Indiana State Department of Health
Division of Long Term Care
 
CONSUMER REPORT
 
BETHANY VILLAGE
 
NURSING HOME
SKILLED NURSING FACILITY / NURSING FACILITY DUALLY CERTIFIED
Created on: 07/25/2025
 
Posted to the Web on: 08/06/2025
 
 



Basic Information

FACILITY CONTACT INFORMATION:
Address: 3518 S SHELBY ST
City: INDIANAPOLIS
Telephone: (317) 783-4042
Web Site:  
 
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
 
LICENSE INFORMATION:
  License number: 25-000142-1
  License effective date: 01/01/2025
  License expiration date: 12/31/2025
 


Administration and Staff

Administrator: JENNIFER VOSS
  Start date: 12/14/2024
 
Director of Nursing: HOLLY FINGERS
  Start date: 02/24/2025
 
Medical director:  
  Start date:   /  /  
 
Wound care specialist:  
  Start date:   /  /  
 
Infection preventionist:  
  Start date:   /  /  
 


Ownership

CURENT OWNERSHIP:
 
Owning corporation: HENRY COUNTY MEMORIAL HOSPITAL
798 NORTH 16TH ST
NEW CASTLE IN 47362
 
Ownership type:  NON-PROFIT
 
Officer(s): JOHN PIDGEON
            SHELDON DYNES
            DEBI WARE
            BUD SHORE
            BRIAN RING
            MARK DICE
            DAVID BARR
 
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
Date of last change of ownership: 01/01/2023
 


Bed Counts and Census

COMPREHENSIVE CARE BEDS:
Number of Medicaid beds (NF):                     0
Number of Medicare beds (SNF):                    0
Number of Medicare/Medicaid beds (SNF/NF):        100
Number of non-certified comprehensive care beds (State Licensed only):     0
Total number of comprehensive care beds:     100
 
RESIDENTIAL CARE BEDS:
 
Total number of residential beds:            0
 
Total number of beds in facility:            100
 
CENSUS:
Facility census:  88
As reported by the facility on: 01/03/2024
 
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 01/03/2024
 
Residential care beds occupied:  0
As reported by the facility on: 01/03/2024
 
Alzheimer Beds:  26
Alzheimer Beds Occupied:  25
As reported by the facility on:   /  /  
 
Ventilator Beds:  0
Ventilator Beds Occupied:  0
As reported by the facility on:   /  /  
 


Sprinklers and Smoke Detectors

This facility is: FULLY SPRINKLERED
 
Number of comprehensive care resident rooms: 50
Number of comprehensive care resident rooms with battery 
                    operated smoke detectors: 0
Number of comprehensive care resident rooms 
             with hard wired and/or wireless smoke detectors: 50
 
  If hard wired and/or wireless smoke detectors are provided in resident's room, do they:
    (A) Provide a visual and audible signal at the nurses'stations that attend each room? - Yes
    (B) Transmit to a central station service - Yes
    (C) Connect to the health facility's fire alarm system - Yes
 
Person completing form - STEVE STIDD
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. FIELD MAINTENANCE SU
Date form completed - 05/15/2025
 


Nurse Aide Training

NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 11/12/2003
Nurse aide training and competency evaluation program (NATCEP) expires: 04/01/2005
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 04/09/2020
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     IVY TECH COMMUNITY COLLEGE
         Approved: N/A
         Terminated: 10/09/2003
     PRIMEWAY INSTITUTE
         Approved: 03/23/2006
         Terminated: 04/13/2007
     EMMERICH MANUAL HIGH SCHOOL
         Approved: 09/21/2015
         Terminated: 04/10/2018
     NURSE AIDE TRAINING CENTER LLC
         Approved: 06/30/2011
         Terminated: 04/10/2018
     WALKER CAREER CENTER
         Approved: 01/04/2011
         Terminated: 04/10/2018
     PROFESSIONAL CAREER ACADEMY LLC
         Approved: 11/16/2011
         Terminated: 04/10/2018
     INFINITY HEALTHCARE TRAINING INSTITUTE
         Approved: 11/04/2015
         Terminated: 04/10/2018
     HARDON EDUCATION
         Approved: 03/17/2017
         Terminated: 04/10/2018
     HEALTHCARE CAREER TRAINING INSTITUTE
         Approved: 07/07/2016
         Terminated: 04/10/2018
     LEFFLER ACADEMY
         Approved: 05/10/2021
         Terminated: N/A
     ASC TRAINING CENTER
         Approved: 03/12/2021
         Terminated: N/A
     INDY INSTITUTE
         Approved: 05/21/2024
         Terminated: N/A
     NURSE AIDE TRAINING CENTER LLC
         Approved: 07/21/2025
         Terminated: N/A
 


Complaints

NUMBER OF SUBSTANTIATED COMPLAINTS: 
 
  Current year:  0
  Previous year:  0
  2 years previous:  0

 


Facility Report Card



 


 
03/01/2020 Current QTR
12/01/2019 Previous QTR
09/01/2019 Previous QTR
06/01/2019 Previous QTR


Report Card Score
371
351
372
346


Rank of Score
42
49
43
53


Average Score
302
296
295
296


 
*Facility report card scores have not been updated since March 1, 2020 due to changes in the survey process during the ongoing COVID-19 pandemic. 
The facility report card score is calculated four times per calendar year 
for the two most recent nursing home health surveys.  The facility report card score 
also includes all complaint surveys, life safety code surveys, emergency preparedness surveys, 
and any follow-up surveys that occur within the two most recent nursing home health surveys. 
The facility report card score ranges from 500 to 0, with 500 being the best score possible. 
 
View the Scope and Severity grid
 
View the scoring methodology
 



Overview of Survey findings




 
 The Most Recent Set
 2ND Most Recent Set
 3RD Most Recent Set

Immediate Jeopardy
No
No
No


 Substandard Quality of Care 
No
No
No


Administrator Change
No
Yes
No


Owner Change
No
No
No


Number of Substantiated Complaints With Deficiencies
0
0
0


Deficiency Free Standard Health Survey
No
No
No


 
    The term 'Recent Set' referenced above relates to the referenced annual survey,
    and any other surveys performed between it and the previous annual survey.
 

 


Enforcement Actions

 
Federal Certification Actions Imposed
     Directed Plan of Correction
     Date Imposed: 12/01/2022  Date Ended: 11/11/2022
 
Date terminated from Medicare/Medicaid: N/A
 


Survey History


    The survey report is not posted until the report has been provided to the facility and their plan of correction submitted and approved.
    The survey report therefore will likely not be posted until four to six weeks after the exit date.
        
    In the grid below click on an event ID that is underlined to see the survey report for that event.


 
Event ID
Survey Type
Exit Date

Q7HL11
Complaint
06/06/2025


M2Y611
Complaint
02/27/2025


POPW11
Complaint
01/28/2025


ZFB111
Complaint
12/12/2024


X2TG11
Complaint
11/26/2024


390922
Recertification, Follow Up, Life Safety Code
11/15/2024


390912
Recertification, Follow Up, State Licensure
10/08/2024


390921
Recertification, Life Safety Code
09/23/2024


390911
Recertification, Complaint, State Licensure
09/10/2024


WQXR11
Complaint
05/15/2024


PCMS11
Complaint
01/22/2024


KUT211
Complaint
01/17/2024


EQ3C22
Follow Up, Life Safety Code, Recertification
01/12/2024


CEC512
Complaint, Follow Up
01/02/2024


CEC511
Complaint
12/01/2023


EQ3C12
Recertification, Follow Up, State Licensure
10/31/2023


EQ3C21
Recertification, Life Safety Code
10/24/2023


EH6K11
Complaint
10/05/2023


EQ3C11
Recertification, Complaint, State Licensure
09/29/2023


I9N811
Complaint
08/01/2023


T3O011
Complaint
05/18/2023


SBWE11
Complaint, Other
03/23/2023


TQOX11
Complaint
03/03/2023


R9LJ23
Recertification, Follow Up, Life Safety Code
12/09/2022


R9LJ22
Recertification, Follow Up, Life Safety Code
11/07/2022


R9LJ12
Recertification, Follow Up, State Licensure
09/21/2022


R9LJ21
Recertification, Life Safety Code
09/20/2022


R9LJ11
Recertification, State Licensure
08/11/2022


 
 


Links and Resources

 
CMS nursing home compare page 
 
    In addition to the information provided on this 
    web site, the Centers for Medicare & Medicaid Services (CMS) has a web site 
    which contains information on every Medicare and Medicaid certified nursing 
    home in the country. The CMS nursing home survey results contain summary information 
    about a facility's noncompliance of regulations regarding the care of residents 
    found in the nursing homes. You can locate nursing homes in your area and find 
    information about compliance with federal regulations.
 
Resources and links to other organizations
 
Choosing a Nursing Home
 
Overview of the Survey Process
 
State Wide Grouping of all Scores
   
Overview of current comprehensive facility scores
   
Spreadsheet of current comprehensive facility names and scores
   
Legal Disclaimer for Long Term Care Reports.