Federal inspection record · CMS data as of October 1, 2026
Wesley Manor Health Center
1555 N Main St, Frankfort, IN · (765) 659-1811
- Certified beds
- 96
- Residents per day
- 91
- Ownership
- Non-Profit
- Chain
- Bhi Senior Living
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 1, 1998
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Indiana.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Indiana homes
Wesley Manor Health Center carries 23 inspection points. That is fewer than 67% of Indiana's 504 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Indiana: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–24 pts
- 3★ 24–42 pts
- 2★ 42–72 pts
- 1★ over 72 pts
Bars show every rated home in Indiana by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
10 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
G
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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G
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Everything else, by area of care
Quality of Life and Care3D
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide enough food/fluids to maintain a resident's health.
Resident Rights2D
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Respond appropriately to all alleged violations.
Pharmacy Service1D
- D
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.
Nutrition and Dietary1D
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2026-05-21
3 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2025-06-03
2 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2024-06-18
5 health deficiencies · 1 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 20 min of nursing staff time a day, 31 min of it from a registered nurse.
This home
3 h 20 min
Indiana average
3 h 44 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 33% of nursing staff and 0% of registered nurses left in the past year, along with 3 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$20,826 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-06-18 | Fine | $20,826 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 1.3 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.6 pts worse | 3.0 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.7 pts better | 99.4% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.9 pts better | 100.0% | 95.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.5 pts worse | 7.3% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6.6 pts better | 18.9% | 25.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.9 pts worse | 9.2% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.3 pts worse | 26.8% | 23.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication11.9 pts better | 1.8% | 13.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened12.6 pts worse | 23.7% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased21.2 pts worse | 32.0% | 10.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts worse | 1.1% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.3% | 1.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.9 pts worse | 29.3% | 22.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.7 pts better | 1.8% | 3.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.8 pts better | 98.7% | 81.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit8 pts worse | 18.9% | 10.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medicationAbout the same | 1.1% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine18.2 pts better | 97.4% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission16.4 pts better | 5.4% | 21.8% | 23.4% |
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Who owns and runs it
39 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Woodlawn Hospital | 5% Or Greater Direct Ownership Interest · Organization | 100% | 9 facilities |
| Bhi Retirement Communities Inc | Adp Of The SNF · Organization | 0% | 6 facilities |
| Bhi Senior Living, Inc. | Adp Of The SNF · Organization | 0% | 6 facilities |
| Bloomstrom, John | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 9 facilities |
| Bode, Glen | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Bode, Glen | Trustee Of The SNF · Individual | 0% | 9 facilities |
| Caldwell, Jeffrey | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 9 facilities |
| Chudzynski, Kendra | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Chudzynski, Kendra | Trustee Of The SNF · Individual | 0% | 9 facilities |
| Dalton, Douglass | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 9 facilities |
| Dattilo, John | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 9 facilities |
| Ellis, Brian | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 9 facilities |
| Heyde, Alison | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Heyde, Alison | Trustee Of The SNF · Individual | 0% | 9 facilities |
| Johnson, Terri | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Johnson, Terri | Trustee Of The SNF · Individual | 0% | 9 facilities |
| Jones, L. Dean | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 9 facilities |
| Kelly, Beth | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 9 facilities |
| Koselke, Elizabeth | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 9 facilities |
| Mellinger, Gregory | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Mellinger, Gregory | Trustee Of The SNF · Individual | 0% | 9 facilities |
| Meredith, Wendy | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 9 facilities |
| Miller, Roger | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 9 facilities |
| Mustaklem, Marwan | Operational/Managerial Control · Individual | 0% | 19 facilities |
| Mustaklem, Marwan | Adp Of The SNF · Individual | 0% | 19 facilities |
| Richardson, Jane | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 9 facilities |
| Robbins, Fred | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 9 facilities |
| Rogers, Bradley | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Rogers, Bradley | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Seigel, Jane | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 9 facilities |
| Terp, Jeffrey | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 8 facilities |
| Waymire, Gary | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Waymire, Gary | Adp Of The SNF · Individual | 0% | 1 facilities |
| Webb, Harry | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Webb, Harry | Trustee Of The SNF · Individual | 0% | 9 facilities |
| Weideman Ii, Roger | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 10 facilities |
| Wesley Manor Inc. | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Wesley Manor Inc. | Adp Of The SNF · Organization | 0% | 1 facilities |
| Woodlawn Hospital | Adp Of The SNF · Organization | 0% | 9 facilities |
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Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4E
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- E
Install corridor and hallway doors that block smoke.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- E
Provide properly sized and located linen or trash receptacles.
- F
Have simulated fire drills held at unexpected times.
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Other homes nearby
-
Clinton House Rehabilitation And Healthcare Center
Frankfort, IN · Castle Healthcare
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 7 min
- Fines
- $0
-
Mulberry Health & Rehabilitation Center
Mulberry, IN
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 43 min
- Fines
- $0
-
Milner Community Health Care
Rossville, IN · Major Hospital
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 21 min
- Fines
- $0