Harcourt Terrace Nursing: Care Refusal Violation - IN
Then she was allowed to come back.
Federal inspectors visited Harcourt Terrace Nursing and Rehabilitation on September 23, 2025, following a complaint. What they found, documented in a CMS inspection report, was a citation for failing to honor a resident's right to refuse care, and a sequence of events that raised questions about how the facility responds when a resident signals distress.
The resident at the center of the complaint is identified in inspection records only as Resident C. During the incident, QMA 7, a qualified medication aide, was in the process of changing Resident C's brief. Resident C yelled out. QMA 7 stopped what she was doing. She said later that she intended to go find the nurse because she believed Resident C was in pain.
She never made it to the nurse. CNA 4 walked into the room and told her to stop the care. Then CNA 4 went and reported QMA 7 to the nurse. QMA 7 was suspended.
QMA 7 described the sequence herself during an interview with inspectors on September 22, 2025, at 4:30 p.m. Her account was straightforward: she heard the resident cry out, she stopped, she was going to report it, and instead she was the one who got reported. She was eventually allowed to return to work. The inspection report does not say how long the suspension lasted, what investigation the facility conducted before reinstating her, or whether CNA 4 faced any review.
The citation, tagged F0677, covers the basic care and services owed to residents, including the right to have care stopped when they indicate they do not want it to continue. Resident C yelled out. That was enough. The inspection classified the level of harm as minimal harm or potential for actual harm, and noted that few residents were affected.
The facility's own written policy on resident rights, dated December 2017 and provided to inspectors by the Director of Nursing on September 22, states plainly that residents have the right to be treated with consideration, respect, and recognition of their dignity and individuality, and that residents have the right to refuse any treatment or service, including medication. The policy existed. It was on file. It did not prevent what happened to Resident C.
A separate facility policy on ambulation with a walker, dated February 2010 and also provided by the Director of Nursing, was included in the inspection record. It outlines steps for safely assisting a resident to stand, including placing a gait belt, bracing the walker, and walking slightly behind and to the resident's affected side. Inspectors included it in the record, though the inspection narrative does not specify how it connects directly to Resident C's situation.
What is clear is this: a resident in the middle of a personal care task cried out, and the staff member providing that care made the decision to stop. That decision, the one that aligned with what the resident's own body was communicating, resulted in a suspension.
The inspection report does not say what happened to Resident C after QMA 7 left the room. It does not say whether anyone went back to complete the care, whether a nurse assessed Resident C for pain, or whether Resident C was left in a soiled brief while the facility sorted out what to do about the aide who had paused to listen to her.
Harcourt Terrace's policy says residents will be treated with recognition of their dignity and individuality. Resident C yelled out. The aide who stopped is the one who got sent home.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Harcourt Terrace Nursing and Rehabilitation from 2025-09-23 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: September 14, 2026 · Our methodology
HARCOURT TERRACE NURSING AND REHABILITATION in INDIANAPOLIS, IN was cited for violations during a health inspection on September 23, 2025.
Then she was allowed to come back.
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.