Richland Bean Blossom Health Care Center
RICHLAND BEAN BLOSSOM HEALTH CARE CENTER in ELLETTSVILLE, IN — inspection on April 10, 2026.
Found 4 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
were not limited to, chronic respiratory failure and diabetes.
failure.
There was no documentation that indicated a notice of transfer/discharge or bed hold policy was provided to the resident and/or the resident's representative in writing.
- On 4/9/26 at 3:10 p.m., Resident 7 's clinical record was reviewed.
The diagnoses included, but were not limited to, chronic kidney disease and dementia.
Progress notes indicated on 12/23/25 the resident was discharged to the hospital.
There was no documentation that indicated a notice of transfer/discharge or bed hold policy was provided to the resident and/or the resident's representative in writing.
On 4/10/26 at 11:50 a.m., the Director of Nursing indicated there was no documentation that notice of transfer/discharge or bed hold policy was provided to the residents and/or the residents' representatives in writing.
On 4/10/26 at 12:00 p.m., the Administrator provided the facility's policy Transfer and Discharge (including Against Medical Advice [AMA]) dated 1/15/26, and indicated it was the policy currently being used by the facility. A review of the policy indicated, .3.
The facility's transfer/discharge notice will be provided to the resident and resident's representative in a language and manner in which they can understand .8.
For a transfer to another provider, for any reason, the following information must be provided to the receiving provider: a.
Contact information of the practitioner who was responsible for the care of the resident .c.
Advance directive information .d.
All other information necessary to meet the resident's needs .10.
Emergency Transfers to Acute Care .f.
Document assessment findings and other relevant information regarding the transfer in the medical record. g.
Provide a notice of transfer and the facility's bed-hold policy to the resident and respresentative as indicated . 410 IAC (Indiana Administrative Code) 16.2-3.1-12(a)(6)(A)(i)410 IAC 16.2-3.1-12(a)(6)(A)(ii)410 IAC 16.2-3.1-12(a)(6)(A)(iii)410 IAC 16.2-3.1-12(a)(25)(A)410 IAC 16.2-3.1-12(a)(25)(B)410 IAC 16.2-3.1-12(a)(26)
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Richland Bean Blossom Health Care Center 5911 State Road 46 Ellettsville, IN 47429
assessment.
MDS (Minimum Data Set) data to the CMS (Centers for Medicare and Medicaid) System within 14
include:On 4/9/26 at 10:06 a.m., Resident 36's clinical record was reviewed. An Annual MDS assessment, dated 2/23/26, indicated it was over 120 days past due for submission to CMS.During an interview on 4/10/26 at 11:22 a.m., the MDS coordinator indicated she had 2 care area assessments left to complete on the annual MDS assessment, she had just completed them and had submitted the MDS to CMS.
During an interview on 4/10/26 at 12:05 p.m., the Administrator indicated the facility did not have a policy in regard to MDS transmissions.
155523 04/10/2026
Richland Bean Blossom Health Care Center 5911 State Road 46 Ellettsville, IN 47429
During an interview on 4/10/26 at 11:10 a.m., the MDS coordinator indicated she corrected the resident's MDS assessment to accurately reflect the PASARR Level II information.
During an interview on 4/10/26 at 12:05 p.m., the Administrator indicated the facility did not have a policy in regard to MDS assessment coding, but followed the RAI (Resident Assessment Instrument) manual.
- On 4/9/26 at 9:38 a.m., Resident 27's clinical record was reviewed.
The diagnoses included, but were not limited to, generalized anxiety disorder (a mental health condition characterized by excessive, uncontrollable worry about everyday things, lasting at least six months), major depressive disorder (mood disorder that causes a persistent feeling of sadness and loss of interest), and dementia (loss of memory, language, problem-solving and other thinking abilities).
A review of the resident's Quarterly MDS Assessment, dated 3/30/26, did not indicate anxiety as an active diagnosis.
The MAR (Medication Administration Record) indicated, the resident had active orders on 2/27/26 for Lorazepam (medication used for short-term treatment of severe anxiety), 0.5 milligram (mg) twice daily and 1 mg once in the morning, for generalized anxiety disorder.
A review of the Resident Assessment Instrument (RAI) 3.0, Version 1.20.1, October 2025, on 4/9/26 at 11:33 a.m., indicated for section I5700, Anxiety Disorder, .
Active diagnoses are diagnoses that have a direct relationship to the resident's current functional, cognitive, or mood or behavior status, medical treatments, nursing monitoring, .during the 7-day look-back period . to identify active diagnoses: .medication sheets, doctor's orders .
During an interview with the MDS coordinator on 4/10/26 at 11:09 a.m., she indicated the resident had an active diagnosis of anxiety disorder.
She indicated the Quarterly MDS assessment, dated 3/30/26, was marked no for diagnosis of anxiety disorder and it should have been marked yes.
The MDS coordinator and the Administrator indicated the facility did not have a MDS policy and they utilized the RAI tool to complete MDS assessments. 410 IAC (Indiana Administrative Code) 16.2-3.1-31(d)
and other verifiable and auditable data.
information, including information for agency and contract staff, based on payroll and other verifiable
Medicare and Medicaid) for 22 days out of a quarter (Fiscal Year Quarter 1).
Findings include: On 4/6/26 at 10:45 a.m., the facility's Certification and Survey Provider Enhanced Reports (CASPER) was reviewed.The CASPER report indicated the following:-
The facility failed to have Licensed Nursing Coverage 24 Hours/Day on 10/4/25; 10/18/25; 10/19/25; 10/25/25; 10/26/25; 11/1/25; 11/2/25; 11/8/25; 11/9/25; 11/15/25; 11/16/25; 11/23/25; 11/29/25; 11/30/25; 12/6/25; 12/7/25; 12/13/25; 12/14/25; 12/20/25; 12/21/25; 12/27/25; 12/28/25.- The facility had low weekend staffing.- The facility had a 1 start staffing rating. A review of the staffing sheets from the quarter indicated the facility was fully staffed and had licensed nurse on all of the days listed above.
During an interview on 4/9/26 at 11:35 a.m., the Administrator indicated the payroll-based journal information had to have been a data entry error because she had verified the facility had licensed staff coverage on the timesheets. On 4/10/26 at 12:05 p.m., the Administrator provided the facility's policy, Payroll Based Journal, dated 1/1/25, and indicated it was the policy currently being used. A review of the policy indicated, . 5.
The facility will ensure all staffing data entered in the Payroll-Based Journal (PBJ) system is auditable and able to be verified through either payroll, invoices, and/or tied back to a contract .
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
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Richland Bean Blossom Health Care Center 5911 State Road 46 Ellettsville, IN 47429
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 ELLETTSVILLE, 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 RICHLAND BEAN BLOSSOM HEALTH CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.