Based on observation, interview and review, the facility failed to timely have the interdisciplinary team (IDT) determine and document self-administration of medications and treatments were clinically appropriate for 1 of 1 randomly observed resident. (Resident F) Findings include:A physician order, dated 6/14/26, indicated Resident F was to receive 2 puffs of a 90 micrograms albuterol inhaler. The resident's clinical did not include a physician order or a self-medication assessment was conducted to determine if Resident F was able to self-medicate her inhaler safely.An observation was made of Resident F in her room on 8/3/26 at 10:51 a.m. Resident F was observed sitting in her wheelchair next to her bedside table. The bedside table contained an albuterol inhaler sitting on it. …
F554 citations in Indiana
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Indiana cites F554 more often than its own record predicts
2.53 times the share F554 takes of citations nationally.
Of every deficiency written in Indiana in 2025, this is the portion that was F554.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Indiana surveyors wrote
F554 findings written in Indiana, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
The short window
Recent years
| Year | Share of Indiana citations | vs expected |
|---|---|---|
| 2023 | 1.53% | 2.76× |
| 2024 | 1.71% | 3.13× |
| 2025 | 1.43% | 2.53× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Indiana surveyors cite →
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