Wesley Manor Health Center
1555 N Main St, Frankfort, IN 46041 · Clinton County · 96 certified beds · avg 90 residents/day · certified since Dec 1, 1998
Part of chain: BHI SENIOR LIVING (9 facilities, chain avg rating 4.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Dec 11, 2025 · F-0690 · triggered by a complaint
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.
Why it matters: Poor continence and catheter care leads to infections, skin breakdown, and loss of dignity.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jan 1, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jun 18, 2024 · F-0604
The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Why it matters: Unneeded restraints can cause injuries, muscle loss, and deep emotional distress.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jul 18, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Sep 28, 2023 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 20, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (11)
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 |
|---|---|---|
| May 21, 2026 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| May 21, 2026 | D · Potential for harm, one-off | 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. |
| Dec 11, 2025 | ▲ G · Actual 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 |
| Jun 3, 2025 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Jun 3, 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. |
| Jun 18, 2024 | ▲ G · Actual harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Jun 18, 2024 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Jun 18, 2024 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Jun 18, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Jun 18, 2024 | D · Potential for harm, one-off | 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 28, 2023 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (2 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 1 | G ▲ |
| 2024 | 5 | 1 | G ▲ |
| 2025 | 3 | 1 | G ▲ |
| 2026 | 2 | 0 | D |
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)
1 fine totaling $20,826.
| Date | Type | Amount / length |
|---|---|---|
| Jun 18, 2024 | Fine | $20,826 |
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) | 3.62 | 3.42 | 3.95 | top 29% in Indiana; bottom 43% in the U.S. |
| Registered Nurse hours | 0.52 | 0.62 | 0.69 | bottom 41% in Indiana; bottom 40% in the U.S. |
| Weekend total nurse staffing | 3.20 | 3.01 | 3.50 | top 29% in Indiana; bottom 42% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.44 | 0.47 | 0.48 | top 45% in Indiana; top 41% in the U.S. |
| Total nursing staff turnover (%) | 33.3 | 45.9 | 45.8 | top 14% in Indiana; top 20% in the U.S. |
| RN turnover (%) | 10.0 | 40.4 | 42.9 | top 5% in Indiana; top 4% 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 3.64, RN 0.52, weekend 3.22. Staffing rating: 3/5.
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: 3/5 · long-stay residents: 3/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Woodlawn Hospital | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/08/2013 |
| Bhi Retirement Communities INC | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2012 |
| Bhi Senior Living, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2012 |
| Bloomstrom, John | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 04/07/2025 |
| Bode, Glen | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/09/2022 |
| Bode, Glen | Individual | Trustee of the SNF | NOT APPLICABLE | 12/09/2022 |
| Caldwell, Jeffrey | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 05/09/2025 |
| Chudzynski, Kendra | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/15/2024 |
| Chudzynski, Kendra | Individual | Trustee of the SNF | NOT APPLICABLE | 10/15/2024 |
| Dalton, Douglass | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 04/07/2025 |
| Dattilo, John | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 04/07/2025 |
| Ellis, Brian | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 04/07/2025 |
| Fisher, Alan | Individual | Corporate Officer | NOT APPLICABLE | 06/13/2022 |
| Fisher, Alan | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/13/2022 |
| Heyde, Alison | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/09/2019 |
| Heyde, Alison | Individual | Trustee of the SNF | NOT APPLICABLE | 09/09/2019 |
| Johnson, Terri | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/13/2022 |
| Johnson, Terri | Individual | Trustee of the SNF | NOT APPLICABLE | 06/13/2022 |
| Jones, L. Dean | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 04/07/2025 |
| Kelly, Beth | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 04/07/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "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 |
|---|---|---|---|---|---|
| Clinton House Rehabilitation and Healthcare Center | 1.7 mi | Frankfort, IN | ★★★★★ | 4/5 | |
| Mulberry Health & Rehabilitation Center | 9.2 mi | Mulberry, IN | ★★★★★ | 5/5 | |
| Milner Community Health Care | 9.3 mi | Rossville, IN | ★★★★☆ | 4/5 | |
| Homewood Health Campus | 15.3 mi | Lebanon, IN | ★★☆☆☆ | 2/5 | |
| Signature Healthcare at Parkwood | 16.7 mi | Lebanon, IN | ★★★★★ | 4/5 | |
| Creasy Springs Health Campus | 18.5 mi | Lafayette, IN | ★★★☆☆ | 2/5 | |
| Majestic Care of Sheridan | 18.6 mi | Sheridan, IN | ★★★★★ | 4/5 | |
| Waters of Lebanon, the | 19.6 mi | Lebanon, IN | ★☆☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 155658.