Based on record review and interview, the facility failed to ensure facility policies were implemented to allow a resident to return to the facility for care following an emergency room visit. The resident was not provided adequate notice to appeal the discharge prior to being transported to and left at a hotel 26 miles away from the facility. The Immediate Jeopardy that began on 8/16/24, when the facility failed to allow a resident to return to the facility after a hospital visit per facility policy. This deficient practice put the resident at risk for harm related to lack of a safe environment, placing the resident at risk of serious accidents. …
F626 citations in Indiana
Resident Rights Deficiencies
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Indiana cites F626 less often than its own record predicts
1.00 times the national share — cited less often here than elsewhere.
Of every deficiency written in Indiana in 2025, this is the portion that was F626.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Indiana surveyors wrote
F626 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 resident who transferred to the hospital was able to return to the facility, which resulted in harm when the resident unable to be discharged from the emergency room , she did not receive her [MEDICAL CONDITION] medications while at the hospital, after an 8 day hospital stay had manic behaviors resulting being escorted out of the hospital by police officers and sent to jail, then was admitted to a different hospital, and eventually placed in a facility hours away from family for 1 of 3 residents reviewed for residents permitted to return to the facility (Resident B). Findings include: Resident B's record was reviewed, on 11/17/20 at 9:43 a.m. …
Based on interview and record review, the facility failed to ensure a resident was allowed to return to the facility after an emergency room (ER) visit due to behaviors once the hospital determined the resident did not meet the criteria for hospital admission for 1 of 3 residents reviewed for quality of care (Resident B). Findings include: During an interview, on 3/20/25 at 11:19 a.m., Hospital Employee 8 indicated Resident B presented to the ER, on 2/20/25, and the facility reported the resident had aggressive behaviors. The resident did not have behaviors in the ER, and there was no medical reason to admit him to the hospital, so they attempted to send him back to the facility. …
The short window
Recent years
| Year | Share of Indiana citations | vs expected |
|---|---|---|
| 2023 | 0.04% | 0.32× |
| 2024 | 0.05% | 0.38× |
| 2025 | 0.06% | 1.00× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Indiana surveyors cite →
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