Based on observation, record review, and interview, the facility failed to meet the needs of a resident related to image acquisition by a contracted x-ray staff member. The resident's arm was improperly positioned and she cried out for 1 of 3 residents reviewed for diagnostic services. The resident's arm resulted with a fracture. (Resident B)Findings include:During an observation, on 10/15/2025 at 9:12 A.M., Resident B was lying in bed, her eyes were closed. There were no signs of distress. The resident had a red cast on her right arm that went from her hand up past her elbow. The clinical record for Resident B was reviewed on 10/15/2025 at 9:23 A.M. An Annual Minimum Data Set (MDS) assessment, dated 08/21/25, indicated the resident was cognitively intact. …
F776 citations in Indiana
Administration Deficiencies
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Indiana cites F776 more often than its own record predicts
1.48 times the share F776 takes of citations nationally.
Of every deficiency written in Indiana in 2025, this is the portion that was F776.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Indiana surveyors wrote
F776 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 obtain radiology services, or transportation to receive radiology services in a timely manner, to meet the needs of a resident following a fall for 1 of 1 residents reviewed for fall with fracture. (Resident 7) Finding includes: On 1/5/26 at 2:37 P.M., Resident 7's clinical record was reviewed. Resident 7 was admitted to the facility on [DATE]. Diagnoses included, but were not limited to, Chronic Obstructive Pulmonary Disease. The most recent Quarterly Minimum Data Set (MDS) Assessment, dated 11/18/25, indicated Resident 7 was cognitively intact, required substantial assistance (staff does most of the work) for toileting and transfers, and indicated the resident had a fall with major injury since the prior MDS assessment. …
The short window
Recent years
| Year | Share of Indiana citations | vs expected |
|---|---|---|
| 2023 | 0.15% | 3.11× |
| 2024 | 0.16% | 2.74× |
| 2025 | 0.06% | 1.48× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Indiana surveyors cite →
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