Harcourt Terrace Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Harcourt Terrace Nursing and Rehabilitation, in the surveyor’s own words.

• Actual harm, isolatedF744May 21, 2026

  Based on interview and record review, the facility failed to ensure a resident with a diagnosis of dementia was provided effective person-centered dementia care and was not relocated to locked memory care unit without a documented reason which resulted in a resident-to-resident altercation for 2 of 2 residents reviewed for dementia care. (Resident H and G) This deficient practice resulted in an altercation between Resident H and G. Resident G received an intertrochanteric femur fracture (a broken hip around the upper thigh bone) which required surgical intervention.Findings include:An anonymous email, dated 5/3/25 at 4:52 p.m., indicated a resident-to-resident altercation occurred in which Resident G was pushed down by Resident H. Resident G complained of pain and required surgery. […]

• Actual harm, isolatedF744Jul 23, 2024

  Based on interview and record review, the facility failed to ensure effective person-centered dementia care was provided to a resident with known physically aggressive behaviors for 2 of 5 residents reviewed for dementia care. (Residents H and J) This deficient practice resulted in an altercation between Resident H and J. Resident J received a fractured left wrist and a laceration above his right eye. The deficient practice was corrected on 7/10/24, prior to the start of the survey, and was therefore past noncompliance. Findings include: A facility document, titled Indiana State Department of Health Survey Report System, indicated on 7/2/24 at 9:30 p.m., Resident J complained of arm pain after an interaction with Resident H. […]

• No harm, potential for more than minimal, widespreadF812Jan 9, 2026

  Based on observation, interview and record review, the facility failed to ensure refrigerated items were labeled with a received dated and disposed of by the discard date in 2 of 2 reach-in refrigerators reviewed in the kitchen. This deficient practice had the potential to affect 81 of 81 residents who received food from the kitchen. Findings include:During an observation and interview, on 1/5/26 at 9:47 a.m., five (5) gallons of 2% milk were in the reach-in refrigerator and did not a have a receive date label. Culinary manager 12 indicated she would place received dates on them. […]

• No harm, potential for more than minimal, patternF880Jan 9, 2026

  Based on observation, interview and record review, the facility failed to ensure staff wore the appropriate Personal Protective Equipment when entering isolation rooms and to ensure a 2-Step tuberculosis test was documented as completed in the recommended timeframe for 4 of 8 residents and 1 of 5 new employees reviewed for infection control. (Resident 44, 48, 53, 56 and Activity Assistant 7)Findings include:During a telephone interview, on 1/6/26 at 8:30 a.m., a resident's family member indicated one of their concerns was the facility had a Covid outbreak and the staff were not wearing PPE such as gowns and masks when entering the rooms.1. […]

• No harm, potential for more than minimal, patternF684Dec 11, 2023

  Based on interview and record review, the facility failed to ensure weights and physician notification were completed as ordered for residents with congestive heart failure (CHF), to document accu checks (finger stick blood sugars) and insulin administration and failed to ensure a resident with routine orders for Ativan and morphine received the medication as ordered for 4 of 4 residents reviewed for quality of care. (Resident 8, 10, 75 and 81) Findings include: 1. The record for Resident 8 was reviewed on 12/07/23 at 9:39 a.m. […]