Based on observation, record review and interview, the facility failed to ensure air conditioning units were functioning, resulting in resident room with temperatures above 81 degrees Fahrenheit for 13 of 15 resident on 1 of 4 hallways in the facility. (Rooms 503, 504, 505, 506, 507, 508, 509, 510, 511, 512, 513, 514 and 515). The facility also failed to keep the residents cool and comfortable for 4 of 4 residents reviewed for comfortable temperatures Residents B, C, D, and E) . This deficient practice resulted in Resident C being sent to the emergency room with signs and symptoms of heat exhaustion. The immediate jeopardy began on 5/25/2018 when the Maintenance Supervisor noted the air conditioning units on the 500 Hallway were not working. …
F584 citations in Indiana
Safe, clean, homelike environment · Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Indiana cites F584 less often than its own record predicts
0.31 times the national share — cited less often here than elsewhere.
Of every deficiency written in Indiana in 2025, this is the portion that was F584.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Indiana surveyors wrote
F584 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 observation, interview, and record review, the facility failed to maintain a clean, comfortable, homelike environment for 3 of 3 hallways observed for environment. Findings include:On 8/12/26 at 10:10 a.m., a general tour of the building was conducted and the following was observed: A dead beetle on the handrail outside of room [ROOM NUMBER]. A dead beetle on the handrail outside of room [ROOM NUMBER]. A dead beetle on the handrail outside of room [ROOM NUMBER]. Active cobwebs on the push handles of all three main exit doors at the end of each three residential hallways. A hand sanitizer dispenser near the nurses station was observed with no catch tray, so that drippings fell onto the floor. …
Based on observation, interview, and record review, the facility failed to maintain floors in a clean, well-maintained condition, replace transition threshold strips, maintain paint integrity on door frames and handrails, and ensure wallpaper was affixed to the wall for 6 of 6 halls/units observed (100 Intermediate, 100 medicare, 200, 300, 400 and 500 halls). This deficient practice had the potential to impact 119 of 119 residents. Findings include: During an environmental tour, accompanied by the Environmental Services Director (ESD), on 4/27/23 from 10:57 a.m. to 11:20 a.m., environmental concerns regarding, floor cleanliness, missing transition threshold strips, paint chipped on door frames and handrails, and wallpaper not being affixed to the wall were identified as follows: a. …
The short window
Recent years
| Year | Share of Indiana citations | vs expected |
|---|---|---|
| 2023 | 1.08% | 0.48× |
| 2024 | 0.75% | 0.35× |
| 2025 | 0.65% | 0.31× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Indiana surveyors cite →
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