Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens 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 Westminster Village - West Lafayette during CMS and state inspections, most recent first.
The facility failed to document behavior and side effect monitoring for psychotropic medications, wound care, and catheter care for four residents. A resident with dementia had missing documentation for medication side effects, while another with Parkinson's disease also lacked documentation for medication monitoring. A third resident at risk for pressure ulcers had missing wound care documentation, and a fourth with an indwelling catheter had incomplete catheter care records. Interviews with nursing staff confirmed the documentation should have been completed as per facility policies.
The facility failed to follow physician-ordered medication parameters for two residents. One resident received metoprolol despite having a heart rate and blood pressure below the prescribed limits, while another resident was given midodrine when their systolic blood pressure was above the specified threshold. The DON and an LPN acknowledged these errors, which were contrary to the facility's medication administration policies.
The facility failed to conduct timely therapy evaluations and follow physician orders for two residents, leading to deficiencies in care. One resident, at risk for falls and decreased ADLs, experienced a 17-day delay in therapy evaluation, resulting in a fall. Another resident with contractures faced a 16-day delay in therapy evaluation, despite a physician's order. Facility policies on therapy management and documentation were not followed, contributing to these deficiencies.
The facility failed to implement person-centered dementia care interventions for two residents with wandering behaviors. One resident frequently attempted to exit the facility and triggered alarms, while another had missing documentation for wanderguard checks. The facility did not consistently follow its policies on elopement prevention and documentation, leading to inadequate care for these residents.
The facility failed to conduct required gradual dose reductions (GDR) for psychotropic medications for two residents. One resident, with multiple psychiatric diagnoses, lacked GDR considerations for buspirone, duloxetine, and Zyprexa. Another resident, with Parkinson's and anxiety, did not have a GDR for buspirone. The facility's policy mandates GDR attempts in two separate quarters within the first year and annually thereafter, which was not adhered to.
A facility failed to administer influenza and pneumococcal vaccinations to a resident, despite having informed consents signed. The resident, with multiple diagnoses, had not received a pneumococcal vaccine and had an outdated influenza vaccine. The Infection Preventionist was unaware of the reasons for the oversight, despite facility policies requiring timely vaccination.
Documentation Failures in Medication and Care Monitoring
Penalty
Summary
The facility failed to ensure proper documentation for behavior and side effect monitoring for psychotropic medications, wound care treatments, and catheter care for four residents. Resident 18, diagnosed with dementia and other mental health disorders, had multiple instances where side effect monitoring for antianxiety, antidepressant, and antipsychotic medications was not documented as required by physician orders. Similarly, Resident 33, with Parkinson's disease and mental health issues, also had missing documentation for side effect monitoring of antidepressant and antianxiety medications. Resident 20, who was at risk for pressure ulcers due to impaired mobility, had missing documentation for wound care treatments on several days, despite a physician's order for daily wound care to the right buttock. The Director of Nursing acknowledged that the treatment administration record should have been completed. Resident 12, with an indwelling catheter due to conditions like diabetes and chronic kidney disease, had numerous instances of missing documentation for catheter care across different shifts, as per the physician's order for every shift care. Interviews with nursing staff, including a Registered Nurse and a Licensed Practical Nurse, confirmed that the documentation should have been completed as per the facility's policies. The facility's policies on charting and documentation, psychotropic medication use, and charting errors emphasize the importance of accurate and timely documentation, which was not adhered to in these cases.
Failure to Follow Medication Parameters for Two Residents
Penalty
Summary
The facility failed to ensure that staff adhered to physician-ordered medication parameters for two residents. Resident 45, diagnosed with end-stage renal disease, congestive heart failure, pulmonary edema, and atrial fibrillation, had a physician's order for metoprolol to be held if the systolic blood pressure was less than 100 or the heart rate was less than 60. However, the medication was administered multiple times despite the resident's heart rate and blood pressure being below these parameters. The Director of Nursing acknowledged that the medication should not have been given outside of the specified parameters. Similarly, Resident 33, who had diagnoses including orthostatic hypotension, Parkinson's disease, depression, dementia, and anxiety disorder, was prescribed midodrine to be administered only if the systolic blood pressure was less than 130. Despite this, the medication was given on numerous occasions when the resident's systolic blood pressure exceeded 130. An LPN confirmed that the medication should not have been administered under these conditions, and the DON was unsure why the medication was given. The facility's policies on administering medication and documentation were not followed, leading to these deficiencies.
Delayed Therapy Evaluations and Non-Adherence to Physician Orders
Penalty
Summary
The facility failed to ensure timely completion of therapy evaluations and adherence to physician's orders for two residents, leading to deficiencies in care. Resident 51, who had a history of falls and was at risk for decreased activities of daily living, was observed multiple times in a compromised position in her wheelchair, leaning forward or to the side. Despite a physician's order for physical therapy evaluation and treatment dated 2/4/25, the therapy evaluation was delayed by 17 days, and the resident was only seen after a fall on 2/21/25. The Therapy Director was unaware of the resident's history of leaning and could not explain the delay in therapy evaluation. Resident 9, who had a history of contractures and impaired activities of daily living, also experienced a delay in therapy evaluation. A physician's order for physical and occupational therapy was issued on 2/4/25, but the evaluation was not completed until 2/20/25, 16 days later. The resident's family member reported having to request staff assistance for repositioning, and the resident had a history of wounds on her buttocks. The Director of Nursing and LPN were unable to explain the delay in therapy evaluation, which was supposed to occur within 72 hours of the order. The facility's policies on therapy management and documentation were not followed, as evidenced by the lack of timely therapy evaluations and incomplete documentation in the electronic health records. The facility's policy required therapy evaluations to be conducted promptly upon receiving a physician's order, but this was not adhered to, resulting in a failure to provide necessary care to maintain or improve the residents' range of motion and mobility.
Failure to Implement Dementia Care Interventions for Wandering Residents
Penalty
Summary
The facility failed to provide appropriate person-centered dementia care interventions for two residents, Resident B and Resident C, who exhibited wandering behaviors. Resident B was observed multiple times attempting to exit the facility, triggering alarms, and wandering into other residents' rooms. Despite having a care plan that included a wanderguard to prevent elopement, the facility did not consistently check the wanderguard placement every shift as ordered by the physician. Additionally, behavior management monitoring was not documented for Resident B, indicating a lack of proper oversight and intervention for her wandering behaviors. Resident C, diagnosed with Alzheimer's disease and dementia with psychotic disturbance, also had a care plan that included a wanderguard to prevent unaccompanied exits. However, documentation for checking the wanderguard placement was missing on several occasions across different shifts. Interviews with facility staff, including an LPN and the DON, confirmed that if the monitoring was not documented, it was not performed, highlighting a gap in the facility's adherence to its own policies and procedures. The facility's policies on elopement prevention and documentation were not followed, as evidenced by the lack of consistent monitoring and documentation of the wanderguard checks and behavior management. The facility's failure to ensure these interventions were properly implemented and documented contributed to the deficiency in providing adequate care for residents with dementia and wandering behaviors.
Failure to Conduct Required Gradual Dose Reductions for Psychotropic Medications
Penalty
Summary
The facility failed to ensure that the pharmacy provided gradual dose reduction (GDR) requests for psychotropic medications for two residents, leading to deficiencies in medication management. Resident 18, diagnosed with dementia, anxiety, depression, and other disorders, was prescribed buspirone, duloxetine, and Zyprexa. The clinical record lacked GDR considerations for buspirone and duloxetine, and did not include the required two GDR considerations for Zyprexa within the specified timeframe. The Director of Nursing confirmed that all available GDR documentation had been provided, indicating a lapse in the facility's adherence to GDR protocols. Similarly, Resident 33, diagnosed with Parkinson's disease, depression, dementia, and anxiety disorder, was prescribed buspirone. The clinical record did not include a GDR consideration for this medication, and a consultant pharmacist's recommendation for a GDR was undated and unsigned by the physician. The Clinical Executive Director acknowledged that it had been over a year since the last GDR for buspirone was conducted. The facility's policy required GDR attempts in two separate quarters within the first year of medication use, and annually thereafter, which was not followed in these cases.
Failure to Administer Influenza and Pneumococcal Vaccinations
Penalty
Summary
The facility failed to ensure that influenza and pneumococcal vaccinations were administered to a resident, identified as Resident B, who was reviewed for immunizations. Resident B's clinical record indicated diagnoses including dementia, polyosteoarthritis, pure hyperglyceridemia, prediabetes, history of falling, and insomnia. Informed consents for both influenza and pneumococcal vaccinations were signed by Resident B's representative on October 9, 2024. However, the immunization report dated February 24, 2025, showed that the resident's last influenza vaccine was administered on September 27, 2023, and she had not received a pneumococcal vaccination. During an interview, the Infection Preventionist (IP) indicated that Resident B had received Tamiflu for influenza exposure at the time of admission, which delayed the influenza vaccination. However, the IP was unaware of why the influenza vaccine was not administered later or why the pneumococcal vaccine was not given at all. The facility's current policies, reviewed on June 25, 2024, stated that influenza vaccines should be offered between October 1st and March 31st, and pneumococcal vaccines should be offered within thirty days of admission. Despite these policies, Resident B did not receive the required vaccinations as per the facility's guidelines.
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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 West Lafayette
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Cumberland Pointe Health Campus | 0.3 mi | — | 0 | 0 |
| Heritage Healthcare | 1 mi | — | 1 | 0 |
| University Place Health Center And Assisted Living | 1.4 mi | — | 5 | 0 |
| Indiana Veterans Home | 2 mi | — | 4 | 0 |
| Saint Anthony Rehab And Nursing Center | 2.7 mi | — | 5 | 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.