Below average — CMS composite of the measures below.
The next survey window likely opens around February 2027
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 Northview Health And Living during CMS and state inspections, most recent first.
A resident with dementia, depression, anxiety, and GERD was subjected to verbal abuse and corporal punishment when a CNA allegedly placed soap and/or hot sauce in the resident’s mouth and threatened to wash the resident’s mouth out with soap after the resident spit. Staff heard rumors and parts of the exchange, but an LPN did not immediately notify the DON/Administrator, and the CNA remained on the floor with resident contact for hours after the allegation became known. The Administrator was notified later that evening and the report to IDOH was delayed until the next day.
A facility failed to ensure a meal menu was prepared in advance, reviewed and approved by the RD, and supported by portion size guidance and nutritional adequacy. During prep of a topped baked potato entree, a cook used unmeasured cheese and bacon, added tap water for thinning, and had no recipe or portion guidance. The Dietary Manager and RD both stated the menu had not been approved before food prep began, and the menu document listed no additional protein to balance the meal.
A facility failed to provide written transfer/discharge notice and bed hold policy documentation to residents and/or their representatives for multiple hospital transfers. Residents with conditions including COPD, Parkinson’s disease, dementia, hypertension, and neurologic impairment were sent to the ER or hospital, but the records did not show who received the required paperwork, and some transfer forms lacked the notice and bed hold policy altogether.
Failure to promptly report and accurately document alleged abuse: Staff overheard an allegation that a CNA may have threatened a resident with soap and/or hot sauce and may have placed those items in the resident's mouth, but the report to the Administrator was delayed and the self-reported incident sent to IDOH lacked key details. An LPN and another CNA both stated they should have reported the allegation immediately, and the DON/Administrator notification and state report were not timely or complete.
Failure to Remove Alleged Abuser After Abuse Allegation: Staff heard reports that a CNA may have put hot sauce and/or soap in a resident’s mouth and threatened to wash her mouth out with soap, but the CNA was allowed to keep working with resident contact for about three hours before the Administrator was notified. An LPN and another CNA heard the rumors and observed concerning statements and items, while a second LPN did not intervene or report the allegation immediately. The resident had vascular dementia, depression, anxiety, and GERD, and her representative stated the act would have been viewed as abusive and punitive.
A resident with hemiplegia, kidney stones, urine retention, and ureteral stents reported back pain and asked to go to the ER, but the nurse contacted the on-call provider and the resident was not sent out at that time. The resident was given acetaminophen while waiting for PRN oxycodone to become available. Later that day, the resident became unable to answer questions correctly, had abnormal vital signs, and was sent to the ER after the NP was contacted; hospital records later showed sepsis, acute encephalopathy, and pseudomonas aeruginosa in the urine.
Nursing staff did not clarify unclear medication orders for a resident with Parkinson's Disease, resulting in the resident not receiving prescribed extended-release carbidopa-levodopa. Despite established policies and multiple opportunities for clarification, staff failed to communicate with the neurologist or properly reconcile the orders, leading to a lapse in medication administration.
A resident with a history of dementia and other health issues struggled to eat independently due to inadequate assistance from staff. Observations showed that food and drinks were often out of reach, and staff assistance was inconsistent. Despite an increase in the resident's need for help, the care plan was not updated to reflect these changes, violating the facility's policy on care plan revisions.
The facility failed to provide adequate dining assistance to two residents, resulting in unmet nutritional needs. One resident struggled with utensil use and food reach, while another received minimal staff interaction during meals. Both residents' care plans were not updated to reflect their increased need for assistance.
A resident at high risk for falls experienced multiple incidents due to the facility's failure to consistently implement documented interventions. Despite requiring two staff members for transfers, the resident was repeatedly lowered to the floor by only one staff member. Inconsistencies in updating and following CNA Care Guides contributed to the deficiency.
The facility failed to label and date medications on three medication carts, including insulin vials and respiratory medications. An LPN and a QMA confirmed that these medications should have been dated when opened. The facility's policy requires multi-dose medication vials/devices to be labeled with the date opened, which was not followed.
The facility failed to post complete daily nurse staffing information, affecting all 70 residents. Observations showed missing facility census data and inaccurate staffing hours. The issue arose from the absence of the Scheduler, with no reassignment of duties, leading to outdated postings. The facility's policy requires daily updates, including the resident census, which was not followed.
Failure to Protect Resident from Verbal Abuse and Corporal Punishment
Penalty
Summary
The facility failed to protect a resident from verbal abuse and corporal punishment when CNA 3 placed soap and/or hot sauce in the resident’s mouth and threatened to wash the resident’s mouth out with soap after the resident spit. The resident involved had vascular dementia, depression, anxiety, and gastroesophageal reflux disease, and was described as cognitively impaired and a poor historian. The report states that, using the reasonable person concept, the resident experienced psychosocial harm from these abusive actions and threats in the nursing facility, which was her home. On the evening of the incident, staff observed or later reported that CNA 3 interacted with the resident multiple times, with video showing the CNA carrying a cup, toothbrush, and a white squeeze bottle, then approaching the resident and appearing to apply liquid from the bottle while blocking the camera’s view. The resident spit on the floor before and after the encounters. A witness statement indicated CNA 3 took a red packet and put it in the resident’s mouth, told another staff member she had put hot sauce in the resident’s mouth for spitting, and threatened to wash the resident’s mouth out with soap. Another staff member heard the threat but did not intervene further or report it to the Administrator. The report also shows delayed reporting and delayed removal of the CNA from resident contact. An LPN heard rumors or gossip about the incident after supper, did not immediately notify the Administrator, and left the CNA on the floor while investigating. The Administrator was notified later that evening and stated she was asleep and confused when called, so she did not report the allegation to IDOH until the next day. The facility investigation and self-reported incident confirmed that CNA 3 remained on the floor for approximately three hours after staff first became aware of the allegation. Resident B’s record showed diagnoses of dementia and psychiatric symptoms, including altered lucidity and delusions, and the facility policy required allegations of abuse to be reported immediately.
Menu Not Approved by RD and Lacked Portion Guidance
Penalty
Summary
The facility failed to ensure menus were prepared in advance, signed and approved by a Registered Dietitian, had portion size guidance, and met nutritional adequacy. The deficiency affected 72 of 72 residents who ate meals prepared in the facility kitchen. The DON stated the facility census was 74, and 72 residents consumed food by mouth and ate meals prepared in the kitchen. During observation of the puree process, a cook began pureeing a topped baked potato entree using peeled baked potatoes in a steam table pan. He stated he did not measure the cheese or bacon used for the pan of 10 potatoes and did not have a recipe, menu, or portion size guidance for the meal. He added tap water as the thinning liquid and indicated he would serve the same portion size of potatoes as when baked potatoes were served as a side dish. The Dietary Manager stated the facility did not have a menu, recipe, or portion size guidance for the potato bar meal and that the RD had not approved the menu. She also stated she did not know how much cheese, bacon, sour cream, and butter pats should be served to equal the protein needed for the meal, and no other protein was served to balance residents' needs. The RD stated she had not developed or approved the potato bar/topped potato menu before food preparation began. The menu document for lunch listed baked potato bar items but no additional protein and was not signed as approved by the RD.
Failure to Provide Transfer/Discharge Notice and Bed Hold Policy
Penalty
Summary
The facility failed to provide written transfer/discharge notice and bed hold policy documentation to residents and/or their representatives for 3 of 4 residents reviewed for hospitalizations. Resident 7 had COPD, Parkinson’s disease, and hypertension, and after a 1/23/26 assessment indicating discharge with return anticipated, a progress note documented left knee and hip pain related to a previous fall and a new order to send the resident to the ER. The clinical record did not show that the resident or representative received the transfer/discharge form or bed hold policy, and the forms dated 1/23/26 did not identify who received the paperwork. Resident 69 had right-sided hemiplegia and hemiparesis, and progress notes on 9/23/25, 10/2/25, and 12/25/25 documented inability to follow commands, inability to speak or track with eyes, inability to answer questions correctly, and altered mental status, with ER transfers ordered and the wife requesting one transfer. The record lacked indication that the resident and/or representative received the transfer/discharge form and bed hold policy for any of the transfers, and the forms dated 9/23/25, 10/2/25, and 12/25/25 did not identify who received the paperwork. Resident 77 had dementia and hypertension, and on 12/21/25 was in respiratory distress and transported by emergency services; the family and administrator were notified. The e-Interact transfer form lacked notice of discharge or bed hold policy, and the clinical record did not show that the resident and/or representative received the required documents.
Failure to promptly report and accurately document alleged abuse
Penalty
Summary
The facility failed to ensure staff reported allegations of abuse immediately to the Administrator or designee and failed to ensure a self-reported incident was communicated to the Indiana Department of Health in a manner that was accurate, detailed, complete, and thorough. The deficiency involved Resident B, whose clinical record included gastroesophageal reflux disease, depression, anxiety, and vascular dementia. A facility self-reported incident submitted to IDOH stated that staff overheard CNA 3 make inappropriate comments to Resident B, intervened, and directed the CNA to stop interacting with the resident; the employee was removed from the schedule pending investigation, and the NP, DON, Administrator, and family were notified. However, the original incident report and five-day follow-up did not indicate that the resident had been threatened or that there was an allegation of soap and/or hot sauce being placed in the resident's mouth. During interviews, LPN 4 stated she first heard rumors or gossip after supper that CNA 3 may have given or threatened to give Resident B hot sauce and/or soap, and she did not notify the Administrator until about 9:40 p.m., stating she should have reported it immediately. CNA 7 stated she heard CNA 3 say words to the effect of "wash your mouth out with soap" and saw CNA 3 with soap, water, and a toothbrush; she also heard from CNA 5 that CNA 3 had been talking about putting hot sauce in Resident B's mouth, and she stated she should have reported the allegation to the Administrator as soon as she heard it. The Administrator stated she was notified around 10:00 p.m. that CNA 3 may have put hot sauce and/or soap in Resident B's mouth and may have threatened to wash her mouth out with soap, and she did not report the allegation to IDOH until the next day because she was asleep and confused when called and did not realize the report needed to be detailed.
Failure to Remove Alleged Abuser After Abuse Allegation
Penalty
Summary
The facility failed to protect a resident from the potential for further abuse when an alleged perpetrator, CNA 3, was allowed to continue providing resident care for approximately three hours after staff first became aware of an allegation involving abuse. Resident B had diagnoses including gastroesophageal reflux disease, depression, anxiety, and vascular dementia. During the event, staff heard reports that CNA 3 may have put hot sauce and/or soap in Resident B’s mouth and may have threatened to wash her mouth out with soap for spitting. Resident B was cognitively impaired and did not remember the event, but her representative stated that, before her cognitive impairment, she would have considered soap or hot sauce in the mouth to be abusive and would likely have believed she was being punished. An LPN heard rumors or gossip about the incident after supper and asked nursing staff to figure out what was going on, but did not remove CNA 3 from resident care and went on break. Another CNA heard CNA 3 say words to the effect of washing Resident B’s mouth out with soap and saw CNA 3 with soap, water, and a toothbrush; she also heard that hot sauce may have been placed in the resident’s mouth. A second LPN heard the threat to wash the resident’s mouth out with soap but did not intervene, report it to the Administrator, or remove CNA 3 from the floor. The Administrator was not notified until later that evening, at which time CNA 3 was finally removed from the floor pending investigation.
Resident Not Sent to ER After Requesting Hospital Transfer for Pain
Penalty
Summary
The facility failed to ensure a resident was permitted to exercise the right to determine his own treatment when he requested transfer to the emergency room for back pain and was not sent out at that time. Resident 69 had diagnoses including right sided hemiplegia, hemiparesis, kidney stones, urine retention, and ureteral stents. His admission MDS indicated he was cognitively intact, and his physician orders included oxycodone 5 mg every 4 hours as needed for mild to moderate pain and acetaminophen 500 mg every 8 hours as needed for pain. During the early morning of 10/2/25, the resident reported back pain and requested his pain medication. Because his narcotic pain medication had been given earlier and was not yet available again, the nurse offered acetaminophen instead. The resident stated he wanted to go to the hospital for his back pain. The nurse contacted the on-call provider, explained the situation, and reviewed the resident’s diagnoses with the provider in an attempt to determine whether hospital transfer was appropriate. The provider advised that residents were not sent to the hospital for back pain alone, and the resident was monitored for relief from acetaminophen and told his PRN narcotic would be available later. Later that same day, the resident’s lab results returned with elevated white blood cells, and when the nurse entered the room the resident could not answer questions correctly. His blood pressure was 165/93 mmHg and pulse was 135 bpm, and the NP was contacted with an order to send him to the emergency room. Hospital records later showed the resident was admitted with sepsis and acute encephalopathy and had pseudomonas aeruginosa in his urine. Interviews with the RN, LPN, and DON indicated that if a resident still wanted to go to the hospital after speaking with the physician, staff should follow facility procedure and send the resident out as requested.
Failure to Clarify and Administer Parkinson's Medication Orders
Penalty
Summary
Nursing staff failed to competently administer medication for a resident with multiple complex diagnoses, including Parkinson's Disease, following re-admission to the facility. The resident's hospital discharge orders included both immediate-release and extended-release carbidopa-levodopa, with specific dosing instructions. However, the extended-release medication was ordered as 'as needed' rather than as a routine medication, which was highly unusual and not consistent with the resident's established regimen. The medication administration record showed that the resident had not received any extended-release carbidopa-levodopa since re-admission. Interviews with facility staff, including the pharmacist, nurse practitioner, and nursing leadership, revealed that the medication orders were unclear and should have been clarified upon admission. The nurse practitioner was unaware of the 'as needed' order for the extended-release medication and believed there may have been a transcription error. The neurologist's office confirmed that the resident had been taking both forms of carbidopa-levodopa routinely for 1-2 years and that the facility had not communicated with them regarding the resident's re-admission or medication changes. Facility policies and job descriptions required nursing staff to clarify unclear orders and ensure accurate medication reconciliation at admission. Despite these requirements, the orders were not clarified, and the resident did not receive the prescribed extended-release medication. This failure was acknowledged by multiple staff members, including the RN responsible for auditing the orders, the nurse practitioner, and the director of nursing.
Failure to Maintain Resident Dignity During Dining
Penalty
Summary
The facility failed to maintain the dignity of a resident, identified as Resident 49, during dining by not providing adequate assistance with meals. Observations revealed that Resident 49 struggled to eat independently, often holding her fork upside down and unable to reach her food and drinks. Despite these challenges, staff assistance was inconsistent and insufficient, with food and drinks frequently placed out of the resident's reach, and staff only intermittently providing help. Interviews with staff members, including CNA 9 and LPN 7, indicated a lack of awareness and timely intervention regarding Resident 49's difficulties. CNA 9 noted that a divided plate might have been helpful, while LPN 7 speculated that the resident might have vision issues affecting her ability to eat. The Assistant Director of Nursing (ADON) and CNA 8 acknowledged an increase in the resident's need for assistance, yet the care plan was not updated to reflect these changes. Resident 49's clinical records showed a history of type 2 diabetes mellitus, hypertension, major depressive disorder, and unspecified dementia. The care plan, which was not revised following a 12/30/24 MDS assessment, failed to address the resident's increased need for substantial assistance with eating. The facility's policy on care plan revisions upon status change was not followed, as the care plan did not incorporate necessary updates to ensure the resident received appropriate dining assistance.
Failure to Provide Adequate Dining Assistance
Penalty
Summary
The facility failed to provide adequate assistance and cuing during dining to maximize the abilities of two residents, Resident 49 and Resident 223, who were reviewed for activities of daily living (ADLs). During multiple dining observations, Resident 49 struggled to use utensils properly and reach her food and drinks, often leaving her meal uneaten. Despite some staff intervention, such as repositioning utensils and moving food closer, the assistance was inconsistent and insufficient to meet her needs. Interviews with staff revealed a lack of awareness of the resident's increased need for assistance and potential issues with depth perception. Resident 49's clinical record indicated a history of type 2 diabetes mellitus, hypertension, major depressive disorder, and unspecified dementia with anxiety. Her care plan, however, was not updated to reflect her increased need for substantial to maximal assistance with eating, as identified in a recent Minimum Data Set (MDS) assessment. The care plan also failed to address her nutritional needs adequately, despite her participation in a fortified food program and receiving a daily health shake supplement. Similarly, Resident 223 required extensive assistance with eating and drinking, as noted in his admission MDS assessment. Observations showed that he often did not eat his meals and received little to no staff interaction or assistance during dining. His care plan indicated a need for substantial assistance, but staff did not consistently provide the necessary support. Interviews with staff highlighted the resident's confusion and the lack of proactive measures to ensure he received adequate nutrition during meals.
Failure to Implement Fall Interventions for High-Risk Resident
Penalty
Summary
The facility failed to implement a fall intervention to prevent further falls for a resident identified as being at high risk for falls. The resident, who had diagnoses including heart failure, generalized muscle weakness, and unsteadiness on feet, experienced multiple falls despite being assessed as requiring two staff members for assistance during transfers. The resident's care plan and CNA Care Guides were not consistently updated or followed, leading to repeated incidents where the resident was lowered to the floor by only one staff member. The resident's clinical record indicated a history of falls, with specific incidents occurring on multiple dates. Despite interventions such as the use of a mechanical lift and two-person assistance being documented, these were not consistently implemented. Interviews with staff revealed that the CNA Care Guides lacked clear instructions on the number of staff required for transfers, contributing to the failure to prevent further falls. The facility's policies on comprehensive care plans and fall prevention were not effectively executed, as evidenced by the repeated falls and lack of adherence to documented interventions. Staff interviews highlighted gaps in communication and documentation, with care plan interventions not being carried forward on CNA Care Guides, leading to inconsistencies in the care provided to the resident.
Failure to Label and Date Medications
Penalty
Summary
The facility failed to appropriately label and date medications on three medication carts, which was identified during a survey. On the 100 hall medication cart #1, an opened and undated vial of insulin lispro was found, with a Licensed Practical Nurse (LPN) confirming that insulin should be labeled with an opened date. Similarly, on the 100 hall medication cart #2, an opened and undated insulin glargine (Quikpen) was discovered, with a Qualified Medication Aide (QMA) acknowledging that the insulin was supposed to be dated when opened. Additionally, the 100 hall respiratory cart contained several medications, including albuterol sulfate inhalers and fluticasone/umeclidinium/vilanterol powder, that lacked open dates. One albuterol sulfate inhaler was also found to be expired. The QMA indicated that inhalers should be dated when opened, and the Respiratory Therapist confirmed that both inhalers and nebulizer ampules should have been dated. The Unit Manager stated that undated medications should not be used and should be disposed of if the date cannot be determined. The facility's policy requires multi-dose medication vials/devices to be labeled with the date opened, which was not adhered to in these instances.
Incomplete Daily Nurse Staffing Information
Penalty
Summary
The facility failed to post complete nurse staffing information daily, which had the potential to affect all 70 residents. Observations on consecutive days revealed that the nurse staffing information posted on the bulletin board in the main hallway was incomplete, as it lacked the facility census for the day. Additionally, the staffing hours posted were inaccurate, with discrepancies in the total hours calculated for each shift. On one occasion, the staffing information was not updated for the current date, remaining unchanged from the previous day. Interviews with facility staff, including the Business Office Manager and the Administrator, confirmed that the staffing information was not updated due to the absence of the Scheduler, and no one was assigned to take over this responsibility. The Administrator acknowledged that the staffing should have been updated in the morning and admitted that the postings consistently lacked the facility census. The facility's policy, dated 10/2017, requires daily posting of nurse staffing information, including the facility's current resident census, in a clear and readable format, but this was not adhered to.
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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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Nursing homes near Anderson
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Edgewater Woods | 0.2 mi | ★★★★★ | 8 | 0 |
| Beaumont Rehabilitation And Healthcare Center | 0.5 mi | ★★★★★ | 27 | 0 |
| Envive Of Anderson | 2.2 mi | ★★★★★ | 9 | 0 |
| Bethany Pointe Health Campus | 3 mi | ★★★★★ | 4 | 1 |
| Countryside Manor Health & Living Community | 3.4 mi | ★★★★★ | 20 | 0 |
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