WESLEY MANOR HEALTH CENTER

1555 N MAIN ST
FRANKFORT, IN, 46041
7656591811
CCN: 155658
3
Overall
3
Health
3
Staffing
3
Quality
ChainBHI SENIOR LIVING
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
WOODLAWN HOSPITAL5% OR GREATER DIRECT OWNERSHIP INTEREST100%
FISHER, ALANCORPORATE OFFICERNOT APPLICABLE
WESLEY MANOR INC.OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FISHER, ALANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MUSTAKLEM, MARWANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WAYMIRE, GARYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (1)
DateTypeAmount
2024-06-18Fine$21K
Health Deficiencies (14)
2025-12-11 · Health
G
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
2025-06-03 · Health
D
F698 · Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
F628 · Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
2024-06-18 · Health
D
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F758 · Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
G
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
2023-09-28 · Health
G
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-04-04 · Health
D
F881 · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F761 · Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
D
F644 · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
F554 · Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.45
3.68
RN Hrs/Resident/Day
0.47
0.54
LPN Hrs/Resident/Day
0.87
0.81
CNA Hrs/Resident/Day
2.11
2.33
PT Hrs/Resident/Day
0.02
0.12
Data as of 2026-03-01