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Complaint Investigation

Auburn Village

May 26, 2026 · Auburn, IN · 1751 Wesley Road
Citations 1
CMS Rating 3/5
Beds 111
Provider ID 155666
Healthcare Facility
Auburn Village
Auburn, IN  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

AUBURN VILLAGE in AUBURN, IN — inspection on May 26, 2026.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0580
Resident Rights Deficiencies

(injury/decline/room, etc.) that affect the resident.

interview and record review, the facility failed to ensure timely family notification of a resident's

C's record was reviewed.

Diagnoses included cancer and diseased arteries.

The resident admitted to the facility with hospice services due to expected decline and had orders to not resuscitate if found without a pulse or respirations.

Resident C's face sheet had a Power of Attorney (POA) listed as the 1st contact for notifications of changes in condition and a family member as his 2nd contact for notifications of changes in condition. A nurse note, dated [DATE] at 3:40 a.m., indicated the resident was observed lying in bed without a pulse or respirations. A second nurse verified he was deceased and the hospice nurse contacted.

The note indicated Resident C's POA was aware of the resident's death. An on-call Nurse Practitioner (NP) note, dated [DATE] at 4:10 a.m., indicated facility staff reported Resident C had passed away and hospice notified but were not given an order to release the body to the funeral home.

The NP replied with an order to release the body when hospice and family were ready. On [DATE] at 12:35 P.M., Resident C's family member was interviewed.

The family member indicated family were not notified of the resident's death until 2 days after he died.

The residents POA had been hospitalized and hadn't had their phone.

The resident's record listed a 2nd emergency contact name and number, but the 2nd emergency contact was not notified of the death.

On [DATE], the POA's voicemail on their phone was played, and family heard the message indicating the resident had passed away, was sent to the funeral home, and cremated.

The family member indicated neither she, nor the rest of the family were given the opportunity to say goodbye to the resident which was very upsetting.

She indicated staff must have known to call the 2nd contact because when the resident fell on [DATE], the POA was not notified but the 2nd contact was. On [DATE] at 1:01 P.M., the Director of Nursing was interviewed.

She indicated staff had tried to contact the POA 3 times before notifying the funeral home but had not tried to contact the 2nd family member listed.

Staff should have called all the listed contact numbers and spoken with someone prior to releasing Resident C's body to the funeral home. On [DATE] at 3:20 P.M., a current facility policy, titled Change in a Resident's Condition or Status was provided by the Administrator.

The policy indicated the facility would promptly notify the resident, attending physician and representative of changes in the resident's condition and/or status.

This Citation refers to Intake 3016183. 410 IAC (Indiana Administrative Code) 16.2-3.1-5(a)(2) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in AUBURN, IN, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from AUBURN VILLAGE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.

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