Based on observation, interview, and record review, the facility failed to ensure staff members providing direct care, including contractual staff, were thoroughly trained for provision of tracheostomy care for 1 of 1 resident reviewed for tracheostomy care and care of a wound vac for 1 of 1 residents reviewed for surgical wounds. (Resident 24 and Resident 31)Findings include: On 1/4/26 at 11:23 A.M., Resident 24 was observed to receive tracheostomy care from a contractual staff member, Licensed Practical Nurse (LPN) 15. …
F940 citations in Indiana
Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Indiana cites F940 less often than its own record predicts
0.57 times the national share — cited less often here than elsewhere.
Of every deficiency written in Indiana in 2025, this is the portion that was F940.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Indiana surveyors wrote
F940 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 | 0.15% | 1.86× |
| 2024 | 0.05% | 0.55× |
| 2025 | 0.06% | 0.57× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Indiana surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction