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River Crossing Assisted Living Community

2400 Market St, Charlestown, IN 47111 · Residential care · 106 licensed beds · Licensed

45 deficiency citation(s) on recent state surveys

What the licence record says about this community

Indiana licence type
Residential care. One of 229 in Indiana with this licence.
Licensed beds
106 — a large community, usually with more services and more residents per caregiver at night. Larger than 54% of licensed communities in Indiana (state median 102).
Choices in this town
The only one in Charlestown in the state’s roster.

Indiana publishes memory-care designations and this community does not carry one. If dementia is part of the picture, ask what happens as it progresses — and ask what behaviour triggers a discharge notice, in writing.

State inspection record

Assisted living is licensed and inspected by the state, not by Medicare/Medicaid — so there is no federal 5-star rating. Below is this community’s record from the state licensing agency.

23
state surveys on record
45
deficiency citations
12/30/2022
most recent survey

Deficiencies cited

45 citations from recent state surveys, with the rule cited.

  • R 0029 · Residents' Rights - Deficiency02/17/2025
    410 IAC 16.2-5-1.2(d) (d) Residents have the right to be treated with consideration, respect, and recognition of their dignity and individuality. Based on observation, interview and record review, the facility failed to ensure resident's (Resident C and Resident E) were treated with respect and dignity for 2 of 3 residents reviewed for resident rights. Findings include: 1. The clinical record for
  • R 0273 · Food and Nutritional Services01/02/2025
    Deficiency 410 IAC 16.2-5-5.1(f) (f) All food preparation and serving areas (excluding areas in residents ' units) are maintained in accordance with state and local sanitation and safe food handling standards, including 410 IAC 7-24. Based on observation, record review and interview, the facility failed to ensure the kitchen was maintained in a safe and sanitary manner. This deficient practice had
  • R 0041 · Residents' Rights - Deficiency08/29/2024
    410 IAC 16.2-5-1.2(o)(4) (4) The facility shall develop and implement policies for investigating and responding to complaints when made known and grievances made by: (A) an individual resident; (B) a resident council or family council, or both; (C) a family member; (D) family groups; or (E) other individuals. Based on interview and record review, the facility failed to inform and address resident
  • R 0145 · Sanitation and Safety Standards02/07/2024
    Deficiency 410 IAC 16.2-5-1.5(b) (b) The facility shall maintain equipment and supplies in a safe and operational condition and in sufficient quantity to meet the needs of the residents. Based on observation, interview, and record review, the facility failed to ensure that equipment was maintained in a safe and operational condition for 1 of 3 call pendents observed in use for active function of c
  • R 0040 · Residents' Rights - Noncompliance12/01/2023
    410 IAC 16.2-5-1.2(o)(1-3) (o) Residents have the right to form and participate in a resident council, and families of residents have the right to form a family council, to discuss alleged grievances, facility operation, residents ' rights, or other problems and to participate in the resolution of these matters as follows: (1) Participation is voluntary. (2) During resident or family council meeti
  • R 0064 · Residents' Rights- Noncompliance12/01/2023
    410 IAC 16.2-5-1.2(hh) (hh) The facility shall exercise reasonable care for the protection of residents ' property from loss and theft. The administrator or his or her designee is responsible for investigating reports of lost or stolen resident property and that the results of the investigation are reported to the resident. Based on interview and record review, the facility failed to ensure misapp
  • R 0149 · Sanitation and Safety Standards12/01/2023
    Deficiency 410 IAC 16.2-5-1.5(f) (f) The facility shall have a pest control program in operation in compliance with 410 IAC 7-24. Based on observation, interview and record review, the facility failed to ensure the facility was free of gnats for 4 of 4 observations for pest control. (Residents E, G, M apartments and 100 Hall Library) Findings include: On 11/28/23 at 9:50 a.m., upon entrance to Res
  • R 0154 · Sanitation and Safety Standards12/01/2023
    Deficiency 410 IAC 16.2-5-1.5(k) (k) The facility shall keep all kitchens, kitchen areas, common dining areas, equipment, and utensils clean, free from litter and rubbish, and maintained in good repair in accordance with 410 IAC 7-24. Based on observation and interview, the facility failed to ensure the ceilings and light fixtures in the kitchen and dining area were maintained for 1 of 1 kitchen a
  • R 0247 · Health Services - Deficiency12/01/2023
    410 IAC 16.2-5-4(e)(7) (7) Any error in medication administration shall be noted in the resident ' s record. The physician shall be notified of any error in medication administration when there are any actual or potential detrimental effects to the resident. Based on interview and record review, the facility failed to ensure a resident (Resident H) received the correct dosage of medication for 1 o
  • R 0304 · Pharmaceutical Services12/01/2023
    Deficiency 410 IAC 16.2-5-6(e) (e) Medicine or treatment cabinets or rooms shall be appropriately locked at all times except when authorized personnel are present. All Schedule II drugs administered by the facility shall be kept in individual containers under double lock and stored in a substantially constructed box, cabinet, or mobile drug storage unit. Based on observations, interview and record
  • R 0349 · Clinical Records - Noncompliance12/01/2023
    410 IAC 16.2-5-8.1(a)(1-4) (a) The facility must maintain clinical records on each resident. These records must be maintained under the supervision of an employee of the facility designated with that responsibility. The records must be as follows: (1) Complete. (2) Accurately documented. (3) Readily accessible. (4) Systematically organized. Based on interview and record review, the facility failed
  • R0064 · , , , ,05/24/2023
    and R0349. Complaint IN00408888 - State deficiency related to the allegations are cited at R0041,
  • R 0041 · Residents' Rights - Deficiency05/24/2023
    410 IAC 16.2-5-1.2(o)(4) (4) The facility shall develop and implement policies for investigating and responding to complaints when made known and grievances made by: (A) an individual resident; (B) a resident council or family council, or both; (C) a family member; (D) family groups; or (E) other individuals. Based on record review and interview, the facility failed to ensure allegations of unusua
  • R 0064 · Residents' Rights- Noncompliance05/24/2023
    410 IAC 16.2-5-1.2(hh) (hh) The facility shall exercise reasonable care for the protection of residents ' property from loss and theft. The administrator or his or her designee is responsible for investigating reports of lost or stolen resident property and that the results of the investigation are reported to the resident. Based on record review and interview, the facility failed to ensure reside
  • R 0090 · Administration and Management05/24/2023
    Deficiency 410 IAC 16.2-5-1.3(g)(1-6) (g) The administrator is responsible for the overall management of the facility. The responsibilities of the administrator shall include, but are not limited to, the following: (1) Informing the division within twenty-four (24) hours of becoming aware of an unusual occurrence that directly threatens the welfare, safety, or health of a resident. Notice of unusu
  • R 0241 · Health Services - Offense05/24/2023
    410 IAC 16.2-5-4(e)(1) (e) The administration of medications and the provision of residential nursing care shall be as ordered by the resident ' s physician and shall be supervised by a licensed nurse on the premises or on call as follows: (1) Medication shall be administered by licensed nursing personnel or qualified medication aides. Based on record review and interview, the facility failed to e
  • R 0247 · Health Services - Deficiency05/24/2023
    410 IAC 16.2-5-4(e)(7) (7) Any error in medication administration shall be noted in the resident ' s record. The physician shall be notified of any error in medication administration when there are any actual or potential detrimental effects to the resident. Based on record review and interview, the facility failed to ensure physician notification of a medication error for 1 of 7 residents reviewe
  • R 0349 · Clinical Records - Noncompliance05/24/2023
    410 IAC 16.2-5-8.1(a)(1-4) (a) The facility must maintain clinical records on each resident. These records must be maintained under the supervision of an employee of the facility designated with that responsibility. The records must be as follows: (1) Complete. (2) Accurately documented. (3) Readily accessible. (4) Systematically organized. Based on record review and interview, the facility failed
  • R 0274 · Food and Nutritional Services01/20/2023
    Noncompliance 410 IAC 16.2-5-5.1(g)(1-3) (g) There shall be an organized food service department directed by a supervisor competent in food service management and knowledgeable in sanitation standards, food handling, food preparation, and meal service. (1) The supervisor must be one (1) of the following: (A) A dietitian. (B) A graduate or student enrolled in and within one (1) year from completing
  • R 0092 · Administration and Management12/30/2022
    Noncompliance 410 IAC 16.2-5-1.3(i)(1-2) (i) The facility must maintain a written fire and disaster preparedness plan to assure continuity of care of residents in cases of emergency as follows: (1) Fire exit drills in facilities shall include the transmission of a fire alarm signal and simulation of emergency fire conditions, except that the movement of nonambulatory residents to safe areas or to
  • R 0120 · Personnel - Noncompliance12/30/2022
    410 IAC 16.2-5-1.4(e)(1-3) (e) There shall be an organized inservice education and training program planned in advance for all personnel in all departments at least annually. Training shall include, but is not limited to, residents' rights, prevention and control of infection, fire prevention, safety, accident prevention, the needs of specialized populations served, medication administration, and
  • R 0123 · Personnel - Nonconformance12/30/2022
    410 IAC 16.2-5-1.4(h)(1-10) (h) The facility shall maintain current and accurate personnel records for all employees. The personnel records for all employees shall include the following: (1) The name and address of the employee. (2) Social Security number. (3) Date of beginning employment. (4) Past employment, experience, and education, if applicable. (5) Professional licensure or registration num
  • R 0273 · Food and Nutritional Services12/30/2022
    Deficiency 410 IAC 16.2-5-5.1(f) (f) All food preparation and serving areas (excluding areas in residents ' units) are maintained in accordance with state and local sanitation and safe food handling standards, including 410 IAC 7-24. Based on observation and interview, the facility failed to ensure the kitchen and equipment were clean and in good repair during 3 of 3 kitchen observations. This def
  • R 0064 · Residents' Rights- Noncompliance09/06/2022
    410 IAC 16.2-5-1.2(hh) (hh) The facility shall exercise reasonable care for the protection of residents ' property from loss and theft. The administrator or his or her designee is responsible for investigating reports of lost or stolen resident property and that the results of the investigation are reported to the resident.
  • R 0349 · Clinical Records - Noncompliance09/06/2022
    410 IAC 16.2-5-8.1(a)(1-4) (a) The facility must maintain clinical records on each resident. These records must be maintained under the supervision of an employee of the facility designated with that responsibility. The records must be as follows: (1) Complete. (2) Accurately documented. (3) Readily accessible. (4) Systematically organized. correcting provided it is determined that other safeguard
  • R 0064 · Residents' Rights- Noncompliance07/19/2022
    410 IAC 16.2-5-1.2(hh) (hh) The facility shall exercise reasonable care for the protection of residents ' property from loss and theft. The administrator or his or her designee is responsible for investigating reports of lost or stolen resident property and that the results of the investigation are reported to the resident. Based on interview and record review, the facility failed to ensure misapp
  • R 0349 · Clinical Records - Noncompliance07/19/2022
    410 IAC 16.2-5-8.1(a)(1-4) (a) The facility must maintain clinical records on each resident. These records must be maintained under the supervision of an employee of the facility designated with that responsibility. The records must be as follows: (1) Complete. (2) Accurately documented. (3) Readily accessible. (4) Systematically organized. Based on interview and record review, the facility failed
  • R 0029 · Residents' Rights - Deficiency05/03/2022
    410 IAC 16.2-5-1.2(d) (d) Residents have the right to be treated with consideration, respect, and recognition of their dignity and individuality. Based on interview and record review, the facility failed to ensure education was provided to a Resident (Resident F) in private for 2 of 3 residents reviewed for resident rights. Findings include The clinical record for Resident F was reviewed on 5/2/22
  • R 0036 · Residents' Rights- Deficiency05/03/2022
    410 IAC 16.2-5-1.2(k)(1-2) (k) The facility must immediately consult the resident ' s physician and the resident ' s legal representative when the facility has noticed: (1) a significant decline in the resident ' s physical, mental, or psychosocial status; or (2) a need to alter treatment significantly, that is, a need to discontinue an existing form of treatment due to adverse consequences or to
  • R 0154 · Sanitation and Safety Standards05/03/2022
    Deficiency 410 IAC 16.2-5-1.5(k) (k) The facility shall keep all kitchens, kitchen areas, common dining areas, equipment, and utensils clean, free from litter and rubbish, and maintained in good repair in accordance with 410 IAC 7-24. Based on observation and interview, the facility failed to ensure the kitchen was in good repair related to the drywall, vents, sprinkle head, ceiling and exit door
  • R 0064 · Residents' Rights- Noncompliance01/04/2022
    410 IAC 16.2-5-1.2(hh) (hh) The facility shall exercise reasonable care for the protection of residents ' property from loss and theft. The administrator or his or her designee is responsible for investigating reports of lost or stolen resident property and that the results of the investigation are reported to the resident. Based on interview and record review, the facility failed to ensure misapp
  • R 0243 · Health Services - Deficiency01/04/2022
    410 IAC 16.2-5-4(e)(3) (3) The individual administering the medication shall document the administration in the individual ' s medication and treatment records that indicate the: (A) time; (B) name of medication or treatment; (C) dosage (if applicable); and (D) name or initials of the person administering the drug or treatment. Based on interview and record review, the facility failed to ensure a
  • R 0296 · Pharmaceutical Services01/04/2022
    Noncompliance 410 IAC 16.2-5-6(b) (b) The facility shall maintain clear written policies and procedures on medication assistance. The facility shall provide for ongoing training to ensure competence of medication staff. Based on interview and record review, the facility failed to ensure resident's (Resident G) medications were administered within an appropriate time frame for 1 of 3 residents revi
  • R0052 · , , and .11/18/2021
    Complaint IN00366557 - Unsubstantiated due to lack of sufficient evidence. Survey dates: November 17 and 18, 2021 Facility number: 012007 Residential Census: 83 These State Residential Findings are cited in accordance with 410 IAC 16.2-5. Quality review completed on November 23, 2021.
  • R 0041 · Residents' Rights - Deficiency11/18/2021
    410 IAC 16.2-5-1.2(o)(4) (4) The facility shall develop and implement policies for investigating and responding to complaints when made known and grievances made by: (A) an individual resident; (B) a resident council or family council, or both; (C) a family member; (D) family groups; or (E) other individuals. Based on record review and interview, the facility failed to ensure allegations of abuse
  • R 0052 · Residents' Rights - Offense11/18/2021
    410 IAC 16.2-5-1.2(v)(1-6) (v) Residents have the right to be free from: (1) sexual abuse; (2) physical abuse; (3) mental abuse; (4) corporal punishment; (5) neglect; and (6) involuntary seclusion. 2. The clinical record for Resident G was reviewed, on 11/17/21 at 1:07 p.m. The resident's diagnoses included, but were not limited to, schizophrenia, depression, anxiety, insomnia, GERD (Gastroesophag
  • R 0053 · Residents' Rights - Deficiency11/18/2021
    410 IAC 16.2-5-1.2(w) (w) Residents have the right to be free from verbal abuse. 2. The clinical record for Resident G was reviewed, on 11/17/21 at 1:07 p.m. The resident's diagnoses included, but were not limited to, schizophrenia, depression, anxiety, insomnia, GERD (Gastroesophageal Reflux Disease), bipolar glaucoma, and dementia. The BIMS assessment, dated 5/27/21, indicated the resident was c
  • R 0060 · Residents' Rights - Deficiency11/18/2021
    410 IAC 16.2-5-1.2(dd) (dd) The facility shall provide reasonable access to any resident, consistent with facility policy, by any entity or individual that provides health, social, legal, and other services to any resident, subject to the resident ' s right to deny or withdraw consent at any time. Based on record review and interview, the facility failed to ensure social services follow-up after a
  • R243 · .10/06/2021
    Complaint IN00363449 - Substantiated. State Residential Findings are cited at R241,
  • R 0123 · Personnel - Nonconformance10/06/2021
    410 IAC 16.2-5-1.4(h)(1-10) (h) The facility shall maintain current and accurate personnel records for all employees. The personnel records for all employees shall include the following: (1) The name and address of the employee. (2) Social Security number. (3) Date of beginning employment. (4) Past employment, experience, and education, if applicable. (5) Professional licensure or registration num
  • R 0144 · Sanitation and Safety Standards10/06/2021
    Deficiency 410 IAC 16.2-5-1.5(a) (a) The facility shall be clean, orderly, and in a state of good repair, both inside and out, and shall provide reasonable comfort for all residents. Based on observation, record review, and interview, the facility failed to ensure a clean and maintained environment for 3 of 4 residents reviewed for environment. (Resident's 4, 5, and 7) Findings include: 1. During
  • R 0149 · Sanitation and Safety Standards10/06/2021
    Deficiency 410 IAC 16.2-5-1.5(f) (f) The facility shall have a pest control program in operation in compliance with 410 IAC 7-24. Based on observation, record review, and interview, the facility failed to ensure a a resident's room was free of pests for 1 of 4 residents reviewed for environment. (Resident 5) Findings include: During an observation, on 10/5/21 at 10:30 a.m., Resident 5's room was o
  • R 0241 · Health Services - Offense10/06/2021
    410 IAC 16.2-5-4(e)(1) (e) The administration of medications and the provision of residential nursing care shall be as ordered by the resident ' s physician and shall be supervised by a licensed nurse on the premises or on call as follows: (1) Medication shall be administered by licensed nursing personnel or qualified medication aides. Based on record review and interview, the facility failed to e
  • R 0243 · Health Services - Deficiency10/06/2021
    410 IAC 16.2-5-4(e)(3) (3) The individual administering the medication shall document the administration in the individual ' s medication and treatment records that indicate the: (A) time; (B) name of medication or treatment; (C) dosage (if applicable); and (D) name or initials of the person administering the drug or treatment. Based on record review and interview, the facility failed to ensure in
  • R 0414 · Infection Control - Deficiency10/06/2021
    410 IAC 16.2-5-12(k) (k) The facility must require staff to wash their hands after each direct resident contact for which hand washing is indicated by accepted professional practice. Based on observation and interview, the facility failed to ensure infection control procedures were followed for hand hygiene before entering the kitchen for 2 of 4 staff observed (Cook 1 and ED) and the proper placem

Survey history

What it costs around here

Typical monthly cost in Indiana
$5,639/mo
Assisted living
$6,839/mo
Memory care†our estimate — not surveyed

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

† Memory care is our estimate, not survey data: CareScout does not survey memory care, so we take the assisted-living median for the state and add $1,200/month — the typical secured-dementia-unit premium. It is a planning figure with no state-level detail behind it, and real memory-care pricing varies far more than that. Treat it as a starting point and ask the community for its own memory-care rate.

Estimated cost range · regional

In Indiana, assisted living typically runs about $4,500–$6,750/month.

This is a regional estimate modeled from published survey data (the CareScout/Genworth state median, ±20%) — not this community’s actual price, which it sets privately. Ask the community for its current all-in monthly rate and what each care level adds.

Does this community take Medicaid?

Not published. Indiana does not record Medicaid acceptance in its licensing file, so we do not know — and we will not infer it from Indiana’s waiver rules, because a state covering assisted living says nothing about whether this building accepts it. Ask the community directly, and get the run-out-of-money answer in writing.

Indiana Medicaid helps pay for assisted living only in limited circumstances. A waiver pays for care, never for room and board. Which Indiana waivers, waitlists and how to apply →

Cost

Assisted-living and memory-care prices are set by each community and not publicly disclosed — no state or federal source publishes them, and the “starting at” figures on referral sites are estimates, not this community’s real rate. Ask the community directly for its current monthly price and what it includes (base rent versus care-level add-ons and memory-care premiums).

Worried about someone here? How to report it

If you have seen something that concerns you — neglect, an injury, medication problems, or a resident who seems afraid — you do not need proof to report it. Reporting is what triggers an inspection, and inspections are what put a record on this page in the first place.

  • The state licensing agency — Indiana licenses this community and is the body that can inspect it and act on a complaint. Complaints can usually be made anonymously.
  • Your Long-Term Care Ombudsman — free, independent, and works for the resident, not the state or the company. They will visit and advocate. Find yours via the Eldercare Locator at 1-800-677-1116 or theconsumervoice.org/get_help ↗.
  • Adult Protective Services — for suspected abuse, neglect or financial exploitation of a vulnerable adult. The Eldercare Locator above routes you to your local APS office.
  • If someone is in immediate danger, call 911 first. Report to the agencies above afterwards — the two are separate, and one does not do the job of the other.

We are a data site, not a regulator: we cannot investigate or intervene, and there is no point reporting it to us. The three routes above are the ones with actual power.

Source: Indiana Dept. of Health, QAMIS residential-care survey record (public record), last pulled from the state 2026-07-14.

What to do next

Understand itQuestions to ask on a tourThe things staffing brochures leave out — what to ask and what to watch for.→Afford itCan you afford it, long-term?Assisted living runs private-pay. Model the years and taxes in My Plan — free, private.→DecideIs assisted living the right fit?A two-minute check: assisted living, memory care, home help, or skilled nursing.→