01
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-09-01 · Health · corrected 2022-10-01
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-09-01 · Health · corrected 2022-10-01
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-09-01 · Health · corrected 2022-10-01
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2022-09-01 · Health · corrected 2022-10-01
Potential for more than minimal harm
- EF0760Ensure that residents are free from significant medication errors.2022-09-01 · Health · corrected 2022-10-01
Potential for more than minimal harm
- DF0761Ensure 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.2022-09-01 · Health · corrected 2022-10-01
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-09-01 · Health · corrected 2022-10-01
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-09-01 · Health · corrected 2022-10-01
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-09-01 · Health · corrected 2022-10-01
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| HENDRICKS COUNTY HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2018-08-01 |
| LIFE CARE CENTERS OF AMERICA, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-08-01 |
| WESTSIDE SNF OPERATIONS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-08-01 |
| CROSS, CINDY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-08-01 |
| FENOUGHTY, DEANNA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-10 |
| FLETCHER, TODD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-08-01 |
| HENRY, TERRY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-08-01 |
| LAY, LISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-08-01 |
| LINENBERGER, CHARITY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-06 |
| PRESTON, AUBREY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-06 |
| PRESTON, FORREST | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-08-01 |
| SWANKER, RICHARD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-08-01 |
| THURMOND, JOAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-08-01 |
| WALBRIDGE, TIMOTHY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| ZIEGLER, JAMES | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-08-01 |
| FENOUGHTY, DEANNA | Individual | CORPORATE OFFICER | — | 2023-07-10 |
Other facilities in INDIANAPOLIS
| Name | Overall | Beds |
|---|---|---|
| MILLER'S MERRY MANOR | ★★★★★ | 114 |
| FAIRWAY VILLAGE | ★★★★★ | 53 |
| MARQUETTE | ★★★★★ | 57 |
| HOOSIER VILLAGE | ★★★★★ | 24 |
| SOUTHPOINTE HEALTHCARE CENTER | ★★★★★ | 100 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.