Above 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 Southpointe Healthcare Center during CMS and state inspections, most recent first.
A resident with type 2 DM with neuropathy and OA had multiple topical meds left at the bedside, including nystatin powder, Aquaphor, antifungal powder, Triad wound dressing, and Voltaren cream. Several containers lacked resident ID or pharmacy labeling, and the chart had no self-medication assessment or provider order authorizing self-administration. The resident said he kept and used the meds himself, while an LPN and the ED confirmed no assessment or order was in place.
A resident with urinary incontinence did not receive timely care when her call light was activated for a brief change. Despite being notified, an LPN did not assist the resident, citing other duties. The resident, who was cognitively intact but dependent on staff for toileting due to medical conditions, was left without necessary incontinence care, contrary to her care plan and the nurse's job description.
A facility failed to update a resident's care plan to reflect their DNR status, despite having a physician's order and treatment form indicating this. The care plan incorrectly showed a full code status, contrary to the resident's advanced directives. The DON acknowledged the oversight, which was against the facility's policy requiring care plans to be updated with significant changes.
The facility failed to administer pneumococcal vaccinations to two residents despite having obtained consent. One resident with diabetes and heart failure had verbal consent from their POA, and another with multiple chronic conditions signed a consent form. However, there was no documentation of the vaccines being administered, as confirmed by the DON. The facility's policy required offering the vaccine unless contraindicated, aligning with CDC guidelines for adults with chronic conditions and those over a certain age.
The facility failed to complete the drug disposition for a discharged resident. The resident, with diagnoses including hypertension, was discharged without a medication release form listing all medications sent home. The DON confirmed the facility had not been providing a drug disposition record as required by their policy.
Failure to Assess Self-Administration Before Leaving Medications at Bedside
Penalty
Summary
The facility failed to ensure a self-medication administration assessment was completed for one resident whose topical medications were left at the bedside. During observation, multiple topical medications were found on the resident’s over-the-bed table and bedside table, including two bottles of nystatin topical powder, Aquaphor Advanced Therapy Cream, Pro-Care Antifungal Powder, Triad Hydrophilic Wound Dressing, and Voltaren Arthritis Pain Cream. Several of the containers lacked resident identification or pharmacy labeling, and the labeled medications did not include language indicating the resident was approved to self-administer them. The resident stated that he kept the medications in his room and administered them when needed. The resident’s record showed diagnoses including type 2 diabetes with neuropathy and osteoarthritis. The clinical record included physician orders for nystatin powder and Aquaphor ointment, and the annual MDS indicated the resident was moderately cognitively intact. However, the record lacked a facility self-administration of medication assessment and lacked a physician’s order allowing the resident to self-administer medications. The LPN stated the resident had not been assessed by nursing staff to determine whether he could self-administer his medications and did not have an order for self-administration. The ED confirmed the record did not contain self-administration assessments or physician orders, and stated no medications should have been left at the bedside.
Failure to Provide Timely Incontinence Care
Penalty
Summary
The facility failed to provide appropriate incontinence care for Resident B, who was always incontinent of bladder and required substantial assistance for toileting hygiene. On the evening of February 11, 2025, Resident B activated her call light at approximately 7:00 p.m. to request a change of her incontinence brief, as she felt uncomfortable. Despite this, LPN 1, who was notified of the request at 7:56 p.m., entered Resident B's room at 7:58 p.m. but did not change the brief, citing the need to attend to other call lights. LPN 1 acknowledged during an interview that she should have changed the brief but failed to do so, leaving Resident B without assistance for incontinence care. Resident B's clinical record indicated she was cognitively intact but dependent on staff for toileting due to her medical conditions, including diabetes, chronic kidney disease, and anxiety. Her care plan, dated May 10, 2024, highlighted the need for regular checks and proper hygiene to manage her incontinence. The nurse's job description, provided by the Administrator, emphasized the responsibility to ensure high-quality resident care, which was not met in this instance. This deficiency was identified during a complaint investigation related to Resident B's care.
Failure to Update Care Plan for Advanced Directives
Penalty
Summary
The facility failed to revise the care plan for a resident regarding their advanced directives. Resident 90, who had diagnoses including type 2 diabetes, Alzheimer's disease, congestive heart failure, and chronic obstructive pulmonary disorder, had a physician's order and an Indiana Physician Orders for Scope of Treatment form dated 9/16/24 indicating a DNR (do not resuscitate) code status. However, the care plan initiated on 7/23/24 incorrectly indicated a full code status, which means all possible life-saving measures would be performed. During an interview, the Director of Nursing acknowledged that the care plan should have been updated to reflect the resident's current DNR status. The facility's policy requires care plans to be resident-centered, reviewed quarterly, and updated with significant changes in care to support the resident's goals and preferences.
Failure to Administer Pneumococcal Vaccinations
Penalty
Summary
The facility failed to administer pneumococcal vaccinations to two residents, despite having obtained consent for the vaccinations. Resident 84, who has diagnoses including type 2 diabetes and heart failure, had a verbal consent provided by their POA for the pneumonia vaccine on 10/24/24. However, the clinical record lacked documentation that the vaccine was administered. Similarly, Resident 90, with diagnoses including type 2 diabetes mellitus, congestive heart failure, chronic obstructive pulmonary disorder, and respiratory failure, signed a consent form for the pneumococcal vaccination on 9/13/24, but there was no documentation of the vaccine being administered. The Director of Nursing confirmed that the vaccinations should have been administered by the time of the review. The facility's policy, which was undated, stated that residents would be offered the pneumococcal vaccine unless medically contraindicated or if they had already received it per CDC recommendations. The CDC guidelines recommend the pneumococcal vaccine for adults with chronic conditions such as diabetes, cardiovascular diseases, and respiratory diseases, as well as for all adults over a certain age.
Failure to Complete Drug Disposition for Discharged Resident
Penalty
Summary
The facility failed to complete the drug disposition for a discharged resident, identified as Resident E. The clinical record review revealed that Resident E, who had diagnoses including hypertension, was discharged to home without a medication release form listing all medications sent home. The medications included Amlodipine, Atorvastatin, Clonazepam, Duloxetine, Gabapentin, and Metoprolol. During an interview, the Director of Nursing confirmed that the facility had not been providing a drug disposition record that included the medication name and number of pills provided to the resident at discharge. The facility's policy, dated September 2018, required documentation of the number of doses of each medication discharged to the patient or responsible party on the Medication Release Form, which was not followed in this instance.
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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 Indianapolis
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Rosegate Village | 1 mi | ★★★★★ | 5 | 0 |
| Hawthorne Healthcare Center | 1.3 mi | ★★★★★ | 10 | 0 |
| Majestic Care Of Southport | 1.8 mi | ★★★★★ | 5 | 0 |
| University Heights Health And Living Community | 2.3 mi | ★★★★★ | 3 | 0 |
| Greenwood Health And Living Community | 2.5 mi | ★★★★★ | 5 | 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.