Based on interview and record review, the facility failed to develop and implement a pain control care plan for 1 of 3 new admission reviewed. (Resident F) Findings include: The clinical record for Resident F was reviewed on 8/10/2026 at 1:02 PM. The medical diagnoses included, but were not limited to, depression and displaced comminuted fracture of the left tibia with routine healing.No baseline care plans including, but were not limited to pain, were indicated for Resident F.Physician's orders, dated 8/7/2026, indicated Resident F to use oxycodone every 8 hours as needed for pain. …
F655 citations in Indiana
Baseline care plan · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Indiana cites F655 less often than its own record predicts
0.47 times the national share — cited less often here than elsewhere.
Of every deficiency written in Indiana in 2025, this is the portion that was F655.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Indiana surveyors wrote
F655 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 provide the base line care plan to the resident and resident representative within 48 hours of admission for 2 out of 2 residents reviewed for base line care plans. (Resident 3 & 35) Findings include: 1. A record review was completed on 9/21/2023 at 10:04 A.M. Diagnoses included, but not limited to: end stage heart failure, type 2 diabetes, and peripheral vascular disease. Resident 35 was admitted on [DATE]. During a resident interview, on 9/19/2023 at 11:01 A.M., Resident 35 indicated he has had no type of meeting about his plan of care with the Social Worker or nursing. …
The short window
Recent years
| Year | Share of Indiana citations | vs expected |
|---|---|---|
| 2023 | 0.48% | 0.61× |
| 2024 | 0.29% | 0.41× |
| 2025 | 0.31% | 0.47× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Indiana surveyors cite →
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