Greencroft Healthcare
GREENCROFT HEALTHCARE in GOSHEN, IN — inspection on December 23, 2025.
Found 2 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 an interview on 12/18/2025 at 3:30 P.M., the Director of Nursing (DON) indicated there was not any more shower sheets or documentation indicating Resident D had received two showers a week.
The DON indicated all residents should have been offered two showers or bed baths per week and if the resident refused, the refusal should have been documented in the resident's record. On 12/18/2025 at 3:330 P.M., the DON provided a policy, dated 11/15/2025 and titled, Activities of Daily Living.
The DON identified the policy as the one currently used by the facility.
The policy indicated, .Care and services will be provided for the following activities of daily living: 1.
Bathing, dressing, grooming and oral care This citation relates to Intake 2643464.3.1-38(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
155205 12/23/2025
Greencroft Healthcare 1225 Greencroft Dr Goshen, IN 46527
During an interview on 12/18/2025 at 1:45 P.M., the Director of Nursing (DON) indicated the facility did not have a policy for following the Care Plan interventions.On 12/18/2025 at 3:00 P.M. the ADON provided a policy, dated 11/15/2025 and titled, Post Fall Assessment Policy and identified it as the policy currently used by the facility.
The policy indicated, .9.
Update the resident's care plan based on findings from the post-fall assessment and probable root cause of the fall The past noncompliance began on 10/10/2025 when staff failed to implement fall interventions for Resident B.
The harm level citation was corrected on 12/4/2025 when the facility implemented a systemic plan that included a review of all residents at risk for falls, review of the care plan interventions for all residents at risk for falls, education of all front line staff regarding fall interventions and care plan implementation and weekly auditing of all falls to ensure the plan had been implemented correctly.
This citation relates to Intakes 2643464 and 2677313. 3.1-45 (a)(2)
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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.