Federal inspection record · CMS data as of October 1, 2026

Wesleyan Health Care Center

729 West 35th St, Marion, IN · (765) 674-3371

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
139
Residents per day
106
Ownership
For-Profit
Chain
Tlc Management
Medicare / Medicaid
Medicare + Medicaid
Certified since
June 1, 1992

1

How this home got 3 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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Indiana.

  2. 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.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Indiana homes

Wesleyan Health Care Center carries 43 inspection points. That is fewer than 41% of Indiana's 504 rated homes.

5★4★3★2★1★+16 homes above 163.2505102550100inspection points → fewer is better on the leftThis home · 43 pts · 2★

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

20 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 2 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 14 4 pts
E 2 8 pts
F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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)

  1. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    December 17, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected January 9, 2025

  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.

    May 6, 2024 · Complaint inspection · Quality of Life and Care · F690 · Corrected May 29, 2024

Everything else, by area of care

Quality of Life and Care10E
  1. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    January 27, 2026 · Standard · F677 · Corrected February 13, 2026

  2. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    January 27, 2026 · Standard · F684 · Corrected February 13, 2026

  3. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    January 27, 2026 · Standard · F689 · Corrected February 13, 2026

  4. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    December 17, 2024 · Standard · F677 · Corrected January 9, 2025

  5. D

    Provide routine and 24-hour emergency dental care for each resident.

    December 17, 2024 · Standard · F790 · Corrected January 9, 2025

  6. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    May 6, 2024 · Complaint · F684 · Corrected May 29, 2024

  7. D

    Provide safe and appropriate respiratory care for a resident when needed.

    May 6, 2024 · Complaint · F695 · Corrected May 29, 2024

  8. E

    Ensure the activities program is directed by a qualified professional.

    December 4, 2023 · Standard · F680 · Corrected December 22, 2023

  9. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    December 4, 2023 · Standard · F689 · Corrected December 22, 2023

  10. E

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    October 12, 2023 · Complaint · F684 · Corrected October 25, 2023

Infection Control4F
  1. D

    Provide and implement an infection prevention and control program.

    January 27, 2026 · Standard · F880 · Corrected February 13, 2026

  2. D

    Provide and implement an infection prevention and control program.

    December 17, 2024 · Standard · F880 · Corrected January 9, 2025

  3. F

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    December 4, 2023 · Standard · F882 · Corrected December 22, 2023

  4. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    December 4, 2023 · Standard · F883 · Corrected December 22, 2023

Resident Rights2D
  1. D

    Reasonably accommodate the needs and preferences of each resident.

    December 17, 2024 · Standard · F558 · Corrected January 9, 2025

  2. D

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    December 17, 2024 · Standard · F584 · Corrected January 9, 2025

Nutrition and Dietary1F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    January 27, 2026 · Standard · F812 · Corrected February 13, 2026

Pharmacy Service1D
  1. 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.

    December 4, 2023 · Standard · F758 · Corrected December 22, 2023

Inspection history

  1. 2026-01-27

    5 health deficiencies · 4 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  2. 2024-12-17

    6 health deficiencies · 4 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  3. 2023-12-04

    9 health deficiencies · 5 fire-safety deficiencies

    Top issue: Quality of Life and Care (6 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 38 min of nursing staff time a day, 42 min of it from a registered nurse.

This home

3 h 38 min

Indiana average

3 h 44 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 50% of nursing staff and 47% of registered nurses left in the past year.

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

$8,824 in federal fines on record over the past three years.

DatePenaltyAmount
2024-12-17Fine$8,824

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.4 pts better1.11.51.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better1.01.41.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.3 pts better100.0%93.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.9 pts better100.0%95.1%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts worse4.0%3.8%3.2%
Percentage of long-stay residents who have depressive symptoms16.1 pts better9.4%25.5%13.5%
Percentage of long-stay residents who lose too much weight4.2 pts worse9.5%5.3%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication13.1 pts better10.4%23.5%19.5%
Percentage of long-stay residents who received an antipsychotic medication4.2 pts better9.5%13.7%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened7 pts better4.1%11.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased6.3 pts better4.5%10.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same0.3%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.8 pts better0.3%1.1%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.4 pts worse23.8%22.4%18.3%
Percentage of long-stay residents with pressure ulcers1.7 pts worse5.2%3.5%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.5 pts better90.4%81.9%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit7.1 pts better3.8%10.9%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts worse1.7%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16.7 pts better95.9%79.2%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission15.8 pts better6.0%21.8%23.4%

·

Who owns and runs it

21 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Riverview Hospital5% Or Greater Direct Ownership Interest · Organization100%31 facilities
Dwight A. Ott And Gloria OttTrustee Of The SNF · Organization0%8 facilities
Friend, JaynaCorporate Officer · Individual0%31 facilities
Gibson, CullenIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%17 facilities
Hyatt, DavidCorporate Officer · Individual0%31 facilities
Hyatt, DavidOperational/Managerial Control · Individual0%31 facilities
Martin, MonicaOperational/Managerial Control · Individual0%1 facilities
Martin, MonicaAdp Of The SNF · Individual0%1 facilities
Molloy, ArthurIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%1 facilities
Ncf Charitable TrustTrustee Of The SNF · Organization0%1 facilities
Ott Family TrustTrustee Of The SNF · Organization0%13 facilities
Ott, DwightIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%20 facilities
Ott, GaryIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%20 facilities
Ott, RyanIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%19 facilities
Srikanth, ShankaranOperational/Managerial Control · Individual0%5 facilities
Srikanth, ShankaranAdp Of The SNF · Individual0%5 facilities
Tender Loving Care Management IncOperational/Managerial Control · Organization0%20 facilities
Tender Loving Care Management IncAdp Of The SNF · Organization0%20 facilities
Wesleyan Health Care Center, Inc.Adp Of The SNF · Organization0%1 facilities
Wesleyan Healthcare OperationsOperational/Managerial Control · Organization0%1 facilities
Wesleyan Healthcare OperationsAdp Of The SNF · Organization0%1 facilities

·

Fire safety

13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Services4F
  1. F

    Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly.

    January 27, 2026 · K524 · Corrected March 13, 2026

  2. D

    Have properly installed electrical wiring and gas equipment.

    January 27, 2026 · K511 · Corrected March 13, 2026

  3. E

    Have properly installed electrical wiring and gas equipment.

    December 17, 2024 · K511 · Corrected February 7, 2025

  4. E

    Have properly installed electrical wiring and gas equipment.

    December 4, 2023 · K511 · Corrected January 25, 2024

Smoke4E
  1. E

    Provide properly protected cooking facilities.

    January 27, 2026 · K324 · Corrected March 13, 2026

  2. E

    Inspect, test, and maintain automatic sprinkler systems.

    January 27, 2026 · K353 · Corrected March 13, 2026

  3. E

    Install an approved automatic sprinkler system.

    December 17, 2024 · K351 · Corrected February 7, 2025

  4. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    December 4, 2023 · K372 · Corrected January 25, 2024

Gas, Vacuum, and Electrical Systems3F
  1. F

    Ensure that testing and maintenance of electrical equipment is performed.

    December 17, 2024 · K921 · Corrected February 7, 2025

  2. F

    Have generator or other power source capable of supplying service within 10 seconds.

    December 4, 2023 · K918 · Corrected January 25, 2024

  3. E

    Have proper medical gas storage and administration areas.

    December 4, 2023 · K923 · Corrected January 25, 2024

Egress1E
  1. E

    Have exits that are accessible at all times.

    December 17, 2024 · K271 · Corrected February 7, 2025

Emergency Preparedness1F
  1. F

    Implement emergency and standby power systems.

    December 4, 2023 · E41 · Corrected January 25, 2024

·

Other homes nearby

  1. Colonial Oaks Health Care Center

    Marion, IN · Tlc Management

    Worst citation, 3 yrs
    none
    Nursing / resident / day
    3 h 31 min
    Fines
    $0
  2. Aperion Care Marion LLC

    Marion, IN · Aperion Care · Abuse icon

    Worst citation, 3 yrs
    G
    Nursing / resident / day
    4 h 6 min
    Fines
    $15,935
  3. Miller's Merry Manor

    Marion, IN · Miller's Merry Manor

    Worst citation, 3 yrs
    G
    Nursing / resident / day
    3 h 38 min
    Fines
    $0