Based on interview and record review, the facility failed to have a system in place for ordering, obtaining, and tracking of routine and STAT (urgent, rush, immediate) laboratory orders for 1 of 3 residents reviewed for completion of laboratory orders (Resident J). The Immediate Jeopardy began October 1, 2021, when the facility failed to ensure routine laboratory orders were completed on 10/1/21 and 10/6/21, and STAT laboratory orders were completed on 10/8/21 after a physician noted a change in condition to include a further decline in mental status, and new onset jaundice and bruising. …
F770 citations in Indiana
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Indiana cites F770 more often than its own record predicts
1.89 times the share F770 takes of citations nationally.
Of every deficiency written in Indiana in 2025, this is the portion that was F770.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Indiana surveyors wrote
F770 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 record review and interview, the facility failed to obtain physician ordered laboratory tests, including a urinalysis for 1 of 3 residents reviewed for laboratory service. (Resident C) This deficient practice resulted in a required hospitalization for uremic encephalopathy, hyperkalemia, acute kidney injury and acute hypoxic respiratory failure with pneumonia. Finding includes:The record review for Resident C was completed on 2/4/2026 at 1:19 P.M. Diagnoses included, but were not limited to: chronic obstructive pulmonary disease (COPD), diabetes mellitus type 2, atrial fibrillation and congestive heart failure.A Quarterly Minimum Data Set (MDS) assessment, dated 11/28/2025, indicated Resident C was cognitively intact, required substantial assistance for toileting hygiene and had… …
Based on record review and interview, the facility failed to ensure a resident was provided with ordered laboratory services related to a wound culture not completed as ordered for 1 of 3 residents reviewed for laboratory services. (Resident E) Finding includes: The record for Resident E was reviewed on 7/28/26 at 9:36 a.m. Diagnoses included, but were not limited to, COPD, hypertension (high blood pressure), chronic kidney disease, and tremors. The Baseline Care Plan, dated 7/20/26, indicated the resident was moderately impaired for daily decision making. The resident required partial to moderate assistance for toileting. A Care Plan, dated 7/19/26, indicated the resident was admitted with a surgical incision to the abdomen and left flank. Intervention was to treat per physician orders. …
The short window
Recent years
| Year | Share of Indiana citations | vs expected |
|---|---|---|
| 2023 | 0.48% | 2.20× |
| 2024 | 0.29% | 1.35× |
| 2025 | 0.39% | 1.89× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Indiana surveyors cite →
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