Hooverwood: Immediate Jeopardy Safety Failure - IN
The resident, identified in inspection records as Resident B, had been moved to a locked unit after the November elopement specifically because she had a history of exit-seeking behavior. When she got out in November, staff called her daughter, who talked her back inside over the phone. After that incident, the facility moved her upstairs to a locked unit for her safety.
She got out anyway.
On December 23, sometime after lunch, LPN 7 was near the nurses' station when a door alarm went off. She told inspectors she wasn't sure what the alarm was. She and another nurse followed the sound to a west door at the end of the hallway, looked through the window, and saw nobody. She reset the alarm. The nurses then counted residents on their unit, a first-floor unit, and everyone was accounted for. LPN 7 said she didn't learn about the elopement until later, when the facility called a code purple.
Resident B had already made it down the road. She was found walking on the side of a road that had no sidewalk.
Her daughter told inspectors she received a call around 2:30 p.m. that day saying her mother had gotten out of the building and had been located down the road. The facility had been calling her whenever her mother had exit-seeking episodes so she could talk her down.
The Director of Nursing told inspectors the facility's elopement policy did not include instructions for how staff were supposed to respond when a door alarm activated. An electronics company was called in on December 24 and tested every door locking system on the property. All systems were working properly.
The door wasn't the problem. Resident B's daughter was waiting for a call that came too late.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Hooverwood from 2025-12-30 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: August 5, 2026 · Our methodology
HOOVERWOOD in INDIANAPOLIS, IN was cited for immediate jeopardy violations during a health inspection on December 30, 2025.
When she got out in November, staff called her daughter, who talked her back inside over the phone.
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.