01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-05-13 | 2 | 2026-05-13 | 8 |
| Cycle 2 | 2025-06-18 | 6 | 2025-06-18 | 4 |
| Cycle 3 | 2024-05-28 | 3 | 2024-05-28 | 3 |
CMS CCN 1551702026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Westminster Village Muncie Inc
5801 W Bethel Ave · Muncie, IN 47304 · Delaware County
Certified beds76CMS provider file
Recent citation rows26current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
26 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-13 · FIREE0037Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Correction field: Deficient, Provider has plan of correction · 2026-07-312026-05-13 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-06-302026-05-13 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-06-302026-05-13 · FIREK0131Severity E · pattern; potential for more than minimal harm
Construction Deficiencies
Meet requirements for sections of health care facilities separated by fire resistive construction.
Correction field: Deficient, Provider has plan of correction · 2026-07-312026-05-13 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has plan of correction · 2026-07-312026-05-13 · FIREK0222Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has plan of correction · 2026-07-312026-05-13 · FIREK0374Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Deficient, Provider has plan of correction · 2026-07-312026-05-13 · FIREK0741Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Correction field: Deficient, Provider has plan of correction · 2026-07-312026-05-13 · FIREK0761Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has plan of correction · 2026-07-312026-05-13 · FIREK0781Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Correction field: Deficient, Provider has plan of correction · 2026-07-312025-06-18 · HEALTHF0565Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Correction field: Deficient, Provider has date of correction · 2025-08-072025-06-18 · HEALTHF0574Severity C · widespread; potential for minimal harm
Resident Rights Deficiencies
The resident has the right to receive notices in a format and a language he or she understands.
Correction field: Deficient, Provider has date of correction · 2025-08-072025-06-18 · HEALTHF0628Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2025-08-072025-06-18 · HEALTHF0726Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Correction field: Deficient, Provider has date of correction · 2025-08-072025-06-18 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-08-072025-06-18 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-08-072025-06-18 · FIREK0222Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2025-10-102025-06-18 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2025-10-102025-06-18 · FIREK0363Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2025-10-102025-06-18 · FIREK0921Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Correction field: Deficient, Provider has date of correction · 2025-10-102024-05-28 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Correction field: Deficient, Provider has date of correction · 2024-06-212024-05-28 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2024-06-212024-05-28 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2024-06-252024-05-28 · FIREK0222Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2024-06-2503 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- FIRST MERCHANTS BANKOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 02/01/2016
- ABBS, JANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- CHILDS, JERALDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- CRAIG, JANICEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- DAWSON, ANDREWIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- ERVIN, MARKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- FARQUHER, RONALDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- FEICK, DEBBIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- GALLIHER, MICHAELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- KIRKPATRICK-SIKORA, MAGIIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- LITTLER, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- MATCHETT, LORENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- SCHERRER, ERICIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- CRUTCHER, MARYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2024
- JONES, DUSTINIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2024
- FORVIS MAZARS LLPOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/01/2023
- CRUTCHER, MARYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/31/2021
- BARNES, DENNIG & CO., LTDOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.35per resident day
RN hours0.90per resident day
Weekend nurse hours3.99per resident day
Staff turnover34.2%CMS reported field
06 / LOCAL RECORDS
Open the Muncie ledger →Other published facilities nearby
Bethel Pointe Health And Rehab114 beds · CMS overall 5/522 citation rowsBrickyard Healthcare - Muncie Care Center117 beds · CMS overall 3/541 citation rowsBrookside Care Strategies42 beds · CMS overall —/581 citation rowsCardinal Care Strategies104 beds · CMS overall 1/578 citation rowsEnvive Of Muncie60 beds · CMS overall 2/537 citation rowsMorrison Woods Health Campus68 beds · CMS overall 4/524 citation rowsSignature Healthcare Of Muncie140 beds · CMS overall 1/580 citation rowsWaters Edge Village74 beds · CMS overall 4/518 citation rows