Indian Creek Healthcare Center

Stop f*g following me.

The resident was removed from the situation.

Housekeeper 5 had been let go, after the incident.

Resident B liked to wander and have something to do. No other occurrences of verbal abuse occurred at the facility.

During an interview, on 11/19/25 at 10:00 a.m., the Housekeeping Director indicated CNAs 3 and 6 came to her and told her what the housekeeper had said to Resident B.

Housekeeper 5 said, Stop f*g following me.

The housekeeper was in the housekeeping closet when Resident B followed him to it.

Resident B had been in the military and could look intimidating to staff, until they got to know him.

Resident B liked to keep tabs on staff and be with them.

After CNAs 3 and 6 told the Housekeeping Director what Housekeeper 5 said, the Housekeeping Director immediately removed Housekeeper 5 from the floor.

Housekeeper 5 would not give her his statement regarding the events initially but did so a few days later and admitted to what he said. He didn't normally work over there on the 100 Hall unit, but no other issues had been identified regarding him, his work or his language. He had a deep tone to his voice when he spoke. He had since been terminated. An in-service on Abuse was given to staff after the incident.

During an interview, on 11/19/25 at 10:06 a.m., CNA 3 indicated she was walking with CNA 6 assisting another resident.

They both heard Housekeeper 5 say, Stop f*g following me, I'm not the one to follow.

Housekeeper 5 indicated this in a whisper yell. He could be heard by them, even though they were walking another resident on the hall.

Housekeeper 5 had worked on the 100 Hall unit multiple times. CNA 3 left the other resident with CNA 6, to remove Resident B from the situation and to an activity.

She reported the incident to the nurse, unit manager, and DON. CNA 6 walked the other resident back to their room. An abuse in-service was conducted after the incident occurred.

Housekeeper 5 was removed from the building.

During an interview, on 11/19/25 at 10:48 a.m., the ED indicated she was out of town when the incident occurred. CNA 3 heard Housekeeper 5 make the remark to Resident B.

The resident didn't hear it.

The resident was removed, and staff were notified of the situation.

The resident could not recall anything.

Other residents were interviewed during the investigation.

Housekeeper 5 had never done this before.

The housekeeper had worked at the facility for several years. He was suspended and then would not answer the phone. It was more of a whisper, but the CNAs could hear it.

The staff were in-serviced on abuse that day.

The current Abuse and Neglect and Misappropriation policy, included, but was not limited to, .

Will: In Indiana, the individual's action was deliberate (not inadvertent or accidental), regardless of whether the individual intended to inflict injury or harm.

Mental Abuse: In Indiana, verbal or nonverbal infliction of anguish, pain, or distress that results in psychological or emotion suffering; this may include staff to resident, any episode, or resident to resident, if it is willfully directed towards a specific resident.The Past noncompliance began on 10/29/25 and the deficient practice corrected by 11/18/25 after the facility implemented a systemic plan that included the following actions: The facility completed staff education on abuse (10/29/25), physician and police notification completed on (10/29/25), facility wide resident interviews completed related to abuse (10/30/25), psychosocial follow-up 3 day follow-up completed by Social Service Designee and DON (11/1/25), and ongoing abuse audits with residents (11/18/25).3.1-27(a)(1)3.1-27(b)

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