Based on record review and interview, the facility failed to ensure contracted staff were educated on the facility's baseline policies and procedures of the facility, for 6 of 6 Agency Staff reviewed for orientation. (Agency LPN 1, Agency LPN 2, Agency LPN 3, Agency CNA 4, Agency CNA 5, Agency CNA 6) Finding includes: The Agency/Travel Staff Acknowledgement form, dated 6/18/20, and received from the Administrator as current, indicated it was the facility policy to ensure agency staff received the appropriate education to provide care for the residents and to adhere to facility and company policies. …
F895 citations in Indiana
Administration Deficiencies
Have a Compliance and Ethics Program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Indiana cites F895 more often than its own record predicts
2.16 times the share F895 takes of citations nationally.
Of every deficiency written in Indiana in 2023, this is the portion that was F895.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Indiana surveyors wrote
F895 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.
What else Indiana surveyors cite →
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