Based on observation, interview, and record review the facility failed to develop and implement individualized care plan interventions to support and protect cognitively impaired residents involved in a relationship. (Resident B and Resident C) Findings include:On 8/25/26 at 9:20 a.m., Resident B and Resident C were observed sitting in the dining room, in their wheelchairs, drinking from coffee cups. On 8/25/26 at 11:50 a.m., Resident C and Resident B were sitting in their wheelchairs at a table in the dining room. On 8/26/26 at 12:52 p.m., Resident B and Resident C were sitting in their wheelchairs at a table in the dining room talking to each other. …
F656 citations in Indiana
Comprehensive care plan · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Indiana cites F656 less often than its own record predicts
0.71 times the national share — cited less often here than elsewhere.
Of every deficiency written in Indiana in 2025, this is the portion that was F656.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Indiana surveyors wrote
F656 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 pressure ulcer care plan included a repositioning schedule, as indicated by facility policy, for 1 of 3 residents reviewed for pressure ulcers. (Resident 146) Findings include: The clinical record of Resident 146 was reviewed on 6/12/18 at 11:23 a.m. [DIAGNOSES REDACTED]. An admission Minimum Data Set assessment, dated 5/21/18, indicated Resident 146 needed extensive assistance of 2 or more staff for bed mobility and was at risk of developing a pressure ulcer. A nursing admission assessment for Resident 146, dated 5/15/18, indicated the resident's right and left buttocks were reddened. A progress note, dated 6/8/18 at 1:52 p.m., indicated, Sacrum - area noted today. …
The short window
Recent years
| Year | Share of Indiana citations | vs expected |
|---|---|---|
| 2023 | 2.54% | 0.70× |
| 2024 | 2.72% | 0.80× |
| 2025 | 2.44% | 0.71× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Indiana surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction