Hooverwood: Nurse Diverted Resident's Narcotics - IN
She told inspectors she had never received narcotic pain medication during the day. She took Norco at night, when the pain was bad enough to keep her from sleeping. And when she did take it, she always took two tablets. Never one.
The nurse assigned to her care on the dates in question, identified as RN 6, had signed out Norco for Resident C on multiple occasions, typically one tablet around 8:00 a.m. and again after lunch. None of it was documented as administered in the electronic medication administration record. A second nurse on the unit, RN 5, told inspectors the rule was straightforward: if it wasn't in the MAR, it wasn't given. If a resident refused, you charted the refusal. You did not sign out a narcotic unless the resident had asked for it.
The facility terminated RN 6.
After the complaint was filed, Hooverwood audited all narcotic sheets, interviewed residents, retrained its nursing staff, and brought in the pharmacy for a house-wide narcotic audit. The Director of Nursing provided inspectors with the facility's own medication policies, which stated in capital letters that any nurse giving a PRN narcotic must document it in both the electronic record and on the narcotic count sheet.
The inspection, conducted December 19 and 22, 2025, was a complaint investigation. The citation noted minimal harm to residents affected, and the facility reported the deficient practice was corrected by December 17, before inspectors arrived.
Resident C told inspectors what she knew. She was a nurse. She understood exactly what a signed narcotic sheet was supposed to mean, and she understood what it meant that she had never seen those pills.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Hooverwood from 2025-12-22 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
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 19, 2026 · Our methodology
HOOVERWOOD in INDIANAPOLIS, IN was cited for violations during a health inspection on December 22, 2025.
She told inspectors she had never received narcotic pain medication during the day.
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.