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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Recognized as the Best Assisted Living and Best Independent Living from 2022-2023 by US News and World Report, Westside Garden Plaza is an esteemed senior living community set in the serene West Tenth Street, Indianapolis, IN, providing assisted living and independent living. Featuring beautifully crafted and spacious studio, one-bedroom, and two-bedroom residences, the community ensures seniors enjoy unmatched comfort and convenience. Ease your worries with a kind and compassionate team lending extra support around the clock.
A jam-packed calendar of engaging activities and enjoyable programs accompanies seniors as they try out new things and rediscover passions. Have the finest dining experience with healthy and delicious meals catering to dietary needs and preferences. Westside Garden Plaza is filled with serene spaces and incredible amenities, making it ideal for seniors to experience a glorious retirement.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 105th out of 287 homes in Indiana for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 2m per day | ▼ 7% State avg: 3h 15m per day · National avg: 3h 25m per day |
Lower than the Indiana average: 68.1%Westside Garden Plaza is legally operated by Westside Limited Partnership, and administrated by Daniel Fink.
Key information about the people who lead and staff this community.
In Indiana, the Department of Health, Division of Long Term Care is the primary regulatory body that performs onsite inspections and quality of care reviews for all licensed facilities.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the Indiana state average. The score below shows how many points this facility sits above or below the typical Indiana nursing home score (the benchmark); higher is better.
6 points below the Indiana average for nursing homes (83/100)
Inspection score: 77 out of 100. Letter grade C+. 6 points below the Indiana average for nursing homes (83/100)
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Indiana state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 93 | 36 | This facility has 158% more total deficiencies than a typical Indiana nursing home (93 vs. IN avg 36).↑ 158% worse Rank #334 / 386 Total deficiencies — State benchmarked This home is ranked 334th out of 386 homes in Indiana. Shows this facility's deficiencies compared to the Indiana average among 386 comparable communities in the ranking pool. |
|
Deficiencies per year
Average deficiencies per year since 2001.
| 3.7 | 1.4 | This facility has 164% more deficiencies per year than a typical Indiana nursing home (3.7 vs. IN avg 1.4).↑ 164% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 9.3 | 1.9 | This facility has 389% more deficiencies per inspection than a typical Indiana nursing home (9.3 vs. IN avg 1.9).↑ 389% worse Rank #369 / 386 Deficiencies per inspection — State benchmarked This home is ranked 369th out of 386 homes in Indiana. Shows this facility's deficiencies per inspection compared to the Indiana average among 386 comparable communities in the ranking pool. |
Inspections
| This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total visits
Combined count of all on-site visits — routine inspections, complaint visits, follow-ups, and other focused visits.
| 10 | 19 | This facility has 47% fewer total visits than a typical Indiana nursing home (10 vs. IN avg 19).↓ 47% better |
|
Inspections with deficiencies
Inspections that resulted in at least one regulatory deficiency.
| 5 | 7 | This facility has 29% fewer inspections with deficiencies than a typical Indiana nursing home (5 vs. IN avg 7).↓ 29% better |
|
Inspection deficiency rate
Percentage of inspections that resulted in at least one deficiency.
| 50% | 37% | This facility has 13 percentage points higher inspection deficiency rate than a typical Indiana nursing home (50% vs. IN avg 37%).↑ 13% worse |
|
Inspections
Routine, scheduled inspections conducted by state regulators.
| 8 | 13 | This facility has 38% fewer inspections than a typical Indiana nursing home (8 vs. IN avg 13).↓ 38% better |
Complaints & Investigations
| This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 3 | 5 | This facility has 40% fewer total complaints than a typical Indiana nursing home (3 vs. IN avg 5).↓ 40% better Rank #110 / 352 Total complaints — State benchmarked This home is ranked 110th out of 352 homes in Indiana. Shows this facility's total complaints compared to the Indiana average among 352 comparable communities in the ranking pool. |
|
Complaints per year
Average complaints per year since 2001.
| 0.1 | 0.2 | This facility has 50% fewer complaints per year than a typical Indiana nursing home (0.1 vs. IN avg 0.2).↓ 50% better |
|
Complaint visits
On-site visits triggered by formal complaints. Formal complaints can result in multiple visits.
| 8 | 8 | This facility has complaint visits in line with the Indiana average (8 vs. IN avg 8).— At avg |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Indiana average 6
Last Health inspection on Jul 2025
Indiana average 25
Indiana average 4.12
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
51 of 76 citations resulted from standard inspections; 22 of 76 resulted from complaint investigations; and 3 of 76 came from combined inspections (standard and complaint).
100% better than Indiana averageIndiana average: 0.2
67% worse than Indiana averageIndiana average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
1292035% more staff per resident than Indiana average
0% compared with Indiana average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 8 RN Staff are full-time employees. No contractors work on this role.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursAssists with medical care and medications.
All 13 LPN Staff are full-time employees. No contractors work on this role.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursHelps with daily care and mobility.
All 37 CNA Staff are full-time employees. No contractors work on this role.
37
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
206 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 37 | 0 | 37 | 13,989 | 92 | 100% | 7.2 |
| Licensed Practical Nurse | 13 | 0 | 13 | 6,862 | 92 | 100% | 9.2 |
| Medication Aide/Technician | 11 | 0 | 11 | 4,876 | 92 | 100% | 8.5 |
| Registered Nurse | 8 | 0 | 8 | 2,869 | 92 | 100% | 9.3 |
| Other Dietary Services Staff | 6 | 0 | 6 | 1,322 | 88 | 96% | 7.3 |
| Physical Therapy Aide | 4 | 0 | 4 | 1,309 | 72 | 78% | 7.8 |
| RN Director of Nursing | 5 | 0 | 5 | 1,260 | 75 | 82% | 7.4 |
| Respiratory Therapy Technician | 7 | 0 | 7 | 1,111 | 72 | 78% | 6.4 |
| Qualified Social Worker | 3 | 0 | 3 | 1,095 | 65 | 71% | 6.7 |
| Speech Language Pathologist | 2 | 0 | 2 | 847 | 77 | 84% | 6.9 |
| Physical Therapy Assistant | 4 | 0 | 4 | 790 | 68 | 74% | 6.8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 756 | 58 | 63% | 8.1 |
| Administrator | 2 | 0 | 2 | 640 | 66 | 72% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 445 | 61 | 66% | 7.3 |
| Dental Services Staff | 1 | 0 | 1 | 246 | 32 | 35% | 7.7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 151 | 35 | 38% | 4.3 |
| Occupational Therapy Assistant | 0 | 5 | 5 | 33 | 9 | 10% | 3.3 |
| Medical Director | 0 | 1 | 1 | 23 | 3 | 3% | 7.5 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.4
5% worse than Indiana averageIndiana average: 8.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.1
6% better than Indiana averageIndiana average: 17.1
Percent of long-stay residents whose need for help with daily activities has increased
7.8%
35% better than Indiana averageIndiana average: 12.0%
Percent of long-stay residents whose ability to move independently worsened
16.7%
16% worse than Indiana averageIndiana average: 14.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.8%
In line with Indiana averageIndiana average: 24.6%
Percent of long-stay residents experiencing one or more falls with major injury
3.8%
In line with Indiana averageIndiana average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
3.0%
31% better than Indiana averageIndiana average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.3%
75% better than Indiana averageIndiana average: 1.2%
Percent of long-stay residents who lose too much weight
10.9%
92% worse than Indiana averageIndiana average: 5.7%
Percent of long-stay residents who have depressive symptoms
48.2%
100% worse than Indiana averageIndiana average: 24.1%
Percent of long-stay residents who received an antipsychotic medication
10.0%
19% better than Indiana averageIndiana average: 12.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.6%
5% better than Indiana averageIndiana average: 93.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.0%
In line with Indiana averageIndiana average: 95.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.6%
5% better than Indiana averageIndiana average: 81.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Indiana averageIndiana average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.2%
18% better than Indiana averageIndiana average: 79.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
27% of new residents, usually for short-term rehab.
33% of new residents, often for short stays.
40% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
89Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Westside Garden Plaza based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #76 / 290Payroll — State benchmarkedThis home is ranked 76th out of 290 homes in Indiana for payroll. Shows total annual staff payroll benchmarked to the Indiana average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Pets Allowed
Room Sizes: 414 / 552 / 826 sq. ft
Housing Options: Studio / 1 Bed / 2 Bed
Building Type: Mid-rise
Transportation Services
Fitness and Recreation
Most residents stay for extended periods and receive ongoing daily care.
9.3 miles from city center
Estimated distance in miles from Indianapolis's city center to Westside Garden Plaza's address, calculated via Google Maps.
— 6.49 miles to nearest hospital (Kindred Hospital Indianapolis)
Add your location
Westside Garden Plaza is located in Indianapolis, Indiana.
Here are the financial assistance programs available to residents in Indiana.
Westside Garden Plaza is in the Chapel Hill / Ben Davis neighborhood of Indianapolis.
Crystal Elswick is the Director of Nursing at Westside Garden Plaza.
The legal owner and operator of Westside Garden Plaza is Westside Limited Partnership.
Westside Garden Plaza has a walk score of 10. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to IN state health department records, Westside Garden Plaza's license number is 24-005616-1.
According to IN state health department records, Westside Garden Plaza's license expires on August 31, 2025.
Westside Garden Plaza's occupancy is 47%.
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