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Complaint Investigation

Hooverwood

December 22, 2025 · Indianapolis, IN · 7001 Hoover Rd
Citations 2
CMS Rating 1/5
Beds 155
Provider ID 155001
Healthcare Facility
Hooverwood
Indianapolis, IN  ·  View full profile →
Inspection Summary

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.

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Inspection Findings

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

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)

Facility ID:

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


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