Based on interview and record review, the facility failed to ensure sufficient staffing was provided to care for and supervise the residents that resided at the facility for 1 of 7 residents reviewed for sufficient staffing (Resident B). The immediate jeopardy began on [DATE] when the facility staff failed to provide care and supervision of residents residing at the facility during the eight hour night shift resulting in a resident not being checked on all night and was found deceased on [DATE] at 7:15 a.m. The Administrator, Director of Nursing (DON), Regional Director of Clinical Operations (RDCO), and a RDCO in training were notified of the immediate jeopardy on [DATE] at 4:52 p.m. …
F725 citations in Indiana
Sufficient nursing staff · Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Indiana cites F725 less often than its own record predicts
0.76 times the national share — cited less often here than elsewhere.
Of every deficiency written in Indiana in 2025, this is the portion that was F725.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Indiana surveyors wrote
F725 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 ensure there were staff available to provide care in a timely manner to residents who required assistance(Resident T and H) and failed to ensure staff did not work greater than 20 hours in a day. (QMA 3 and LPN 6) Using the reasonable person concept, resident T could have feelings of embarrassment, fear of neglect, hopelessness, or depression. Findings include 1. Resident T was observed on 2/27/25 at 9:44 a.m., to be visibly soiled urine and bowel movement (BM), that saturated his pull-up, bed pad, bed linens, and blanket. The resident was to be on a toileting schedule, and documentation indicated he had not been toileted as schedule. Cross Reference: F600 2. …
Based on interview and record review, the facility failed to ensure adequate staffing levels were maintained to meet the personal care needs related to transfers for 2 of 6 residents reviewed (Resident B and Resident A).Findings include: In a confidential interview, on 7/27/26 at 8:20 AM, the interviewee indicated the facility was extremely short staffed on Saturday, 7/25/26 and Sunday, 7/26/26. The interviewee indicated residents who required the assistance of 2 staff members had to stay in bed all day. The interviewee indicated a resident fell trying to transfer themselves to the bathroom.1. In an interview, on 8/18/26 at 2:09 PM, Resident B indicated they had to wait for a long time on July 26th to get out of bed. …
The short window
Recent years
| Year | Share of Indiana citations | vs expected |
|---|---|---|
| 2023 | 0.86% | 1.07× |
| 2024 | 0.26% | 0.32× |
| 2025 | 0.59% | 0.76× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Indiana surveyors cite →
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