Based on observation, interview, and record review, the facility failed to ensure the plan of care was revised for 1 of 3 residents reviewed for incontinence. The care plan interventions were not updated as a resident's incontinence increased and need for assistance changed. (Resident F)Finding includes: Record review on 8/13/26 at 10:20 A.M., Resident F's diagnoses included but were not limited to dementia and muscle weakness.The most recent quarterly Minimum Data Set (MDS) assessment, dated 6/6/26 indicated the resident had moderate cognitive impairment, required supervision for toileting, and had occasional incontinence. …
F657 citations in Indiana
Care plan timing and revision · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Indiana cites F657 more often than its own record predicts
1.26 times the share F657 takes of citations nationally.
Of every deficiency written in Indiana in 2025, this is the portion that was F657.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Indiana surveyors wrote
F657 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.
The short window
Recent years
| Year | Share of Indiana citations | vs expected |
|---|---|---|
| 2023 | 2.65% | 1.24× |
| 2024 | 2.33% | 1.22× |
| 2025 | 2.36% | 1.26× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Indiana surveyors cite →
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