Richland Bean Blossom: Transfer Notice Failures - IN
Federal inspectors found the facility systematically failed to provide required transfer documentation to residents and their representatives during hospital discharges. The violations affected multiple residents over several months, including patients with serious conditions like chronic respiratory failure, diabetes, chronic kidney disease, and dementia.
The pattern emerged during an April inspection when investigators reviewed clinical records for residents who had been transferred to hospitals. In each case examined, the facility had no documentation showing they provided the mandatory written notices to patients or their families.
One resident was discharged to the hospital on March 22 for respiratory failure after battling chronic respiratory conditions and diabetes. Despite the serious nature of the transfer, inspectors found no evidence the facility provided written notice of transfer policies or bed-hold procedures to the resident or their representative.
Another case involved a resident with chronic kidney disease and dementia who was discharged to the hospital on December 23, 2025. Again, the facility failed to document providing any written transfer notice or bed-hold policy information to the resident or their family.
The Director of Nursing acknowledged the systematic failure during the inspection. On April 10 at 11:50 a.m., she confirmed there was no documentation that notice of transfer, discharge, or bed-hold policies had been provided to residents or their representatives in writing.
Federal regulations require nursing homes to provide detailed written information when transferring residents to hospitals or other facilities. The notices must explain discharge policies, bed-hold procedures, and residents' rights in language they can understand.
The facility's own policy, dated January 15, 2026, explicitly outlined these requirements. According to the document provided by the Administrator, transfer notices must be given to residents and their representatives "in a language and manner in which they can understand." For hospital transfers, the policy specified that facilities must "provide a notice of transfer and the facility's bed-hold policy to the resident and representative as indicated."
The policy also required detailed information sharing with receiving providers, including contact information for the resident's primary practitioner, advance directive information, and "all other information necessary to meet the resident's needs."
For emergency transfers to acute care, the facility's own rules mandated documenting "assessment findings and other relevant information regarding the transfer in the medical record" and providing transfer notices and bed-hold policies to residents and their representatives.
Yet inspectors found none of this documentation for the residents they examined. The gap between written policy and actual practice left families without crucial information about their loved ones' care transitions and rights.
Bed-hold policies are particularly important for nursing home residents and families because they determine whether a resident can return to the same facility after hospitalization and under what circumstances they might lose their bed. Without written notice of these policies, families cannot make informed decisions about their loved one's care.
The violations occurred over a span of several months, suggesting the documentation failures were not isolated incidents but part of a broader pattern of non-compliance with federal transfer requirements.
Transfer notices serve as critical communication tools between nursing homes and families during medical emergencies. They ensure families understand their options, rights, and the facility's obligations during what are often stressful and confusing situations.
The inspection classified the violations as causing minimal harm or potential for actual harm to residents. However, the systematic nature of the documentation failures affected multiple residents and their families across different time periods.
The facility violated multiple sections of Indiana Administrative Code requirements governing transfer procedures, resident rights, and documentation standards for nursing home operations.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Richland Bean Blossom Health Care Center from 2026-04-10 including all violations, facility responses, and corrective action plans.
Additional Resources
- View all inspection reports for Richland Bean Blossom Health Care Center
- Browse all IN nursing home inspections
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: June 12, 2026 · Our methodology
RICHLAND BEAN BLOSSOM HEALTH CARE CENTER in ELLETTSVILLE, IN was cited for violations during a health inspection on April 10, 2026.
The pattern emerged during an April inspection when investigators reviewed clinical records for residents who had been transferred to hospitals.
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.
Frequently Asked Questions
- What happened at RICHLAND BEAN BLOSSOM HEALTH CARE CENTER?
- The pattern emerged during an April inspection when investigators reviewed clinical records for residents who had been transferred to hospitals.
- How serious are these violations?
- Violation severity varies from minor documentation issues to serious safety concerns. Review the inspection report for specific deficiency codes and scope. All violations must be corrected within required timeframes and are subject to follow-up verification inspections.
- What should families do?
- Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in ELLETTSVILLE, IN, (5) Report any new concerns directly to state authorities.
- Where can I see the full inspection report?
- The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from RICHLAND BEAN BLOSSOM HEALTH CARE CENTER or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 155523.
- Has this facility had violations before?
- To check RICHLAND BEAN BLOSSOM HEALTH CARE CENTER's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.