Arlington Place Health Campus: Insulin Safety Failure - IN
The resident, identified in inspection records as Resident D, had physician orders requiring 20 units of fast-acting lispro insulin three times daily and 40 units of long-acting lantus insulin with breakfast. Those orders were dated March 16, 2026. The May medication record showed she self-administered on May 2, May 8, May 14, and May 19.
The Director of Nursing Services told inspectors on May 29 that Resident D had chosen her own dosage amounts each time. The medical provider was aware, the director said. But no self-medication assessment had been completed.
The facility's own policy was direct about what was required. Any resident requesting to self-medicate was to be assessed using a specific observation tool in the electronic health record. That assessment was to go to the physician, who would then issue an order specifying exactly which medications the resident could self-administer. A care plan was to follow. None of that happened for Resident D.
Insulin is not a medication with a wide margin for error. The facility's own guidelines, provided to inspectors the day before the interview, listed blood sugar readings between 351 and 400 as requiring 10 units of insulin, and readings above 400 as requiring a call to the medical provider. A resident choosing her own dose, without a completed assessment on file and without a physician order in place, had no formal safety structure around those decisions.
Inspectors rated the violation as causing minimal harm or potential for actual harm. The inspection was conducted in response to a complaint.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Arlington Place Health Campus from 2026-05-29 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
ARLINGTON PLACE HEALTH CAMPUS in INDIANAPOLIS, IN was cited for violations during a health inspection on May 29, 2026.
Those orders were dated March 16, 2026.
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.