Based on interview and record review, the facility failed to establish a facility-wide system to prevent, identify, report, investigate, and control infections for 4 of 5 residents reviewed for hospitalizations (Resident 27, Resident 19, Resident 1, and Resident 48). Residents who experienced upper respiratory symptoms were not tested or treated for influenza. The facility did not investigate the cause of or track residents' signs and symptoms. This deficient practice resulted in Resident 27, Resident 1, and Resident 48 being hospitalized . Residents tested positive for influenza A upon arriving at the hospital. Resident 19 was ordered to be sent to the hospital, but expired before she could get there. …
F880 citations in Indiana
Infection prevention and control · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Indiana cites F880 less often than its own record predicts
0.98 times the national share — cited less often here than elsewhere.
Of every deficiency written in Indiana in 2025, this is the portion that was F880.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Indiana surveyors wrote
F880 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 hand hygiene was performed before and after resident care and failed to ensure a container of incontinence wipes were used for only one resident. (Residents N and D) The facility also failed to ensure correct Personal Protective Equipment (PPE) was used by a staff member (CNA 1) when providing care to a resident (Resident D) who was in Enhanced Barrier Precautions (EBP) for one random observation for infection control. This had the potiential to affect the 27 residents who resided on the [NAME]-C unit.Finding includes:During an observation on 8/24/26 at 8/24/26 at 4:27 a.m., there was a sign on the entry door to Resident D's room that indicated the resident was on EBP. …
Based on record review and interview, the facility failed to implement the infection control program, related to adequately identifying a pattern of gastrointestinal (GI) symptoms (nausea/vomiting/diarrhea) affecting 14 of the 39 residents. (Residents E, D, J, K, H, F, M, N, P, B, Q, R, G, and C). This had the potential to affect 39 of the 39 residents who resided in the healthcare unit of the facility. Finding includes: During an interview on 4/15/19 at 11:56 a.m. with the Director of Nursing (DON) and the Infection Control Nurse, the DON indicated there had been 12 residents effected by the gastrointestinal symptoms (nausea/vomiting/diarrhea) and the ISDH had not been notified of the symptoms. …
The short window
Recent years
| Year | Share of Indiana citations | vs expected |
|---|---|---|
| 2023 | 3.43% | 0.67× |
| 2024 | 5.81% | 1.03× |
| 2025 | 6.06% | 0.98× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Indiana surveyors cite →
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