Bethany Village
3518 S Shelby St, Indianapolis, IN 46227 · Marion County · 100 certified beds · avg 87 residents/day · certified since Sep 26, 1984
Part of chain: AMERICAN SENIOR COMMUNITIES (90 facilities, chain avg rating 3.9★)
2/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
3.26
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (20)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 8, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Sep 8, 2025 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Sep 8, 2025 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Sep 8, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Sep 8, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Sep 8, 2025 | D · Potential for harm, one-off | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. |
| Jul 24, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Jan 28, 2025 | E · Potential for harm, repeated | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Sep 10, 2024 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Sep 10, 2024 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Sep 10, 2024 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Sep 10, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Sep 10, 2024 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Sep 10, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Sep 10, 2024 | D · Potential for harm, one-off | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Dec 1, 2023 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint |
| Dec 1, 2023 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · from a complaint |
| Dec 1, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Sep 29, 2023 | E · Potential for harm, repeated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Sep 29, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | E |
| 2024 | 7 | 0 | E |
| 2025 | 8 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Indiana avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.26 | 3.42 | 3.95 | bottom 49% in Indiana; bottom 24% in the U.S. |
| Registered Nurse hours | 0.47 | 0.62 | 0.69 | bottom 32% in Indiana; bottom 34% in the U.S. |
| Weekend total nurse staffing | 2.81 | 3.01 | 3.50 | bottom 45% in Indiana; bottom 21% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.28 | 0.47 | 0.48 | bottom 20% in Indiana; bottom 29% in the U.S. |
| Total nursing staff turnover (%) | 59.6 | 45.9 | 45.8 | bottom 14% in Indiana; bottom 17% in the U.S. |
| RN turnover (%) | 68.4 | 40.4 | 42.9 | bottom 9% in Indiana; bottom 13% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.41, RN 0.50, weekend 2.94. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Henry County Memorial Hospital | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/2023 |
| American Senior Communities LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2023 |
| American Senior Communities LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/31/2025 |
| Chies, Steven | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2023 |
| Dice, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2023 |
| Dice, Mark | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2023 |
| Dynes, Sheldon | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2013 |
| Dynes, Sheldon | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2013 |
| Fingers, Holly | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/24/2025 |
| Hafidh, Saad | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2023 |
| Hafidh, Saad | Individual | ADP of the SNF | NOT APPLICABLE | 03/18/2025 |
| Henry County Memorial Hospital | Organization | ADP of the SNF | NOT APPLICABLE | 04/28/2025 |
| Jackson, Blake | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2023 |
| Jackson, Ethan | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2023 |
| Jackson, Mark | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2023 |
| Jackson, Michael | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/14/2024 |
| Jackson, Wessley | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2023 |
| Justice, David | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2023 |
| Kelsey, Donna | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/18/2024 |
| Pidgeon, John | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2013 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Waters of Indianapolis, the | 1.1 mi | Indianapolis, IN | ★★☆☆☆ | 2/5 | abuse |
| Fairway Village | 1.4 mi | Indianapolis, IN | ★★★★★ | 5/5 | |
| Forest Creek Village | 1.6 mi | Indianapolis, IN | ★★★★☆ | 3/5 | |
| Brickyard Healthcare - Churchman Care Center | 1.8 mi | Indianapolis, IN | ★★★★☆ | 3/5 | |
| Altenheim Health & Living Community | 1.9 mi | Indianapolis, IN | ★★★★☆ | 4/5 | |
| Beech Grove Meadows | 2.0 mi | Beech Grove, IN | ★★★★☆ | 3/5 | |
| Envive of Beech Grove | 2.2 mi | Beech Grove, IN | ★★★☆☆ | 4/5 | |
| Majestic Care of Southport | 3.2 mi | Indianapolis, IN | ★★★☆☆ | 3/5 | |
| Hawthorne Healthcare Center | 4.0 mi | Indianapolis, IN | ★★★★☆ | 3/5 | |
| Southpointe Healthcare Center | 4.5 mi | Indianapolis, IN | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 155237.