Indiana State Department of Health

Division of Long Term Care

CONSUMER REPORT

HOOSIER VILLAGE

NURSING HOME

SKILLED NURSING FACILITY

Created on: 07/25/2025

Posted to the Web on: 08/06/2025
Basic Information
FACILITY CONTACT INFORMATION: Address: 9875 CHERRYLEAF DR City: INDIANAPOLIS Telephone: (317) 873-3349 Web Site: NAME CHANGES: Most recent name change: N/A Date of most recent name change: N/A LICENSE INFORMATION: License number: 24-000548-1 License effective date: 09/01/2024 License expiration date: 08/31/2025
Administration and Staff
Administrator: MINDY KANTZ Start date: 01/15/2015 Director of Nursing: ANNA MARIE WEAVER Start date: 12/11/2024 Medical director: Marwan Mustaklem Start date: / / Wound care specialist: Start date: / / Infection preventionist: Start date: / /
Ownership
CURENT OWNERSHIP: Owning corporation: BHI SENIOR LIVING, INC 5415 BEARBERRY LIVING INC. INDIANAPOLIS IN 46268 Ownership type: PROFIT Officer(s): LOWELL DEAN JONES ROGER MILLER JOHN DATTILO ROGER WEIDEMAN II JANE SEIGEL WENDY MEREDITH JOHN LIPSON JANE RICHARDSON JEFFREY A TERP DEXTER COOLEY JEFFREY CALDWELL SHAWNA GOTTLIEB PREVIOUS OWNERSHIP CHANGES: Name of previous owner: N/A Date of last change of ownership: N/A
Bed Counts and Census
COMPREHENSIVE CARE BEDS: Number of Medicaid beds (NF): 0 Number of Medicare beds (SNF): 24 Number of Medicare/Medicaid beds (SNF/NF): 0 Number of non-certified comprehensive care beds (State Licensed only): 98 Total number of comprehensive care beds: 24 RESIDENTIAL CARE BEDS: Total number of residential beds: 340 Total number of beds in facility: 462 CENSUS: Facility census: 193 As reported by the facility on: 01/14/2019 Number of comprehensive care beds occupied in this facility. 54 As reported by the facility on: 01/14/2019 Residential care beds occupied: 136 As reported by the facility on: 01/14/2019 Alzheimer Beds: 36 Alzheimer Beds Occupied: 29 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: 61 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: 61 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 - VINCENT CAGLE Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. ENVIRONMENTAL SERVIC Date form completed - 03/31/2025
Nurse Aide Training
NURSE AIDE TRAINING PROGRAM APPROVALS: Nurse aide training and competency evaluation program (NATCEP) approved: 11/20/2018 Nurse aide training and competency evaluation program (NATCEP) expires: 04/01/2026 Nurse aide training and competency evaluation program (NATCEP) banned: No Nurse aide training and competency evaluation program (NATCEP) ban expires: N/A CLINICAL TRAINING SITES: This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: PRIMEWAY INSTITUTE Approved: 10/20/2005 Terminated: 06/14/2021 IVY TECH COMMUNITY COLLEGE Approved: 01/06/2006 Terminated: N/A HEALTH CARE PROFESSIONALS Approved: 04/11/2001 Terminated: N/A HOOSIER VILLAGE Approved: 11/20/2018 Terminated: N/A UNIFIED VISION Approved: 03/11/2021 Terminated: N/A BARRINGTON OF CARMEL, THE Approved: 05/27/2022 Terminated: N/A INDYS HEALTH CARE TRAINING CENTER LLC Approved: 08/08/2022 Terminated: N/A WESLEY MANOR HEALTH CENTER Approved: 03/04/2022 Terminated: N/A TOWNE HOUSE RETIREMENT COMMUNITY Approved: 06/07/2022 Terminated: N/A NEW BEGINNINGS ACADEMY Approved: 03/03/2023 Terminated: N/A WESTMINSTER VILLAGE NORTH Approved: 06/30/2025 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 389 389 389 416
Rank of Score 33 33 36 21
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 No 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 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
HD3J12 Recertification, Follow Up, State Licensure 06/20/2025
HD3J21 Recertification, Life Safety Code 05/21/2025
HD3J11 Recertification, State Licensure 05/09/2025
258O11 Complaint 03/12/2025
IDYT11 Complaint 07/24/2024
Q8UV22 Recertification, Follow Up, Life Safety Code 05/28/2024
Q8UV12 Recertification, Follow Up, State Licensure 05/22/2024
Q8UV21 Recertification, Life Safety Code 04/16/2024
Q8UV11 Recertification, Complaint, State Licensure 03/22/2024
KYFN22 Recertification, Follow Up, Life Safety Code 08/08/2023
KYFN12 Recertification, Follow Up, State Licensure 07/24/2023
KYFN21 Recertification, Life Safety Code 06/14/2023
KYFN11 Recertification, State Licensure 05/12/2023
WT9M11 Complaint 09/06/2022
 
 
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.