Allison Pointe Healthcare Center
ALLISON POINTE HEALTHCARE CENTER in INDIANAPOLIS, IN — inspection on February 25, 2026.
Found 10 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
medications at the bedside. (Resident 56) Findings include:The clinical record for Resident 56 was
disease (below 15% [percent] functioning kidneys) An observation was made of Resident 56 on 2/23/26 at 12:00 p.m.
The resident was observed lying in bed with a bedside table next to the bed.
Two plastic cups were observed sitting on the bedside table.
One cup had pill medications in it, and the second cup was sitting inside the cup with ice in it. Resident 56's clinical record did not include documentation she was able to safely self-medicate her medications. An interview was conducted with License Practical Nurse (LPN) 10 on 2/23/26 at 12:05 p.m.
She indicated the pill medications were Resident 56's morning medications.
The resident was scheduled to go to dialysis early that day.
On dialysis days, the resident's morning medications are administered prior to going to dialysis by the night shift nurse.
She was unsure why the resident's medications were sitting on the bedside table.
An interview was conducted with Regional Nurse Consultant (RNC) 2 on 2/24/26 at 1:12 p.m.
She indicated Resident 56 did not have a self-medication assessment that indicated she was able to self-medicate safely.
The medications should not have been left on the resident's bedside table. A self-medication policy was provided by the RNC on 2/24/26 at 1:12 p.m. It indicated, .Procedures: 1.
Determine if the resident desires to self-administer their own medication. a.
Resident may not self-administer medication until the assessment is completed by the IDT team and determined to be safe to do so.c.
Physician/Provider order is required for residents to self-administer medication.4.
Assessments will include addressing the following and documenting in the care plan: a.
Storage of the medication b.
Responsible party for storage of medications (resident or nursing staff) c.
Documenting the administration of drugs d.
Location of where the drug will be administered. 410 IAC (Indiana Administrative Code) 3.1-11(a)
155272 02/25/2026
Allison Pointe Healthcare Center 5226 E 82nd Street Indianapolis, IN 46250
During an observation and interview with Resident 41 on 2/19/26 at 2:33 p.m., no call light was visible in the resident's room. Resident 41 indicated she did not have a call light because they took it because she was calling out too much.
She could not even get help to get something to drink.
During an observation and interview on 2/20/26 at 1:34 p.m., Resident 41 was lying in bed with no call light in sight.
Verified with Certified Nursing Assistant (CNA) 5 that Resident 41 did not have a call light in reach to use. CNA 5 then located two call lights placed inside of a bedside table with the drawer shut.
The bedside table was located at the end of Resident 41's bed out of reach for the resident.
One call light was not functioning and the other call light CNA then handed to Resident 41 to use. CNA 5 indicated she did not know why the call lights were placed into the drawers and out of reach for Resident 41. A plan of care, dated 2/10/22, indicated Resident 41 had Activities of Daily Living (ADL) self care performance deficit.
The interventions included, but were not limited to, place call light within reach. 2.) The clinical record for Resident 116 was reviewed on 2/20/26 at 2:25 p.m.
The diagnoses included, but were not limited to, seizures, depressive episodes, and anxiety disorder.
The Annual Minimum Data Set (MDS) assessment, dated 2/8/26, indicated Resident 116 was severely cognitively impaired, had upper extremity impairment on one side, and was dependent with all activities of daily living (ADLS).
During an observation on 2/19/26 at 2:43 p.m. and on 2/20/26 at 10:12 a.m., Resident 116 was lying in bed asleep with the call light on the floor behind the resident's bed.
During an observation and interview on 2/20/26 at 1:44 p.m., Resident 116 was lying in bed asleep and the call light was out of reach for the resident, the call light cord was lying on a side chair underneath towels and blankets.
Verified with the Social Service Director (SSD) that Resident 116's call light was out of reach lying on a chair.
The SSD then placed the call light across Resident 116's lap.
The SSD indicated he did not know why the resident did not have her call light in reach. An interview with the Executive Director (ED) was conducted on 2/24/26 at 1:20 pm.
They indicated all staff were responsible to ensure residents had call lights readily available and in reach.
The ED indicated the facility did not have a policy regarding call lights. 410 IAC (Indiana Administrative Code) 3.1-3(v)(1)
155272 02/25/2026
Allison Pointe Healthcare Center 5226 E 82nd Street Indianapolis, IN 46250
During an interview with Resident 51 on 2/19/26 at 12:42 p.m., they indicated they did not receive the daily double portions of oatmeal for breakfast. Resident 51 indicated he would have to always ask for another portion of oatmeal in the mornings.
During an observation and interview on 2/23/2026 at 9:37 a.m., Resident 51 had his breakfast tray sitting in front of him.
The food included two pieces of French toast, two pieces of bacon, syrup, one 6 oz (ounces) of fortified hot cereal (oatmeal), milk, coffee, and orange juice.
The meal ticket on Resident 51's breakfast tray indicated there were two 6 oz. servings of fortified hot cereal on the tray but there was only one. Resident 51 indicated they only gave him one serving again today and he already had to ask for more.
During an observation on 2/24/26 at 9:20 a.m., Resident 51's meal tray was delivered to his room.
The meal ticket indicated 6 oz fortified hot cereal, 8 oz milk, 4 oz orange juice, and 4 oz of choice juice. Resident 51's tray contained one small, white bowl of oatmeal, biscuit, scoop of scrambled eggs, sausage patty, and a half of a cup of orange juice. A nutritional assessment, dated 1/27/26, indicated Resident 51 had a regular diet order with two portions of fortified oatmeal every morning.
The nutritional assessment indicated Resident 51 reported a good appetite and especially enjoyed fortified oatmeal. A plan of care, dated 9/8/25, indicated Resident 51 was at risk for altered nutrition status.
The interventions included, but were not limited to, identify resident food preferences and provide meals per diet order.
During an interview with the Director of Nursing (DON) on 2/24/26 at 1:33 p.m., the DON indicated the kitchen staff was who was responsible to ensure diets were made and delivered as ordered.
The dietary would sometimes serve larger portions of foods in one bowl for two servings, instead of one bowl for each serving.
The small white fruit cup bowl holds 6 oz, and the large dark bowls hold 12 oz.
During an interview with the Executive Director (ED) on 2/24/26 at 1:15 p.m., they indicated the facility did not have a policy regarding resident choices. 410 IAC (Indiana Administrative Code) 3.1-3(u)(3)
155272 02/25/2026
Allison Pointe Healthcare Center 5226 E 82nd Street Indianapolis, IN 46250
During an interview on 2/25/26 at 11:17 a.m., the Minimum Data Set Coordinator (MDSC) indicated the MDS and the care plan could be modified to include Resident 12's broken teeth. On 2/25/26 at 11:48 a.m., Regional Nurse Consultant (RNC) 2 provided the current Dental Services Policy that read .Care Plan a.
Provide care planning specific to the resident for dental and oral health concerns .410 IAC (Indiana Administrative Code) 3.1-35(a)
155272 02/25/2026
Allison Pointe Healthcare Center 5226 E 82nd Street Indianapolis, IN 46250
times.
155272 02/25/2026
Allison Pointe Healthcare Center 5226 E 82nd Street Indianapolis, IN 46250
resident was not to receive bananas, orange juice or potato chips.
indicated the resident was not to receive orange juice.
She was unsure why the meal tray was
A therapeutic diet policy was provided by the RNC on 2/24/26 at 8:57 a.m. It indicated, Policy Statement.
All residents have a diet order, including regular, therapeutic, and texture modification, that is prescribed by the attending physician, physician extender, or credentialed practitioner in accordance with applicable regulatory guidelines.Procedures.3.
Diets are prepared in accordance with the guidelines in the approved Diet Manual and the individualized plan of care.
A General Hydration Services policy was provided by the Executive Director (ED) on 2/24/26 at 1:15 p.m. It indicated .The facility offers each resident sufficient fluid, including water and other liquids, consistent with resident needs.5.
Provide fresh water at bedside in the proper consistency and drinking device. 410 IAC (Indiana Administrative Code) 3.1-46(a)(2)
155272 02/25/2026
Allison Pointe Healthcare Center 5226 E 82nd Street Indianapolis, IN 46250
During an interview on 2/19/26 at 12:43 p.m., Resident 51 indicated he needed to see the dentist.
His tooth was loose and had fallen out about a month ago. He had told someone but could not remember who he told.
During an interview on 2/23/26 at 11:57 a.m., Resident 51 indicated when he bit down on something wrong he experienced pain like lightning' in his front tooth.
During an interview on 2/23/26 at 11:59 a.m., the Social Services Designee (SSD) indicated he was aware of Resident 51's pain and that is why the dental appointment had been made.
The July 2026 appointment was the first available and the facility had asked that Resident 51 be placed on the call list if a sooner appointment opened.
On 2/23/26 at 3:00 p.m., Resident 51 was observed with Qualified Medication Aide (QMA) 7. Resident 51 wiggled his visibly loose front tooth. QMA 7 instructed Resident 51 not to move around too much. Resident 51 told QMA 7 that he had a shooting pain in his front tooth when he bit down on something wrong.
During an interview on 2/25/26 at 10:39 a.m., Licensed Practical Nurse (LPN) 4 indicated tooth pain would be communicated to the physician.
The facility had [NAME] health, or the Nurse Practitioner could be called.
During an interview on 2/25/26 at 10:44 a.m., LPN 20 indicated she was Resident 51's nurse.
She had been made aware that Resident 51 had tooth pain and that he had an upcoming dental appointment.
During an interview on 2/25/26 at 10:45 a.m., SSD indicated Resident 51's upcoming dental appointment was the appointment scheduled on July 30, 2026.
The clinical record did not include information that the physician or nurse practitioner had been informed of Resident 51's complaint of shooting dental pain on 2/23/26.
During an interview on 2/25/26 at 11:03 a.m., Nurse Practitioner (NP) 21 indicated she would like to know if a resident has acute dental pain.
She did not remember being informed of Resident 51's acute dental pain. On 2/25/26 at 11:48 a.m., Regional Nurse Consultant (RNC) 2 provided the current Dental Services Policy that read .It is the policy of this facility to provide resident centered care that meets the psychosocial, physical and emotional needs and concerns of the residents.
Safety is a primary concern for our residents, staff and visitors.
Dental and Oral health can impact the physical as well as the mental/ emotional and psychological health of a resident.
Poor dentition and/or poor oral health may impact nutritional and weight loss status .The facility will assist the resident in: a.
Obtaining routine Dental Services b.
Obtaining 24-hour Emergency Dental Services c.
Obtaining services to the resident to meet the needs of each resident D.
Making appointments . 410 IAC (Indiana Administrative Code) 3.1-24(a)(1)410 IAC 3.1-24(a)(2)
155272 02/25/2026
Allison Pointe Healthcare Center 5226 E 82nd Street Indianapolis, IN 46250
During an interview on 2/19/26 at 12:50 p.m., Dietary Aide 22 indicated the coffee pitchers had little plastic lids that were not attached.
During an interview on 2/19/26 at 2:01 p.m., the Head Chef (HC) indicated she had ordered lids for the coffee pitchers, but they had not come in yet.
The kitchen put the plastic lids on the coffee pitchers prior to sending them to the hallways.
During an interview on 2/19/26 at 2:02 p.m., the Dietary Corporate Consultant (DCC) indicated the coffee pitchers should be covered when in the hallway. On 2/23/26 at 12:10 p.m., the facility kitchen was observed.
There was dust built up on the ceiling vents above the food preparation area and the food service area.
The soiled dish area had splatters of dried food substances on the walls and a buildup of a black substance on the caulked area and black spatters on the tiled wall behind garbage disposal area. On 2/23/26 at 12:10 p.m., lunch service was observed in the facility kitchen.
Dietary Aide (DA) 9 was observed placing food trays on the serving line.
The food trays had drops of water on them. DA 9 had gloves on his hands.
He adjusted his beard net strap on his head and pulled up his hood (clothing) over his head. DA 9 then used a cloth to dry the food trays on the food line. DA 9 did not perform hand hygiene or change his gloves after touching his clothing. On 2/23/26 at 3:10 p.m., the facility kitchen was observed with the DCC.
The soiled dish area continued to have black substances on the caulk line and food substances splashed on the walls in the area.
The air vents above the food preparation and distribution area continued to have dust built up on the ceiling vents.
Dietary [NAME] 8 indicated the ceiling vents had built up dust on them.
During an interview on 2/23/26 at 3:10 p.m., the DCC indicated the soiled dish area needed to be cleaned and wiped down.
The DA 9 should have washed his hands and changed his gloves after touching his head, prior to wiping the food trays.
The food trays should be air dried prior to being stored. On 2/19/26 at 2:49 p.m., the Executive Director (ED) provided the Meal Distribution policy, last revised 2/2023, that read .
All food that is transported to dining areas that are not adjacent to the kitchen will be covered . On 2/23/26 at 3:57 p.m., the ED provided the Warewashing Policy, last revised 12/2024, that read .All dishware will be air dried and properly stored . 410 IAC (Indiana Administrative Code) 3.1-21(j)(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
155272 02/25/2026
Allison Pointe Healthcare Center 5226 E 82nd Street Indianapolis, IN 46250
During that time, the resident dropped 1 pill medication from the medication cup onto the floor. LPN 11 was observed picking up the pill medication with her bare hands and handing it back to the resident.
The resident placed the pill medication in her mouth after LPN 11 handed it to her. An interview was conducted with Resident 113 on 2/20/26 at 10:04 a.m.
She indicated she did not want to take the pill medication that had fallen on the floor, but she had concerns if she requested to get a replacement; LPN 11 would not have returned with it.2.
The clinical record for Resident 92 was reviewed on 2/23/26 at 9:00 a.m.
The resident's diagnosis included, but was not limited to, hepatitis C (a contagious liver disease caused by the hepatitis C virus). A physician's order, dated 9/3/25, indicated Resident 92 was to receive 1 drop of refresh eye drops in each eye twice a day. An observation was made of a medication administration for Resident 92 with Registered Nurse (RN) 12 on 2/23/26 at 9:06 a.m. RN 12 was at the medication cart preparing Resident 92's medications.
She had touched medication cart drawers, mouse to the computer lab top, medication packets, plastic cups, and water pitcher.
Then, she knocked and entered the resident's room and administered pill medications.
After, she donned gloves and administered eye drops to the resident.
There was no observation of RN 12 utilizing hand hygiene prior to donning gloves. 3.
The clinical record for Resident 15 was reviewed on 2/23/26 at 9:48 a.m.
The resident's diagnosis included, but was not limited to, respiratory failure (a critical condition where the lungs cannot adequately supply oxygen to the blood). A physician's order, dated 1/19/26, indicated Resident 15 was to receive 0.2 % artificial tears twice a day. An observation was made of a medication administration for Resident 15 on 2/23/26 at 9:48 a.m. RN 12 was observed preparing the resident's medications at the medication cart.
She had touched medication cart drawers, mouse to the computer, plastic cups, and water pitcher.
Then, knocked on the resident's door and entered.
After, RN 12 had donned gloves and administered eye drops to the resident.
There was no hand hygiene observed prior to RN 12 donning gloves. An interview was conducted with Regional Nurse Consultant (RNC) 2 on 2/24/26 at 8:55 a.m.
She indicated RN 12 should have utilized hand hygiene prior to donning gloves.
Pill medications that fall on the floor should not be administered to the residents. A standard precautions policy as provided by the Executive Director on 2/25/26 at 9:19 a.m. It indicated, .Policy: It is the policy of this facility to provide resident centered care that meets the psychosocial, physical and emotional needs and concerns of the residents.
Practicing hand hygiene is a simple but effective way to prevent the spread of infections by breaking the change of infection.
Proper cleaning of hands can prevent the spread of germs, including those that are resistant to antibiotics and are becoming resistant to antibiotics.II.
When to perform hand hygiene.G. after glove removal. A medication administration policy was provided by the Executive Director on 2/25/26 at 9:19 p.m. It indicated, .The purpose of this policy is to provide guidance for general medication administration to be provided by personnel recognized as legally able to administer.
Procedure:.s. Do not touch the medication, either when opening a liquid or dose pack. i.
Dropped medications will be discarded. 410 IAC (Indiana Administrative Code) 3.1-18(a)
safe and secure housing
155272 02/25/2026
Allison Pointe Healthcare Center 5226 E 82nd Street Indianapolis, IN 46250