Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Bethany Village during CMS and state inspections, most recent first.
A resident with multiple medical conditions left the facility against medical advice after expressing dissatisfaction with care. Although the resident was informed of the risks, staff failed to document the details of the discharge in the medical record as required by facility policy.
The facility failed to protect resident trust accounts, resulting in unauthorized withdrawals for six residents. Discrepancies in signatures and illegible signatures on withdrawal slips were found, with staff signatures being forged. The facility could not identify those responsible for the misappropriation.
A facility failed to maintain a safe environment by leaving a rubber hose on the floor in a walkway, creating a tripping hazard for residents. The hose was observed in the 500-hall between the resident pantry and lounge, with no staff or caution signs present. Interviews revealed staff were unaware of the need for caution signs, and the Administrator admitted the hose should not have been there. The facility's safety policies were not adhered to, affecting 36 self-mobile residents.
A resident was observed with their call light out of reach, hanging over the bed and on the floor. The ADON confirmed that the call light should have been accessible to the resident. The facility's policy on resident rights emphasizes the importance of access to communication and services.
A facility failed to notify the State Long-Term Care Ombudsman of a resident's transfers to emergency and psychiatric facilities. The resident, with severe cognitive impairment and other diagnoses, was transferred multiple times without the required written notification. Interviews revealed the facility lacked a policy for such notifications.
The facility failed to accurately document falls in the MDS assessments for two residents. One resident with Parkinson's disease and another with chronic obstructive pulmonary disease and dementia experienced multiple falls, which were not correctly recorded in their respective MDS assessments. The MDS Coordinator acknowledged the errors during interviews.
A resident with a high risk for pressure ulcers did not receive proper wound care as per physician's orders. The resident's right heel wound was observed uncovered on multiple occasions, despite orders to cleanse, apply collagen, and cover with gauze every three days. The ADON acknowledged the wound should have been wrapped, but it was not, contrary to the facility's Skin Management Program policy.
An unlocked treatment cart was found in the memory care unit without staff supervision, containing medicated treatments labeled to be kept out of reach. Interviews with an LPN and the Executive Director confirmed the cart should have been locked, as per facility policy. The unit housed 20 cognitively impaired, self-mobile residents.
A facility failed to maintain a homelike atmosphere in a resident's room, where a six-inch by six-inch hole in the drywall exposed wires above the room light. The issue persisted over several days, and the resident was unaware of how long it had been there. The Executive Director was not aware of the problem and noted the absence of a maintenance director.
Incomplete Documentation for Discharge Against Medical Advice
Penalty
Summary
The facility failed to ensure that a resident's medical record was complete and accurate when the resident discharged against medical advice. A resident with diagnoses including acute osteomyelitis, acquired absence of right leg below knee, and diabetes left the facility with his sister against medical advice after expressing dissatisfaction with his care since admission. Although the resident had been informed of the risks associated with leaving against medical advice, there was no progress note in the clinical record documenting the details of the discharge. Interviews with the resident and the Director of Nursing (DON) confirmed that the resident and his sister notified staff as they were leaving, and the DON acknowledged that a nurse should have entered a progress note at the time of discharge. Review of the facility's policy indicated that documentation should include staff attempts to provide other options and information about the risks of leaving, but this documentation was missing from the resident's record.
Misappropriation of Resident Trust Funds
Penalty
Summary
The facility failed to safeguard resident trust accounts, leading to misappropriation of funds for six residents. During interviews and record reviews, it was discovered that cash withdrawals from these accounts were unaccounted for, with discrepancies in signatures and illegible signatures on withdrawal slips. For instance, Resident B, who was cognitively intact, had multiple withdrawals with signatures that did not match his own, and the facility could not identify the individuals who signed the slips. Similarly, Resident C's account showed withdrawals with mismatched signatures, and a family member reported a delinquency letter that did not align with their understanding of the account status. Other residents, including Residents D, E, F, and G, also had unauthorized withdrawals with illegible or forged signatures, and the facility was unable to determine who was responsible for these transactions. The investigation revealed that staff signatures on the withdrawal slips were forged, and the facility could not identify the individuals responsible for the misappropriation. The facility's policy was to provide an environment free from misappropriation of resident property, but this was not adhered to, resulting in the unaccounted withdrawal of funds from resident trust accounts.
Facility Fails to Eliminate Tripping Hazard in Walkway
Penalty
Summary
The facility failed to maintain a safe environment free from accident hazards, as evidenced by the presence of a rubber hose used for fish tank maintenance left on the floor in a walkway area. This hose, approximately one inch in diameter and 25 feet in length, was observed in the middle of the walkway between the resident pantry and the resident lounge on the 500-hall. The hose was curled and raised above the floor at certain points, creating a potential tripping hazard. During the observation period, multiple residents were present in the lounge area, and no staff or caution signs were visible to alert residents of the hazard. Interviews conducted with staff revealed a lack of awareness and adherence to safety protocols. An LPN was unsure if caution signs were necessary, and the Administrator acknowledged that the hose should not have been placed in the walkway. The Director of Nursing Services confirmed that 36 of 56 self-mobile residents had access to the 500-hall, indicating a significant risk to resident safety. The facility's General Health and Safety Policies, which mandate the elimination or control of safety hazards, were not followed in this instance.
Failure to Ensure Call Light Accessibility for Resident
Penalty
Summary
The facility failed to ensure reasonable accommodation of needs for one of the eight residents observed. During an observation, Resident 86 was found in bed with the call light hanging over the bed and on the floor, out of the resident's reach. In an interview conducted at the time of observation, the Assistant Director of Nursing (ADON) confirmed that the call light should have been within the resident's reach. The facility's policy titled Resident [NAME] of Rights, dated December 2017, was reviewed and indicated that residents have the right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the community.
Failure to Notify Ombudsman of Resident Transfers
Penalty
Summary
The facility failed to provide written notification to the Office of the State Long-Term Care Ombudsman regarding the transfer of a resident, identified as Resident 39, to other facilities. Resident 39, who was diagnosed with delusional disorder, severe dementia with agitation, and mood disturbance, was transferred multiple times to emergency and psychiatric facilities. These transfers occurred on several occasions in March, April, and May 2024, and were all initiated by the facility. The clinical records for Resident 39 did not contain documentation that the Ombudsman was notified of these facility-initiated transfers. Interviews with the Social Service Director and the Administrator confirmed that the Ombudsman had not been informed of the transfers, and the facility lacked a specific policy for notifying the Ombudsman about such transfers.
Inaccurate MDS Assessments for Falls
Penalty
Summary
The facility failed to ensure accurate Minimum Data Set (MDS) assessments for two residents, leading to incorrect documentation of falls. Resident 35, diagnosed with Parkinson's disease, unsteadiness on feet, repeated falls, generalized muscle weakness, syncope and collapse, and difficulty in walking, experienced an unwitnessed fall on 7/9/24, resulting in left shoulder pain that required x-rays. However, the Quarterly MDS assessment dated 8/7/24 inaccurately indicated that Resident 35 had not experienced any falls since the previous assessment on 5/10/24. The MDS Coordinator acknowledged during an interview that the assessment should have reflected the falls. Similarly, Resident 92, with diagnoses including chronic obstructive pulmonary disease, unspecified dementia, generalized muscle weakness, and age-related physical debility, had multiple falls documented in July 2024. These included a witnessed fall near a nursing station on 7/7/24, another witnessed fall on 7/13/24, and an unwitnessed fall on 7/21/24. Despite these incidents, the Significant Change MDS assessment dated 7/22/24 incorrectly stated that Resident 92 had not experienced any falls since the prior assessment on 5/19/24. The MDS Coordinator confirmed that the assessment should have included the falls, despite the facility's adherence to RAI guidelines for MDS assessments.
Failure to Provide Proper Pressure Ulcer Care
Penalty
Summary
The facility failed to provide appropriate care for a resident with a pressure ulcer on her right heel. Observations on multiple occasions revealed that the wound was not covered with gauze as per the physician's order, which specified cleansing the heel with normal saline, applying collagen to the wound bed, and covering it with gauze every three days. The resident, who had a very high risk for pressure ulcers as indicated by a recent Braden Score, was observed with an uncovered wound on three separate days. The Assistant Director of Nursing acknowledged that the wound should have been wrapped but was unsure why it was not. The facility's Skin Management Program policy, intended to prevent and treat pressure ulcers, was not adhered to in this case.
Unlocked Treatment Cart in Memory Care Unit
Penalty
Summary
The facility failed to ensure that a treatment cart was locked and secured during a medication administration pass observation on the memory care unit. An unlocked treatment cart was observed without any staff present, and multiple residents were seen wandering around the unit. The cart contained medicated treatments, including Nystatin Topical Cream, Vagisil Cream, and Aquaphor Healing Ointment, all labeled with instructions to keep out of reach. This observation was made between 9:00 a.m. and 9:15 a.m. on 9/6/24. Interviews conducted with LPN 3 and the Executive Director confirmed that the treatment cart should have been locked. The Director of Nursing provided a policy titled "Storage and Expiration Dating of Medications and Biologicals," which indicated that all medications and biologicals should be securely stored in a locked cabinet or cart, inaccessible to residents and visitors. The memory care unit housed 20 out of 25 cognitively impaired, self-mobile residents, highlighting the importance of securing the treatment cart.
Facility Fails to Maintain Homelike Atmosphere Due to Exposed Wires
Penalty
Summary
The facility failed to ensure a homelike atmosphere in one of the rooms observed, specifically room [ROOM NUMBER], where a six-inch by six-inch hole in the drywall was found above the resident's room light. This hole exposed wires, posing a potential safety hazard. The issue was first observed during a facility tour and was noted on multiple subsequent days without any change. Resident 86, who occupied the room, was unaware of how long the hole had been present. During an interview, the Executive Director stated she was not aware of the hole and mentioned that the facility did not have a maintenance director at the time.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Indianapolis
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Waters Of Indianapolis, The | 1.1 mi | — | 2 | 0 |
| Fairway Village | 1.4 mi | — | 8 | 0 |
| Forest Creek Village | 1.6 mi | — | 7 | 0 |
| Brickyard Healthcare - Churchman Care Center | 1.8 mi | — | 9 | 0 |
| Altenheim Health & Living Community | 1.9 mi | — | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.