Hoosier Village

In the surveyor’s words

From the most serious findings on record at Hoosier Village, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF757May 12, 2023

  Based on observation, interview, and record review, the facility failed to ensure residents received appropriate monitoring for potential side effects related to their use of high risk medications for 4 of 5 residents reviewed for unnecessary medications (Residents 1, 168, 2 and 117). Finding include: 1. On 5/11/23 at 9:48 a.m., resident 1's discharge record was reviewed. She had diagnoses which included, but were not limited to, cerebral infarction (stoke), hypertension (high blood pressure), anxiety, hypothyroidism (underactive thyroid), repeated falls, back pain, and hyperlipidemia (higher than normal count of lipid cells). […]

• No harm, potential for more than minimal, patternF761May 12, 2023

  Based on observation, interview and record review, the facility failed to properly store medications in 2 of 3 medication rooms and failed to ensure appropriate labeling was placed on a bottle of over-the-counter vitamins for 1 of 7 residents reviewed for storage (Resident 168). Findings include: During a medication administration observation on 5/12/23 at 8:59 a.m., LPN 10 pulled a bottle of Ocuvite Eye Multivitamins out of the medication cart. The bottle indicated the resident's name (Resident 168) and a date the bottle was opened. It lacked the directions for use. At that time, LPN 10 indicated Resident 168 brought the medication from home. […]

• No harm, potential for more than minimal, patternF812Feb 25, 2022

  Based on observation, interview, and record review, the facility failed to ensure all food had a received date and expiration date, and all foods were properly sealed and separated for 1 of 2 observations of the kitchen that serves 7 of 7 residents food. Findings include: On 2/21/22 at 10:20 a.m., the kitchen was observed with the Director of Dining Services (DDS). The walk-in refrigerator had the following items: a. Three - 3 pound (lb) containers of American cheese unopened, with no received by date. b. Nine - 1 lb containers of Swiss cheese unopened, with no received by date. c. Five - 1 lb containers of cheddar cheese unopened, with no received by date. d. Four - 1 lb containers of butter in waxed paper, unopened, with no received by date. e. […]

• No harm, potential for more than minimal, isolatedF656May 9, 2025

  Based on observation, interview, and record review, the facility failed to develop and implement a comprehensive, person-centered care plan related to falls, intrusive wandering, and elopement for 1 of 5 residents (Resident 5) reviewed for care plan implementation. Findings include: On 5/5/25 at 11:04 a.m. Resident 5 was observed as he was walking into his room after his shower. He had a wander guard (a bracelet sensor used to prevent elopement) on his right wrist. Resident 5's son indicated his father had advanced Alzheimer's and was on hospice. On 5/7/25 at 10:33 a.m. Resident 5's medical record was reviewed. He was a long-term care resident whose diagnoses included but were not limited to Alzheimer's disease and dementia. […]

• No harm, potential for more than minimal, isolatedF657May 9, 2025

  Based on observation and record review, the facility failed to review and revise a care plan for 1 of 5 residents (Resident 9) reviewed for care plan revision. Findings include: On 5/5/25 at 11:04 a.m., Resident 9 was observed as he was walking out of the bathroom with his son. The Resident's son indicated his father had advanced Alzheimer's disease and would often forget his walker when he got up to go to the bathroom. On 5/7/25 at 12:02 p.m., Resident 9's medical record was reviewed. […]