Hooverwood
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
facility, and walking in the grass. The side of the road the resident was walking down did not have a sidewalk. During an interview, on 12/29/25 at 2:41 p.m., the DON indicated the facility elopement policy did not include how staff were to respond when a door alarm was activated. During an interview, on 12/29/25 at 2:58 p.m., Resident B's daughter indicated, on 12/23/25 around 2:30 p.m., she was notified her mom had gotten out of the building and was located down the road. The resident had also gotten out in November when she resided on the first floor, so she was moved upstairs to the locked unit for safety. Whenever her mom was having exit seeking episodes, the facility would call her so she could talk to Resident B and help calm her down. When she exited in November, the facility called her and she was able to talk Resident B to returning inside the facility. Resident B had now been moved to another locked unit in the facility. During an interview, on 12/29/25 at 3:14 p.m., LPN 7 indicated, on 12/23/25 sometime after lunch, she was by the nurse's station when she heard an alarm going off. She was unsure what the alarm was. Her and another nurse followed the sound to the west door at the end of the hallway. They looked out the door through the window and didn't see anyone. She then reset the alarm. They counted the residents on their unit (which was on the first floor), and they were all accounted for. She did not know about the elopement until later when the facility called a code purple.A facility document from an electronics company, dated 12/24/25, indicated the company was asked to test all door locking systems that exit the property. Each door locking system was checked and all systems were working properly.A current facility policy, titled Elopement Prevention and Response Program, dated 1/22 and provided from the Director of Nursing on 12/29/25 at 9:45 a.m., indicated .provide a safe and secure environment for the residents and in the event of a missing resident, ensuring appropriate action is taken.This citation relates to Intake 2700433.3.1-45(a)(1)3.1-45(a)(2)
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If continuation sheet
HOOVERWOOD in INDIANAPOLIS, IN inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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.