Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 71 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
48D
17E
3F
Potential for minimal harm
0A
0B
1C
July 14, 2026Complaint inspection · 3 citations
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review, the facility failed to ensure physician ordered parameters were followed for 1 of 3 residents reviewed for quality of care (Resident C).
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure food temperatures were maintained for 1 of 1 lunch observation.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident's narcotic count sheet was available for review, failed to ensure administered narcotic pain medication was documented on the medication administration record, and failed to ensure insulin administration was documented timely for 2 of 3 residents reviewed for Resident Records. (Resident B and Resident C)
April 30, 2026Complaint inspection · 5 citations
- J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure adequate supervision was in place when a resident (Resident B) with impaired cognition and risk for elopement was left outside without staff supervision. This deficient practice resulted in an Immediate Jeopardy. The Immediate Jeopardy began on 4/25/26 when Resident B, with cognitive impairment and elopement risk, propelled himself from the facility grounds to a heavily traveled road where the resident fell out of his wheelchair landing on the pavement in the emergency lane which was 0.2 miles from the facility. The resident was sent to the emergency room and treated for an abrasion to his right foot and right hand. [...]
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and record review, the facility management failed to timely report an incident to the Indiana Department of Health when a cognitively impaired resident (Resident B) with a high risk for elopement exited the facility grounds, without supervision, for 1 of 3 residents reviewed for reportable incidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure catheter care was in place for a resident (Resident C) with an indwelling catheter for 1 of 1 residents reviewed for urinary catheters.
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident's (Resident C) IV (intravenous) antibiotic therapy was reflected on the medication administration record, as ordered by the physician, for 1 of 3 residents reviewed for IV medication administration.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteBased on interview and record review, the facility failed to ensure behavior monitoring was in place for a resident (Resident B) with exit-seeking behaviors for 1 of 3 residents reviewed for behaviors.
April 13, 2026Standard inspection · 5 citations
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interviews, and record review, the facility failed to ensure food was stored and prepared in a sanitary manner during 3 of 3 kitchen observations. This deficient practice had the potential to affect 63 or 63 residents.
- D
Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, the facility failed to ensure the Minimum Data Set (MDS) assessments accurately reflected the residents' medication status for 1 of 21 resident MDS reviewed for accuracy of assessments. (Resident 10).
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure documentation on the Controlled Drug Receipt/Record/Disposition Form of administered narcotics for 2 of 46 residents observed for pharmacy services. (Residents 7 and 68)
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure glucometers were cleaned per guidelines for infection control when obtaining blood sugar readings for 2 of 3 residents observed. (Residents 29 and 7)
- C
Ensure residents have reasonable access to and privacy in their use of communication methods.
Inspectors wroteBased on interview, the facility failed to ensure Saturday's mail was delivered to the residents upon arrival to the post box. This deficient practice had the potential to affect 63 of 63 residents currently residing in the facility.
March 18, 2026Complaint inspection · 9 citations
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure facial hair covering were in place for staff while working for 1 of 2 kitchen observations.
- E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interview and record review, the facility failed to protect the resident's right to be free from resident to resident abuse for 3 of 4 residents reviewed for abuse.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review, the facility failed to ensure blood pressure medication was not administered to a resident (Resident K) outside of prescribed parameter blood pressure for 1 of 4 residents reviewed for quality of care.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observations, interviews and record review, the facility failed to ensure the hall meal service food was held at an appropriate temperature for 2 of 2 observations; failed to ensure the food was not overcooked for 1 of 2 meal service observations; and failed to ensure residents received adequate portions for 7 of 10 residents reviewed for dietary services. This deficient practice had the potential to affect 73 of 78 residents residing in the facility.
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a variety of snacks and snacks with nutritional value were available for the residents for 4 of 7 residents reviewed for dietary services. This deficient practice had the potential to affect 73 of 78 residents residing in the facility.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident (Resident E) was informed of a decrease in pain medication; failed to ensure a resident's (Resident M) representative was notified of the discontinuation of therapy services; and failed to ensure a resident's (Resident E) follow-up appointment for suture removal status post amputation was set-up for 2 of 3 residents reviewed for resident rights.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and record review, the facility failed to ensure complete and accurate information was provided to the abuse coordinator for an allegation of resident-to-resident abuse; failed to ensure an allegation of resident-to-resident abuse was reported to the abuse coordinator; and failed to ensure an allegation of verbal abuse was reported, in a timely manner, for 3 of 4 residents reviewed for abuse. (Resident B, Resident C and Resident D)
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on interview and record review, the facility failed to ensure monitoring was in place for a resident (Residents E, G and K) on anticoagulant therapy and monitoring was in place for a resident (Resident E and Resident F) on insulin 4 of 4 residents reviewed for pharmacy procedures.
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the walls in the closet in a resident's (Resident B) room were clean and free of debris and failed to ensure the closet door was safely intact for 1 of 3 residents reviewed for environment.
January 29, 2026Complaint inspection · 4 citations
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident's (Resident B) medication administration record reflected the administration of narcotic medication; and failed to ensure physician visits for residents' (Resident B, Resident D, Resident E and Resident F) were uploaded, in a timely manner for 4 of 5 residents reviewed for medical records.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a resident's (Resident F) dignity was maintained for 1 of 3 residents reviewed for resident rights.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident's (Resident B) blood pressure medication was not administered, as ordered by the physician when out of parameters, for 1 of 3 residents reviewed for quality of care.
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on observation and interview, the facility failed to ensure a resident's room was adequately equipped with an individual call system device to allow the resident to call for assistance if needed for 1 of 3 residents call systems reviewed. (Resident C)
January 9, 2026Complaint inspection · 3 citations
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the resident was evolved in aspects of his care related to a room change, and the temporary removal of his cell phone, from his possession without his consent, for 1 of 3 residents reviewed for the right to make treatment decisions. (Resident B)
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on interview and record review, the facility failed to implement, in a timely manner, a plan of care for a resident (Resident B) on the memory care unit for 1 of 3 residents reviewed for care plans.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident (Resident B) placed on the memory care unit had the appropriate diagnosis for placement for 1 of 3 residents reviewed for dementia care.
September 10, 2025Complaint inspection · 1 citation
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a clean and sanitary kitchen for 2 of 2 kitchen observations and failed to store foods appropriately related to snack refrigerators for 2 of 2 snack refrigerators reviewed. This deficient practice had the potential to affect 69 of 70 residents that received foods from the kitchen.
July 31, 2025Complaint inspection · 1 citation
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on record review and interview, the facility failed to ensure a resident was free from physical restraint for the purpose of convenience for 1 of 3 residents reviewed for restraints. (Resident B)
June 17, 2025Complaint inspection · 5 citations
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure snacks were provided and were available for residents for 6 of 6 residents reviewed for dietary services (Residents E, F, G, H, K and L). This deficient practice had the potential to affect 63 of 63 residents who consume food from the facility.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review, the facility failed to follow the physicians' orders related to medication hold parameters for 2 of 3 residents reviewed for Quality of Care. (Resident B and Resident D).
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on interview and record review, the facility failed to ensure a physician's order was in place for the administration of an additional dose related to anxiety medication for 1 of 3 resident's reviewed for pharmacy services. (Resident E)
- D
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a resident (Resident E) received double portions, per the meal tickets, for 1 of 3 residents reviewed for dietary services.
- D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure appropriate assistive device related to a lip plate was in place, per the resident's plan of care, for 1 of 3 residents reviewed for assistive devices.
February 21, 2025Standard inspection · 5 citations
- E
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspectors wroteBased on record review and interview, the facility failed to schedule 8-hour consecutive RN coverage for 6 of 6 months reviewed. (July, August, September, October, November, and December 2024). This had the potential to affect all 60 residents currently residing in the facility.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure narcotic medication counts were properly documented at the time of administration and expired insulins were removed for 3 of 5 medication carts reviewed. ([NAME] Drive medication cart 1, [NAME] Avenue medication cart 1 and Memory Care medication cart 1).
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review and interview, the facility failed to adequately secure residents in the facility van when transporting 1 of 3 residents reviewed for accidents (Resident 66)
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on record review and interview, the facility failed to ensure dialysis site monitoring and assessments were completed for 1 of 3 residents reviewed for dialysis. (Resident 24)
- D
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.
Inspectors wroteBased on observation, record review, and interview, the facility failed to store and dispose of discontinued insulin pens appropriately for 1 of 5 medication carts reviewed for medication storage. (Eagle Court Hall Medication Cart)
February 7, 2025Complaint inspection · 7 citations
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure snacks were provided and available for residents for 8 of 10 residents reviewed for dietary services (Residents B, N, O, H, R, P, Q, and S). This deficient practice had the potential to affect 61 of 62 residents who consume food from the faciliy.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident (Resident B) was informed, in a timely manner, of the cancellation of an appointment for 1 of 3 residents reviewed for resident rights.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on observation, interview and record review, the facility failed to protect the residents' right to be free from verbal abuse by a staff member for 2 of 4 residents reviewed for abuse. (Resident D and Resident L)
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and record review, the facility failed to implement policies and procedures for ensuring the reporting of a reasonable suspicion of a crime in accordance with 1150B of the Act for 2 of 4 residents reviewed for reporting abuse allegations. (Resident D and Resident L)
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, interview and record review, the facility failed to implement a plan of care for a resident (Resident B) after all the resident's teeth were extracted for 1 of 3 residents reviewed for care plans.
- D
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident's (Resident B) diet was changed and implemented in a timely manner for 1 of 3 residents reviewed for dietary.
- D
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on observation, interview and record reviewed, the facility failed to ensure a resident's (Resident H) therapeutic diet was followed for 1 of 3 residents reviewed for resident meals.
November 4, 2024Complaint inspection · 4 citations
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure dressing changes on residents' (Resident B and Resident D) peripherally inserted central catheter line were completed as ordered for 2 of 2 residents reviewed for quality of care.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident's (Resident E) routine Lorazepam (narcotic antianxiety medication) was administered, as ordered by the physician, for 1 of 3 residents reviewed for pharmaceutical services.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure food was served at appropriate temperatures for 1 of 1 observations of food temperatures. ([NAME] Hall)
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on interview and record review, the facility failed to ensure as resident's (Resident E) medication administration record accurately reflected the administration of as needed narcotic pain medication for 1 of 3 residents reviewed for medical records.
February 2, 2024Standard inspection, Complaint inspection · 13 citations
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on record review and interview, the facility failed to act upon resident concerns of food temperatures, taste of food, no activities on the weekend, drinks not being passed at night, staff completed the menus instead of asking the residents for 5 of 13 months of Resident Council meetings (May, July, September, November 2023; and January 2024). This deficient practice had the potential to affect the 67 residents currently residing in the facility.
- E
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on record review and interview, the facility failed to ensure individualized resident activities were conducted for residents with dementia related to aggressive behaviors, resident to resident altercation, accidents, and inappropriate sexual behaviors for 6 of 19 residents reviewed for dementia care. (Residents C, E, F, G, B, and H)
- E
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure appropriate psychosocial follow-up by social services, related to aggressive behaviors, resident to resident altercations, accidents, and inappropriate sexual behaviors for 4 of 19 residents reviewed for social services. (Residents 61, C, E, and F)
- E
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure appropriate staffing to maintain the kitchen. This deficient practice had the potential to affect all 67 residents currently residing in the facility.
- E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure staff followed menus and recipes for meal services for 3 of 3 random observations of meal service. This deficient practice had the potential to affect 65 of the 67 residents currently residing at the facility.
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure residents were offered a nourishing snack at night between dinner and breakfast for 6 of 21 residents related to snacks. This deficient practice had the potential to affect the 65 of the 67 residents currently residing in the facility.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure cleanliness of the kitchen and appropriate food preparation related to the steam table, handwashing sink, storage containers, preparation counter, storage cabinet, food processor, and kitchen appliances for 3 of 3 random observations of the kitchen.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure resident preferences with meals were honored for 2 of 25 residents reviewed for choices. (Resident B and 275)
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review and interview, the facility failed to revise a resident's care plan from being at-risk for skin issues to actual skin impairment when the resident developed a rash and wound to the right ankle and leg for 1 of 19 residents whose care plans were reviewed. (Resident 13)
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure appropriate emergency supplies for tracheostomy care were at the bedside for 1 of 1 residents reviewed for tracheostomy care. (Resident 25)
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteBased on record review and interview, the facility failed to ensure appropriate behavioral health services were obtained for 1 of 12 residents reviewed for behavioral health services. (Resident 61)
- D
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure adequate supervision to prevent falls, wandering and inappropriate behaviors for 5 of 19 residents observed. This deficient practice had the potential to affect 19 residents residing on the dementia unit. (Residents G, B, C, E, and F)
- D
Provide or obtain dental services for each resident.
Inspectors wroteBased on observation, record review, and interview, the facility failed to obtain routine dental services for 1 of 2 residents reviewed for dental services. (Resident 39)
December 12, 2023Complaint inspection · 4 citations
- J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure adequate supervision was in place when a resident (Resident G) with impaired cognition and risk for elopement exited the front doors without staff supervision. This deficient practice resulted in an Immediate Jeopardy. The Immediate Jeopardy began on 12/7/23. Resident G is a [AGE] year-old male with severely impaired cognition and risk for elopement that had resided on the dementia unit since 7/12/23. The resident was admitted to a psychiatric hospital on [DATE]. He readmitted to the facility on [DATE] at 11:30 a.m., off the dementia unit, as a trial for the safety of the other residents on the dementia unit. The resident exited the facility through the front doors on 12/7/23 between 5:20 p.m. and 5:30 p.m. when a visitor exited the facility. At 5:43 p.m. [...]
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on record review and interview, the facility failed to identify an unresolved quality deficiency which had been cited on a previous survey, and ensure actions were developed and implemented to attempt to correct the deficiency through the quality assessment and assurance (QAA) process, as evidenced by a repeated deficiency for elopements. This deficient practice had the potential to affect 10 of 10 residents residing in the facility who are at a risk for elopement.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a staff member did not post photos of a resident on their personal social media account for 1 of 3 residents reviewed for resident rights.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a resident's (Resident C) fall intervention was in place, per the resident's plan of care, for 1 of 3 residents reviewed for quality of care.
September 26, 2023Complaint inspection · 2 citations
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and record review, the facility management failed to report incidents to the Indiana Department of Health when a resident (Resident F ) exited the facility grounds, without supervision, and when a staff member reported an allegation of abuse (Resident C) for 2 of 3 residents reviewed for reportable incidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure adequate supervision was in place when a resident (Resident F), with impaired cognition, did not exit the facility grounds and ambulated down the highway six tenths of a mile, without supervision, for 1 of 3 residents reviewed for accidents/supervision.
Fire safety inspections
30 fire safety citations on file: 5 on April 13, 2026, 12 on February 21, 2025, 13 on February 2, 2024.
Every fire safety citation30 citations
- E
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.
K 222 · April 13, 2026 · Corrected (the home has a date of correction)
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K 321 · April 13, 2026 · Corrected (the home has a date of correction)
- E
Install corridor and hallway doors that block smoke.
K 363 · April 13, 2026 · Corrected (the home has a date of correction)
- E
Have properly installed electrical wiring and gas equipment.
K 511 · April 13, 2026 · Corrected (the home has a date of correction)
- C
Ensure that testing and maintenance of electrical equipment is performed.
K 921 · April 13, 2026 · Corrected (the home has a date of correction)
- F
Ensure that testing and maintenance of electrical equipment is performed.
K 921 · February 21, 2025 · Corrected (the home has a date of correction)
- E
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.
K 222 · February 21, 2025 · Corrected (the home has a date of correction)
- E
Have horizontal exits used in accordance with safety requirements.
K 226 · February 21, 2025 · Corrected (the home has a date of correction)
- E
Have exits that are accessible at all times.
K 271 · February 21, 2025 · Corrected (the home has a date of correction)
- E
Have properly located and lighted "Exit" signs.
K 293 · February 21, 2025 · Corrected (the home has a date of correction)
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K 321 · February 21, 2025 · Corrected (the home has a date of correction)
- E
Provide properly protected cooking facilities.
K 324 · February 21, 2025 · Corrected (the home has a date of correction)
- E
Install corridor and hallway doors that block smoke.
K 363 · February 21, 2025 · Corrected (the home has a date of correction)
- E
Have properly installed electrical wiring and gas equipment.
K 511 · February 21, 2025 · Corrected (the home has a date of correction)
- C
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
K 346 · February 21, 2025 · Corrected (the home has a date of correction)
- C
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
K 354 · February 21, 2025 · Corrected (the home has a date of correction)
- C
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
K 927 · February 21, 2025 · Corrected (the home has a date of correction)
- F
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.
K 222 · February 2, 2024 · Corrected (the home has a date of correction)
- F
Meet other general requirements that are deficient.
K 500 · February 2, 2024 · Corrected (the home has a date of correction)
- E
Meet other general requirements.
K 100 · February 2, 2024 · Corrected (the home has a date of correction)
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K 321 · February 2, 2024 · Corrected (the home has a date of correction)
- E
Construct fire resistant interior walls.
K 331 · February 2, 2024 · Corrected (the home has a date of correction)
- E
Inspect, test, and maintain automatic sprinkler systems.
K 353 · February 2, 2024 · Corrected (the home has a date of correction)
- E
Install corridor and hallway doors that block smoke.
K 363 · February 2, 2024 · Corrected (the home has a date of correction)
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · February 2, 2024 · Corrected (the home has a date of correction)
- E
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
K 927 · February 2, 2024 · Corrected (the home has a date of correction)
- D
Meet other general requirements.
K 200 · February 2, 2024 · Corrected (the home has a date of correction)
- B
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
K 232 · February 2, 2024 · Corrected (the home has a date of correction)
- B
Install an approved automatic sprinkler system.
K 351 · February 2, 2024 · Corrected (the home has a date of correction)
- B
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
K 741 · February 2, 2024 · Corrected (the home has a date of correction)