Evergreen Crossing: Shower Temperature Failures - IN
The administrator told inspectors on August 11 that the problem had been brought to her attention on August 5. There was no centralized shower room on that hallway. Every resident had a private bathroom with a shower, and those showers were the only option, until they weren't. On August 5, the same day management learned about the temperature failures, an empty resident room was designated as a makeshift shower room where staff could take residents instead.
That was the fix.
Inspectors were still at the facility six days later, on August 11, when the administrator described the arrangement. The inspection had been triggered by a complaint.
The water temperature problem wasn't the only thing inspectors found tangled up in how the facility handled showers. Staff had been required to document that residents received showers in two separate places: on paper skin and shower sheets, or in nursing progress notes, and also in POC, the facility's electronic point-of-care documentation system. One certified nursing assistant, identified in the report as CNA 14, described the arrangement plainly during an interview on August 8.
"It was double documentation," CNA 14 said, "but that was the expectation."
That meant the same shower, for the same resident, on the same day, recorded twice in two different systems. Not as a check on accuracy. Just as the expectation.
The administrator provided inspectors with a Daily Skin Care policy on August 11. It was undated. She indicated it was the policy currently in use. The policy described skin care as including bathing, and outlined steps that included discussing resident preferences, documenting those preferences on a care plan, communicating them to caregiving staff, and monitoring residents' ability to care for themselves.
What the policy didn't account for was a hallway where the showers didn't produce water at the right temperature.
The citation was tagged at a level of minimal harm or potential for actual harm, and inspectors noted that some residents were affected. Under federal inspection standards, that level of harm means no resident was documented as having been injured, but the conditions created real risk.
For residents on the Lofts 1 hallway, the practical reality was that their private bathrooms, which existed specifically so they wouldn't have to share facilities, became unusable for showers. Staff had to identify them, move them, and bring them to a room that had been repurposed on short notice. Whether that happened consistently, and for every resident who needed it, the inspection report does not say.
What it does say is that when inspectors asked about documentation, they found staff split between systems, a nursing assistant describing redundant charting as standard practice, and a facility policy that was being handed over without a date on it.
The complaint that triggered the inspection was logged under intake number 2581409. The inspection was completed August 11, 2025.
Evergreen Crossing and the Lofts is located at 5404 Georgetown Road in Indianapolis.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Evergreen Crossing and the Lofts from 2025-08-11 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: July 4, 2026 · Our methodology
EVERGREEN CROSSING AND THE LOFTS in INDIANAPOLIS, IN was cited for violations during a health inspection on August 11, 2025.
The administrator told inspectors on August 11 that the problem had been brought to her attention on August 5.
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.