Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

HOOSIER VILLAGE

INDIANAPOLIS, IN · 24 certified beds · Last Life Safety survey May 9, 2025

CMS Certification Number 155472 · first certified December 1992

Ownership

Operated by BHI SENIOR LIVING · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

15
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within IN

15 citations — more than 48% of the 507 certified nursing homes in IN. Compared within IN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 1 citation; the earlier surveys in the window averaged 7. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (April 2026 to June 2026), and past the point by which nine in ten IN facilities have been surveyed. This facility’s last Life Safety survey was May 2025. Facilities in IN are typically surveyed 11–14 months after the last one (median 13), measured over 883 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 15 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 15 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in IN, and nationally. Surveyors differ markedly between states, so the IN figure is the meaningful one.

This facility15IN median15National median11
Citations on file over three years, compared
MeasureCitations
This facility15
Median facility in IN15
Median facility nationally11

Survey history

Citations at each Life Safety survey
102023-0542024-0312025-05
Citations at each Life Safety survey
Survey dateCitations
May 12, 202310
March 22, 20244
May 9, 20251

Most-cited tags

Most-cited tags at this facility
K-03242K-02112K-09201E-00411K-03531K-03721K-03461K-09181
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0324Provide properly protected cooking facilities.22025-05-09
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.22024-03-22
K-0920Ensure proper usage of power strips and extension cords.12024-03-22
E-0041Implement emergency and standby power systems.12023-05-12
K-0353Inspect, test, and maintain automatic sprinkler systems.12023-05-12
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12023-05-12
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.12023-05-12
K-0918Have generator or other power source capable of supplying service within 10 seconds.12023-05-12

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 8
  • Egress Deficiencies 3
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Emergency Preparedness Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies8
Egress Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies2
Emergency Preparedness Deficiencies1
Miscellaneous Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

May 9, 2025 — 1 citation

Citations issued on May 9, 2025
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (June 6, 2025)

March 22, 2024 — 4 citations

Citations issued on March 22, 2024
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (May 17, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (May 17, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (May 17, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (May 17, 2024)

May 12, 2023 — 10 citations

Citations issued on May 12, 2023
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (August 8, 2023)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has plan of correction (August 23, 2023)
K-0300Meet other general requirements that are deficient.Deficient, Provider has date of correction (August 8, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (August 8, 2023)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (August 8, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 8, 2023)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (August 8, 2023)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (August 8, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (August 8, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (August 8, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.