Westpark a Waters Community

Name: Westpark a Waters Community
Address: 1316 N TIBBS AVE, Indianapolis, IN, 46222, US
Telephone: 3176348330

1316 N Tibbs Ave, Indianapolis, IN 46222 · Marion County · 89 certified beds · avg 42 residents/day · certified since Nov 1, 1991

Part of chain: INFINITY HEALTHCARE CONSULTING (69 facilities, chain avg rating 2.0★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.90

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: 1/5

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 (25)

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
Oct 10, 2025	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. · from a complaint
Oct 10, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Jun 10, 2025	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Jun 10, 2025	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Jun 10, 2025	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Jun 10, 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 10, 2025	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jun 10, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jun 10, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jun 10, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jun 10, 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.
Jun 10, 2025	D · Potential for harm, one-off	The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign.
Jun 10, 2025	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.
Apr 5, 2024	F · Potential for harm, facility-wide	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Apr 5, 2024	E · Potential for harm, repeated	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.
Apr 5, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Apr 5, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Apr 5, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Apr 5, 2024	D · Potential for harm, one-off	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Apr 5, 2024	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Feb 27, 2023	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.
Feb 27, 2023	D · Potential for harm, one-off	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Feb 27, 2023	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Feb 27, 2023	D · Potential for 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.
Feb 27, 2023	D · Potential for harm, one-off	The facility did not provide timely, quality laboratory tests to meet residents' needs.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (7 → 11).

Year	Citations	Worst severity that year
2023	5	D
2024	7	F
2025	13	E

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)	2.90	3.42	3.95	bottom 21% in Indiana; bottom 11% in the U.S.
Registered Nurse hours	0.55	0.62	0.69	bottom 48% in Indiana; bottom 44% in the U.S.
Weekend total nurse staffing	2.64	3.01	3.50	bottom 29% in Indiana; bottom 14% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.46	0.47	0.48	top 38% in Indiana; top 38% in the U.S.
Total nursing staff turnover (%)	76.1	45.9	45.8	bottom 1% in Indiana; bottom 3% in the U.S.
RN turnover (%)	75.0	40.4	42.9	bottom 5% in Indiana; bottom 9% 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 3.27, RN 0.62, weekend 2.99. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Major Hospital	Organization	5% or Greater Indirect Ownership Interest	100%	08/01/2012
Blisko, Michael	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2014
Couch, Gina	Individual	W-2 Managing Employee	NOT APPLICABLE	06/01/2014
Gubin, Moishe	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2014
Horner, John	Individual	Corporate Officer	NOT APPLICABLE	08/01/2012
Lerman, Ted	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2014
McCarroll, David	Individual	Contracted Managing Employee	NOT APPLICABLE	08/01/2012
Spoor, Nicole	Individual	W-2 Managing Employee	NOT APPLICABLE	06/01/2014
Westpark a Waters Community LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	06/01/2014

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"Could I join residents for a meal to see the food quality and temperature for myself?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"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
Alpha Home - a Waters Community	1.5 mi	Indianapolis, IN	★☆☆☆☆	1/5
North Capitol Nursing & Rehabilitation Center	2.9 mi	Indianapolis, IN	★★★☆☆	2/5
Envive of Indianapolis	2.9 mi	Indianapolis, IN	★☆☆☆☆	1/5
Northwest Manor Health Care Center	3.7 mi	Indianapolis, IN	★★★☆☆	2/5
Evergreen Crossing and the Lofts	4.7 mi	Indianapolis, IN	★★☆☆☆	1/5
Eagle Valley Meadows	4.8 mi	Indianapolis, IN	★★☆☆☆	1/5
Westside Retirement Village	5.2 mi	Indianapolis, IN	★★☆☆☆	1/5
Washington Healthcare Center	5.9 mi	Indianapolis, IN	★★★★☆	3/5
Robin Run Health Center	6.3 mi	Indianapolis, IN	★☆☆☆☆	1/5	abuseSFF
Fairway Village	6.3 mi	Indianapolis, IN	★★★★★	5/5
Bethany Village	6.4 mi	Indianapolis, IN	★★☆☆☆	2/5
Wellbrooke of Avon	6.4 mi	Indianapolis, IN	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Indianapolis →

Facility data as of CMS processing date 2026-08-01. CCN 155389.

The Care File

Visit checklist — Westpark a Waters Community

1316 N Tibbs Ave, Indianapolis, IN 46222 · 3176348330

Health inspection rating 2/5 · CMS overall 1/5· Fines (3y): $0

Questions for the administrator:

☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "Could I join residents for a meal to see the food quality and temperature for myself?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 155389 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)