Adams Heritage: Depression Care Plan Missing - IN
Both were describing the same resident.
Inspectors from the Indiana State Department of Health visited Adams Heritage on May 26, 2026, and pulled the records for a resident identified in the report as Resident 3. The resident carried diagnoses of major depressive disorder, obesity, and a history of falling. A standardized cognitive assessment, the Basic Interview for Mental Status, had scored them at 15 out of 15, meaning they were fully cognitively intact, aware of their surroundings, and capable of understanding their own care.
There was no care plan for the depression. No documented interventions. No measurable goals. No time frames. Nothing on paper that said the facility had a plan for managing one of that resident's primary diagnoses.
When inspectors interviewed the administrator on May 29 at 12:51 in the afternoon, the response was confident. The care plan was personalized, the administrator said. Staff were monitoring behaviors related to depression.
Forty-two minutes later, inspectors sat down with the Director of Nursing. The DON said the facility did not have any care plans specific to major depressive disorder.
That gap, between what the administrator believed was happening and what the DON confirmed was not, is the central finding of this inspection. It is not a paperwork technicality. A care plan for a resident with major depressive disorder is the document that tells every nurse and aide who walks into that room what to watch for, what to do when symptoms worsen, and what the goals of care actually are. Without it, monitoring is informal at best. At worst, it doesn't happen at all.
The DON provided inspectors with a facility policy dated May 29, 2026, the same day as the interviews, stating that care plans would include measurable objectives and time frames for meeting residents' medical, nursing, and mental and psychosocial needs. The date on that policy is worth noting. It was produced the day inspectors were asking questions about whether one existed.
Major depressive disorder in nursing home residents is not a background condition. It affects how people eat, sleep, engage with staff, and recover from illness or injury. For a resident who also has a history of falling, depression matters clinically. Motivation, attention, and physical engagement all factor into fall risk. A resident who is depressed and not being treated for it is a resident whose other care needs become harder to manage.
Inspectors cited the deficiency under Indiana Administrative Code 16.2-3.1-50(a)(2), which governs care planning requirements for nursing facilities. The level of harm was classified as minimal harm or potential for actual harm, affecting a small number of residents. In the language of federal inspection reports, that is among the lower severity ratings available. It does not mean nothing happened. It means inspectors could not document that harm had already occurred, only that the conditions for it were present.
What the report leaves open is how long Resident 3 had been living at Adams Heritage without a depression care plan in place. The inspection reviewed records on May 26. The quarterly MDS assessment, the standardized evaluation that captured the resident's cognitive score and diagnoses, was current at the time of review. That means the depression diagnosis was known to the facility. It was in the record. It simply had not been translated into a plan.
The administrator's confidence that monitoring was occurring, offered without any documentation to support it, is the detail that stays. A cognitively intact person with a serious psychiatric diagnosis, living in a facility where the person responsible for nursing could not confirm their condition had ever been formally addressed in writing.
Whether anyone had actually been watching, the paper trail did not show it.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Adams Heritage from 2026-06-01 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
ADAMS HERITAGE in MONROEVILLE, IN was cited for violations during a health inspection on June 1, 2026.
Both were describing the same resident.
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.