Based on observation, interview, and record review, the facility failed to provide supervision and interventions for an aggressive dementia resident (Resident L) on the locked dementia unit resulting in the resident forcibly removing another resident (Resident N) out of her wheelchair causing bruising to her eye and nose. This deficiency had the ability to affect 21 of the 21 residents residing on the locked dementia unit. The immediate jeopardy began on 12/30/25 when Resident L wanted Resident N's wheelchair and forcibly removed her from the wheelchair resulting in bruising and swelling to Resident N's right eye and nose. Resident L had previously wandered into another resident's room and punched a staff member when they attempted to re-direct him on 12/12/25. …
F744 citations in Indiana
Dementia care · Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Indiana cites F744 more often than its own record predicts
4.53 times the share F744 takes of citations nationally.
Of every deficiency written in Indiana in 2025, this is the portion that was F744.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Indiana surveyors wrote
F744 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 interview and record review, the facility failed to ensure a resident with a diagnosis of dementia was provided effective person-centered dementia care and was not relocated to locked memory care unit without a documented reason which resulted in a resident-to-resident altercation for 2 of 2 residents reviewed for dementia care. (Resident H and G) This deficient practice resulted in an altercation between Resident H and G. Resident G received an intertrochanteric femur fracture (a broken hip around the upper thigh bone) which required surgical intervention.Findings include:An anonymous email, dated 5/3/25 at 4:52 p.m., indicated a resident-to-resident altercation occurred in which Resident G was pushed down by Resident H. Resident G complained of pain and required surgery. …
Based on observations, interviews, and record review, the facility failed to ensure Resident R received dementia specific supervision, monitoring, interventions, and protections resulting in repeated attempts by Resident Q to enter Resident R's room for 1 of 3 residents reviewed for dementia care and the deficient practice affected 3 of 3 residents residing on the dementia unit (Residents Q, R, and S).Findings include:On 7/13/26 at 4:15 a.m., Licensed Practical Nurse (LPN) 5 and Certified Nursing Aide (CNA) 6 were observed in the memory care unit indicated they were not aware of any staff to resident, or resident to resident abuse concerns.On 7/13/26 at 7:50 a.m., Resident R was observed in the main dining room as she ate breakfast and enjoyed conversation with a peer. …
The short window
Recent years
| Year | Share of Indiana citations | vs expected |
|---|---|---|
| 2023 | 1.19% | 5.60× |
| 2024 | 1.35% | 6.44× |
| 2025 | 0.90% | 4.53× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Indiana surveyors cite →
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