Complaint Investigation

Envive Of Indianapolis

September 5, 2025 · Indianapolis, IN · 45 Beachway Dr

Citations 1

CMS Rating 1/5

Beds 184

Provider ID 155077

Healthcare Facility

Envive Of Indianapolis

Indianapolis, IN · View full profile →

Source Document

Official CMS Inspection Report (Medicare.gov)

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

Inspection Summary

ENVIVE OF INDIANAPOLIS in INDIANAPOLIS, IN — inspection on September 5, 2025.

Found 1 citation. 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

FF0610

Freedom from Abuse, Neglect, and Exploitation Deficiencies

apologized to Resident D. He had misunderstood what Resident D had said and had hit him. He felt the

bruising to the left side of his face. He had not mentioned he was fearful or concerned about Resident

residents.

She was confident Resident D would have talked to her about any discomfort in being around Resident E.

During an interview on 9/5/25 at 10:52 a.m., the Administrator indicated Resident E was protective of other residents and staff. He indicated Resident E had heard Resident D say something inappropriate about someone and had slapped Resident D on the left side of his face. He was on the phone with the nurse when Resident D was at the nurses' station and had requested to call the police. He had instructed the nurse to call the police if that was what Resident D requested.

However, Resident D changed his mind and indicated to the nurse he did not want the police called. He observed Resident D the following day and could not see any redness or swelling to the left side of his face.The Administrator provided the incident investigation information on 9/5/25 at 11:15 a.m., containing a written statement by an LPN 4 and a document signed by the Administrator.The written statement was signed by LPN 5, who had not witnessed or observed the residents on the date of the incident.

The statement indicated she had been notified by other residents that Resident E had made physical contact with Resident D due to Resident D picking and calling other residents names.

Resident E was protecting other residents and became defensive on or about 8/23/25.Another document contained in the investigation file, signed by the Administrator, and dated 8/29/25, included the following:a. 8/25 I (Administrator) spoke with [Resident D] about incident with [Resident E]. [Resident D] didn't know why he was hit by [Resident E].b. 8/25 I spoke with Resident E about incident.

Resident E said he was upset about Resident D talking bad about other residents.c. 8/28 [Resident D] stated he did not say anything wrong about other residentsd. 8/29 [Resident E] informed staff member, LPN 5 that they had apologized and there were no issues between them.

During an interview on 9/5/25 at 2:00 p.m., the Administrator indicated the residents were both cognitively intact and he felt the investigation was as thorough as it needed to be and that the resident's had worked things out. He was unaware that Resident D remained uncomfortable around Resident E. He had not interviewed other residents or staff regarding the incident/behavior.A current facility policy, dated 8/2024, titled, Accidents and Incidents - Investigating and Reporting, provided by the Administrator on 9/5/25 at 2:03 p.m., included the following: Policy Statement All accidents or incidents involving residents, employees, visitors, vendors, etc., occurring on our premises shall be investigated and reported to the administrator.The Administrator indicated on 9/5/25 at 2:28 p.m., the policy provided was the only policy regarding resident-to-resident or resident-to-staff incidents.

The facility follows the Indiana Department of Health guidelines.This citation relates to Incident 2600099.3.1-28(d)

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 INDIANAPOLIS, 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 ENVIVE OF INDIANAPOLIS or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

More Reports

About This Inspection Report

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.