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Complaint Investigation

Evergreen Crossing And The Lofts

December 31, 2025 · Indianapolis, IN · 5404 Georgetown Road
Citations 2
CMS Rating 2/5
Beds 109
Provider ID 155826
Healthcare Facility
Evergreen Crossing And The Lofts
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

EVERGREEN CROSSING AND THE LOFTS in INDIANAPOLIS, IN — inspection on December 31, 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

FF0689
Quality of Life and Care Deficiencies

water sitting among blankets, trash bags, trash, dirty rags, and painting supplies.

There was also an

of the unit, to the end of the hallway and he stopped near the utility cart.

Licensed Practical Nurse

12/30/25 at 12:30 p.m., a third observation of the utility cart with painting supplies parked near Resident N's room.

Resident N's clinical record was reviewed on 12/31/25 at 2:10 p.m.

Diagnoses on Resident N's profile included autistic disorder, unspecified dementia, and intellectual disabilities. A quarterly MDS, completed on 11/28/25, indicated Resident N had severe cognitive impairment.

The resident required moderate to significant assistance from staff for most ADL's (activities of daily living) and could propel himself in a wheelchair after setting him up. On 12/30/25 at 3:50 p.m., the Executive Director (ED) indicated the utility cart was being used by a painter working on the vacant room next to Resident N.

The cart should have been secured in the room being refurbished, not left in the hallway unsupervised. On 12/31/25 at 2:15 p.m., the Regional [NAME] President of Risk Management provided a Hazardous Material and Waste Management policy, revised 10/7/19, and indicated the policy was the one being used by the facility.

The policy indicated, .8.

The facility shall establish and implement processes for selecting, handling, storing, transporting, and disposing of hazardous materials .10.

The facility shall ensure that all chemicals and wastes are maintained appropriately to ensure a safe environment.

This citation relates to Intake 2691777. 3.1-45(a)(1)3.1-45(a)(2)

155826 12/31/2025

Evergreen Crossing and the Lofts 5404 Georgetown Road Indianapolis, IN 46254

(5/20/25), was provided by the Regional [NAME] President of Risk Management on 12/31/25 at 3:15

wall, thigh, upper arm, or buttocks within 15 minutes before a meal or immediately after a meal.

https://www.fda.gov/drugsatfdawww.humalog.com for the latest approved by the FDA, was provided by the Regional [NAME] President of Risk Management on 12/31/25 at 3:15 p.m.

The manufacturers instruction indicated, administer Lantus insulin, (a long-acting insulin was designed to provide a slow, steady release of insulin to manage blood sugar levels between meals and overnight), by subcutaneous injection into the abdominal area, thigh, or deltoid once daily at any time of day, but at the same time every day. On 12/31/25 at 2:15 p.m., the Regional [NAME] President of Risk Management provided a Medication Administration policy, undated, and indicated the policy was the one being used by the facility.

The policy indicated, 1. a.

The purpose of this policy guidance for general medication administration Administer medications only as prescribed by the provider.f.

Observe the [five rights] in giving each medication: i. the right resident ii. the right time .

This citation relates to Intake 2691777. 3.1-48(c)(2)

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 EVERGREEN CROSSING AND THE LOFTS or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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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.