It looks like you have an older browser that is not supported by this site. Please click here to update.

Article Open to All

July 6th 2021 Residential Citation Update

Posted Jul 6, 20213 min Read

Regulatory & Clinical

The Indiana Department of Health performed a total of 16 surveys in May 2021.  There was a total of six (6) Offense Tags; Fifty-five (55) Deficiency Tags for a total of sixty-one (61) Residential Tags.

Offense Tags are as follows:

Tag 052 (4 times) – Residents’ Rights Offense – Failure to ensure resident right to be free from any physical or chemical restraints imposed for purposes of discipline or convenience and not required to treat the resident’s medical symptoms.

Tag 241 (1 time) – Health Services Offense – Failure to ensure administration of medications and provision of residential nursing care shall be as ordered by the physician and supervised by a licensed nurse on the premises or on call.

Tag 406 (1 time) – Infection Control Offense – Failure to establish and maintain an infection control practice designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of diseases and infection.


Top Residential Tags are as follows:

Tag 273 (9 times) – Food and Nutritional Services – Noncompliance – Failure to ensure food preparation and serving areas are maintained in accordance with state and local sanitation and safe food handling standards, including 410 IAC 7-24.

Tag 117 (8 times) – Personnel Deficiency – Failure to ensure staff sufficient in number, qualifications, and training in accordance with applicable state laws and rules to meet the twenty-four (24) hours scheduled and unscheduled needs of the residents and services provided.  A minimum of one (1) awake staff person, with current CPR and first aid certificates, on site always.

Tag 217 (5 times) – Evaluation Deficiency – Failure to ensure following completion of an evaluation, the facility, using appropriately trained staff, shall identify and document the services to be provided by the facility.

Tag 144 (3 times) – Sanitation and Safety Standards Deficiency – Failure of the facility to ensure a clean, orderly, and in a state of good repair, both inside and out, and provide reasonable comfort for all residents.

Tag 041 (2 times) — Residents’ Rights – Failure to develop and implement policies for investigation g and responding to complaints when made know and grievances made by a resident, a resident council or family council, a family member, a family group, or other individuals.

Tag 118 (2 times) – Personnel Deficiency – Failure to ensure any unlicensed employee providing more than limited assistance with the activities of daily living must be either a certified nurse aide or a home health aide.

Tag 154 (2 times) – Sanitation and safety – Failure to keep kitchen areas, common dining areas, equipment, and utensils clean, free from litter and rubbish, and maintained in good repair in accordance with 410 IAC 7-34.

Tag 240 (2 times) – health Services Deficiency – Failure to ensure personal care, and assistance with activities of daily living are provided based upon individual needs and preferences.

Tag 246 (2 times) – Health Services Deficiency – Failure to ensure PRN medication is administered by a qualified medication aide only upon authorization by a licensed nurse or physician.  The QMA must receive appropriate authorization for each administration of a PRN medication.  All contacts with a nurse of physician not on the premises for authorization to administer PRN’s to be documented I the nursing notes indicating the time and date of the contact.

Tag 272 (2 times) — Food and Nutritional Services Deficiency – Failure to ensure all food is served at a safe and appropriate temperature.

Tag 298 (2 times) – Pharmaceutical Services Deficiency – Failure to ensure a consultant pharmacist is employed, or under contract, and be responsible for the duties as specified in 856 IAC 1-7.

Tag 414 (2 times) – Infection Control Deficiency – Failure to ensure staff wash hands after each direct resident contact for which hand washing is indicated by accepted professional practice.

Please forward questions to

About the Author

Lori Davenport