Communities at Indian Haven: Assessment Failures Repeat - PA
Communities at Indian Haven, a nursing home in Indiana, Pennsylvania, was cited in the spring of 2024 for failing to provide accurate resident assessments. Assessments are the foundation of nursing home care, the documents that tell staff who a resident is, what they need, what has changed. When they are inaccurate or overdue, care decisions get made on bad information.
After that 2024 citation, the facility did what facilities do. It wrote a plan of correction. The plan said the facility would conduct audits to check whether assessments were being completed properly and on time. Those audit results would go to the QAPI committee, the facility's internal quality oversight body, which would review them and make sure the problem stayed fixed.
The plan sounded serious. It was not enough.
When federal inspectors returned to Communities at Indian Haven on February 5, 2025, they found the same deficiency waiting for them. Residents were still not receiving accurate assessments on the required quarterly schedule. The QAPI committee, the group specifically charged with catching exactly this kind of lapse, had failed to catch it.
The citation issued this year, under F638, documents the breakdown plainly: the facility's own quality assurance process did not successfully implement the plan it had created to prevent ongoing violations.
That is a specific kind of failure. It is not a facility that was unaware of a problem. It is a facility that identified the problem, designed a solution, assigned oversight responsibility, and then watched the solution fail without intervening. The committee that was supposed to be reviewing audit results either was not getting them, was not acting on them, or was not asking the right questions. The inspection report does not say which. It says only that the committee failed to successfully implement the plan.
What that means for residents is harder to see from the outside, but not difficult to reason through. Quarterly assessments exist because people change. A resident who was walking in October may not be walking in January. A resident who was eating well in the spring may be losing weight by fall. The assessment is how the care plan catches up to the person. When assessments are late or inaccurate, that update does not happen. Staff may be working from information that no longer reflects who the resident is or what they need.
Communities at Indian Haven had a full year between the 2024 citation and the February 2025 inspection. Twelve months during which the QAPI committee was supposed to be reviewing audit results and confirming that assessments were being completed correctly. The results of the 2025 survey suggest that review was not functioning the way the plan described.
The facility has not publicly responded to the February 2025 findings. Inspection reports of this kind typically result in a new plan of correction, which the facility will submit and which will describe, again, how it intends to fix the problem.
There is no way to know from this report how many residents were affected, or whether any specific resident received care based on outdated or inaccurate information during the period between the two inspections. The report does not name residents or describe individual consequences. It describes a system failure, one that was identified, addressed on paper, and then allowed to persist.
The QAPI process is meant to be the internal check that catches problems before outside inspectors do. At Communities at Indian Haven, inspectors arrived and found that the check had not worked, that the committee had not caught what it was specifically created to catch, and that the residents whose assessments were overdue or inaccurate had been waiting, without anyone in the building noticing, for a full year.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Communities At Indian Haven, from 2025-02-05 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 8, 2026 · Our methodology
COMMUNITIES AT INDIAN HAVEN, in INDIANA, PA was cited for violations during a health inspection on February 5, 2025.
Communities at Indian Haven, a nursing home in Indiana, Pennsylvania, was cited in the spring of 2024 for failing to provide accurate resident assessments.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.