Above average — CMS composite of the measures below.
A standard survey is most likely before around August 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 Hoosier Village during CMS and state inspections, most recent first.
A resident with advanced Alzheimer's and a history of falls, wandering, and exit-seeking was not provided with a comprehensive, person-centered care plan addressing these risks. Despite multiple incidents of falls and unsafe wandering, including attempts to leave the facility and entering other residents' rooms, the care plan lacked interventions for falls, elopement, or intrusive wandering, contrary to facility policy.
A resident with advanced Alzheimer's disease and a history of falls repeatedly attempted to walk to the bathroom without assistance or his walker. Despite multiple documented incidents and staff observations, the care plan was not updated to address the resident's specific bathroom habits or unassisted ambulation, focusing only on general fall risk interventions.
A resident with dementia and a history of Foley catheter use was started on an antibiotic for a possible UTI after experiencing pain with urination following catheter removal. Despite concerns from the resident's family and facility staff, no urinalysis or culture and sensitivity testing was performed prior to starting the antibiotic, contrary to the facility's antibiotic stewardship policy.
The facility failed to ensure a baseline care plan was developed within 48 hours of admission for a resident with multiple fractures and Alzheimer's disease. The baseline care plan was not initiated until several days later, despite the facility's policy and the responsibilities outlined for the admitting nurse.
The facility failed to update a resident's care plan to reflect her wishes for a DNR order, despite documentation indicating her change in code status. The resident had diagnoses including type 2 diabetes, hypertension, and congestive heart failure. The care plan initially indicated full code, but an Out of Hospital form showed she elected DNR. The care plan was not revised until confirmed by the DON.
The facility failed to prevent potential accidents by ensuring medications were not left at residents' bedsides for two residents. One resident had nystop powder and fluticasone at her bedside, while another had salonpas, biofreeze, and ketoconazole shampoo. Both lacked documentation of physician's orders and assessments for self-administration. The DON confirmed the absence of a policy for medications at bedside.
The facility failed to date and bag respiratory equipment for two residents, leading to potential infection risks. One resident had multiple diagnoses, including congestive heart failure, and another had COPD and sleep apnea. Both residents' respiratory equipment was not dated or bagged as required by facility policy.
The facility failed to store medications appropriately for two residents and in one medication storage room and one medication cart. Medications lacked proper labeling and dates indicating when they were opened, contrary to the facility's policy on Medication Labeling and Storage.
Failure to Develop and Implement Comprehensive Care Plan for Resident at Risk of Falls and Elopement
Penalty
Summary
The facility failed to develop and implement a comprehensive, person-centered care plan addressing falls, intrusive wandering, and elopement for a resident with advanced Alzheimer's disease and dementia who was on hospice care. Despite multiple documented incidents, including falls, exit-seeking behavior, and intrusive wandering into other residents' rooms and administrative offices, there was no care plan in place with interventions specific to these risks. The resident had a history of 1 to 2 falls in the past three months, was observed attempting to leave the facility, and was noted to be restless and pacing, often entering other residents' rooms and moving items into the hallway. Staff observations and medical record reviews indicated repeated episodes of unsafe wandering, falls, and attempts to exit the facility, with interventions such as a wander guard being implemented reactively rather than as part of a documented, proactive care plan. The facility's own policy required the development of a comprehensive, person-centered care plan with resident-specific interventions, but this was not completed for the resident in question, as confirmed by the review of care plans and interviews with facility staff.
Failure to Revise Care Plan for Resident with Repeated Falls and Bathroom-Related Behaviors
Penalty
Summary
The facility failed to review and revise the care plan for one resident with advanced Alzheimer's disease who had a history of falls and repeated attempts to ambulate independently, particularly when needing to use the bathroom. Despite multiple documented incidents and behavior notes over several weeks indicating the resident's tendency to walk without assistance or his walker, especially to the bathroom, the care plan did not address these specific behaviors. The care plan focused on general fall risk interventions but did not include strategies tailored to the resident's bathroom habits or his repeated attempts to ambulate unassisted. The resident's medical record showed a pattern of falls and near-falls, often related to attempts to use the bathroom independently. Observations and notes from staff consistently documented these incidents, yet the care plan was not updated to reflect the resident's specific needs or to address his bathroom-related behaviors. The deficiency was identified during a review of the resident's care plans, which lacked any mention of his bathroom habits or his tendency to walk without assistance or his walker.
Antibiotic Initiated Without Laboratory Confirmation of UTI
Penalty
Summary
A resident with Alzheimer's disease and dementia, who had a Foley catheter, was started on an antibiotic for a suspected urinary tract infection (UTI) without proper laboratory confirmation. After the resident pulled out his catheter, he complained of pain during urination, but there was no evidence of strong odor or color change in the urine. The resident's son expressed concern about a possible UTI and discussed the potential for obtaining a urine sample with the nurse, but no urinalysis (UA) or culture and sensitivity (CNS) testing was performed before the antibiotic was prescribed. Documentation showed that the resident's pain subsided and there were no further complaints or signs of distress, yet an order for Macrobid was received for a possible UTI. The DON confirmed that no UA or CNS was completed before, during, or after the initiation of the antibiotic. The facility's antibiotic stewardship policy requires laboratory testing in accordance with current standards of practice, but this was not followed in this instance.
Failure to Develop Baseline Care Plan Within 48 Hours
Penalty
Summary
The facility failed to ensure a baseline care plan was developed within 48 hours of admission for Resident 216, who had diagnoses including displaced fractures of the left femur and humerus, and Alzheimer's disease. Resident 216 was admitted to the facility, but the baseline care plan was not initiated until several days later. During an interview, the Director of Nursing (DON) and Executive Director (ED) confirmed that the admitting nurse was responsible for initiating the baseline care plan within 48 hours of admission, which should include information pertinent to the resident's immediate health needs. The facility's policy, revised in March 2022, also indicated that a baseline plan of care should be developed within 48 hours of admission.
Failure to Update Resident's Care Plan for Advance Directive
Penalty
Summary
The facility failed to ensure a resident's comprehensive care plan was revised to reflect her updated wishes for advance directive planning. Resident 8, who had diagnoses including type 2 diabetes mellitus, essential hypertension, and congestive heart failure, had a care plan dated 12/20/23 indicating her code status as full code. However, an Out of Hospital form dated 2/8/24 indicated that Resident 8 elected to have a do not resuscitate (DNR) order. The care plan was not updated to match this change. During an interview, the Director of Nursing confirmed that Resident 8 no longer wished to be a full code and subsequently revised the care plan. The facility's policy on comprehensive person-centered care plans was also reviewed, which emphasized incorporating the resident's personal and cultural preferences in developing care goals.
Failure to Prevent Potential Accidents by Ensuring Medications Were Not Left at Residents' Bedsides
Penalty
Summary
The facility failed to prevent potential accidents by ensuring medications were not left at residents' bedsides for two residents reviewed for self-administration of medications. Resident 168 was observed with nystop powder and fluticasone at her bedside without documentation of a physician's order or assessment of her ability to store and administer her own medications. Similarly, Resident 169 was observed with salonpas, biofreeze, and ketoconazole shampoo at her bedside, also lacking documentation of physician's orders and an assessment for self-administration. The Director of Nursing confirmed that medications should not be at bedside and acknowledged the absence of a policy for medications at bedside, providing a medication self-administration assessment for Resident 169. Resident 168 had diagnoses including anxiety, hypotension, chronic pain, mood disorder, and COPD. Resident 169 had diagnoses including hypertension, overactive bladder, GERD, osteoporosis, and unspecified protein-calorie malnutrition. Both records lacked necessary documentation for the observed medications at bedside.
Failure to Date and Bag Respiratory Equipment
Penalty
Summary
The facility failed to date and bag respiratory equipment for two residents, leading to potential infection risks. Resident 3 was observed on multiple occasions with a nebulizer machine, mask, and oxygen tubing that were not dated or bagged. This resident had several diagnoses, including congestive heart failure and vascular dementia, and had an order for oxygen at 2 liters per minute. The facility also had an order to change the oxygen tubing weekly, which was not followed as the equipment was not dated or bagged during the observations. Similarly, Resident 168 was observed with a nebulizer machine, mask, and tubing that were not dated or bagged. This resident had multiple diagnoses, including COPD and sleep apnea, and had an order for budesonide via nebulizer twice daily. The resident's record lacked a care plan for COPD, and there was missing documentation for the weekly change of nebulizer equipment. An RN confirmed the missing documentation and indicated plans to change the equipment. The facility's policy required respiratory equipment to be stored in a plastic bag, marked with the date and resident's name, and discarded every 7 days, which was not adhered to in these cases.
Medication Storage Deficiencies
Penalty
Summary
The facility failed to store medications appropriately for two residents and in one medication storage room and one medication cart. Resident 3 had a bottle of Centrum on the medication cart without a label indicating instructions for use, a bottle of Travoprost 0.004% with no date to indicate when it was opened, and a bottle of saline nasal spray 0.65% also without an opening date. The skilled medication room contained a vial of tuberculin with no date to indicate when it was opened. Resident 217 had a bottle of gugilipid without a label on the bottle. The facility's policy on Medication Labeling and Storage, dated February 2011, requires that multi-dose vials be dated when opened and discarded within 28 days unless otherwise specified by the manufacturer, and that medication labels include specific information such as medication name, prescribed dose, strength, expiration date, resident's name, route of administration, and appropriate instructions and precautions.
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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.
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How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Zionsville Meadows | 2 mi | ★★★★★ | 10 | 0 |
| St Augustine Home For The Aged | 2.8 mi | ★★★★★ | 0 | 0 |
| Marquette | 3 mi | ★★★★★ | 3 | 0 |
| Spring Mill Meadows | 3 mi | ★★★★★ | 4 | 0 |
| Brickyard Healthcare - Willow Springs Care Center | 3.1 mi | ★★★★★ | 0 | 0 |
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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.