Based on record review and interview, the facility failed to ensure comfort medication orders were obtained in a timely manner for a hospice patient who was displaying signs of anxiety and pain for 1 of 5 residents reviewed for hospice services. (Resident 107) Findings include: The clinical record for Resident 107 was reviewed on 3/9/20 at 1:10 p.m. The resident's [DIAGNOSES REDACTED]. The care plan, dated 12/16/19, indicated the resident was on palliative and end of life care due to a [DIAGNOSES REDACTED]. The goal included, the resident would be cared for with respect and dignity and would be comfortable during end of life process. The Social Services note, dated 12/11/19 at 8:27 a.m., indicated the resident signed a Do Not Resuscitate (DNR) and wished to be on hospice services. …
F849 citations in Indiana
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Indiana cites F849 less often than its own record predicts
0.41 times the national share — cited less often here than elsewhere.
Of every deficiency written in Indiana in 2025, this is the portion that was F849.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Indiana surveyors wrote
F849 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 hospice communication and documentation was occurring between the facility and the hospice company for 1 of 1 residents reviewed for hospice. The clinical record lacked hospice communication. (Resident 4)Finding includes:During an interview on 3/18/26 at 10:40 A.M., Resident 4 indicated he was receiving hospice services.On 3/24/26 at 9:55 A.M., Resident 4's clinical record was reviewed. Diagnoses included, but were not limited to, unspecified disorder of adult personality, anxiety, depression, chronic pain, panic disorder, gastroparesis, and malnutrition.The most recent quarterly MDS assessment, dated 3/16/26, indicated Resident 4 was cognitively intact, had no behaviors, was dependent on staff for toileting,… …
The short window
Recent years
| Year | Share of Indiana citations | vs expected |
|---|---|---|
| 2023 | 0.26% | 0.83× |
| 2024 | 0.23% | 0.76× |
| 2025 | 0.11% | 0.41× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Indiana surveyors cite →
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