Evergreen Crossing and The Lofts: Insulin Errors - IN
The citation centered on two types of insulin with very different requirements. Humalog, a rapid-acting insulin, must be given within 15 minutes before a meal or immediately after one, because it is designed to act quickly and match the glucose spike that comes from eating. Lantus works the opposite way, releasing slowly and steadily over the course of a day to manage blood sugar between meals and overnight. It requires injection once daily, at the same time every day, to maintain consistent coverage.
The facility's own medication administration policy, which a Regional President of Risk Management handed to inspectors at 2:15 p.m. on December 31, called for staff to observe the five rights of medication administration, including the right time. The policy was undated.
That policy was not being followed.
The Risk Management official provided the manufacturer prescribing information for both insulins during the inspection, acknowledging what the correct protocols were. Inspectors noted the violation affected a small number of residents and classified the level of harm as minimal or potential for actual harm.
Insulin timing is not a bureaucratic formality. Rapid-acting insulin administered without regard to meal timing can cause blood sugar to drop before food is eaten, or spike after, depending on when the dose lands. For elderly residents, who are already at elevated risk for complications from blood sugar swings, the window matters.
The facility's policy said to give the right medication at the right time. The inspection found that wasn't happening.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Evergreen Crossing and the Lofts from 2025-12-31 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
EVERGREEN CROSSING AND THE LOFTS in INDIANAPOLIS, IN was cited for violations during a health inspection on December 31, 2025.
The citation centered on two types of insulin with very different requirements.
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.