Based on interview and record review, the facility failed to ensure the designated Infection Preventionist (IP) worked the required hours to manage the Infection Prevention and Control Program (IPCP), including infection surveillance, staff training, and antibiotic stewardship monitoring to mitigate the risk of the spread of infection. This deficient practice had the potential to affect 62 of 62 residents living in the facility. Findings include:During an interview with the Director of Nursing (DON) on 4/16/26 at 3:55 p.m., she indicated she had served as the facility's Infection Preventionist (IP) for the last five years. During an interview with the DON on 4/20/26 at 9:57 a.m., she indicated she was the person in charge of infection prevention. The ADON was her backup, when needed. …
F882 citations in Indiana
Infection preventionist · Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Indiana cites F882 more often than its own record predicts
1.54 times the share F882 takes of citations nationally.
Of every deficiency written in Indiana in 2025, this is the portion that was F882.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Indiana surveyors wrote
F882 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.
The short window
Recent years
| Year | Share of Indiana citations | vs expected |
|---|---|---|
| 2023 | 0.19% | 0.75× |
| 2024 | 0.29% | 1.39× |
| 2025 | 0.28% | 1.54× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Indiana surveyors cite →
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