Based on observation, interview and record review, the facility failed to ensure pain management was provided to 8 residents, (Residents, BC, CX, BG, BD, BF, AH, CR and CT) consistent with professional standards of practice to relieve their pain and honor their residents' preferences for 8 of 8 residents reviewed for pain management. The immediate jeopardy began on 8/31/21 when the Nurse Practitioner (NP) changed the 8 alert and oriented residents' narcotic pain medications. Residents BC, CX, BG, BD, BF, CR and CT were not notified prior to the change in their medication and therefore, did not have the opportunity to participate in making decisions about their medical care. …
F697 citations in Indiana
Pain management · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Indiana cites F697 more often than its own record predicts
1.01 times the share F697 takes of citations nationally.
Of every deficiency written in Indiana in 2025, this is the portion that was F697.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Indiana surveyors wrote
F697 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 observation, interview and record review, the facility failed to administer medication as needed prior to a dressing change. This deficient practice resulted in severe pain during a treatment for 1 of 1 residents observed for wound care. (Resident 35) Finding includes: During an observation of wound care for Resident 35, on 8/08/2024 at 3:13 P.M. with the ADON and the Unit Manager, the ADON indicated the resident's treatment was to cleanse the resident's wound with wound wash, apply calcium alginate and medi- honey ointment, sprinkle Flagyl (an antibiotic) n the wound bed, and cover the wound with a dry dressing. First, CNA 2 wiped away some zinc barrier cream from around Resident 35's wound with a wet rag. Next, the ADON removed the soiled dressing from the resident's wound. …
Based on observation, record review and interview, the facility failed to ensure pain management regimens were followed as ordered by the physicians and failed to provide a pain medication in a timely manner upon request, for 3 of 3 residents reviewed for pain. (Residents C, G, and D)Findings include: 1. During an interview on 7/27/26 at 9:45 a.m., Resident D indicated he was supposed to receive oxycodone (narcotic pain medication) every four hours, the medication was received late on several occasions and sometimes he did not get the medication at all. Resident C's record was reviewed on 7/27/26 at 10:39 a.m. …
The short window
Recent years
| Year | Share of Indiana citations | vs expected |
|---|---|---|
| 2023 | 1.01% | 1.37× |
| 2024 | 0.88% | 1.20× |
| 2025 | 0.79% | 1.01× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Indiana surveyors cite →
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