F

WESTPARK A WATERS COMMUNITY

1316 N TIBBS AVE, INDIANAPOLIS, IN 46222
Score: 34 / 100

With a score of 34/100, Westpark A Waters Community ranks in the bottom tier of Indiana nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

With 3.35 total nurse hours per resident per day, Westpark A Waters Community falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent inspections identified 25 deficiencies at Westpark A Waters Community. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.35 3.8 Below Average
Registered Nurses (RN) 0.56 0.7 Below Average
Licensed Practical Nurses (LPN) 0.56 0.7 Below Average
Certified Nursing Assistants (CNA) 2.22 2.4 Average
Weekend Total Nursing 3.05 3.8 Below Average
Weekend RN Hours 0.36 0.7 Below Average

🔍 Inspection & Deficiency History

25
Total Deficiencies
Oct 9, 2025
Most Recent Inspection
🟠 25 Moderate
View recent deficiencies (5 shown)
  • Tag 0554 Severity D
    Allow residents to self-administer drugs if determined clinically appropriate.
    Oct 9, 2025 · Resident Rights Deficiencies
  • Tag 0755 Severity D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    Oct 9, 2025 · Pharmacy Service Deficiencies
  • Tag 0550 Severity E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Jun 9, 2025 · Resident Rights Deficiencies
  • Tag 0759 Severity E
    Ensure medication error rates are not 5 percent or greater.
    Jun 9, 2025 · Pharmacy Service Deficiencies
  • Tag 0804 Severity E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    Jun 9, 2025 · Nutrition and Dietary Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 6.9% 4.5% Worse
Falls with major injury 5.0% 3.0% Worse
On antipsychotic medication 13.1% 14.5% Average
Urinary tract infections 2.2% 2.5% Better
ADL decline (daily activities) 3.8% 14.0% Better
Excessive weight loss 8.2% 7.5% Average
New/worsened incontinence 24.2% 45.0% Better

How This Grade Was Calculated

This facility's grade of F is based on a score of 34 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
89
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jun 9, 2025
Deficiencies (Cycle 1)
13