Hooverwood
HOOVERWOOD in INDIANAPOLIS, IN — inspection on December 22, 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
assigned resident at least every two hours or more frequently if their condition required, performing all nursing procedures in accordance with facility policy and as recommended by state-approved training and competency programs.
The procedures/tasks included, but were not limited to, preparing residents for meals including toileting, assisting the residents in toileting and incontinent needs, observing and correctly recording resident care provided, assuring both the residents and resident's clothing were kept clean throughout the shift, and correctly completing required documentation prior to clocking out.A current facility policy, titled Resident Rights, dated as last revised on 10/2018 and received from the DON on 12/22/25 12:26 p.m., indicated .The facility shall use Resident's Rights [(as identified by the Federal and State Guidelines)] as the basis for their services to residents.A current facility policy, titled Resident Rights Know your Rights under Federal Nursing Home Regulations, dated as last updated 3/15/17 and received from the DON on 12/22/25 at 12:26 p.m., indicated .You have the right to a dignified existence.You have the right to be informed, and participate in, your treatment.
This includes the right to.Receive the services and/or items included in the plan of care.You have the right to be free from abuse, neglect.The right to reside and receive services in the facility with reasonable accommodation of your needs.The deficient practice was corrected by 6/26/25, after the facility completed audits, interviews, staff were re-educated, and CNA 2 was terminated.This citation relates to Intake 1765422.3.1-27(a)(3)
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
12/22/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Hooverwood
7001 Hoover Rd Indianapolis, IN 46260
SUMMARY STATEMENT OF DEFICIENCIES
During an interview, on 12/19/25 at 10:35 a.m., the Director of Nursing (DON) indicated Resident C was a good historian, completely alert and oriented, and a retired registered nurse.
Resident C indicated she had not received any narcotics for pain during the day shift and only took the medication at night to help her rest.
Resident C had identified RN 6 as the nurse assigned to her on the diversion dates.
When a nurse removed a narcotic, it must be signed out on the narcotic sheet and documented as administered to the resident on the electronic medication administration record. If it was not documented on the MAR, then it was not administered. RN 6 had signed out pain medication Resident C on multiple dates, usually one (1) tablet at a time around 8:00 a.m. and again after lunch, but not documented the narcotics as administered on the MAR.
The facility terminated RN 6.
During an interview, on 12/19/25 at 11:15 a.m., the unit manager indicated Resident C was alert and oriented with a good memory and cognitive function.During an interview, on 12/22/25 at 9:30 a.m., Resident C indicated she had never received narcotic pain medications during the day.
She requested her narcotic medication at night to decrease the pain enough to rest.
Resident C indicated she was to receive two (2) Norco tablets when she did take them.
She had never taken one (1) Norco at a time.
During an interview, on 12/22/25 at 9:45 a.m., RN 5 indicated a medication should always be documented in the electronic medical record when administered, especially narcotics. It should be signed out on the narcotic sheet and documented it in the MAR. If it was not documented in the MAR, then it was not administered. If the resident did not take the medication, then it should be charted as refused.
She would not sign out an as needed narcotic medication unless a resident requested it.A current facility policy, titled Medication Administration, dated 8/2022 and provided by the DON on 12/22/25 at 12:26 p.m., indicated .Documentation of all medications given to the resident shall be documented by the person administering the medicine after the medication has been administered.IF YOU ARE GIVING A PRN NARCOTIC MEDICATION, YOU MUST DOCUMENT IN THE E-MAR AND ON THE NARCOTIC SHEET. A current facility policy, titled Narcotic Count, dated 5/2022 and provided by the DON on 12/19/25 at 10:45 a.m., indicated .The facility shall require a narcotic count to ensure safe and accurate accounting of narcotics.A staff nurse from the off-going shift and one from the on-coming shift shall count all narcotics before the end of the shift.
This count must be documented by each nurse signing the narcotics count sheet for every shift.A current facility policy, titled Resident Rights Know your Rights under Federal Nursing Home Regulations, last updated 3/15/17 and received from the DON on 12/22/25 at 12:26 p.m., indicated .You have the right to be free from .misappropriation of your property.The deficient practice was corrected by 12/17/25, after the facility audited all the narcotic sheets, interviewed residents, RN 6 was terminated, all nurses were re-educated, and the pharmacy completed a house wide audit of narcotic medications.This citation relates to Intake 2678069. 3.1-28(a)
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