The citation, issued April 24, 2026, fell under the federal infection control deficiency category.
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The form was explicit: check any of those boxes, and the resident is at risk.
The assistant activity director told inspectors the director quit abruptly at the beginning of April.
She grimaced when the nurse touched her breast.
The resident, identified in federal inspection records only as Resident #2, is a man who has lived at Beacon Hill since July 2022.
That was one of two medication failures documented during an April 2026 inspection at Arbor Grove Village, a nursing facility in Greensburg, Indiana.
The inspection, completed May 23, 2026, was triggered by a complaint.
The resident was incontinent of both bowel and bladder and could not always express what he needed.
The resident, identified in inspection records only as Resident 22, had been living at the 62-bed facility since November 10, 2025.
No calculation of hours worked per discipline per shift.
A resident dependent on respiratory equipment, whether oxygen, a ventilator, a suction device, or any other breathing support, has little margin for error.
The deficiency was one of six cited during the complaint inspection.