Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Envive Of Beech Grove during CMS and state inspections, most recent first.
The facility failed to maintain sanitary food handling practices as the Dietary Manager was observed with uncovered facial hair while in food preparation and serving areas. This was contrary to the facility's policy and sanitation requirements, which mandate the use of hair restraints to prevent hair from contacting exposed food.
A resident with a history of cognitive impairment and potential for impaired skin integrity had a healed skin tear, yet the facility continued daily dressing changes without updating the physician's orders. The dressings lacked documentation of application dates and initials, contrary to facility policy. Despite the wound being healed, the facility did not notify the physician or update the treatment plan, as required.
A facility failed to document the drug dispositions for a resident upon discharge. The resident, with conditions including hypertension and hyperlipidemia, was discharged with medications but without a record of the number of pills provided. Interviews revealed that the facility lacked a drug disposition record, and the Director of Nursing was unsure of the medication quantities sent home. The facility did not adhere to its policy requiring documentation of medication details upon discharge.
The facility did not maintain the security of a soiled utility room, which was found unlocked with a broken lock and taped latch. The room contained barrels of trash, soiled linen, and biohazard bags, despite being marked as a restricted area. Staff acknowledged the door should have been locked, and a work order was expected for repair.
Failure to Maintain Sanitary Food Handling Practices
Penalty
Summary
The facility failed to ensure that food was maintained and served in a sanitary and safe manner, as observed during multiple inspections. The Dietary Manager (DM) was seen in the kitchen and dining areas with multiple loose facial chin hairs that were not covered, despite being in close proximity to food preparation and serving areas. This was observed during the initial kitchen tour, a follow-up kitchen observation, and during the noon meal service, where the DM was responsible for taking and recording food temperatures. The facility's policy, as outlined in the Envive Healthcare Policies and Procedures Manual, requires that hair nets and beard restraints be worn when cooking, preparing, or assembling food to prevent hair from contacting exposed food and clean equipment. Additionally, the Retail Food Establishment Sanitation Requirements mandate that food employees wear hair restraints to effectively keep hair from contacting exposed food. Despite these policies, the DM did not adhere to the required hygiene practices, leading to the deficiency noted in the report.
Failure to Discontinue Dressing Changes After Wound Healed
Penalty
Summary
The facility failed to adhere to a physician's ordered treatment for a resident's skin tear, which was observed during a survey. The resident, who was severely cognitively impaired and had a history of anemia, generalized weakness, dementia, restless leg syndrome, tremors, and potential for impaired skin integrity, was found with a dressing on her left mid-shin that lacked documentation of when and by whom it was applied. The dressing was observed on multiple occasions without any indication of the date or initials of the person who applied it, contrary to the facility's policy. The resident's clinical records indicated that the skin tear was initially identified on 10/5/24, and a physician's order was in place for daily dressing changes until the wound healed. However, skin assessments from 11/23/24 onwards showed no impairments in skin integrity, indicating the wound had healed. Despite this, the facility continued to apply dressings daily without obtaining a revised treatment order from the physician, as required by the facility's policy. Interviews with the resident and staff, including the Director of Nursing Services (DNS), revealed that the continued application of dressings was done as a preventative measure at the request of the resident's family, but without proper documentation or physician notification. The facility's policies required that any changes in a resident's condition be promptly communicated to the physician and documented in the resident's medical record, which was not done in this case.
Failure to Document Drug Dispositions for Discharged Resident
Penalty
Summary
The facility failed to document the drug dispositions for a resident, identified as Resident 47, upon discharge. Resident 47 had a clinical record with diagnoses including hypertension, cerebral infarction, and hyperlipidemia. A physician's order summary report listed medications such as hydralazine, atorvastatin, carvedilol, and hydrochlorothiazide. The Envive Discharge Summary document was initiated in anticipation of Resident 47's discharge, indicating that current medications were to be sent home with the resident. However, the record did not specify the actual number of pills per medication to be provided upon discharge. Interviews with RN 3 and the Director of Nursing Services (DNS) revealed that Resident 47 was discharged home, but the facility lacked a drug disposition record for the medications. The DNS was unsure of the number of pills sent home or returned to the pharmacy. An undated copy of the Discharge Medications policy was provided, which stated that medications should be counted or estimated, and details such as date, name, strength, and quantity should be documented. The facility did not adhere to this policy, resulting in the deficiency.
Failure to Secure Soiled Utility Room
Penalty
Summary
The facility failed to ensure the security and proper maintenance of a soiled utility room, which was observed to be unlocked and had a malfunctioning lock. The door to the room, located between two resident rooms, was missing numerical keypads, and the door latch was taped to prevent it from locking. Inside the unlocked room, there were barrels labeled as trash, soiled linen, and biohazard bags, despite a sign indicating it was a restricted area for authorized personnel only. During interviews, both a Qualified Medication Aide and the Director of Nursing acknowledged that the door should have been locked, and there was an expectation of a work order for the repair. The facility's current policy, based on CDC Infection Control guidelines, requires a regulated medical waste management plan to ensure health and environmental safety, which was not adhered to in this instance.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Beech Grove
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Beech Grove Meadows | 0.5 mi | — | 12 | 0 |
| Brickyard Healthcare - Churchman Care Center | 0.5 mi | — | 9 | 0 |
| Fairway Village | 1 mi | — | 8 | 0 |
| Altenheim Health & Living Community | 1.5 mi | — | 2 | 0 |
| Waters Of Indianapolis, The | 1.7 mi | — | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.