F659 in Indiana. Pick another state for the same tag.
Against expectation — 2025
Indiana cites F659 more often than its own record predicts
Versus expected share5.80×
5.80 times the share F659 takes of citations nationally.
Share of Indiana citations0.22%
Of every deficiency written in Indiana in 2025, this is the portion that was F659.
Indiana0.22%
National0.04%
Share of all citations that were F659.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Indiana surveyors wrote
F659 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.
D · No harm, potential for more than minimal, isolatedAugust 12, 2026
Based on observation, interview, and record review, the facility failed to ensure residents received care by qualified staff for 1 of 3 residents reviewed for death. QMAs (Qualified Medication Aide) documented the administration and effectiveness of as needed (PRN) medications without documentation of notification and approval from a licensed nurse. (Resident F)Finding includes:Record review on 8/12/26 at 9:45 A.M., Resident F's diagnoses included, but were not limited to chronic kidney disease and dementia. The most recent quarterly Minimum Data Set (MDS) assessment dated [DATE] indicated the resident had severe cognitive impairment. …
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