Fort Harrison Alf Operations
8025 Doubleday Drive, Indianapolis, IN 46216 · Residential care · 62 licensed beds · Licensed
78 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
62 — a mid-size community — the size most families picture as assisted living. Smaller than 76% of licensed communities in Indiana (state median 102).
Choices in this town
26 licensed communities in Indianapolis. None with a memory-care designation.
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.
18
state surveys on record
78
deficiency citations
11/03/2023
most recent survey
Deficiencies cited
78 citations from recent state surveys, with the rule cited.
- R 0121 · Personnel - Noncompliance04/02/2026410 IAC 16.2-5-1.4(f)(1-4) (f) A health screen shall be required for each employee of a facility prior to resident contact. The screen shall include a tuberculin skin test, using the Mantoux method (5 TU, PPD), unless a previously positive reaction can be documented. The result shall be recorded in millimeters of induration with the date given, date read, and by whom administered. The facility mus
- R 0144 · Sanitation and Safety Standards04/02/2026Deficiency 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, interview, and record review, the facility failed to provide a homelike environment by keeping the first to second floors stairwell free from debris and crumbs and hallways floors were kept from
- R0349 · and .01/16/2026Intake 466691 - State deficiencies related to the allegations are cited at R0053, and R0091. Intake 466783 - State deficiencies related to the allegations are cited at R0053 and R0091. Survey dates: January 14, 15 and 16, 2026 Facility number: 014109 Residential Census: 54 These State Residential Findings are cited in accordance with 410 IAC 16.2-5. Quality review completed on January 28, 2026.
- R 0036 · Residents' Rights- Deficiency01/16/2026410 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 0053 · Residents' Rights - Deficiency01/16/2026410 IAC 16.2-5-1.2(w) (w) Residents have the right to be free from verbal abuse. Based on interview and record review, the facility failed to ensure a resident was free of verbal abuse by a staff member for 2 of 4 residents reviewed for Resident Rights. (Resident E and Resident S) Findings include: An interview was conducted with Resident L on 1/14/26 at 3:16 p.m. She indicated she had witnessed t
- R 0091 · Administration and Management01/16/2026Noncompliance 410 IAC 16.2-5-1.3(h)(1-4) (h) The facility shall establish and implement a written policy manual to ensure that resident care and facility objectives are attained, to include the following: (1) The range of services offered. (2) Residents' rights. (3) Personnel administration. (4) Facility operations. The policies shall be made available to residents upon request. Based on interview
- R 0297 · Pharmaceutical Services01/16/2026Noncompliance 410 IAC 16.2-5-6(c)(1) (c) If the facility controls, handles, and administers medications for a resident, the facility shall do the following for that resident: (1) Make arrangements to ensure that pharmaceutical services are available to provide residents with prescribed medications in accordance with applicable laws of Indiana. Based on interview and record review, the facility fai
- R 0349 · Clinical Records - Noncompliance01/16/2026410 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. 2. The clinical record for Resident E was reviewed on 1/1
- R 0357 · Clinical Records - Noncompliance01/16/2026410 IAC 16.2-5-8.1(j)(1-3) (j) If a death occurs, information concerning the resident ' s death shall include the following: (1) Notification of the physician, family, responsible person, and legal representative. (2) The disposition of the body, personal possessions, and medications. (3) A complete and accurate notation of the resident ' s condition and most recent vital signs and symptoms preced
- R 0148 · Sanitation and Safety Standards07/07/2025Deficiency 410 IAC 16.2-5-1.5(e)(1-4) (e) The facility shall maintain buildings, grounds, and equipment in a clean condition, in good repair, and free of hazards that may adversely affect the health and welfare of the residents or the public as follows: (1) Each facility shall establish and implement a written program for maintenance to ensure the continued upkeep of the facility. (2) The electric
- R 0297 · Pharmaceutical Services06/02/2025Noncompliance 410 IAC 16.2-5-6(c)(1) (c) If the facility controls, handles, and administers medications for a resident, the facility shall do the following for that resident: (1) Make arrangements to ensure that pharmaceutical services are available to provide residents with prescribed medications in accordance with applicable laws of Indiana. Based on interview and record review, the facility fai
- R 0305 · Pharmaceutical Services06/02/2025Noncompliance 410 IAC 16.2-5-6(f)(1-3) (f) Residents may use the pharmacy of their choice for medications administered by the facility, as long as the pharmacy: (1) complies with the facility policy receiving, packaging, and labeling of pharmaceutical products unless contrary to state and federal laws; (2) provides prescribed service on a prompt and timely basis; and (3) refills prescription drugs
- R 0245 · Health Services - Offense06/02/2025410 IAC 16.2-5-4(e)(5) (5) Injectable medications shall be given only by licensed personnel. Based on interview and record review, the facility failed to ensure injectable medication was administered by a Licensed Nurse for 1 of 4 residents reviewed for medication administration (Resident C). Findings include: The clinical record for Resident C was reviewed on 5/29/25 at 2:30 p.m. The diagnoses in
- R144 · .04/10/2025Survey dates: April 7, 8, 9, 10, 2025 Facility number: 014109 Residential Census: 51 These State Residential Findings are cited in accordance with 410 IAC 16.2-5. Quality review completed on April 17, 2025.
- R 0029 · Residents' Rights - Deficiency04/10/2025410 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 the residents were respected by utilizing uniforms and name badges to easily identify staff personnel. This had the potential to affect 51 of 51 residents that reside in th
- R 0036 · Residents' Rights- Deficiency04/10/2025410 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 0041 · Residents' Rights - Deficiency04/10/2025410 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 ensure grievances reported b
- R 0064 · Residents' Rights- Noncompliance04/10/2025410 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 report to the
- R 0086 · Administration and Management04/10/2025Deficiency 410 IAC 16.2-5-1.3(a)(1-2) The licensee: (1) is responsible for compliance with all applicable laws; and (2) has full authority and responsibility for the: (A) organization; (B) management; (C) operation; and (D) control; of the licensed facility. The delegation of any authority by the licensee does not diminish the responsibilities of the licensee. Based on interview and record review,
- R 0116 · Personnel - Noncompliance04/10/2025410 IAC 16.2-5-1.4(a) (a) Each facility shall have specific procedures written and implemented for the screening of prospective employees. Appropriate inquiries shall be made for prospective employees. The facility shall have a personnel policy that considers references and any convictions in accordance with IC 16-28-13-3. Based on interview and record review, the facility failed to ensure a crimi
- R 0117 · Personnel - Deficiency04/10/2025410 IAC 16.2-5-1.4(b) (b) Staff shall be sufficient in number, qualifications, and training in accordance with applicable state laws and rules to meet the twenty-four (24) hour scheduled and unscheduled needs of the residents and services provided. The number, qualifications, and training of staff shall depend on skills required to provide for the specific needs of the residents. A minimum of one
- R 0144 · Sanitation and Safety Standards04/10/2025Deficiency 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, interview, and record review, the facility failed to ensure the facility's common areas and residents' apartments were clean and in good repair. This had the potential to affect 51 of 51 resident
- R 0154 · Sanitation and Safety Standards04/10/2025Deficiency 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. A. Based on observation, interview, and record review, the facility failed to ensure the kitchen and kitchen equipment was maintained, clean, and in good repair, and
- R 0155 · Sanitation and Safety Standards04/10/2025Deficiency 410 IAC 16.2-5-1.5(l) (l) The facility shall have an effective garbage and waste disposal program in accordance with 410 IAC 7-24. Provision shall be made for the safe and sanitary disposal of solid waste, including dressings, needles, syringes, and similar items. Based on observation, interview, and record review, the facility failed to ensure the dumpster lids and gates were kept clos
- R 0189 · Physical Plant Standards04/10/2025Noncompliance 410 IAC 16.2-5-1.6(m) (m) Ice shall be readily available to residents at all times in the facility. Based on observation and interview, the facility failed to ensure the ice machine was functioning to ensure ice was always readily available to the residents. This had the potential to affect 51 of 51 residents who reside in the facility. Findings include: During the initial kitchen to
- R 0214 · Evaluation - Deficiency04/10/2025410 IAC 16.2-5-2(a) (a) An evaluation of the individual needs of each resident shall be initiated prior to admission and shall be updated at least semiannually and upon a known substantial change in the resident ' s condition, or more often at the resident ' s or facility ' s request. A licensed nurse shall evaluate the nursing needs of the resident. 2. The clinical record for Resident 47 was revi
- R 0217 · Evaluation - Deficiency04/10/2025410 IAC 16.2-5-2(e)(1-5) (e) Following completion of an evaluation, the facility, using appropriately trained staff members, shall identify and document the services to be provided by the facility, as follows: (1) The services offered to the individual resident shall be appropriate to the: (A) scope; (B) frequency; (C) need; and (D) preference; of the resident. (2) The services offered shall be re
- R 0240 · Health Services - Deficiency04/10/2025410 IAC 16.2-5-4(d) (d) Personal care, and assistance with activities of daily living, shall be provided based upon individual needs and preferences. Based on observation, interview and record review, the facility failed to ensure a resident was transferred respectfully and appropriately by the staff personnel, timely address a resident's elevated blood sugar, and obtain weights as ordered for 3 o
- R 0243 · Health Services - Deficiency04/10/2025410 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 an
- R 0245 · Health Services - Offense04/10/2025410 IAC 16.2-5-4(e)(5) (5) Injectable medications shall be given only by licensed personnel. Based on observation, interview, and record review, the facility failed to ensure staff administering insulin was a nurse or Qualified Medication Aide (QMA) that was certified to administer insulin for 2 of 6 residents observed for medication administration. (Resident 25 and Resident K) Findings include: 1
- R 0246 · Health Services - Deficiency04/10/2025410 IAC 16.2-5-4(e)(6) (6) PRN medications may be administered by a qualified medication aide (QMA) only upon authorization by a licensed nurse or physician. The QMA must receive appropriate authorization for each administration of a PRN medication. All contacts with a nurse or physician not on the premises for authorization to administer PRNs shall be documented in the nursing notes indicating th
- R 0271 · Food and Nutritional Services04/10/2025Deficiency 410 IAC 16.2-5-5.1(d) (d) All modified diets shall be prescribed by the attending physician. Based on interview and record review, the facility failed to have a diet order for 1 of 5 records reviewed. (Resident K) Findings include: The clinical record for Resident K was reviewed on 4/7/25 at 11:30 a.m. The diagnoses included, but were not limited to, diabetes mellitus. On 4/08/25 at 1:4
- R 0406 · Infection Control - Offense04/10/2025410 IAC 16.2-5-12(a) (a) The facility must establish and maintain an infection control practice designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of diseases and infection. Based on observation, interview, and record review, the facility failed to ensure infection control was maintained while administering insulin to a resident u
- R 0414 · Infection Control - Deficiency04/10/2025410 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. 3. On 4/8/25 at 12:00 p.m., QMA 4 was observed administering medication to Resident 14. QMA 4 did not perform hand hygiene prior to, or after administering the resident's medication. High traffic surfaces were touched
- R 0187 · Physical Plant Standards01/08/2025Deficiency 410 IAC 16.2-5-1.6(k) (k) Hot water temperature for all bathing and hand washing facilities shall be controlled by an automatic control valve. Water temperature at point of use must be maintained between one hundred (100) degrees Fahrenheit and one hundred twenty (120) degrees Fahrenheit. Based on observation, interview, and record review, the facility failed to maintain water temperatu
- R 0240 · Health Services - Deficiency01/08/2025410 IAC 16.2-5-4(d) (d) Personal care, and assistance with activities of daily living, shall be provided based upon individual needs and preferences. Based on interview and record review, the facility failed to provide a resident's medication, as ordered, and ensure routine psychological follow-up, as recommended, for 1 of 3 residents reviewed for dignity. (Resident B) Findings include: The clinic
- R 0273 · Food and Nutritional Services01/08/2025Deficiency 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, interview, and record review, the facility failed to wash dishes in accordance with the machine's data plate and manufacturer's instructions and
- R0052 · , and .05/30/2024Survey dates: May 28 and 30, 2024 Facility number: 014109 Residential Census: 59 These State Residential Findings are cited in accordance with 410 IAC 16.2-5. Quality review completed on June 4, 2024
- R 0052 · Residents' Rights - Offense05/30/2024410 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. Based on interview and record review, the facility failed to ensure a cognitively impaired resident did not elope from the facility and facility grounds for 1 of 1 residents reviewed for elopement. (Res
- R 0090 · Administration and Management05/30/2024Deficiency 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 0214 · Evaluation - Deficiency05/30/2024410 IAC 16.2-5-2(a) (a) An evaluation of the individual needs of each resident shall be initiated prior to admission and shall be updated at least semiannually and upon a known substantial change in the resident ' s condition, or more often at the resident ' s or facility ' s request. A licensed nurse shall evaluate the nursing needs of the resident. Based on interview and record review, the facil
- R148 · , , and .01/19/2024Complaint IN00421313 - State deficiencies related to the allegations are cited at R117. Survey dates: January 18, and 19, 2024 Facility number: 014109 Residential Census: 48 These State Residential Findings are cited in accordance with 410 IAC 16.2-5. Quality review completed on January 24, 2024
- R 0092 · Administration and Management01/19/2024Noncompliance 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 0117 · Personnel - Deficiency01/19/2024410 IAC 16.2-5-1.4(b) (b) Staff shall be sufficient in number, qualifications, and training in accordance with applicable state laws and rules to meet the twenty-four (24) hour scheduled and unscheduled needs of the residents and services provided. The number, qualifications, and training of staff shall depend on skills required to provide for the specific needs of the residents. A minimum of one
- R 0123 · Personnel - Nonconformance01/19/2024410 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 0148 · Sanitation and Safety Standards01/19/2024Deficiency 410 IAC 16.2-5-1.5(e)(1-4) (e) The facility shall maintain buildings, grounds, and equipment in a clean condition, in good repair, and free of hazards that may adversely affect the health and welfare of the residents or the public as follows: (1) Each facility shall establish and implement a written program for maintenance to ensure the continued upkeep of the facility. (2) The electric
- R 0152 · Sanitation and Safety Standards01/19/2024Deficiency 410 IAC 16.2-5-1.5(i) (i) The facility shall handle, store, process, and transport clean and soiled linen in a safe and sanitary manner that will prevent the spread of infection. Based on observation, interview, and record review, the facility failed to store linen in a safe and sanitary manner in 1 of 3 laundry rooms observed. Findings include: An environmental tour of the facility was
- R 0187 · Physical Plant Standards01/19/2024Deficiency 410 IAC 16.2-5-1.6(k) (k) Hot water temperature for all bathing and hand washing facilities shall be controlled by an automatic control valve. Water temperature at point of use must be maintained between one hundred (100) degrees Fahrenheit and one hundred twenty (120) degrees Fahrenheit. Based on observation, interview, and record review, the facility failed to maintain water temperatu
- R 0216 · Evaluation - Noncompliance01/19/2024410 IAC 16.2-5-2(c)(1-4)(d) (c) The scope and content of the evaluation shall be delineated in the facility policy manual, but at a minimum the needs assessment shall include an evaluation of the following: (1) The resident ' s physical, cognitive, and mental status. (2) The resident ' s independence in the activities of daily living. (3) The resident ' s weight taken on admission and semiannually
- R 0217 · Evaluation - Deficiency01/19/2024410 IAC 16.2-5-2(e)(1-5) (e) Following completion of an evaluation, the facility, using appropriately trained staff members, shall identify and document the services to be provided by the facility, as follows: (1) The services offered to the individual resident shall be appropriate to the: (A) scope; (B) frequency; (C) need; and (D) preference; of the resident. (2) The services offered shall be re
- R 0240 · Health Services - Deficiency01/19/2024410 IAC 16.2-5-4(d) (d) Personal care, and assistance with activities of daily living, shall be provided based upon individual needs and preferences. Based on interview and record review, the facility failed to ensure a resident's medication was administered as ordered by their physician for 1 of 5 resident records reviewed, and an insulin flex pen was primed prior to administering the insulin dos
- R 0268 · Food and Nutritional Services01/19/2024Deficiency 410 IAC 16.2-5-5.1(a) (a) The facility shall provide, arrange, or make available three (3) well-planned meals a day, seven (7) days a week that provide a balanced distribution of the daily nutritional requirements. Based on observation, record review, and interview, the facility failed to ensure the monthly dietary menu posted at the facility matched the three meals per day which were b
- R 0269 · Food and Nutritional Services01/19/2024Noncompliance 410 IAC 16.2-5-5.1(b) (b) The menu or substitutions, or both, for all meals shall be approved by a registered dietician. Based on observation and interview, the facility failed to ensure the menu and/or its substitutions were approved by a registered dietician for 48 of 48 residents residing at the facility. Findings include: A kitchen tour was conducted on 1/18/24 at 10:40 a.m. with
- R 0273 · Food and Nutritional Services01/19/2024Deficiency 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 food preparation and serving areas were maintained in accordance with state and loca
- R 0354 · Clinical Records - Noncompliance01/19/2024410 IAC 16.2-5-8.1(g)(1-7) (g) A transfer form shall include the following: (1) Identification data. (2) Name of the transferring institution. (3) Name of the receiving institution and date of transfer. (4) Resident ' s personal property when transferred to an acute care facility. (5) Nurses ' notes relating to the resident ' s: (A) functional abilities and physical limitations; (B) nursing care;
- R 0407 · Infection Control - Noncompliance01/19/2024410 IAC 16.2-5-12(b)(1-4) (b) The facility must establish an infection control program that includes the following: (1) A system that enables the facility to analyze patterns of known infectious symptoms. (2) Provides orientation and in-service education on infection prevention and control, including universal precautions. (3) Offering health information to residents, including, but not limited to
- R 0414 · Infection Control - Deficiency01/19/2024410 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, interview and record review, the facility failed to ensure hand hygiene was maintained during an observation of an insulin medication administration for 1 of 5 residents' observed during medicati
- R0214 · , and .11/03/2023Complaint IN00419904 -- No deficiencies related to the allegations are cited. Complaint IN00420121 -- Residential deficiency related to the allegation is cited at R0144. Survey dates: November 2 and 3, 2023 Facility number: 014109 Residential Census: 49 These State Residential Findings are cited in accordance with 410 IAC 16.2-5. Quality review completed on November 9, 2023
- R 0144 · Sanitation and Safety Standards11/03/2023Deficiency 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, interview and record review, the facility failed to maintain the cleanliness of a resident's apartment's bathroom floor for 1 of 3 residents reviewed for facility cleanliness. (Resident C) Findin
- R 0214 · Evaluation - Deficiency11/03/2023410 IAC 16.2-5-2(a) (a) An evaluation of the individual needs of each resident shall be initiated prior to admission and shall be updated at least semiannually and upon a known substantial change in the resident ' s condition, or more often at the resident ' s or facility ' s request. A licensed nurse shall evaluate the nursing needs of the resident. Based on interview and record review, the facil
- R 0216 · Evaluation - Noncompliance11/03/2023410 IAC 16.2-5-2(c)(1-4)(d) (c) The scope and content of the evaluation shall be delineated in the facility policy manual, but at a minimum the needs assessment shall include an evaluation of the following: (1) The resident ' s physical, cognitive, and mental status. (2) The resident ' s independence in the activities of daily living. (3) The resident ' s weight taken on admission and semiannually
- R 0349 · Clinical Records - Noncompliance11/03/2023410 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 0241 · Health Services - Offense03/07/2023410 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 observation, interview and record review, the facilit
- R 0295 · Pharmaceutical Services03/07/2023Noncompliance 410 IAC 16.2-5-6(a) (a) Residents who self-medicate may keep and use prescription and nonprescription medications in their unit as long as they keep them secured from other residents. Based on observation, interview and record review, 1 of 3 residents reviewed for medication receipt, an observation of multiple OTC (over-the-counter) medications were observed in her room in an unsecur
- R 0240 · Health Services - Deficiency06/20/2022410 IAC 16.2-5-4(d) (d) Personal care, and assistance with activities of daily living, shall be provided based upon individual needs and preferences. Based on interview and record review, the facility failed to honor medication time preferences and to administer medications, as ordered by the physician, timely for 3 of 4 residents reviewed for medication administration (Resident B, C, and E). Find
- R 0270 · Food and Nutritional Services06/20/2022Deficiency 410 IAC 16.2-5-5.1(c)(1-3) (c) The facility must meet: (1) daily dietary requirements and requests, with consideration of food allergies; (2) reasonable religious, ethnic, and personal preferences; and (3) the temporary need for meals delivered to the resident ' s room. Based on interview and record review, the facility failed to honor a resident's food preference for 1 of 1 resident re
- R 0091 · Administration and Management05/15/2022Noncompliance 410 IAC 16.2-5-1.3(h)(1-4) (h) The facility shall establish and implement a written policy manual to ensure that resident care and facility objectives are attained, to include the following: (1) The range of services offered. (2) Residents' rights. (3) Personnel administration. (4) Facility operations. The policies shall be made available to residents upon request. Based on observati
- R240 · .04/08/2022Survey dates: April 7, and 8, 2022 Facility number: 014109 Residential Census: 39 These State Residential Findings are cited in accordance with 410 IAC 16.2-5. Quality review completed on April 12, 2022
- R 0091 · Administration and Management04/08/2022Noncompliance 410 IAC 16.2-5-1.3(h)(1-4) (h) The facility shall establish and implement a written policy manual to ensure that resident care and facility objectives are attained, to include the following: (1) The range of services offered. (2) Residents' rights. (3) Personnel administration. (4) Facility operations. The policies shall be made available to residents upon request. Based on observati
- R 0117 · Personnel - Deficiency04/08/2022410 IAC 16.2-5-1.4(b) (b) Staff shall be sufficient in number, qualifications, and training in accordance with applicable state laws and rules to meet the twenty-four (24) hour scheduled and unscheduled needs of the residents and services provided. The number, qualifications, and training of staff shall depend on skills required to provide for the specific needs of the residents. A minimum of one
- R 0121 · Personnel - Noncompliance04/08/2022410 IAC 16.2-5-1.4(f)(1-4) (f) A health screen shall be required for each employee of a facility prior to resident contact. The screen shall include a tuberculin skin test, using the Mantoux method (5 TU, PPD), unless a previously positive reaction can be documented. The result shall be recorded in millimeters of induration with the date given, date read, and by whom administered. The facility mus
- R 0216 · Evaluation - Noncompliance04/08/2022410 IAC 16.2-5-2(c)(1-4)(d) (c) The scope and content of the evaluation shall be delineated in the facility policy manual, but at a minimum the needs assessment shall include an evaluation of the following: (1) The resident ' s physical, cognitive, and mental status. (2) The resident ' s independence in the activities of daily living. (3) The resident ' s weight taken on admission and semiannually
- R 0217 · Evaluation - Deficiency04/08/2022410 IAC 16.2-5-2(e)(1-5) (e) Following completion of an evaluation, the facility, using appropriately trained staff members, shall identify and document the services to be provided by the facility, as follows: (1) The services offered to the individual resident shall be appropriate to the: (A) scope; (B) frequency; (C) need; and (D) preference; of the resident. (2) The services offered shall be re
- R 0240 · Health Services - Deficiency04/08/2022410 IAC 16.2-5-4(d) (d) Personal care, and assistance with activities of daily living, shall be provided based upon individual needs and preferences. Based on interview and record review, the facility failed to administer a resident's medication, as ordered, for 4 of 6 residents' medications reviewed and 2 of 5 residents randomly observed for medication administration, and to implement the elopeme
- R 0299 · Pharmaceutical Services04/08/2022Noncompliance 410 IAC 16.2-5-6(c)(3) (3) The medication review, recommendations, and notification of the physician, if necessary, shall be documented in accordance with the facility ' s policy. Based on interview and record review, the facility failed to timely complete pharmacy recommendations for 3 of 5 residents reviewed for pharmacy recommendations (Resident C, D and F). Findings include: 1. T
- R 0302 · Pharmaceutical Services04/08/2022Deficiency 410 IAC 16.2-5-6(c)(6) (6) Over-the-counter medications must be identified with the following: (A) Resident name. (B) Physician name. (C) Expiration date. (D) Name of drug. (E) Strength. Based on observation, interview and record review, the facility failed to adequately label over the counter medications for 3 of 39 residents. (Resident 15, 35, and F) Findings include: On 4/7/22 at 3:1
- R 0354 · Clinical Records - Noncompliance04/08/2022410 IAC 16.2-5-8.1(g)(1-7) (g) A transfer form shall include the following: (1) Identification data. (2) Name of the transferring institution. (3) Name of the receiving institution and date of transfer. (4) Resident ' s personal property when transferred to an acute care facility. (5) Nurses ' notes relating to the resident ' s: (A) functional abilities and physical limitations; (B) nursing care;
- R 0414 · Infection Control - Deficiency04/08/2022410 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, interview, and record review, the facility failed to assure hand hygiene was performed prior to administering medications for 3 of 5 residents randomly observed for medication administration (Res
Survey history
- Complaint11/03/2023 · view state report ↗
- Complaint09/25/2025 · view state report ↗
- Complaint08/23/2024 · view state report ↗
- Complaint, Revisit07/17/2024 · view state report ↗
- Complaint07/07/2025 · view state report ↗
- Complaint06/20/2022 · view state report ↗
- Complaint06/02/2025 · view state report ↗
- Complaint, Re-Licensure, Revisit06/02/2025 · view state report ↗
- Complaint05/30/2024 · view state report ↗
- Complaint05/15/2022 · view state report ↗
- Complaint05/01/2025 · view state report ↗
- Complaint, Re-Licensure04/10/2025 · view state report ↗
- Complaint, Re-Licensure04/08/2022 · view state report ↗
- Re-Licensure04/02/2026 · view state report ↗
- Complaint03/07/2023 · view state report ↗
- Complaint, Re-Licensure01/19/2024 · view state report ↗
- Complaint01/16/2026 · view state report ↗
- Complaint01/08/2025 · view state report ↗
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.
Location & what’s nearby
Hospital
Urgent care / clinic
Pharmacy
Walgreens1.4 mi
Grocery
Marsh Supermarket0.5 mi
Park
Eugene Burns Park0.2 mi
Place of worship
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
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.→