Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F585 in Indiana. Pick another state for the same tag.
Against expectation — 2025
Indiana cites F585 less often than its own record predicts
Versus expected share0.74×
0.74 times the national share — cited less often here than elsewhere.
Share of Indiana citations0.48%
Of every deficiency written in Indiana in 2025, this is the portion that was F585.
Indiana0.48%
National0.64%
Share of all citations that were F585.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Indiana surveyors wrote
F585 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.
D · No harm, potential for more than minimal, isolatedAugust 13, 2026
Based on record review and interview, the facility failed to file a grievance from a resident's family who voiced concerns about not wanting a staff member to administer a resident's medications for 1 of 1 resident reviewed for grievances. (Resident B)Finding includes:A closed record review for Resident B was completed on 8/13/26 at 11:58 a.m. Diagnoses included, but were not limited to, dementia, congestive heart failure, diabetes mellitus, and tremors.An Employee Communication Form, completed by the Director of Nursing (DON) on 6/10/26, indicated QMA 1 was instructed to not go into a resident's room because the family did not want her to provide care for the resident. She was given the directive on 6/9/26. …
C · No harm, potential for minimal, widespreadJuly 29, 2019
Based on observation and interview, the facility failed to ensure residents were made aware on how to file a grievance without fear of discrimination or reprisal. This potentially affected 69 of 69 residents residing in the facility.
Finding includes:
During the resident council meeting held on 7/24/19 at 11:00 A.M., Residents 11, 18, 20, 39 and 59 indicated they did not know how to file a grievance, and did not know if you could do it anonymously.
During an interview, on 7/24/19 at 12:31 P.M., Registered Nurse 5 indicated they have resident concern forms the staff will assist the resident in filling out. R.N 5 indicated the forms are not left out for anyone to fill out and indicated there were no ways for the resident to file a grievance anonymously. …
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