Woodridge Village
17650 Generations Dr, South Bend, IN 46635 · Residential care · 85 licensed beds · Licensed
99 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
85 — a large community, usually with more services and more residents per caregiver at night. Smaller than 62% of licensed communities in Indiana (state median 102).
Choices in this town
6 licensed communities in South Bend. 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.
23
state surveys on record
99
deficiency citations
12/20/2022
most recent survey
Deficiencies cited
99 citations from recent state surveys, with the rule cited.
- R 0052 · Residents' Rights - Offense06/11/2026410 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 of interview and record review, the facility failed to report an incident of resident to resident abuse to the State Agency, when two facility residents entered into a physical altercation which r
- R 0033 · Residents' Rights - Noncompliance07/02/2025410 IAC 16.2-5-1.2(h)(1-2) (h) The facility must furnish on admission the following: (1) A statement that the resident may file a complaint with the director concerning resident abuse, neglect, misappropriation of resident property, and other practices of the facility. (2) The most recently known addresses and telephone numbers of the following: (A) The department. (B) The office of the secretary
- R 0042 · Residents' Rights - Noncompliance07/02/2025410 IAC 16.2-5-1.2(p) (p) Residents have the right to the examination of the results of the most recent annual survey of the facility conducted by the state surveyors, any plan of correction in effect with respect to the facility, and any subsequent surveys. Based on observation and interview, the facility failed to ensure a copy of the most recent annual survey results was available and a notice
- R 0091 · Administration and Management07/02/2025Noncompliance 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 record re
- R 0116 · Personnel - Noncompliance07/02/2025410 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 record review and interview, the facility failed to ensure crimina
- R 0118 · Personnel - Deficiency07/02/2025410 IAC 16.2-5-1.4(c) (c) Any unlicensed employee providing more than limited assistance with the activities of daily living must be either a certified nurse aide or a home health aide. Existing facilities that are not licensed on the date of adoption of this rule and that seek licensure within one (1) year of adoption of this rule have two (2) months in which to ensure that all employees in this
- R 0121 · Personnel - Noncompliance07/02/2025410 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 0123 · Personnel - Nonconformance07/02/2025410 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 0216 · Evaluation - Noncompliance07/02/2025410 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 - Deficiency07/02/2025410 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 0246 · Health Services - Deficiency07/02/2025410 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 0273 · Food and Nutritional Services07/02/2025Deficiency 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. 3. During the dining observation, in the main dining room, on 7/1/2025 from 11:39 A.M. through 12:21 P.M., CNA 6 was observed serving the residents requested drinks p
- R 0295 · Pharmaceutical Services07/02/2025Noncompliance 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, the facility failed to ensure medications were secured appropriately in a resident's room for 1 of 1 resident who was reviewed for self-administration
- R 0356 · Clinical Records - Noncompliance07/02/2025410 IAC 16.2-5-8.1(i)(1-8) (i) A current emergency information file shall be immediately accessible for each resident, in case of emergency, that contains the following: (1) The resident ' s name, sex, room or apartment number, phone number, age, or date of birth. (2) The resident ' s hospital preference. (3) The name and phone number of any legally authorized representative. (4) The name and phon
- R 0378 · Mental Health Screening07/02/2025Deficiency 410 IAC 16.2-5-11.1(b)(1)(A-H)(2-3) (b) If the individual is a recipient of Medicaid or federal Supplemental Security Income (SSI), the individual needs evaluation provided in section 2(a) of this rule shall include, but not be limited to, the following: (1) Screening of the individual for major mental illness, such as a diagnosed major mental illness, is limited to the following disord
- R 0382 · Mental Health Screening07/02/2025Noncompliance 410 IAC 16.2-5-11.1(f) (f) Each resident with a major mental illness must have a comprehensive care plan that is developed within thirty (30) days after admission to the residential care facility. Based on record review and interview, the facility failed to ensure a Comprehensive Care Plan was developed in coordination with a Mental Health Provider for residents with major mental ill
- R 0409 · Infection Control - Noncompliance07/02/2025410 IAC 16.2-5-12(d) (d) Prior to admission, each resident shall be required to have a health assessment, including history of significant past or present infectious diseases and a statement that the resident shows no evidence of tuberculosis in an infectious stage as verified upon admission and yearly thereafter. 2. The record for Resident 6 was completed on 7/2/2025 at 9:49 A.M. Diagnoses includ
- R 0410 · Infection Control - Noncompliance07/02/2025410 IAC 16.2-5-12(e)(f)(g) (e) In addition, a tuberculin skin test shall be completed within three (3) months prior to admission or upon admission and read at forty-eight (48) to seventy-two (72) hours. The result shall be recorded in millimeters of induration with the date given, date read, and by whom administered and read. (f) For residents who have not had a documented negative tuberculin skin
- R 0090 · Administration and Management07/18/2024Deficiency 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 0092 · Administration and Management07/18/2024Noncompliance 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 - Deficiency07/18/2024410 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 0120 · Personnel - Noncompliance07/18/2024410 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 0121 · Personnel - Noncompliance07/18/2024410 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 0123 · Personnel - Nonconformance07/18/2024410 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 Standards07/18/2024Deficiency 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 0154 · Sanitation and Safety Standards07/18/2024Deficiency 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 food and dishes were appropriately stored and protected from contaminants in 1 of 1 kitchens. This
- R 0214 · Evaluation - Deficiency07/18/2024410 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 record review and interviews, the faci
- R 0215 · Evaluation - Deficiency07/18/2024410 IAC 16.2-5-2(b) (b) The preadmission evaluation (interview) shall provide the baseline information for the initial evaluation. Subsequent evaluations shall compare the resident ' s current status to his or her status on admission and shall be used to assure that the care the resident requires is within the range of personal care and supervision provided by a residential care facility. Based on
- R 0216 · Evaluation - Noncompliance07/18/2024410 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 - Deficiency07/18/2024410 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 0247 · Health Services - Deficiency07/18/2024410 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 notify a Physician about a resident's high blood glucose levels for 1 of 1 resid
- R 0273 · Food and Nutritional Services07/18/2024Deficiency 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 serve and prepare food under sanitary conditions related to hair nets not being worn and mea
- R 0275 · Food and Nutritional Services07/18/2024Deficiency 410 IAC 16.2-5-5.1(h) (h) Diet orders shall be reviewed and revised by the physician as the resident ' s condition requires. Based on record review and interview the facility failed to ensure residents had a Physician's diet order for 2 of 7 residents reviewed. (Residents 3 & B) Findings include: 1. A record review for Resident 3 was completed on 7/17/2024 at 1:31 P.M. Resident 3's diag
- R 0295 · Pharmaceutical Services07/18/2024Noncompliance 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 and interview the facility failed to ensure medications, for residents who self-administer, were stored secured from other residents. Finding includes: A record review completed on
- R 0407 · Infection Control - Noncompliance07/18/2024410 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 0409 · Infection Control - Noncompliance07/18/2024410 IAC 16.2-5-12(d) (d) Prior to admission, each resident shall be required to have a health assessment, including history of significant past or present infectious diseases and a statement that the resident shows no evidence of tuberculosis in an infectious stage as verified upon admission and yearly thereafter. 6. Resident B's record review was completed on 7/16/2024 at 3:30 P.M. The resident's
- R 0410 · Infection Control - Noncompliance07/18/2024410 IAC 16.2-5-12(e)(f)(g) (e) In addition, a tuberculin skin test shall be completed within three (3) months prior to admission or upon admission and read at forty-eight (48) to seventy-two (72) hours. The result shall be recorded in millimeters of induration with the date given, date read, and by whom administered and read. (f) For residents who have not had a documented negative tuberculin skin
- R 0246 · Health Services - Deficiency03/14/2024410 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
- R0241 · and .02/07/2024Complaint IN00427621 - State deficiencies related to the allegations are cited at R0087,
- R 0087 · Administration and Management02/07/2024Noncompliance 410 IAC 16.2-5-1.3(b)(1-3) (b) The licensee shall provide the number of staff as required to carry out all the functions of the facility, including the following: (1) Initial orientation of all employees. (2) A continuing inservice education and training program for all employees. (3) Provision of supervision for all employees. Based on interview and record review, the Administrator
- R 0241 · Health Services - Offense02/07/2024410 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 interview and record review, the facility failed to e
- R 0245 · Health Services - Offense02/07/2024410 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 a Qualified Medication Aide (QMA) had additional certification/education to administer insulin to 1 of 3 residents reviewed who required administration assistance with insulin. (Resident C) Finding includes: On 2/7/24 at 12:52 P.M., a revi
- R 0092 · Administration and Management01/18/2024Noncompliance 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 0027 · Residents' Rights - Deficiency11/27/2023410 IAC 16.2-5-1.2(b) (b) Residents have the right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the facility. Residents have the right to exercise their rights as a resident of the facility and as a citizen or resident of the United States. Based on observation, interview, and record review, the facility failed to provid
- R 0216 · Evaluation - Noncompliance11/27/2023410 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 0052 · Residents' Rights - Offense06/30/2023410 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 resident was free from physical abuse when a facility administrator, (previous Administrator 4 ) attempted to search a resident (Re
- R 0092 · Administration and Management06/30/2023Noncompliance 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 0036 · Residents' Rights- Deficiency11/02/2022410 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 0243 · Health Services - Deficiency11/02/2022410 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 observation, interview, and record review, the facility faile
- R 0246 · Health Services - Deficiency11/02/2022410 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 0090 · Administration and Management09/26/2022Deficiency 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 0145 · Sanitation and Safety Standards09/26/2022Deficiency 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, record review and interviews, the facility failed to ensure two of two elevators in the facility were maintained in a safe, functional manner. This potentially affected 31 of 51 residents who
- R214 · , , , ,08/26/2022
- R243 · , , , ,08/26/2022
- R300 · , , and .08/26/2022Complaint IN00382840 - Substantiated. State Residential Findings are cited at R036,
- R117 · , , , ,08/26/2022
- R241 · , , , and08/26/2022
- R349 · .08/26/2022Complaint IN00380236 - Substantiated. State Residential Findings are cited at R036,
- R 0036 · Residents' Rights- Deficiency08/26/2022410 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 0039 · Residents' Rights- Deficiency08/26/2022410 IAC 16.2-5-1.2(n) (n) Residents may, throughout the period of their stay, voice grievances to the facility staff or to an outside representative of their choice, recommend changes in policy and procedure, and receive reasonable responses to their requests without fear of reprisal or interference. Based on observation and interview, the facility failed to ensure residents were provided the oppo
- R 0090 · Administration and Management08/26/2022Deficiency 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
- R273 · for additional information08/26/2022regarding kitchen and food storage. On 8/23/22 at 9:39 A.M. an interview with the Administrator indicated QMA 2 was the Nursing Director before 8/16/22, when Licensed Practical Nurse 2 began to work full time at the facility. The Administrator indicated he did not think a Nursing Director was the same as a Director of Nursing and that QMA 2 was never registered at the State Agency as the Director
- R119 · for additional information08/26/2022regarding staff orientation, job descriptions, and education. On 8/25/2022 at 1:10 P.M., an interview with the Administrator indicated he was unable to produce any CPR/First-aid certifications for the staff that had worked the current week. See R117 for additional information regarding CPR/First-aid certifications. On 8/26/22 at 10:35 A.M., an interview with the Administrator indicated the facilit
- R246 · for additional information08/26/2022regarding PRN medication administration for Resident P. The diet orders were not signed by the physician for 5 of 23 Residents, (Resident D, M, F, L and P). See R275 for additional information regarding the dietary orders for Residents D, M, F, L, and P. Medications were not reviewed by a pharmacist for 10 of 23 residents reviewed, (Residents C,.D, F, G, H, L, M, N, P and JJ ). See R299 for additi
- R406 · , , , and08/26/2022for additional information regarding infection control. On 8/26/22 at 10:35 A.M., an interview with the Administrator indicated he did not have a policy regarding his responsiblies in the facility. The Administrator indicated he did not have a job description, but indicated the Administrator was the person responsible for overseeing the daily operations of the facility. On 8/26/22 at 12:30 P.M., t
- R 0092 · Administration and Management08/26/2022Noncompliance 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 - Deficiency08/26/2022410 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 0119 · Personnel - Noncompliance08/26/2022410 IAC 16.2-5-1.4(d)(1)(A-E)(2)(A-D)(3- (d) Prior to working independently, each employee shall be given an orientation to the facility by the supervisor (or his or her designee) of the department in which the employee will work. Orientation of all employees shall include the following: (1) Instructions on the needs of the specialized populations: (A) aged; (B) developmentally disabled; (C) menta
- R 0121 · Personnel - Noncompliance08/26/2022410 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 0144 · Sanitation and Safety Standards08/26/2022Deficiency 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 the resident environment was clean, orderly, and in a state of good repair. Finding includes: During the tour of the environment conducte
- R 0148 · Sanitation and Safety Standards08/26/2022Deficiency 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 0154 · Sanitation and Safety Standards08/26/2022Deficiency 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 trash barrels were covered when not in use, scoops were not housed in food bins and lab
- R 0187 · Physical Plant Standards08/26/2022Deficiency 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, record review and interview, the facility failed to ensure hot water temperat
- R 0214 · Evaluation - Deficiency08/26/2022410 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 observation, interview, and record rev
- R 0215 · Evaluation - Deficiency08/26/2022410 IAC 16.2-5-2(b) (b) The preadmission evaluation (interview) shall provide the baseline information for the initial evaluation. Subsequent evaluations shall compare the resident ' s current status to his or her status on admission and shall be used to assure that the care the resident requires is within the range of personal care and supervision provided by a residential care facility. Based on
- R 0217 · Evaluation - Deficiency08/26/2022410 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 0241 · Health Services - Offense08/26/2022410 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. 5. During the initial tour of the facility, conducted on 8/20/
- R 0243 · Health Services - Deficiency08/26/2022410 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. 7.The clinical record for Resident C was reviewed on 8/25/22 at 9:00 A
- R 0246 · Health Services - Deficiency08/26/2022410 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 0273 · Food and Nutritional Services08/26/2022Deficiency 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 maintain appropriate temperatures for the freezer and refrigerator, label open containers, ensure rubber ga
- R 0275 · Food and Nutritional Services08/26/2022Deficiency 410 IAC 16.2-5-5.1(h) (h) Diet orders shall be reviewed and revised by the physician as the resident ' s condition requires. Based on record review and interviews, the facility failed to ensure there were diet orders, signed by the physician for 5 of 23 Residents. (Resident M, D, F, L and P) Findings include: 1. The clinical record for Resident M was reviewed on 8/23/2022 at 3:30 P.M. R
- R 0299 · Pharmaceutical Services08/26/2022Noncompliance 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 record review and interviews, the facility failed to ensure medications were reviewed by a pharmacist for 10 of 23 residents reviewed. (Residents C,.D, F, G, H, L, M, N, P and JJ ) Findings include
- R 0300 · Pharmaceutical Services08/26/2022Deficiency 410 IAC 16.2-5-6(c)(4) (4) Over-the-counter medications, prescription drugs, and biologicals used in the facility must be labeled in accordance with currently accepted professional principles and include the appropriate accessory and cautionary instructions and the expiration date. 3. During a medication storage observation on Hall 1 Medication Cart, at 8:00 A.M., with QMA 3, the follow
- R 0349 · Clinical Records - Noncompliance08/26/2022410 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 observation, record review and interview, the fa
- R 0356 · Clinical Records - Noncompliance08/26/2022410 IAC 16.2-5-8.1(i)(1-8) (i) A current emergency information file shall be immediately accessible for each resident, in case of emergency, that contains the following: (1) The resident ' s name, sex, room or apartment number, phone number, age, or date of birth. (2) The resident ' s hospital preference. (3) The name and phone number of any legally authorized representative. (4) The name and phon
- R 0406 · Infection Control - Offense08/26/2022410 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, record review and interview, the facility failed to ensure infection control measures were implemented and maintained to ensure a safe,
- R 0408 · Infection Control - Noncompliance08/26/2022410 IAC 16.2-5-12(c) (c) Each resident shall have a diagnostic chest x-ray completed no more than six (6) months prior to admission. Based on record review and interviews, the facility failed to ensure a chest x-ray was completed prior to admission for 1 of 2 residents admitted in the past year in a sample of 23. Findings include: The clinical record for Resident D was reviewed on 8/24/2022 at 10:
- R 0410 · Infection Control - Noncompliance08/26/2022410 IAC 16.2-5-12(e)(f)(g) (e) In addition, a tuberculin skin test shall be completed within three (3) months prior to admission or upon admission and read at forty-eight (48) to seventy-two (72) hours. The result shall be recorded in millimeters of induration with the date given, date read, and by whom administered and read. (f) For residents who have not had a documented negative tuberculin skin
- R 0414 · Infection Control - Deficiency08/26/2022410 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 and interview, the facility failed to follow standards of care during a medication administration observation. (QMA 5) Finding includes: During an Administration of Medication observation, on 8/16
- R 0148 · Sanitation and Safety Standards09/22/2021Deficiency 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 0273 · Food and Nutritional Services09/22/2021Deficiency 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, interviews and record reviews, the facility failed to maintain the facility's freezer at 0 (zero) or below per the facility's policy. This had t
- R116 · , , , ,07/29/2021and R274. Complaint IN00358839 - Substantiated. State deficiencies related to the allegations are cited at R154 and R274. Survey dates: July 28 & 29, 2021 Facility number: 001148 Residential Census: 32 These State Residential Findings are cited in accordance with 410 IAC 16.2-5. Quality Review was completed on August 6, 2021.
- R 0088 · Administration and Management07/29/2021Noncompliance 410 IAC 16.2-5-1.3(c)(1-2)(d)(1-2) c) The licensee shall: (1) appoint an administrator with either a: (A) comprehensive care facility administrator license as required by IC 25-19-1-5(c); or (B) residential care facility administrator license as required by IC 25-19-1-5(d); and (2) delegate to that administrator the authority to organize and implement the day-to-day operations of the
- R 0116 · Personnel - Noncompliance07/29/2021410 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 develop and im
- R 0119 · Personnel - Noncompliance07/29/2021410 IAC 16.2-5-1.4(d)(1)(A-E)(2)(A-D)(3- (d) Prior to working independently, each employee shall be given an orientation to the facility by the supervisor (or his or her designee) of the department in which the employee will work. Orientation of all employees shall include the following: (1) Instructions on the needs of the specialized populations: (A) aged; (B) developmentally disabled; (C) menta
- R 0121 · Personnel - Noncompliance07/29/2021410 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 0154 · Sanitation and Safety Standards07/29/2021Deficiency 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, interview and record review, the facility failed to ensure the kitchen equipment was free from debris and maintained in good repair for 1 of 1
- R 0245 · Health Services - Offense07/29/2021410 IAC 16.2-5-4(e)(5) (5) Injectable medications shall be given only by licensed personnel. Based on record review and interview, the facility failed to ensure a QMA (Qualified Medication Assistant) had completed the Insulin Administration Education Module before the QMA injected insulin into 4 of 5 residents who received subcutaneous injections of insulin. (Resident F, H, J and K) Findings inclu
- R 0274 · Food and Nutritional Services07/29/2021Noncompliance 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
Survey history
- Complaint, Re-Licensure12/20/2022 · view state report ↗
- Complaint12/10/2025 · view state report ↗
- Complaint11/27/2023 · view state report ↗
- Complaint11/02/2022 · view state report ↗
- Complaint, Re-Licensure, Revisit11/02/2022 · view state report ↗
- Complaint09/26/2022 · view state report ↗
- Complaint09/22/2021 · view state report ↗
- Complaint09/21/2023 · view state report ↗
- Complaint09/14/2023 · view state report ↗
- Complaint09/10/2025 · view state report ↗
- Complaint09/09/2024 · view state report ↗
- Complaint, Re-Licensure08/26/2022 · view state report ↗
- Complaint07/29/2021 · view state report ↗
- Complaint, Re-Licensure07/18/2024 · view state report ↗
- Re-Licensure07/02/2025 · view state report ↗
- Complaint, Re-Licensure06/30/2023 · view state report ↗
- Complaint06/11/2026 · view state report ↗
- Complaint04/25/2024 · view state report ↗
- Complaint04/17/2025 · view state report ↗
- Complaint, Revisit03/14/2024 · view state report ↗
- Complaint03/14/2024 · view state report ↗
- Complaint02/07/2024 · view state report ↗
- Complaint01/18/2024 · 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.
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.→