Based on record review and interview, the facility failed to ensure concerns voiced during the Monthly Resident Council meetings were addressed in a timely manner by appropriate staff with the residents having received what the outcome of their concerns were at the next meeting. This deficient practice affected 6 of 7 Monthly Resident Council meetings. (January, February, March, April, May, and June 2026). Findings Include: During the review of the Resident Council minutes, dated January 14, 2026, the following concerns were documented: not enough staff; resident notes to staff were being disregarded and call lights were being turned off or not answered promptly; residents had to wait long periods of time for anything that required a second employee to come and help; and night shift aide… …
F565 citations in Indiana
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Indiana cites F565 more often than its own record predicts
1.57 times the share F565 takes of citations nationally.
Of every deficiency written in Indiana in 2025, this is the portion that was F565.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Indiana surveyors wrote
F565 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.
Based on record review and interview, the facility failed to ensure a timely investigation of resident concerns regarding care and call light waiting times. This deficient practice had the potential to affect all residents who reside in the facility. Finding includes: A Resident Council Minutes and Response form, dated 10/17/19, indicated .Issue(s) identified by Resident: 1. Call lights not being answered in a timely matter. 5 out of 11 residents stated this .Department Response to Resident: 1. Have requested all staff members assist in call lights due to (sic) high acuity of resident status A Resident Council Minutes and Response form, dated 11/13/19, indicated . Old Business: Old business was not approved because response was not given back from the nursing dept. …
The short window
Recent years
| Year | Share of Indiana citations | vs expected |
|---|---|---|
| 2023 | 0.56% | 1.83× |
| 2024 | 0.47% | 1.51× |
| 2025 | 0.42% | 1.57× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Indiana surveyors cite →
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