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Complaint Investigation

Harbour Manor Health & Living Community

January 2, 2025 · Noblesville, IN · 1667 Sheridan Rd
Citations 1
CMS Rating 4/5
Beds 129
Provider ID 155381
Healthcare Facility
Harbour Manor Health & Living Community
Noblesville, IN  ·  View full profile →
Inspection Summary

HARBOUR MANOR HEALTH & LIVING COMMUNITY in NOBLESVILLE, IN — inspection on January 2, 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.

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Inspection Findings

FF600
Minimal harm or Few Based on interview and record review, the facility failed to follow a care plan intervention of providing care affected

Review of the most current quarterly Minimum Data Set (MDS) assessment, dated 11/5/24, indicated the resident was cognitively intact.

A current CNA Assignment Sheet, care plan dated 4/28/23, indicated an intervention for care in pairs, initiated 11/7/23 due to resident behaviors as evidenced by making false accusations against staff members.

During an interview on 1/2/25 at 10:52 a.m., CNA 4 indicated staff provided care to Resident C in pairs due to his behaviors.

During an interview on 1/2/25 at 11:02 a.m., CNA 5 indicated Resident C required two staff members when care was provided.

This intervention was listed on the CNA Assignment Sheet.

During an interview on 1/2/25 at 2:26 p.m., the DON indicated Resident C came to her to report being physically assaulted by CNA 3.

The facility initiated an investigation and sent the resident to the hospital for evaluation.

The DON indicated CNA 3 had provided care alone while another CNA was in the hallway.

The DON indicated CNA 3 did not follow the intervention to provide care in pairs.

Review of a written statement, dated 12/27/24, CNA 3 indicated they did provide care to Resident C on 12/26/24. CNA 3 did not indicate if there had been another staff member present while care had been provided.

CNA 3 was not available for interview during the survey on January 2, 2025.

This citation relates to Complaint IN00449955 and IN00450213.

3.1-35(b)(1)

155381

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 NOBLESVILLE, 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 HARBOUR MANOR HEALTH & LIVING COMMUNITY or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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