Northview Health and Living

In the surveyor’s words

From the most serious findings on record at Northview Health and Living, in the surveyor’s own words.

• Actual harm, isolatedF600Mar 4, 2026

  Based on observation, interview, and record review, the facility failed to protect a resident's right to be free from verbal abuse from staff for 1 of 3 residents reviewed for abuse, as evidenced by CNA 3 placing soap and/or hot sauce in the resident's mouth and expressing threats of washing the resident's mouth out with soap. (Resident B) Using the reasonable person concept, it can be determined that Resident B experienced psychosocial harm from these abusive actions and threats of corporal punishment taking place in her home (the nursing facility). Findings include: During a confidential interview, one of Resident B's representatives indicated they had been contacted by the facility regarding an allegation of Resident B being abused by an employee. […]

• Actual harm, isolatedF689Jul 21, 2021

  Based on record review and interview the facility failed to ensure staff members implemented transfer and ambulation interventions to prevent falls in 2 of 3 residents reviewed for falls (Resident B and Resident D). This deficient practice resulted in a fractured femur for Resident B. Findings include: 1. The clinical record for Resident B was reviewed on 7/20/2021 at 9:31 a.m. Diagnoses included, but were not limited to, [CONDITION(S)], malignant neoplasm of bladder, [CONDITION(S)], hypertension, muscle weakness, unsteadiness on feet and lack of coordination. The most recent significant change Minimum Data Set (MDS) assessment, dated 6/9/2021, indicated Resident B was cognitively intact. […]

• No harm, potential for more than minimal, widespreadF803Mar 4, 2026

  Based on observation, interview and record review, the facility failed to ensure menus were prepared in advance, signed and approved by a Registered Dietitian, had portion size guidance, and ensured nutritional adequacy. This deficient practice had the potential to impact 72 of 72 residents who ate meals prepared in the facility kitchen.Findings include:During an interview on 3/4/26 at 11:09 a.m., the DON indicated when the survey began the facility had a census of 74. Of the 74 residents, 72 consumed food by mouth and ate meals prepared in the facility kitchen.During an observation of the puree process, on 3/2/26 at 10:33 a.m., [NAME] 11 began to puree the entree of baked potato bar or topped baked potatoes. He had a steam table pan with peeled baked potatoes. […]

• No harm, potential for more than minimal, patternF609Mar 4, 2026

  Based on interview, and record review, the facility failed to ensure staff reported allegations of abuse immediately to the Administrator or designee and failed to ensure self-reported incidents were communicated to the Indiana Department of Health in a manner that was accurate, detailed, complete, and thorough to allow the department to evaluate the need to advocate for the health and safety of the facility residents for 1 of 3 self- reported incidents reviewed. (Resident B) Findings include:Findings include: A Facility Self-Reported Incident, submitted to the Indiana Department of Health (IDOH) on 1/27/26, indicated the following: The staff overheard CNA 3 make inappropriate comments to Resident B and intervened and directed the CNA to cease interaction with resident. […]

• No harm, potential for more than minimal, patternF610Mar 4, 2026

  Based on interview and record review, the facility failed to protect residents from the potential for further abuse when an alleged perpetrator (CNA 3) was permitted to continue providing care to residents for approximately three hours following an allegation of abuse. (Resident B)Findings include: Findings include: During a confidential interview, one of Resident B's representatives indicated they had been contacted by the facility regarding an allegation of Resident B being abused by an employee. They were informed a staff member put either soap, hot sauce, or both on their loved one's mouth (Resident B). Their loved one was cognitively impaired. Resident B did not remember the event. […]