F609 in Indiana. Pick another state for the same tag.
Against expectation — 2025
Indiana cites F609 less often than its own record predicts
Versus expected share0.65×
0.65 times the national share — cited less often here than elsewhere.
Share of Indiana citations1.60%
Of every deficiency written in Indiana in 2025, this is the portion that was F609.
Indiana1.60%
National2.45%
Share of all citations that were F609.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Indiana surveyors wrote
F609 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.
J · Immediate jeopardy, isolatedAugust 6, 2026
Based on observation, interview, and record review, the facility failed to ensure staff reported an allegation of sexual abuse immediately to the administrator or designee when a visitor was observed fondling Resident B's breast for 1 of 3 residents reviewed for abuse. (Resident B) The failure to report led to the same staff member later observing the same visitor with his hand down Resident B's brief, fondling her perineal area. Using the reasonable person concept, it is likely Resident B would experience humiliation and fear related to the sexual abuse. The Immediate Jeopardy began on 7/30/26 when the staff failed to report and intervene when Resident B was sexually abused by Family Member 6. …
Based on interview and record review, the facility failed to report injuries of unknown origin within two hours to the Director of Nursing (DON) and Executive Director for 1 of 3 resident reviewed for injured of unknown origin. The resident had bruising to the forehead, right side of face and right hand a fracture to the third finger of the right hand and a five day hospitalization , (Resident C)
Findings include:
During an initial tour of the facility on 1-7-19 at 9:40 a.m. with the MDS (Minimum Data Set) Coordinator, she shared Resident C had been sent out to an area hospital in the last two months related to an altered mental status and an injury of unknown origin of a fractured finger.
Resident C's clinical record was reviewed on 1-7-19 at 1:01 p.m. Her [DIAGNOSES REDACTED]. …
D · No harm, potential for more than minimal, isolatedAugust 25, 2026
Based on interview and record review, the facility failed to ensure an allegation of abuse was reported to the state agency timely for 1 of 1 allegations of abuse reviewed. After being made aware of an allegation of abuse the facility failed to report the allegation to the state agency within the required timeframe. (Resident D)Finding includes:A review of facility reported incidents on 8/24/26 at 10:40 A.M. indicated there had been no facility reported incidents during the previous 90 days. Record review on 8/24//26 at 10:45 A.M., included Resident D's progress notes that were not limited to a noted dated 8/14/26 at 10:15 P.M., Resident called the police - officers responded. …
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