Indianapolis, IN
1-star overall rating with 2-star inspections with abuse icon flag with 10 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
3895 S Keystone Ave, Indianapolis, IN
(317) 787-5364
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
81
Certified beds
Average residents
65
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Infinity Healthcare Consulting
Operator or chain grouping
Approved since
1991-11-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.21
Registered nurse staffing
LPN hours / resident day
0.82
Licensed practical nurse staffing
Aide hours / resident day
2.30
Nurse aide staffing
Weekend hours
3.13
Weekend nurse staffing
RN turnover
80%
Annual RN turnover
Total nurse turnover
39%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
1.6
0.8 pts worse
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.8 |
1.5
0.3 pts worse
|
1.8
About the same
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 45.9% |
93.6%
47.7 pts worse
|
93.4%
47.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.4% |
95.4%
5 pts worse
|
95.5%
5.1 pts worse
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.5% |
3.8%
0.3 pts better
|
3.3%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 97.0% |
24.6%
72.4 pts worse
|
11.4%
85.6 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 3.7% |
5.6%
1.9 pts better
|
5.4%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.1% |
23.5%
2.6 pts worse
|
19.6%
6.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 24.4% |
14.8%
9.6 pts worse
|
16.7%
7.7 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose ability to walk independently worsened | 4.5% |
13.3%
8.8 pts better
|
16.3%
11.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.3% |
11.7%
8.4 pts better
|
14.9%
11.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.0% |
0.4%
2.6 pts worse
|
1.0%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 0.4% |
1.2%
0.8 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.2% |
24.2%
3 pts worse
|
19.8%
7.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 4.1% |
4.1%
About the same
|
5.1%
1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 19.6% |
81.6%
62 pts worse
|
81.7%
62.1 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.3%
1.3 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 18.5% |
79.0%
60.5 pts worse
|
79.7%
61.2 pts worse
|
Short Stay · 2024Q3-2025Q2 |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
13 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (5 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
15 fire-safety deficiencies
Top issue: Emergency Preparedness (6 deficiencies)
Top issue: Nutrition and Dietary (3 deficiencies)
9 fire-safety deficiencies
Top issue: Miscellaneous (3 deficiencies)
Fire safety
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-09-09
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2025-09-09
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-09-09
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-09-09
Fire Safety
Meet other general requirements.
Corrected 2025-09-09
Fire Safety
Meet other general requirements that are deficient.
Corrected 2025-09-09
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-09-09
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-09-09
Fire Safety
Meet other general requirements that are deficient.
Corrected 2025-09-09
Fire Safety
Provide properly sized and located linen or trash receptacles.
Corrected 2025-09-09
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-09-09
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-09-09
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-09-09
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2024-08-29
Fire Safety
Develop a communication plan.
Corrected 2024-08-29
Fire Safety
Establish emergency prep training and testing.
Corrected 2024-08-29
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-08-29
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-08-29
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-08-29
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-08-29
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-29
Fire Safety
Meet other general requirements.
Corrected 2024-08-29
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-09-06
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-08-29
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2024-08-29
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-08-29
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-08-29
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-08-29
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-08-26
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-08-26
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-08-26
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-08-26
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-08-26
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-08-26
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-08-26
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-08-26
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-08-26
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-01-15
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-01-16
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-08-05
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-17
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-17
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-07-17
Health
Provide care by qualified persons according to each resident's written plan of care.
Corrected 2025-07-17
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2025-07-17
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-17
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-03-19
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-02-23
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-02-23
Health
Respond appropriately to all alleged violations.
Corrected 2025-02-23
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2025-02-23
Health
Provide and implement an infection prevention and control program.
Corrected 2025-02-23
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-12-12
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-07-05
Health
Have policies on smoking.
Corrected 2024-07-05
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-12-14
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-12-14
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2023-08-21
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-07-22
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2023-07-22
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-07-22
Health
Dispose of garbage and refuse properly.
Corrected 2023-07-22
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-05-15
Penalties and ownership
Payment Denial · denial start 2024-09-03 · 14 days
14 day denial
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
Operational/Managerial Control · Individual
Contracted Managing Employee · Individual
Operational/Managerial Control · Organization
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