Zionsville Meadows: Memory Care Safety Failures - IN
That was one of several conditions inspectors documented during a complaint investigation at the facility. The problems were concentrated in Auguste's Cottage, a secured unit where residents with memory impairments live and move through common spaces without the same awareness of hazards that other residents might have.
In the unit's dining room, the heating and cooling unit mounted under the window had damaged the wall around it. The plasterboard base beneath the unit was chipped and peeling, and white debris had accumulated on the floor below. The cove base trim, meant to seal the gap between the wall and floor, had separated and fallen, leaving chipped paint exposed on the wall behind it.
The electrical outlet was a separate concern. In the hallway at the front of the nurses' desk, an outlet was missing its face plate entirely. The opening sat approximately one foot off the ground, putting it within easy reach of anyone passing in a wheelchair or walking by. In a general population hallway, that might be a maintenance oversight. In a secured memory care unit, where residents may not recognize the danger or be able to communicate that they've touched something they shouldn't have, the calculus is different.
Inspectors noted the outlet was within sight and reach of anyone ambulating past or seated in a wheelchair. The facility serves residents whose judgment and impulse control are often compromised by dementia. An uncovered outlet at floor level is not a theoretical risk in that context.
The supply storage area in the back hallway of the secured unit added to the picture. Boxes sat on the floor rather than on pallets. Packages of oxygen tubing and boxes of bandages had been left in the aisle. The area was disorganized in ways that could impede access in an emergency or create tripping hazards in a space where staff move quickly.
When inspectors asked for the facility's environmental safety policy during the survey process, none was provided.
The citation carries a harm level of minimal harm or potential for actual harm, and inspectors noted it affected a few residents. That designation reflects the absence of a documented injury, not an absence of risk. Memory care residents are among the most vulnerable in any nursing facility, and the conditions inspectors found in Auguste's Cottage, loose debris on a dining room floor, an uncovered electrical outlet at wheelchair height, a disorganized supply corridor, were not the result of a single bad day. They were the result of a unit that had not been maintained.
The inspection was conducted on August 20, 2025, with the report finalized August 21. The violations were cited under the federal requirement that nursing homes maintain a clean, safe, and sanitary environment. Zionsville Meadows was one of four hallways observed during the tour. The other three did not generate the same findings. The problems were specific to the memory care unit.
The trim that had been lying on the dining room floor, one end still attached to the wall, was not a new piece of material waiting to be installed. It was a piece that had separated and come to rest where residents walk every day to sit down for meals.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Zionsville Meadows from 2025-08-21 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.
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Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: October 15, 2026 · Our methodology
ZIONSVILLE MEADOWS in ZIONSVILLE, IN was cited for violations during a health inspection on August 21, 2025.
That was one of several conditions inspectors documented during a complaint investigation at the facility.
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.