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

ROBIN RUN HEALTH CENTER

INDIANAPOLIS, IN · 84 certified beds · Last Life Safety survey September 23, 2025

CMS Certification Number 155505 · first certified October 1993

Ownership

Operated by BONCREST RESOURCE GROUP · Non profit - Corporation

  • Ownership changed April 1, 2023 (change of ownership)from INDIANAPOLIS SENIOR CARE LLC
35
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
8
Tags cited more than once
Across separate surveys
16
Inspection & testing records
Of the citations on file

Position within IN

35 citations — more than 93% 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 5 citations; the earlier surveys in the window averaged 15. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: September 2026 to November 2026. This facility’s last Life Safety survey was September 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

5 inspection-and-testing tags have 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

9 of the 35 citations on file are 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)

7 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 35 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 facility35IN median15National median11
Citations on file over three years, compared
MeasureCitations
This facility35
Median facility in IN15
Median facility nationally11

Survey history

Citations at each Life Safety survey
202023-06102024-0852025-09
Citations at each Life Safety survey
Survey dateCitations
June 12, 202320
August 23, 202410
September 23, 20255

Most-cited tags

Most-cited tags at this facility
K-09183K-09202E-00392E-00412K-03452K-03532K-03242K-03632
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0918Have generator or other power source capable of supplying service within 10 seconds.32025-09-23
K-0920Ensure proper usage of power strips and extension cords.22024-08-23
E-0039Conduct testing and exercise requirements.22024-08-23
E-0041Implement emergency and standby power systems.22024-08-23
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22025-09-23
K-0353Inspect, test, and maintain automatic sprinkler systems.22024-08-23
K-0324Provide properly protected cooking facilities.22025-09-23
K-0363Install corridor and hallway doors that block smoke.22024-08-23

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 13
  • Emergency Preparedness Deficiencies 9
  • Gas, Vacuum, and Electrical Systems Deficiencies 6
  • Miscellaneous Deficiencies 3
  • Other 4
Citations by CMS category
CategoryCitations
Smoke Deficiencies13
Emergency Preparedness Deficiencies9
Gas, Vacuum, and Electrical Systems Deficiencies6
Miscellaneous Deficiencies3
Services Deficiencies2
Egress Deficiencies2

Every citation on file

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

September 23, 2025 — 5 citations

Citations issued on September 23, 2025
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (January 13, 2026)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (January 13, 2026)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (January 13, 2026)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (January 13, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (January 13, 2026)

August 23, 2024 — 10 citations

Citations issued on August 23, 2024
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (October 10, 2024)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (October 10, 2024)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (October 10, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (October 10, 2024)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (October 10, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (October 10, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (October 10, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (October 10, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (October 10, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (October 10, 2024)

June 12, 2023 — 20 citations

Citations issued on June 12, 2023
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (August 31, 2023)
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (August 31, 2023)
E-0029Develop a communication plan.Deficient, Provider has date of correction (August 31, 2023)
E-0035Provide family notifications of emergency plan.Deficient, Provider has date of correction (August 31, 2023)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (August 31, 2023)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (August 31, 2023)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (August 31, 2023)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (August 31, 2023)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (August 31, 2023)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (August 31, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (August 31, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (August 31, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 31, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (August 31, 2023)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (August 31, 2023)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (August 31, 2023)
K-0753Have restrictions on the use of highly flammable decorations.Deficient, Provider has date of correction (August 31, 2023)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (August 31, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (August 31, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (August 31, 2023)

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