Above average — CMS composite of the measures below.
A standard survey is most likely before around September 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Altenheim Health & Living Community during CMS and state inspections, most recent first.
A resident with bipolar disorder, morbid obesity, and diabetes repeatedly refused a prescribed trazodone 50 mg dose for insomnia over multiple days, later reporting passive suicidal ideations and emotional distress. Although the MAR documented numerous refusals and a behavioral health note described an ED visit for passive suicidal ideation and concerns about antidepressant inconsistencies, there was no documentation that the physician was notified of the refusals until the medication was discontinued. The SSD and Social Service Assistant were unaware of the trazodone prescription and the refusals, and the refusals were not discussed in clinical meetings as was customary, contrary to the facility’s documentation policy requiring recording of services and changes in condition.
A resident with multiple diagnoses, including bipolar disorder, morbid obesity, diabetes, hypertension, heart failure, anxiety, vitamin D deficiency, and constipation, had several ordered medications (amlodipine, aspirin, buspirone, divalproex, metoprolol succinate, and polyethylene glycol) with missing documentation on the MAR for specific dates and shifts. During review of the MAR for a one-month period, numerous administration times were left blank with no indication whether doses were given or omitted. An LPN acknowledged that the MAR documentation should have been completed, and the DON provided a charting policy requiring documentation of medication administration, showing that the blanks were not consistent with facility policy.
Two residents were affected when a nurse discharged a resident with another resident's Novolog insulin pen, failing to verify the medication labels inside the bag and relying only on the external identification sticker. The DON confirmed that the facility's policy did not require label verification on discharge medications, contributing to the error.
A facility failed to secure prescription injectable medication for a resident. Two sealed enoxaparin sodium injections were found on a shelf in the resident's closet, contrary to the facility's policy requiring medications to be stored in a secured area. An LPN confirmed the injections should have been locked in the medication cart. The DON provided the facility's drug storage policy, which was not followed in this case.
A facility failed to provide adequate care for a resident with a pressure ulcer. The resident, with conditions including diabetes and malnutrition, was admitted with a stage 1 pressure ulcer. Hospital orders required specific wound care and repositioning, but the facility did not develop a care plan or follow physician's orders for treatment. The resident's wound treatment was not completed on multiple occasions, and the wound was not measured weekly as required by the facility's policy.
The facility failed to monitor daily weights for three residents dependent on dialysis, as required by physician orders. Despite being weighed during dialysis sessions, the facility's nursing staff did not consistently perform daily weight checks, with numerous instances of missing records and unexplained omissions. Interviews confirmed the deficiency, which was acknowledged by the facility's DNS and Corporate Clinical Support Director, highlighting a lapse in following prescribed care plans.
The facility failed to maintain an effective pest control program, resulting in a mice infestation affecting five residents. Observations included mouse droppings in various locations and evidence of mice chewing on food items. Despite initial treatments, the infestation persisted, with the Maintenance Director reporting catching 157 mice over the past couple of months.
Failure to Address Repeated Refusal of Behavioral Health Medication
Penalty
Summary
The facility failed to ensure a resident with bipolar disorder received necessary behavioral health services when she repeatedly refused a prescribed medication for insomnia without appropriate follow-up. The resident, who was not cognitively impaired and had diagnoses including bipolar disorder, morbid obesity, and diabetes, reported that she believed she had refused an insomnia medication and had been sent to the hospital because she did not care if she died. Physician orders showed trazodone 50 mg at bedtime was started and later discontinued, and the MAR documented multiple refusals of this medication across numerous dates. A behavioral health note recorded that the resident presented to the emergency department with passive suicidal ideations, several life stressors, increased emotionality, and reported inconsistencies with her antidepressant medication. Despite these refusals and behavioral health concerns, the clinical record lacked documentation that the physician was notified of the ongoing refusals until the date trazodone was discontinued. A late-entry progress note indicated the resident’s refusal of trazodone had been discussed in a care plan meeting, but the Social Service Director stated he was not aware of the details of the refusals, and the Social Service Assistant reported she was unaware both of the trazodone prescription and the resident’s refusals. The Social Service Assistant indicated that medication refusals are normally discussed in clinical meetings, but this resident’s refusals had not been discussed to her knowledge. The facility’s charting and documentation policy required that all services performed and changes in condition be recorded to ensure consistency between family, physicians, and social services, but this was not followed in this case.
Incomplete MAR Documentation for Multiple Medications
Penalty
Summary
The deficiency involves incomplete and inaccurate documentation on the Medication Administration Record (MAR) for one resident. Resident B’s clinical record showed multiple active physician orders for medications including amlodipine for hypertension, aspirin for heart failure, buspirone for anxiety, cholecalciferol for vitamin D deficiency, divalproex for bipolar disorder, metoprolol succinate for hypertension, and polyethylene glycol for constipation. Several of these orders had start dates and, for some, discontinue dates, while others had no stop dates noted. Review of the MAR for the period from 2/1/26 through 2/28/26 revealed missing documentation entries for multiple medications on specific dates and shifts. Specifically, the MAR lacked documentation for administration of amlodipine, aspirin, divalproex, metoprolol succinate, and polyethylene glycol on the morning shifts of 2/12/26 and 2/19/26, and for buspirone at 12:00 p.m. on 2/12/26. These MAR entries were left blank, with no indication whether the medications were given or omitted. During an interview, an LPN stated that the documentation should have been completed on the MAR. The DON provided the facility’s Charting and Documentation policy, which states that medication administration must be documented, confirming that the observed blanks on the MAR were not in accordance with facility policy and accepted standards.
Failure to Verify Medication Labels During Discharge
Penalty
Summary
The facility failed to provide adequate pharmaceutical services to meet the needs of residents, specifically in ensuring the accurate receiving and dispensing of medications. During the discharge process, a resident with diagnoses including diabetes mellitus and dependence on renal dialysis was sent home with another resident's Novolog insulin pen. The LPN responsible for the discharge removed insulin pens from a bag labeled with the resident's identification sticker but did not verify the labels on the actual medication inside the bag. The Director of Nursing confirmed that the nurse should have checked the medication labels and was unsure whether the error originated from the pharmacy or from staff placing the medication in the wrong bag. A review of the facility's discharge planning policy revealed that it did not require staff to confirm medication labels when providing discharge medications to residents. This oversight contributed to the error, as staff relied solely on the external bag label rather than verifying the medication itself. The incident was identified during interviews and record reviews, highlighting a lapse in procedures intended to ensure residents receive the correct medications upon discharge.
Failure to Secure Prescription Injectable Medication
Penalty
Summary
The facility failed to ensure the security of prescription injectable medication for a resident. During an observation, two sealed enoxaparin sodium injections, which are prescription blood thinner injections, were found lying on a shelf in the resident's closet. This was contrary to the facility's policy, which requires medications to be stored in a medication cart or other secured area. An LPN confirmed that the injections should have been locked in the medication cart and not left unsecured in the resident's closet. The Director of Nursing provided a copy of the facility's drug storage policy, which was undated, indicating that the current policy was not followed in this instance.
Failure to Provide Adequate Pressure Ulcer Care
Penalty
Summary
The facility failed to provide adequate care and services for a resident admitted with a pressure ulcer. The resident, who had diagnoses including physical debility, diabetes, and malnutrition, was admitted with a stage 1 pressure ulcer. Hospital discharge orders required the application of barrier cream to a deep tissue injury in the sacral region and repositioning every two hours. However, the facility did not develop a care plan for the sacral pressure wound, and there was no physician's order to turn the resident side to side starting from the admission date. The resident's sacral wound treatment was not completed as ordered on 8 out of 14 days, with reasons including the resident being unavailable or up in a chair. The facility's Medication Administration Record indicated several instances where the treatment was not administered or left blank. Additionally, the sacral wound was not measured weekly as required. The facility's Wound Management Policy, which mandates weekly documentation of wound assessments, was not followed, contributing to the deficiency.
Failure to Monitor Daily Weights for Dialysis Residents
Penalty
Summary
The facility failed to provide adequate care and services for residents requiring dialysis, as evidenced by the lack of daily weight monitoring for three residents. These residents, who were dependent on renal dialysis due to end-stage renal disease, had physician orders for daily weight checks to monitor fluid management and prevent complications. However, the facility's records showed multiple instances where these weights were not obtained, and in many cases, no reason was documented for the omission. Resident 54, who was cognitively intact and dependent on dialysis, had several missing daily weights over a period of months. The facility's records indicated various reasons for the missed weights, such as the resident being unavailable or the weight being on hold, but often lacked any explanation. Similarly, Resident 59, who was moderately cognitively intact, also had missing weight records, with some entries lacking reasons for the omission. Resident 67, who was cognitively intact, experienced the same issue, with numerous daily weights not recorded and no reasons provided in several instances. Interviews with the residents and staff revealed that while dialysis staff weighed the residents during dialysis sessions, the facility's nursing staff did not consistently perform daily weight checks as required. The Director of Nursing Services and the Corporate Clinical Support Director acknowledged the failure to obtain all prescribed daily weights, which was contrary to the facility's hemodialysis policy and protocol for following physician orders. This deficiency highlights a significant lapse in adhering to physician-prescribed care plans and ensuring the safety and well-being of residents undergoing dialysis.
Failure to Maintain Effective Pest Control Program
Penalty
Summary
The facility failed to maintain an effective pest control program, resulting in a mice infestation affecting five residents. During an initial tour, housekeeping staff indicated issues with mice in several resident rooms. Observations included mouse droppings in various locations such as dressers, closets, and windowsills, as well as evidence of mice chewing on food items. Residents reported seeing live mice in their rooms, and staff confirmed the presence of mice droppings in multiple rooms over the past few months. Interviews with the Director of Nursing Services (DNS) and the Maintenance Director revealed that the pest control provider had been treating the infestation since December 2023, initially conducting treatments twice weekly. However, after mid-February, the frequency was reduced to monthly as no new evidence of mice was found. Despite this, the Maintenance Director reported catching 157 mice over the past couple of months, indicating the infestation persisted in certain areas of the facility. Documentation provided by the DNS included a pest sighting log and customer service reports from the pest control provider, which showed a history of mice sightings and treatments. The facility's pest elimination policy outlined a proactive approach to pest control, including regular inspections and treatments. However, the DNS and staff were unaware of ongoing issues, suggesting a lapse in communication and reporting of new sightings.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 910 citations issued within 25 miles in the last 12 months — including the 9 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Indianapolis
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Waters Of Indianapolis, The | 0.8 mi | ★★★★★ | 2 | 0 |
| Beech Grove Meadows | 1 mi | ★★★★★ | 12 | 0 |
| Envive Of Beech Grove | 1.5 mi | ★★★★★ | 5 | 0 |
| Brickyard Healthcare - Churchman Care Center | 1.5 mi | ★★★★★ | 9 | 0 |
| Fairway Village | 1.7 mi | ★★★★★ | 8 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Altenheim Health & Living Community.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.