Marquette: Documentation Violations - IN
The state long-term care ombudsman, the independent advocate that residents of nursing homes can turn to when something goes wrong, was left out of the loop entirely. The facility had sent the resident, identified in inspection records only as Resident 60, to the hospital without providing the required written notice. The ombudsman learned what had happened not through any communication from Marquette, but through the inspection process itself.
Federal inspectors who arrived at Marquette on February 2, 2026 documented the lapse. During an interview that afternoon, the facility's executive director acknowledged that the home had been notifying the ombudsman only when residents were discharged on an emergency basis, and had not notified the ombudsman of Resident 60's scheduled discharge. The distinction the facility had drawn, between emergent and scheduled transfers, was not one the rules recognize. Both require notice.
The ombudsman program exists specifically for moments like this one. When a resident leaves a nursing home, whether by ambulance or by arrangement, that person has the right to appeal the transfer. The ombudsman is supposed to receive written notice at the same time the resident and the resident's representative do, so that someone outside the facility's walls knows what is happening and can intervene if needed. At Marquette, that did not occur.
The facility's own policy, a document titled Transfer Emergency Discharge provided to inspectors on January 30, 2026, spelled out the requirement clearly. The notice to the ombudsman's office, the policy states, is sent at the same time the notice is provided to the resident. The policy did not have a date on it.
Whether the policy was new, revised after the problem surfaced, or had existed for some time without being followed, the inspection record does not say.
What the record does say is that the facility identified the problem before inspectors arrived. The executive director told inspectors the lapse had already been noticed and that a plan of correction had been completed on January 16, 2026, more than two weeks before the survey began on February 2. That correction involved facility-wide audits, staff education, and a policy update.
Inspectors rated the violation as causing minimal harm or the potential for actual harm, and noted that few residents were affected.
That framing captures the regulatory classification, but it does not capture what the ombudsman notification requirement is actually for. The ombudsman cannot advocate for a resident's right to appeal a transfer if no one has told the ombudsman the transfer is happening. A resident who is moved to a hospital, whether in crisis or by plan, is in a vulnerable moment. The window to object, to ask questions, to have someone on the outside paying attention, does not stay open indefinitely.
Marquette is located in Indianapolis. The inspection was conducted on February 2, 2026.
The facility told inspectors the problem was fixed. Staff had been educated. Audits had been completed. The policy, now updated, requires the ombudsman to receive written notice at the same time the resident does.
Resident 60 was already at the hospital by the time any of that happened.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Marquette from 2026-02-02 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 4, 2026 · Our methodology
MARQUETTE in INDIANAPOLIS, IN was cited for violations during a health inspection on February 2, 2026.
The facility had sent the resident, identified in inspection records only as Resident 60, to the hospital without providing the required written notice.
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.