Greenwood Health And Living Community
Inspection history, citations, penalties and survey trends for this long-term care facility in Greenwood, Indiana.
- Location
- 937 Fry Rd, Greenwood, Indiana 46142
- CMS Provider Number
- 155412
- Inspections on file
- 27
- Latest survey
- April 16, 2026
- Citations (last 12 mo.)
- 7
Citation history
Health deficiencies cited at Greenwood Health And Living Community during CMS and state inspections, most recent first.
Surveyors observed that dietary staff repeatedly worked in kitchen and meal service areas with uncovered facial hair, despite facility policy and state sanitation requirements mandating effective hair restraints. Two dietary aides with short beards or mustaches were seen walking through food preparation areas, taking food temperatures, handling food, and plating meals at steamtables in dining rooms without any facial hair coverings, while the current policy required all hair, including facial hair, to be restrained to prevent contamination.
A resident was observed with an Albuterol inhaler on an overbed table and later reported keeping the inhaler in a nightstand drawer, with no staff present during these observations. Record review showed the resident had no cognitive impairment on the admission MDS but lacked any documented self-medication administration assessment. The DON acknowledged that the required assessment had not been completed, despite facility policy requiring staff and the practitioner to evaluate each resident’s mental and physical abilities before allowing self-administration of medications.
The facility did not develop or implement care plans for five residents with needs related to skin conditions, use of an electric wheelchair, and behavioral non-compliance. Observations and record reviews showed that residents with wounds, pressure ulcers, and cognitive impairments did not have individualized, measurable care plans in place, despite physician orders and staff awareness of their conditions and behaviors.
Narcotic medications prescribed for pain management were found missing for several residents with complex medical needs. An LPN removed controlled substances for destruction but failed to account for their whereabouts, and additional discrepancies in narcotic counts were identified. Facility policies for the handling and destruction of scheduled drugs were not consistently followed, resulting in the misappropriation of residents' medications.
A resident with severe cognitive impairment and right-sided paralysis was observed on multiple occasions without access to their call light, as the device was left hanging from the wall and out of reach. Staff interviews confirmed the expectation that call lights should be accessible, but acknowledged the resident sometimes tossed the device. The facility lacked a specific call light policy, and the resident was unaware of the call light's location during the observations.
A resident with type 2 diabetes mellitus and neuropathy was repeatedly observed with open areas and dried scabs on both legs, including an open area on the left knee, without the required dressing as ordered by the physician. The facility did not follow the prescribed treatment regimen for wound care, as confirmed by the DON.
A resident receiving tube feeding for dysphagia and heart disease was observed with unlabeled and undated feeding and water flush bags, as well as unlabeled tubing. Staff confirmed that labeling and dating were required but had not been completed, and the water flush bag was also found open at one point.
A resident with chronic respiratory and metabolic conditions was not provided a timely two-step tuberculin skin test upon admission, as required by facility policy. The resident received two first step TB skin tests over a month apart, with no documented timely second step, contrary to the policy that mandates a follow-up TST 1 to 3 weeks after the initial negative result.
A resident's controlled pain medication was found missing after an LPN administered a dose and later transferred the medication cart keys to the Unit Manager, who placed additional medication cards in the lock box without performing a count. The missing medication was discovered during the end-of-shift count, revealing a failure to protect the resident's property and to follow facility policy for controlled drug security.
The facility failed to develop a person-centered care plan for a resident with a hearing deficit who relies on an amplifier device system. Despite the resident's documented hearing needs and long-term use of the device, the clinical record lacked a specific care plan, which was confirmed by staff members.
The facility failed to date four opened Insulin Flex Pens in one of the medication carts. The Regional Nurse Consultant confirmed the pens should have been dated, and the Director of Nursing provided a policy indicating insulin should be dated when opened, retained for 28 days, and then discarded.
The facility failed to post the actual hours worked by nursing staff for three consecutive days. Observations on multiple days revealed that the posted nursing hours lacked the actual hours worked. The DON indicated that the hours had been posted, but the facility's policy was not followed.
The facility failed to ensure proper disposal of garbage and refuse, with observations showing open dumpster lids and surrounding debris. Staff confirmed that the area should be kept clean and lids closed, as per facility policy and sanitation requirements.
Uncovered Facial Hair During Food Preparation and Meal Service
Penalty
Summary
The deficiency involves the facility’s failure to ensure that food was served in a sanitary and safe manner in accordance with professional standards and facility policy during multiple kitchen and meal service observations. During an initial kitchen observation, two dietary aides were seen walking through the kitchen food preparation area with uncovered facial hair. One aide had facial hair above and below the lip and along the jaw line, approximately one-fourth inch in length, and the other had a mustache of similar length; neither used any facial hair covering. These observations occurred while staff were present in the kitchen area where food was stored and prepared. During subsequent observations on the same day, the same two dietary aides were again observed with uncovered facial hair while directly involved in meal preparation and service. One aide walked through the kitchen while the noon meal was being prepared and placed into a transport cart for service in the south dining room, and later was observed plating the noon meal at the steamtable in that dining room, still without a facial hair covering. The other aide walked through the kitchen while the noon meal was being prepared and placed into the steamtable for the north dining room, took food temperatures, assisted with plating meals at the steamtable, and retrieved food items and supplies from the kitchen, all while having an uncovered mustache approximately one-fourth inch in length. The Dietary Manager stated that staff hair was to be covered when in the kitchen and during meal service, and the facility’s written policy and the cited Indiana Food Establishment Sanitation Requirements both required effective hair restraints, including for facial hair, to prevent contamination of food, equipment, and utensils.
Failure to Complete Required Self-Administration Assessment for Inhaler Kept at Bedside
Penalty
Summary
Surveyors identified that a resident was allowed to keep and access an Albuterol inhaler without the facility completing the required self-administration medication assessment. During an initial tour, the resident was observed sitting in a wheelchair with a handheld Albuterol inhaler on the overbed table and no staff present in the room or hallway. On a subsequent observation, the resident again was in a wheelchair and reported that the Albuterol inhaler was stored in the top drawer of the nightstand, where it was found. Review of the clinical record showed an admission MDS indicating no cognitive impairment, but there was no documentation of a self-medication administration assessment. In an interview, the DON confirmed that the resident did not have the required self-medication assessment, despite the facility’s policy stating that staff and the practitioner must assess each resident’s mental and physical abilities to determine whether self-administering medications is clinically appropriate. This failure to complete and document a self-administration medication assessment for a resident who had an Albuterol inhaler kept at bedside constituted noncompliance with the facility’s own policy and with 410 IAC 16.2-3.1-11(a).
Failure to Develop and Implement Comprehensive Care Plans
Penalty
Summary
The facility failed to develop and implement comprehensive care plans for five residents, as required, resulting in unmet needs related to skin conditions, use of assistive devices, and behavioral non-compliance. For one resident, multiple dried scabs and an open area on the left knee were observed, with a physician's order for wound care in place, but no corresponding care plan addressing either the skin condition or the use of an electric wheelchair, which had been removed due to safety concerns. The clinical record also lacked documentation of a care plan for the resident's wheelchair use, despite occupational therapy involvement and administrative acknowledgment of the omission. Another resident with vascular dementia and diabetes had an open area on the right heel, with a physician's order for wound care, but no care plan addressing the pressure ulcer. Similarly, a resident with severe cognitive impairment and a history of adjusting her bed to a high position was observed repeatedly with the bed elevated and the control within reach, yet there was no care plan addressing her non-compliance with keeping the bed in a low position, as confirmed by staff interviews and record review. Additional deficiencies included a resident with hemiplegia and severe cognitive impairment who was known to throw his call light out of reach, but lacked a care plan to address this behavior, and another resident with stage 2 and stage 3 pressure ulcers who was receiving wound care per physician orders, but whose clinical record did not contain a care plan for these skin conditions. In each case, the absence of individualized, measurable care plans was confirmed by administrative and nursing staff, and the facility's own policy requires such plans to be developed and updated as resident needs change.
Failure to Protect Residents from Misappropriation of Narcotic Medications
Penalty
Summary
The facility failed to protect residents from misappropriation of property, specifically narcotic medications, for five residents. Clinical record reviews revealed that residents with various diagnoses, including chronic kidney disease, osteomyelitis, pneumonia, cerebral palsy, and diabetes, had physician orders for narcotic pain medications such as hydrocodone-acetaminophen, oxycodone-acetaminophen, and tramadol. These medications were found to be missing during routine checks and investigations. Interviews with the Director of Nursing (DON), Administrator, and nursing staff indicated discrepancies in the narcotic count, with specific instances where an LPN took possession of controlled substances for destruction but failed to account for their whereabouts. In one case, an LPN removed 30 tablets of hydrocodone-acetaminophen for destruction but could not explain their disappearance. Additional missing medications included oxycodone-acetaminophen, tramadol, and significant quantities of hydrocodone-acetaminophen from the narcotic lock box for multiple residents. The facility's investigation confirmed these losses, and the LPN involved was placed on leave and subsequently terminated. Facility policies required that discontinued controlled drugs be destroyed in the presence of the DON or a registered nurse, and that all scheduled drugs be counted at the beginning and end of each shift. However, the investigation and interviews revealed that these procedures were not consistently followed, leading to the unaccounted loss of narcotic medications prescribed to residents. The failure to adhere to established protocols resulted in the misappropriation of residents' property.
Failure to Ensure Call Light Accessibility for Resident with Cognitive and Physical Impairments
Penalty
Summary
A deficiency was identified when a resident with hemiplegia and hemiparesis following a stroke, who was also severely cognitively impaired and at risk for falls, was repeatedly observed without access to their call light. On two separate occasions, the resident was found either in bed or in a wheelchair with the call light cord and mechanism hanging from the wall and resting near the floor, approximately three feet away from the head of the bed and not within the resident's reach. The resident was unaware of the call light's location during both observations. Interviews with facility staff, including a scheduler and a unit manager, confirmed that the call light was supposed to be kept within reach of the resident, but noted that the resident sometimes tossed the call light away. The facility administrator stated there was no specific call light policy, but that the practice was for staff to ensure call lights were accessible to residents. Despite these expectations, the resident's call light was not made accessible, resulting in a failure to reasonably accommodate the resident's needs.
Failure to Follow Physician Orders for Skin Treatment
Penalty
Summary
The facility failed to provide care in accordance with the physician's orders for a resident with skin conditions. Over several days, the resident, who has a diagnosis of type 2 diabetes mellitus with neuropathy, was repeatedly observed in the hallway with multiple dried scabs and open areas on both legs, including an open area on the left knee, without the required dressing in place. The physician's order specified that the open scab on the left knee should be cleaned every other day with normal saline and covered with a border dressing every evening and as needed for soilage or dislodgement. Despite these orders, the resident was observed multiple times without the prescribed dressing, and the DON confirmed that the facility was expected to follow the physician's orders for treatment.
Failure to Label and Date Enteral Feeding Equipment
Penalty
Summary
A deficiency was identified when a resident with a history of atherosclerotic heart disease and unspecified dysphagia was observed receiving enteral tube feeding. The physician's orders specified the use of Osmolite 1.2 at a set rate and water flushes, both administered via an electronic pump. During multiple observations, the tube feeding container and the accompanying water flush bag were found to be unlabeled and undated, despite designated areas for staff to sign and date them. Additionally, the tubing itself was not labeled or dated, and at one point, the water flush bag was observed to be open at the top. Interviews with staff confirmed that the feeding container and water flush bag should have been labeled and that the flush bag should not have been left open. The LPN acknowledged the oversight and indicated that another nurse had started the feeding earlier. The DON and Administrator also confirmed that the tube feeding bag should have been signed and dated, indicating a failure to follow established protocols for labeling and dating enteral feeding equipment.
Failure to Provide Timely Two-Step TB Skin Test on Admission
Penalty
Summary
The facility failed to ensure that a resident was provided a two-step tuberculin skin test (TST) upon admission, as required by facility policy. The resident, who had diagnoses including chronic respiratory failure, chronic pulmonary edema, and type 2 diabetes mellitus, was admitted on 3/29/25. The clinical record showed that the resident received a first step TB skin test on 3/29/25 and another first step TB skin test on 4/30/25, with both tests read as negative. However, the two tests were administered 32 days apart, and both were labeled as first step TB skin tests, with no timely second step documented. Facility policy required that if the first TST is negative, a follow-up TST should be administered 1 to 3 weeks after the initial test is read, which was not followed in this case.
Failure to Protect Resident's Controlled Medication from Misappropriation
Penalty
Summary
A deficiency occurred when a resident's controlled pain medication, Oxycodone-acetaminophen 7.5-325 mg, went missing from the medication cart. The resident, who was cognitively intact and had diagnoses including diabetes mellitus, right tibia fracture, cellulitis, and right leg pain, was prescribed this medication both on a scheduled and as-needed basis. On the morning in question, an LPN administered a dose to the resident and confirmed that four tablets remained. During the shift, the LPN gave the medication cart keys to the Unit Manager, who, along with another LPN, placed additional medication cards in the lock box but did not perform a count of the controlled substances afterward. At the end of the day shift, during the routine medication count, it was discovered that the resident's Oxycodone-acetaminophen medication card was missing. The evening shift RN and the LPN confirmed the absence of the medication card during their count, and the incident was reported to the Director of Nursing. Facility policy required all Class II drugs to be stored under double lock at all times and for the environment to be free from misappropriation of resident property. The failure to properly secure and account for the controlled medication led to the misappropriation of the resident's property.
Failure to Develop Person-Centered Care Plan for Resident with Hearing Device
Penalty
Summary
The facility failed to develop a person-centered care plan for a resident with a hearing device. Resident 42, who has a hearing deficit and relies on an amplifier device system, was observed multiple times without a comprehensive care plan addressing her hearing needs. Despite being moderately cognitively intact and having a documented hearing deficit, the resident's clinical record lacked a specific care plan for the use of her amplifier device system. This omission was confirmed by the Regional Nurse Consultant and other staff members, who acknowledged that the care plan should have been initiated when the resident began using the device. Interviews with Resident 42 and various staff members, including the Staff Development Coordinator and a Qualified Medication Aide, revealed that the resident had been using the amplifier device system for several years. The facility's policy on comprehensive person-centered care plans, which requires the development of a care plan within seven days of the completion of the required comprehensive assessment (MDS), was not followed. This failure to develop and implement a care plan for Resident 42's hearing needs constitutes a deficiency in meeting the resident's physical, psychosocial, and functional needs.
Failure to Date Insulin Pens
Penalty
Summary
The facility failed to ensure medications were properly dated for one of the two medication carts observed. During a medication storage and labeling review, four opened Insulin Flex Pens were found in the 200 Hall Medication Cart without labels indicating the date they were opened. The Regional Nurse Consultant confirmed that the insulin pens should have been dated with an open date. The Director of Nursing provided an undated policy titled 'Insulin Packaging G-24,' which indicated that insulin bottles should be dated when activated, retained for 28 days, and then discarded. However, this policy was not followed for the insulin pens in question.
Failure to Post Actual Nursing Hours Worked
Penalty
Summary
The facility failed to ensure the actual hours worked by nursing staff were posted for three out of four days during the survey. On 5/8/24, 5/9/24, and 5/10/24, the posted nursing hours observed on the wall behind the nurses' station lacked the actual hours worked. During an interview on 5/10/24, the Director of Nursing (DON) indicated that they had posted the actual nursing hours. However, the policy provided by the DON, titled 'Posting Direct Care Daily Staffing Numbers,' was undated and indicated that the actual time worked during each shift of each category and type of nursing staff should be posted, which was not adhered to in this case.
Improper Disposal of Garbage and Refuse
Penalty
Summary
The facility failed to ensure proper disposal of garbage and refuse, as observed during a facility tour and follow-up observation. During the initial tour, one of the two top lids of the trash dumpster was not closed, and multiple filled trash bags were visible inside. Additionally, multiple broken-down boxes and one large unbroken-down box were leaning against the trash dumpster container. No staff were present in the area at the time of observation. The Regional Dietary Consultant confirmed that the dumpster area should be kept clean, free of debris, and the top lids should be kept closed when not in use. In a follow-up observation, both top lids of the recycle dumpster were found to be open, with multiple broken-down and unbroken-down boxes visible inside and hanging on the outside of the container. Again, no staff were observed in the area. The Regional Dietary Manager confirmed that the lids should be kept closed and all boxes should be broken down when placed into the recycle dumpster. The facility's policy on Food-Related Garbage and Rubbish Disposal, dated December 2008, and the Retail Food Establishment Sanitation Requirements were reviewed, both of which mandate that garbage and rubbish containers be kept closed and free of surrounding litter.
Latest citations in Indiana
Surveyors observed that dietary staff repeatedly worked in kitchen and meal service areas with uncovered facial hair, despite facility policy and state sanitation requirements mandating effective hair restraints. Two dietary aides with short beards or mustaches were seen walking through food preparation areas, taking food temperatures, handling food, and plating meals at steamtables in dining rooms without any facial hair coverings, while the current policy required all hair, including facial hair, to be restrained to prevent contamination.
The facility failed to consistently provide and document required bed-hold policy notices when several residents were transferred to the hospital. In multiple cases, residents with dementia, psychotic disorders, COPD, chronic respiratory failure, altered mental status, and cerebral infarction were sent out for acute changes in condition, and while transfer notes reflected physician and family notifications, they lacked documentation that the bed-hold policy was discussed with the resident or responsible party. Notices of Transfer or Discharge often indicated a copy of the bed-hold policy was sent with the resident, but the records did not show signed and dated acknowledgment by the resident or appropriate representative, including in situations where a resident had moderate cognitive impairment, short-term memory issues, or a documented need for a proxy and a financial POA authorizing an agent for health care decisions.
Surveyors found that the facility failed to provide trauma‑informed and culturally competent care by not incorporating two residents’ extensive trauma histories and specific behavioral triggers into their care plans. One resident with documented homelessness, polysubstance abuse, severe accidents with multiple fractures, viral encephalitis with coma, physical and sexual abuse, loss of family contact, and a past suicide attempt had multiple behavior‑focused care plans that referenced identifying triggers but listed none and did not mention their physical, sexual, medical, or psychosocial trauma. Another resident with TBI from being struck by a truck, an 11‑month coma, long‑term state hospital residence, alleged shooting of a parent, and diagnoses including intermittent explosive disorder and borderline personality disorder had a PASRR identifying a specific trigger and notes of inappropriate sexual behavior, yet their care plans omitted these traumatic events, the identified trigger, and the sexual behavior. Staff interviews confirmed that residents were screened for trauma, but the trauma histories and triggers were not reflected in the individualized plans of care.
A resident with schizophrenia, post‑stroke hemiparesis, and mild cognitive impairment expressed feeling down and wanting to kill himself, but staff did not document asking about a specific plan, did not notify the physician or psychiatric NP as expected, and did not develop or update a care plan addressing depression or suicidal ideation. The SSD documented offering support and initiating 15‑minute checks once, but there was no further follow‑up or documentation of interventions after subsequent suicidal statements made in a care plan meeting with the resident’s father. The DON and Administrator reported that facility policy requires immediate notification of key staff, assessment for a plan and means of self‑harm, and thorough documentation, which were not carried out or reflected in the medical record for this resident.
A resident with schizophrenia, post-stroke hemiparesis, and mild cognitive impairment verbalized suicidal ideation, but the care plan did not address depression or suicidal thoughts, and required assessments and services were not accurately or timely documented. An SSD note recorded the resident saying he wanted to kill himself and referenced 15‑minute checks and a care plan update, yet the active care plan lacked depression/suicidal ideation interventions. Multiple late-entry Social Services notes were later added, describing follow-up visits and the resident denying suicidal ideation, but the SSD later reported she did not typically ask about a suicide plan and did not personally provide individual follow-up visits as described. These practices conflicted with the facility’s policy requiring factual, first-hand, and timely documentation of assessments and services.
A resident was observed with an Albuterol inhaler on an overbed table and later reported keeping the inhaler in a nightstand drawer, with no staff present during these observations. Record review showed the resident had no cognitive impairment on the admission MDS but lacked any documented self-medication administration assessment. The DON acknowledged that the required assessment had not been completed, despite facility policy requiring staff and the practitioner to evaluate each resident’s mental and physical abilities before allowing self-administration of medications.
Surveyors found that the facility submitted inaccurate direct care staffing data to CMS through the PBJ system over multiple days in a quarter. CASPER reports showed apparent gaps in 24-hour licensed nurse coverage, low weekend staffing, and a 1-star staffing rating, while internal staffing sheets documented that licensed nurses were present and the facility was fully staffed on those days. The Administrator reported that the discrepancies were due to PBJ data entry errors, despite a facility policy requiring all PBJ entries to be accurate, auditable, and verifiable against payroll, invoices, or contracts.
Surveyors found that the facility did not provide or document required written transfer/discharge notices and bed-hold policy information for four residents who were sent to the hospital, including individuals with conditions such as dementia, CHF, chronic respiratory failure, and CKD. In each case, progress notes showed that the resident was transferred for acute issues, but the clinical records lacked evidence that written notices were given to the residents or their representatives, and in one case lacked documentation that required information was sent to the receiving provider. Facility leadership, including the ADON, DON, and Administrator, acknowledged that the records did not contain the required documentation, despite a written policy requiring such notices and information exchange.
A resident with Alzheimer’s disease and depression, previously on an antidepressant, exhibited intermittent refusals of medications and care, occasional yelling at staff, and reports of unusual perceptions, such as believing men were in or near her room. Nursing notes over several months documented these refusals and complaints but did not show that the behaviors were evaluated or recorded as dangerous, non-redirectable, or causing significant distress, nor did they document specific non-pharmacological interventions attempted or their outcomes. Despite this, a psychiatric NP later added new diagnoses of schizoaffective disorder, borderline personality disorder, and delusional disorder and ordered an antipsychotic (Seroquel) without a comprehensive evaluation in the record to support these diagnoses. The facility’s psychotropic medication policy, which requires identification and documentation of target behaviors, use of nonpharmacological interventions, and ongoing behavior monitoring, was not followed for this resident.
The facility failed to keep PASARR Level I screenings accurate and current for three residents when new mental health diagnoses and psychoactive medications were initiated. One resident’s PASARR omitted a PTSD diagnosis and an added antidepressant, despite documentation of PTSD on the MDS and care plan and a physician order for Pristiq. Another resident’s PASARR listed only depression and dementia, even after additional diagnoses such as borderline personality disorder, delusional disorder, and schizoaffective disorder were added and an antipsychotic (quetiapine) was ordered, with the MDS later reflecting psychotic disorder, schizophrenia, and depression with antipsychotic and antidepressant use. A third resident’s PASARR did not include a depression diagnosis or newly ordered escitalopram and lorazepam, although the admission MDS documented depression with antianxiety and antidepressant use. These omissions occurred despite facility policy requiring a new Level I review after significant mental status changes, including new mental health diagnoses or new psychotropic medications.
Uncovered Facial Hair During Food Preparation and Meal Service
Penalty
Summary
The deficiency involves the facility’s failure to ensure that food was served in a sanitary and safe manner in accordance with professional standards and facility policy during multiple kitchen and meal service observations. During an initial kitchen observation, two dietary aides were seen walking through the kitchen food preparation area with uncovered facial hair. One aide had facial hair above and below the lip and along the jaw line, approximately one-fourth inch in length, and the other had a mustache of similar length; neither used any facial hair covering. These observations occurred while staff were present in the kitchen area where food was stored and prepared. During subsequent observations on the same day, the same two dietary aides were again observed with uncovered facial hair while directly involved in meal preparation and service. One aide walked through the kitchen while the noon meal was being prepared and placed into a transport cart for service in the south dining room, and later was observed plating the noon meal at the steamtable in that dining room, still without a facial hair covering. The other aide walked through the kitchen while the noon meal was being prepared and placed into the steamtable for the north dining room, took food temperatures, assisted with plating meals at the steamtable, and retrieved food items and supplies from the kitchen, all while having an uncovered mustache approximately one-fourth inch in length. The Dietary Manager stated that staff hair was to be covered when in the kitchen and during meal service, and the facility’s written policy and the cited Indiana Food Establishment Sanitation Requirements both required effective hair restraints, including for facial hair, to prevent contamination of food, equipment, and utensils.
Failure to Provide and Document Bed-Hold Policy at Time of Hospital Transfer
Penalty
Summary
The deficiency involves the facility’s failure to ensure that required bed-hold policy information was provided and documented for four residents transferred to the hospital. For a resident with dementia, psychotic disorder, and autistic disorder who had a BIMS score of 0 indicating severe cognitive impairment, progress notes documented physician notification and guardian notification when the resident was sent to the hospital, but there was no documentation that the bed-hold policy was provided to the responsible party. A Notice of Transfer or Discharge later indicated a copy of the bed-hold policy was sent with the resident. Another resident with COPD and chronic respiratory failure, cognitively intact with a BIMS score of 13, experienced a decline in condition and was transferred to the hospital by ambulance; progress notes documented family notification but did not document any discussion of the bed-hold policy, although a Notice of Transfer or Discharge indicated a copy of the bed-hold policy was sent with the resident. A third resident with altered mental status and cerebral infarction, with a BIMS score of 10 indicating moderate cognitive impairment and documented short-term memory impairment, experienced changes in condition and was transferred to the hospital. Progress notes stated the resident was their own responsible party and that no other notification was completed, and transfer documentation did not include the bed-hold policy, although an untimed Notice of Transfer or Discharge indicated a copy of the bed-hold policy was signed by the resident. A financial power of attorney document in the record showed the resident had designated an agent to act in consent or refusal of health care. For a fourth resident with dementia and osteomyelitis, transfer documentation and a Notice of Transfer or Discharge indicated a copy of the bed-hold policy was sent with the resident, and the transfer form noted the resident required a proxy for decision making. The facility’s policy required that at the time of transfer to a hospital, written notice specifying the duration of the bed-hold policy and information on return to the next available bed be provided, and that a signed and dated copy of the bed-hold notice given to the resident or representative be kept in the resident file, which was not consistently documented for these residents.
Failure to Integrate Trauma Histories and Behavioral Triggers Into Care Plans
Penalty
Summary
The deficiency involves the facility’s failure to identify and incorporate residents’ trauma histories and specific behavioral triggers into their care plans, despite documented histories of significant trauma and behavioral health issues. For one resident, extensive social service and progress notes documented homelessness, polysubstance abuse, major depressive and anxiety disorders, chronic pain, a history of severe car accidents with multiple fractures, viral encephalitis resulting in a three‑month coma, loss of child custody, multiple divorces, physical abuse by a spouse, the death of a fiancé who was struck by a car while in a wheelchair, lack of family contact, and a past suicide attempt by Valium overdose. Additional documentation noted a history of rape by a brother at age eight and prior placement under direct supervision and 15‑minute checks related to suicidal ideation. Despite these documented traumatic events and behavioral health concerns, the resident’s care plans did not identify a history of physical trauma, sexual trauma, homelessness, substance abuse, medical trauma, or attempted suicide. For this same resident, the MDS showed no cognitive deficit and identified behaviors such as verbal aggression and rejection of care, along with diagnoses including seizure disorder, depression, chronic pain syndrome, homelessness, and anxiety disorder. Multiple care plans addressed behaviors such as drug‑seeking, pretending to have seizures for attention or medication, making false allegations, verbal aggression when unable to smoke, and a desire for intimate relationships with consenting male residents. These care plans referenced goals such as effective coping skills, seeking staff support, and compliance with the smoking policy, and they called for identification and reduction of behavioral triggers. However, none of these care plans actually listed any specific triggers. The care plan addressing the resident’s right to consensual intimate relationships focused on assessment and education regarding consent but did not integrate the resident’s extensive trauma history. Staff interviews indicated the resident had displayed sexual behaviors since admission, including an incident where the resident expressed anger at another resident for not buying a soda after engaging in sexual acts. A second resident with a documented history of traumatic brain injury (TBI), dementia, seizure disorder, borderline personality disorder, anxiety, intermittent explosive disorder, tobacco use, and other behavioral/emotional disorders was also affected by the same deficiency. Social history and progress notes documented that this resident sustained a TBI after being hit by a semi‑truck while riding a bicycle at age 18, resulting in an 11‑month coma, followed by 13 years in a state hospital and subsequent residence in a group home. Additional documentation indicated the resident allegedly shot their father at age 26 after being sworn at and had a PASRR identifying TBI, intermittent explosive disorder, and borderline personality disorder, with a specific trigger of hearing the name of the current U.S. President. Progress notes also described inappropriate sexual behavior toward staff, including touching themselves intimately during personal care and refusing to stop when redirected. Despite this, the resident’s care plans, which addressed explosive disorder and history of altercations, risk for decreased psychosocial well‑being, and refusal to bathe or shower, did not list any specific behavioral triggers, did not reference the traumatic events such as being hit by a truck or shooting their father, and did not document the inappropriate sexual behavior. The Administrator and Social Service Director acknowledged that residents were to be screened for trauma and that trauma responses and PTSD should be added to care plans, but the specific trauma histories and triggers for these two residents were not incorporated into their plans of care.
Failure to Assess and Care Plan for Resident Suicidal Ideation
Penalty
Summary
The deficiency involves the facility’s failure to adequately assess, investigate, and care plan for a resident’s suicidal ideation in accordance with its own policy and staff expectations. The resident had diagnoses including schizophrenia, cerebral edema, and hemiparesis/hemiplegia following a cerebral infarction, and a current MDS showed mild cognitive impairment (BIMS score 12). A progress note documented that the resident told the Social Services Director (SSD) he was feeling down and wanted to kill himself; the SSD offered assistance, activities, and initiated 15‑minute checks, and the note stated the care plan was updated. However, the note did not indicate that the SSD asked whether the resident had a plan to kill himself, and there were no additional notes regarding suicidal ideation or follow‑up. Review of the current care plan showed no problem, goal, or interventions addressing depression or suicidal ideation, and progress notes over the following month contained no documentation of physician notification related to the suicidal statement. Further record and interview evidence showed that the care plan conference summary did not document interventions for suicidal ideation, and the SSD acknowledged she did not normally ask residents expressing suicidal ideation if they had a plan. The SSD reported that the resident had admission paperwork mentioning suicidal ideation related to depression after a stroke and that the resident again vocalized suicidal ideation during a care plan meeting with his father, after which emotional support was offered and the father took the resident out on a leave of absence; no further visits or follow‑up were done. The DON stated that, upon notification of suicidal verbalization, staff should assess the resident, ask if there is a plan, remove potential means of self‑harm, immediately notify the psychiatric NP, and document the occurrence, and that a detailed progress note and updated care plan were expected but not present for this resident. The Administrator similarly stated that staff should ask about a plan, document interventions, notify the physician and family, and update the care plan, and indicated the resident should have had a care plan addressing depression with suicidal ideation. The facility’s written policy required immediate notification of the DON, SSD, and physician, an interview including asking about a plan and assessing mood and means for self‑harm, and thorough documentation of mood, behavior, and all actions taken, which were not reflected in the resident’s record.
Incomplete and Inaccurate Documentation of Suicidal Ideation and Follow-Up
Penalty
Summary
The facility failed to ensure accurate, complete, and timely documentation of assessments and services for a resident who verbalized suicidal ideation. Resident 6, who had schizophrenia, cerebral edema, and right-sided hemiparesis/hemiplegia following a cerebral infarction, had a BIMS score of 12 indicating mild cognitive impairment. The resident’s admission paperwork mentioned suicidal ideation related to depression after a stroke, and a Social Services note on 3/11/2026 documented that the resident was feeling down and said he wanted to kill himself. The Social Services Director (SSD) documented that she talked with the resident, coordinated with Activities, advised the resident to contact SSD or nursing if he wanted to talk, and that the resident was scheduled for 15-minute checks and the care plan was updated. However, the current care plan initiated on 2/26/2026 did not address depression or suicidal ideation. Multiple Social Services progress notes were later entered as late entries in April, with effective dates in March, stating that the resident had no plan and no longer had suicidal ideation, that he felt much better after 1:1 time, and that he continued his daily routine and therapy. These late entries described follow-up visits and reassessments of suicidal ideation on several consecutive days, but in interviews the SSD stated she did not normally ask residents about having a plan when they verbalized suicidal ideation and did not recall any other occurrences beyond the initial event. She further indicated she did not personally provide individual follow-up visits with this resident regarding suicidal ideation, despite the late-entry notes describing such visits. The DON acknowledged that late entries had been added to address concern about suicidal verbalization, and the Administrator stated that upon suicidal statements staff should ask about a plan, notify the physician and family, and update the care plan, and that this resident should have had a care plan addressing depression with suicidal ideation. The facility’s documentation policy required factual, first-hand, timely documentation, which was not followed in this case.
Failure to Complete Required Self-Administration Assessment for Inhaler Kept at Bedside
Penalty
Summary
Surveyors identified that a resident was allowed to keep and access an Albuterol inhaler without the facility completing the required self-administration medication assessment. During an initial tour, the resident was observed sitting in a wheelchair with a handheld Albuterol inhaler on the overbed table and no staff present in the room or hallway. On a subsequent observation, the resident again was in a wheelchair and reported that the Albuterol inhaler was stored in the top drawer of the nightstand, where it was found. Review of the clinical record showed an admission MDS indicating no cognitive impairment, but there was no documentation of a self-medication administration assessment. In an interview, the DON confirmed that the resident did not have the required self-medication assessment, despite the facility’s policy stating that staff and the practitioner must assess each resident’s mental and physical abilities to determine whether self-administering medications is clinically appropriate. This failure to complete and document a self-administration medication assessment for a resident who had an Albuterol inhaler kept at bedside constituted noncompliance with the facility’s own policy and with 410 IAC 16.2-3.1-11(a).
Inaccurate PBJ Staffing Data Submission to CMS
Penalty
Summary
The deficiency involves the facility’s failure to electronically submit complete and accurate direct care staffing information to CMS through the Payroll-Based Journal (PBJ) system for 22 days in a fiscal quarter. A CASPER report review on 4/6/26 showed that, according to PBJ data, the facility did not have licensed nursing coverage 24 hours per day on multiple specific dates across three months, had low weekend staffing, and held a 1-star staffing rating. However, review of the facility’s internal staffing sheets for that quarter indicated the facility was fully staffed and had licensed nurse coverage on all of the dates in question. During an interview, the Administrator stated that the PBJ information must have contained data entry errors, as she had verified licensed staff coverage on the timesheets. The facility’s PBJ policy in effect stated that all staffing data entered into the PBJ system would be auditable and verifiable through payroll, invoices, or contracts, but the submitted PBJ data did not accurately reflect the facility’s actual licensed nurse staffing as documented on internal records. No specific residents or clinical conditions were mentioned in the report, and the deficiency centers solely on inaccurate staffing data submission rather than direct resident care events.
Failure to Provide and Document Required Transfer/Discharge and Bed-Hold Notices
Penalty
Summary
The deficiency involves the facility’s failure to provide and document required written notices of transfer/discharge and bed-hold policies, as well as required information to receiving providers, for four residents who were transferred or discharged to the hospital. For a resident with generalized anxiety disorder, major depressive disorder, and dementia, progress notes showed that the resident was sent to the hospital via 911 for chest pain, lower back pain, and shortness of breath and later returned to the facility, but the clinical record lacked documentation that a written Notice of Transfer/Discharge and the bed-hold policy were provided to the resident or representative, and lacked documentation that required information was conveyed to the receiving facility. The ADON and the Administrator both confirmed there was no documentation that these written notices were provided. For a resident with congestive heart failure and muscle weakness who was sent to the emergency room for painful urination and bloody urine, the clinical record lacked documentation that a Notice of Transfer/Discharge or bed-hold policy was given to the resident or representative, which the DON confirmed. Another resident with chronic respiratory failure and diabetes was discharged to the hospital for respiratory failure, and a resident with chronic kidney disease and dementia was discharged to the hospital, but in both cases there was no documentation that a written notice of transfer/discharge or bed-hold policy was provided to the residents or their representatives. Review of the facility’s Transfer and Discharge policy, dated 1/15/26, showed that the policy required the facility to provide written transfer/discharge notices and bed-hold information to residents and representatives and to provide specified information to receiving providers, but the records for these four residents did not contain the required documentation.
Failure to Document Target Behaviors and Non-Pharmacological Interventions Before Initiating Antipsychotic
Penalty
Summary
The deficiency involves the facility’s failure to document how a resident’s behaviors presented danger or distress to self or others, and failure to document non-pharmacological interventions attempted prior to initiating an antipsychotic medication. Resident 6 had documented diagnoses of Alzheimer’s disease, depression, and severe cognitive impairment, and was receiving sertraline for depression. A PASSAR identified only depression and dementia, and the admission MDS listed Alzheimer’s disease and depression as active diagnoses. Over several months, nursing progress notes documented that the resident intermittently reported unusual perceptions, such as believing there were men causing trouble, a man in her room, or a man wanting to marry her and yelling through the walls, but there was no documentation that these episodes caused danger to the resident or others or that they resulted in unmanageable distress. From late April through mid-July, nursing notes primarily described the resident’s frequent refusals of evening and morning medications, blood sugar checks, blood pressure checks, insulin administration, hygiene care, and showers. Staff documented that the resident sometimes yelled at staff, said “Get out!”, was visibly upset by a room move, was leery of staff and asked to see name badges, and became upset about a pillow under her head until it was removed, after which she calmed down. The notes also recorded instances where the resident believed housekeeping had not cleaned her room or that she had not received medications when she had. However, there were no progress notes or assessments indicating that these behaviors were evaluated as dangerous, non-redirectable, or causing significant distress or functional impairment, and no detailed behavior monitoring logs were present as required by facility policy. On a psychiatric NP visit for initial psychotropic medication management, new mental health diagnoses of schizoaffective disorder, borderline personality disorder, and delusional disorder were added, and Seroquel 25 mg, an antipsychotic, was ordered. The clinical record did not contain a comprehensive evaluation to support these new diagnoses, and there was no documentation of target behaviors meeting the facility’s policy criteria for psychotropic use, such as behaviors representing danger to self or others, causing distress and impairment in functional abilities, or clearly attributable to psychosis or mania. The resident’s representative reported that the resident had no prior history of mental health disorders or psychiatric hospitalization and was unaware of the new diagnoses. The facility’s own psychotropic medication policy required identification and documentation of specific target behaviors, use and documentation of nonpharmacological interventions, and ongoing monitoring of behaviors and interventions, which were not reflected in the record for this resident.
Failure to Update PASARR Screens for New Mental Health Diagnoses and Psychotropic Medications
Penalty
Summary
The deficiency involves the facility’s failure to ensure that Preadmission Screening and Resident Review (PASARR) Level I screenings were accurate and updated when new mental health diagnoses and psychoactive medications were initiated for multiple residents. For one resident with dementia, anxiety, depression, and post-traumatic stress disorder (PTSD), the PASARR completed on admission listed anxiety, depression, and dementia with sertraline and quetiapine, but did not include the PTSD diagnosis or the antidepressant Pristiq, despite the admission MDS and care plan documenting PTSD and a subsequent physician’s order for Pristiq. For another resident with Alzheimer’s disease, borderline personality disorder, delusional disorder, schizoaffective disorder, and depression, the PASARR only reflected depression and dementia with sertraline, even though additional mental health diagnoses were added later and an antipsychotic (quetiapine) was ordered for borderline personality disorder, and the quarterly MDS documented psychotic disorder, schizophrenia, and depression with antipsychotic and antidepressant use. A third resident had diagnoses including Alzheimer’s disease, depression, anxiety disorder, irritability and anger, and nonrheumatic aortic valve stenosis. The PASARR for this resident listed dementia and anxiety with Risperdal but omitted the diagnosis of depression and the medications escitalopram and lorazepam, although physician’s orders were in place for escitalopram for depression and lorazepam for anxiety, and the admission MDS documented depression with antianxiety and antidepressant use. Interviews with the Assistant Director of Nursing confirmed that new Level I PASARR screens should have been completed when new mental health diagnoses and psychoactive medications were added, and that the PASARR for one resident, completed prior to arrival, should have included all mental health diagnoses and medications. The facility’s own policy required notification of the state mental health authority within 14 days after a significant change in mental condition and specified that a new Level I screen is required for new mental health diagnoses or newly prescribed psychotropic medications, which was not followed in these cases.
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