Based on interview, observation and interview, the facility failed to ensure a resident was not given [MEDICAL CONDITION] medications to chemically restrain him for 1 of 1 resident reviewed for chemical restraints (Resident 54). Resident 54 was given multiple [MEDICAL CONDITION] medications, had multiple falls after medication implementation and significant weight loss. Findings Include: During an interview, on 08/02/19 at 5:01 p.m., Resident 54's wife indicated the resident was still working in May, 2019. Before entering the hospital and the facility, the resident received an antianxiety and a depression medication. He had never received the other medications before then and since he had, his mind had been deteriorating. …
F605 citations in Indiana
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Indiana cites F605 more often than its own record predicts
1.20 times the share F605 takes of citations nationally.
Of every deficiency written in Indiana in 2025, this is the portion that was F605.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Indiana surveyors wrote
F605 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 interview and record review, the facility failed to ensure resident's drug regimens were free from unnecessary drugs for 2 of 3 residents reviewed for unnecessary medications. Residents were prescribed an as needed (PRN) anti-anxiety medication longer than 14 days without a documented end date and without a re-assessment, and informed consent was not obtained and documented following a change in a resident psychotropic medications. (Resident B, Resident D)Findings include: 1. On 8/6/26 at 10:45 A.M., Resident B's clinical record was reviewed. Diagnoses included but were not limited to dementia and anxiety disorder. …
The short window
Recent years
| Year | Share of Indiana citations | vs expected |
|---|---|---|
| 2023 | 0.04% | 3.79× |
| 2025 | 0.84% | 1.20× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Indiana surveyors cite →
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