Based on interview and record review, the facility failed to ensure staff were certified to fill the role of a Certified Nurse Aide (CNA) for 1 of 5 CNA licenses reviewed. An employee was working as a CNA without being certified. (CNA 24)Finding includes: On 12/8/25 at 1:00 P.M., the employee records were reviewed. There was not a license found on CNA 24. She was hired 8/28/24 and her 120 days would have been up 12/26/24.During an interview on 12/9/25 at 9:50 A.M., the Administrator provided a certificate of completion for the 105 hour nurse aide training from the Indiana State Department of Health and said that was what was provided to them. …
F728 citations in Indiana
Nursing and Physician Services Deficiencies
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Indiana cites F728 less often than its own record predicts
0.43 times the national share — cited less often here than elsewhere.
Of every deficiency written in Indiana in 2025, this is the portion that was F728.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Indiana surveyors wrote
F728 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 | 0.07% | 0.99× |
| 2024 | 0.18% | 2.43× |
| 2025 | 0.03% | 0.43× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Indiana surveyors cite →
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