Residential Citation Update – September 2023

The Indiana Department of Health reports completing nine surveys and sixteen complaint investigations in September 2023.   

• 5 Offense Tags  
• 40 Deficiency Tags  
• 45 Total Residential Tags  

 Offense Tags are as follows:  

• Tag 052 (4 times) – Residents’ Rights Offense 

Residents have the right to be free from: 1) sexual abuse; 2) physical abuse; 3) mental abuse; 4) corporal punishment; 5) neglect; and 6) involuntary seclusion. 

 Tag 241 (1 time) – Health Services Offense  

The administration of medications and the provision of residential nursing care shall be as ordered by the resident’s physician and shall be supervised by a licensed nurse on the premises or on call as follows: 1) Medication shall be administered by licensed nursing personnel or qualified medication aides.  

 Top Residential Deficiency Tags are as follows:  

• Tag 117 (7 times) – Personnel Deficiency 

Staff shall be 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. The number, qualifications, and training of staff depend on skills required to provide for the residents’ specific needs. A minimum of one (1) awake staff person, with current CPR and first aid certificates, shall always be on site. If fifty (50) or more residents of the facility regularly receive residential nursing services or administration of medication, or both, at least one (1) nursing staff person shall always be on site. Residential facilities with over one hundred (100) residents regularly receiving residential nursing services or administration of medication, or both, shall have at least one (1) additional nursing staff person always awake and on duty for every additional fifty (50) residents. Personnel shall be assigned only those duties for which they are trained to perform. Employee duties shall conform with written job descriptions.   

• Tag 273 (5 times) – Food and Nutritional Services Noncompliance  

All food preparation and serving areas (excluding areas in resident units) are maintained in accordance with state and local sanitation and safe food handling standards, including 410 IAC 7-24.  

• Tag 148 (4 times) – Sanitation and Safety Standards Deficiency  

The facility shall maintain buildings, grounds, and equipment in a clean condition, in good repair, and free of hazards that may adversely affect the health and welfare of the residents, or the public as follows: 1) Each facility shall establish and implement a written program for maintenance to ensure the continued upkeep of the facility. 2) The electrical system, including appliances, cords, switches, alternate power sources, fire alarm and detection systems, shall be maintained to guarantee safe functioning and compliance with state electrical codes. 3) All plumbing shall function properly and comply with state plumbing codes. 4) At least yearly, heating, and ventilating systems shall be inspected.   

• Tag 240 (3 times) – Health Services Deficiency  

Personal care, and assistance with activities of daily living, shall be provided based upon individual needs and preferences.   

• Tag 144 (3 times) – Sanitation and Safety Standards Deficiency 

The facility shall be clean, orderly, and in a state of good repair, both inside and out, and shall provide reasonable comfort for all residents.  

 Contact ldavenport@ihca.org for questions and/or assistance.