Harrison Terrace: Behavior Care Plan Failures - IN
The inspection, completed September 8, 2025, centered on Resident C, a man whose behavior had been escalating for weeks before inspectors arrived. He had been moved between rooms multiple times since his admission. By late July, he was grabbing at other residents.
It happened on July 28. It happened again on July 29. The interdisciplinary team met and reviewed the behaviors. A care plan was never started.
The Social Services Director told inspectors on September 4 that the team had reviewed the grabbing incidents but that no care plan had been initiated when the new behaviors first appeared. The facility's own behavior management policy, revised in August 2022 and provided to inspectors by the administrator, states plainly that care plans should be initiated for any behavioral expression that is problematic or distressing to the resident, other residents, or caregivers. Grabbing other residents qualifies.
On July 31, Nurse Practitioner 8 visited Resident C and started him on lorazepam, a sedative, for anxiety and agitation. She told inspectors she was aware at the time of her visit that he was scheduled to receive a private room as an intervention for his anxiety. The room changes and the new medication together suggest staff understood something was wrong. The care plan still did not get written.
The facility's own policy also states that a care plan should be initiated when a resident is receiving a psychotropic medication used to treat mood or behavior, and that the care plan should clearly identify the specific behavioral expression the prescriber identified as the reason for the medication. Lorazepam was started July 31. The care plan requirement applied from that date. Nobody started one.
On August 14, Resident C's behavior toward Resident B crossed into something the nurse practitioner herself described as not normal for him. The inspection report does not specify what occurred, but the incident was serious enough to generate two separate complaint intakes — 2591193 and 2589663 — that triggered the investigation.
The facility's behavior management policy runs to at least seven numbered provisions. The seventh states that direct care staff will be educated about the interventions for residents reviewed by the interdisciplinary team. Without a care plan, there were no documented interventions to educate anyone about.
Harrison Terrace is operated by American Senior Communities, whose name appears on the behavior management policy the administrator handed over. The policy is not vague. It does not leave room for interpretation about when care plans are required. The social services director, the nurse practitioner, and the interdisciplinary team all had contact with Resident C during the weeks his behavior was worsening. None of them produced the document the policy required.
Inspectors cited the deficiency under F0744, which covers behavioral health services for residents, at a level of minimal harm or potential for actual harm, affecting a few residents. The citation reflects what the regulation allows inspectors to document. It does not reflect what it was like to be Resident B on August 14.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Harrison Terrace from 2025-09-08 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: June 30, 2026 · Our methodology
HARRISON TERRACE in INDIANAPOLIS, IN was cited for violations during a health inspection on September 8, 2025.
The inspection, completed September 8, 2025, centered on Resident C, a man whose behavior had been escalating for weeks before inspectors arrived.
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.