Beech Grove Meadows
BEECH GROVE MEADOWS in BEECH GROVE, IN — inspection on March 27, 2026.
Found 3 citations. 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
During the observation, Resident B never acknowledged the meal tray that had been sitting in front of her.On 3/26/26 at 9:31 a.m., CNA 1 walked into Resident B's room and asked Resident B why she hadn't eaten any of her food. CNA 1 picked up the spoon and offered to feed Resident B some scrambled eggs.
Resident B spoke nonsensical to CNA 1. At that time, CNA 1 indicated staff should have been in Resident B's room to assist her to eat.
The clinical record for Resident B was reviewed on 3/26/26 at 10:35 a.m.
The diagnoses included, but were not limited to, dementia, malnutrition, and heart failure.An Annual Minimum Data Set (MDS) assessment, dated 12/22/26, indicated Resident B was severely cognitively impaired, had complaints of difficulty and pain swallowing, and had been placed on a mechanically altered diet.A care plan, dated 9/24/20 and current through 6/9/26, indicated Resident B required assistance with ADL's including, but not limited to, eating related to her recent hospitalization.
Interventions included, but were not limited to, assist with eating and drinking as needed.During an interview on 3/26/26 at 1:51 p.m., RN 1 indicated the meal tray should not have been left sitting in front of Resident B.
The CNA should have taken the tray into her room, prepared the meal for her, and asssited Resident B to eat right then. On 3/26/26 at 1:13 p.m., the Administrator provided a copy of a skills competency, titled Assist to Eat, dated 3/2023, and indicated this was the current skills competency used by the facility. A review of the competency indicated assist resident to sit in upright position.
Make sure resident is comfortable and serve meal with main course toward the resident.This citation relates to Intake 2801211410 IAC (Indiana Administrative Code) 16.2-3.1-38(a)(3) 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
155072 03/27/2026
Beech Grove Meadows 2002 Albany St Beech Grove, IN 46107
individual needs.
prescribed with a mechanically altered diet received ground meat for the breakfast meal for 1 of 3
9:35 a.m., Resident B was sitting up in bed staring forward.
Sitting in front of Resident B was a meal tray on the bedside table which had been pulled up to her.
The meal ticket that sat on the meal tray indicated Resident B had been placed on a regular diet with ground meat.
Resident B was to be served scrambled eggs, ground meat sausage patty with pork gravy, toast, butter and jelly. On the tray, a whole (unground) sausage patty with no pork gravy was observed.On 3/26/26 at 9:31 a.m. CNA 1 indicated Resident B's sausage patty should have been ground and there should have been pork gravy on the tray.
The clinical record for Resident B was reviewed on 3/26/26 at 10:35 a.m.
The diagnoses included, but were not limited to, dementia, malnutrition, and heart failure.An Annual Minimum Data Set (MDS) assessment, dated 12/22/26, indicated Resident B was severely cognitively impaired, had complaints of difficulty and pain swallowing, and had been placed on a mechanically altered diet.A care plan, dated 9/29/20 and current through 6/9/26, indicated Resident B was at risk for unintentional weight loss due to increased nutritional needs.
Interventions included, but were not limited to, regular diet with ground meats and monitor food and fluid intake at meals.A current physician's order, started on 4/17/25, indicated Resident B had been placed on a regular diet with ground meats.
During an interview on 3/26/26 at 2:00 p.m., the Dietary Manager indicated the sausage patty that had been served to Resident B should have been ground before it left the kitchen.On 3/26/26 at 1:34 p.m., the Administrator provided a copy of a facility policy, titled Diet Orders, dated 8/2025, and indicated this was the current policy used by the facility. A review of the policy indicated in order to help maintain/improve nutrition and quality of life the Registered Dietitian, or designee, will evaluate the need for more restricted diet therapy according to each resident's individual medical condition, needs, desires, and rights.This citation relates to Intake 2801211.410 IAC (Indiana Administrative Code) 16.2-3.1-21(a)(3)
155072 03/27/2026
Beech Grove Meadows 2002 Albany St Beech Grove, IN 46107
in accordance with accepted professional standards.
consumption had been documented accurately for 1 of 3 residents reviewed for documentation.
staring forward.
Resident B spoke nonsensical and repeated the same words.
Sitting in front of Resident B was a meal tray on the bedside table which had been pulled up to her. On the plate was scrambled eggs, toast, a sausage patty, oatmeal, and orange juice.
The food had been uncovered and uneaten.
The silverware was still in the napkin. On 3/26/26 at 9:31 a.m., CNA 1 walked into Resident B's room and asked Resident B why she hadn't eaten any of her food. CNA 1 picked up the spoon and offered to feed Resident B some scrambled eggs.
Resident B spoke nonsensical to CNA 1.The clinical record for Resident B was reviewed on 3/26/26 at 10:35 a.m.
The diagnoses included, but were not limited to, dementia, malnutrition, and heart failure.An Annual Minimum Data Set (MDS) assessment, dated 12/22/26, indicated Resident B was severely cognitively impaired, had complaints of difficulty and pain swallowing, and had been placed on a mechanically altered diet.A care plan, dated 9/29/20 and current through 6/9/26, indicated Resident B was at risk for unintentional weight loss due to increased nutritional needs.
Interventions included, but were not limited to, regular diet with ground meats and monitor food and fluid intake at meals.
The meal consumption documentation, dated 3/26/26 at 9:20 a.m., indicated CNA 1 documented that Resident B had consumed 26-50% of her breakfast meal.
This documentation was entered into the electronic medical record approximately ten minutes before CNA 1 entered Resident B's room and asked why she hadn't eaten any of her food.
During an interview on 3/26/26 at 1:51 p.m., RN 1 indicated CNA 1 should not have documented Resident B's meal consumption before she checked to see if she had eaten anything.On 3/26/26 at 1:13 p.m., the Administrator provided a copy of a skills competency, titled Assist to Eat, dated 3/2023, and indicated this was the current skills competency used by the facility. A review of the competency indicated after the meal is finished document the meal consumption.This citation relates to Intake 2801211.410 IAC (Indiana Administrative Code) 16.2-3.1-50(a)(2)