Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 2026
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 Harrison Terrace during CMS and state inspections, most recent first.
Surveyors found that the facility was not kept clean or in good repair, with strong urine odors in multiple units, sticky and stained floors, and resident rooms with chipped door frames, damaged walls, and worn linens. Staff and residents confirmed these issues, and used gloves and dirty items were observed on the floor.
A resident with dementia and osteomyelitis, who required extensive ADL assistance, was repeatedly observed unshaved and with food and dry skin on his face and beard. Despite a care plan specifying the need for help with grooming and hygiene, staff did not ensure regular face washing or shaving, and interviews indicated the resident did not refuse these services during the observed period.
A resident with dementia and severe cognitive impairment began exhibiting new behaviors involving physical contact with peers, including grabbing other residents. Despite multiple documented incidents, medication changes, and room moves, the facility did not timely develop or implement an individualized care plan addressing these behaviors, the use of psychotropic medication, or the resident's anxiety and agitation. Direct care staff were not informed of the resident's behavioral history, and the required care planning was not completed as per facility policy.
The facility failed to maintain cleanliness in the kitchen and on the Meridian unit, affecting all residents consuming food from the kitchen and those on the unit. Observations revealed a black substance under the dishwasher and gray substance on ceiling vents. The ice machine had a black substance inside, dust, and drainage issues. The Culinary Manager and Maintenance Supervisor acknowledged the issues, but documentation of cleaning was lacking.
The facility failed to properly contain trash for all residents. During a kitchen tour, an open dumpster with visible trash bags was observed, and the surrounding area was littered with debris, medication cups, and gloves. The Culinary Manager stated that the maintenance department is responsible for the area, while the Maintenance Supervisor admitted to not regularly checking the dumpster area.
The facility's kitchen was found to have flying insects in the dishwasher and storage areas, with a red bucket of soiled rags attracting more insects. The Culinary Manager admitted the issue had persisted for two weeks. An exterminator had previously noted small flies and recommended cleaning around drains, but a later visit reported no pest activity.
A facility failed to notify a medical provider of high blood sugar readings for a resident with diabetes and dementia. Despite a care plan and physician order requiring notification for blood sugar levels over 300, multiple instances in August 2024 showed readings above this threshold without documentation of notification. The DON confirmed the absence of such documentation.
A facility failed to complete orthostatic blood pressure measurements as ordered for a resident with hypertension, who was receiving doxazosin. The order required daily checks in lying, sitting, and standing positions, but records showed only one reading per day without position indication. The Director of Nursing confirmed the expectation for complete documentation, but the facility lacked a policy on conducting these measurements.
A resident with a history of constipation and ileus did not receive effective monitoring and care for constipation. Despite physician orders for Miralax and Dulcolax, these were not administered as needed, and abdominal assessments were not performed when the resident went without a bowel movement for several days. Facility staff showed inconsistencies in monitoring bowel movements, and the facility's Bowel Elimination policy was not followed, leading to inadequate management of the resident's condition.
A resident receiving dialysis services was not provided the therapeutic diet as ordered, including the omission of ice cream and the provision of orange juice instead of cranberry juice. The CNA assisting the resident was unaware of the dietary restrictions, and the dietary staff failed to deliver the prescribed ice cream.
Failure to Maintain Clean, Odor-Free, and Well-Repaired Environment
Penalty
Summary
Surveyors observed that the facility failed to maintain a clean, odor-free, and well-repaired environment for residents, staff, and the public. During multiple tours and observations, strong urine odors were detected in the main entry, Meridian Hills Unit, and Mapleton Unit. The floors in the Meridian Hills Unit were found to be sticky, with a six-inch black spot present between the entrance and the nurse's station. The Mapleton Unit was also noted to have a persistent strong urine odor during several visits. Interviews with staff and residents confirmed the presence of these odors and described the floors as dirty and linens as worn with holes. Further inspection of resident rooms revealed additional deficiencies in the physical environment. Resident rooms had chipped and scratched door frames, scrapes and missing pieces on chair rails, and walls with missing paint. Used gloves and dirty items were found discarded on the floor, and bed linens were observed to have holes. The maintenance supervisor indicated that repairs were made on an as-needed basis, and work orders were submitted by staff or families when issues were noticed. The facility did not have a policy in place for maintaining a homelike environment.
Failure to Provide Adequate ADL Assistance for Resident with Dementia
Penalty
Summary
A deficiency occurred when a resident with diagnoses including dementia and acute osteomyelitis did not receive adequate assistance with activities of daily living (ADL), specifically related to face washing and shaving. The resident's care plan indicated a need for assistance with bathing, dressing, grooming, and hygiene, and noted impaired decision-making and a tendency to refuse some care. Despite this, multiple observations over several days found the resident unshaved, with dry, flaky skin and food debris on his face and beard. The resident was also noted to have red corners of the mouth and skin flakes on his shirt collar. Interviews with staff confirmed that the resident required extensive assistance with ADLs and was usually shaved on shower days, but there was no indication that he refused face washing or shaving during the observed period. Staff interviews revealed that while the resident sometimes refused certain aspects of care, such as deodorant or showers, he was not known to refuse face washing or shaving. Observations consistently showed the resident in an unkempt state, with visible hygiene concerns that were not addressed until a later intervention by the Director of Nursing Services. The failure to provide regular and necessary grooming and hygiene assistance as outlined in the care plan led to the identified deficiency.
Failure to Timely Develop and Implement Individualized Care Plan for Resident with Dementia and New Behavioral Symptoms
Penalty
Summary
The facility failed to timely develop and implement an individualized plan of care for a resident diagnosed with dementia who began displaying new behaviors involving physical contact with peers. Specifically, a resident with severe cognitive impairment and a history of anxiety and insomnia exhibited behaviors such as grabbing other residents in the dining area and in his room. These incidents were documented in the clinical record and included multiple room changes due to incompatibility with roommates, as well as episodes of overstimulation and confusion in common areas. Despite these documented behaviors and the initiation of new medications to address anxiety and agitation, the clinical record did not contain a care plan addressing the new behaviors, the use of psychotropic medication, or the resident's anxiety and agitation. The deficiency was further evidenced by the lack of communication and education among direct care staff regarding the resident's history of making physical contact with peers. Interviews with CNAs revealed that they were not informed about the resident's behavioral history, even after several incidents had occurred. The facility's own policy required that care plans be initiated for any problematic or distressing behavioral expression and when a resident is receiving psychotropic medication for mood or behavior. However, the care plan for the resident did not address the new behaviors, the use of lorazepam, or the risk of agitation and aggression with roommates. Additionally, the facility's interdisciplinary team (IDT) met and reviewed the resident's behaviors, but failed to ensure that a care plan was promptly developed and implemented to address the specific behavioral issues. The lack of a timely and individualized care plan resulted in continued incidents involving physical contact with peers, room changes, and increased supervision, without a documented, proactive approach to managing the resident's behavioral health needs as required by facility policy.
Facility Fails to Maintain Cleanliness in Kitchen and Ice Machine
Penalty
Summary
The facility failed to maintain cleanliness in the kitchen and on the Meridian unit, which had the potential to affect all residents consuming food from the kitchen and those residing on the Meridian unit. During observations, a black substance was found on the flooring under the dishwasher, and gray substance was noted on the ceiling vents in the food prep area. The Culinary Manager acknowledged the issue and mentioned the use of a power washer to address the black substance, but was unsure about the last cleaning of the ceiling vents. The cleaning schedules indicated regular cleaning tasks, but the Interim Administrator could not provide documentation of the last cleaning of the ceiling vents. Additionally, the ice machine on the Meridian unit was found with a black substance inside the ice bin, dust, and dried reddish droplets on its outer surfaces. A towel was placed on the floor due to drainage issues. The Maintenance Supervisor stated that the ice machine was last cleaned in July 2024 and was scheduled for quarterly maintenance. However, the machine's condition suggested more frequent cleaning might be necessary. The manufacturer's instructions recommended de-scaling and sanitizing every six months, but the current state of the machine indicated it might require more immediate attention.
Improper Trash Containment
Penalty
Summary
The facility failed to ensure proper containment of trash for all 70 residents. During a kitchen tour with the Culinary Manager, it was observed that one of the outside dumpsters had a sliding side door open, with trash bags visible inside. The area around the dumpsters and along the fence line in the parking lot was littered with paper, plastic debris, medication cups, and gloves. The Culinary Manager acknowledged that the sliding doors should be closed and stated that the maintenance department is responsible for maintaining the area around the dumpsters and the grass. An additional observation with the Maintenance Supervisor confirmed the presence of plastic bottles, paper product debris, medication cups, gloves, plastic silverware, food wrappers, and cups in the dumpster area and grass along the fence. The Maintenance Supervisor admitted that the maintenance department is responsible for the grounds but does not regularly check the area around the dumpsters.
Presence of Flying Insects in Kitchen Area
Penalty
Summary
The facility failed to maintain a pest-free kitchen environment, as evidenced by the presence of flying insects in the kitchen area. During an observation with the Culinary Manager, flying insects were noted in the dishwasher and storage areas. Additionally, a red bucket containing soiled rags was observed with flying insects on top, and when the Culinary Manager removed the rags, more insects were seen flying from the bucket. The Culinary Manager acknowledged that the insects had been present for at least two weeks and admitted that the rags should not have been left in the bucket. An exterminator service visit on 6/4/24 had previously noted small flies in the dishwasher area and recommended frequent cleaning around drains to prevent pest breeding sites. However, a subsequent exterminator visit on 8/5/24 reported no rodent or insect activity.
Failure to Notify Medical Provider of High Blood Sugar Readings
Penalty
Summary
The facility failed to notify the medical provider of blood sugar readings exceeding the specified parameters for a resident with diabetes mellitus and dementia. The care plan for the resident, dated March 15, 2021, indicated a risk for adverse effects of hyperglycemia or hypoglycemia due to glucose-lowering medication and insulin dependency. A physician order from May 20, 2021, required staff to notify the medical provider if the resident's blood sugar was greater than 300 or less than 70. Despite this, the Medication Administration Record for August 2024 showed multiple instances where the resident's blood sugar exceeded 300, specifically on August 1, 7, 10, and 11, without any documentation of the medical provider being notified. An interview with the Director of Nursing confirmed the lack of documentation for notifying the medical provider on these dates.
Failure to Complete Orthostatic Blood Pressure Measurements
Penalty
Summary
The facility failed to complete orthostatic blood pressure measurements as per the physician's order for a resident diagnosed with chronic kidney disease, generalized anxiety disorder, and hypertension. The resident was receiving doxazosin, a medication known to cause orthostatic hypotension in older adults, and there was a recommendation to consider discontinuing it. The physician's order required daily orthostatic blood pressure checks before medication administration for 14 days, with specific instructions to notify a medical professional if the systolic blood pressure was outside the specified range. However, the medication administration record showed only one blood pressure reading per day without indicating the position (lying, sitting, or standing) for several days. The clinical record lacked orthostatic blood pressure readings for certain days, and some entries were recorded as late entries. The Director of Nursing confirmed that the expectation was to perform and document blood pressure checks in all three positions, but the facility did not have a policy on conducting orthostatic blood pressures. This oversight in following the physician's order and documenting the required measurements led to the deficiency identified in the report.
Failure to Manage Constipation in Resident with History of Ileus
Penalty
Summary
The facility failed to provide effective monitoring, assessment, and care for a resident with a history of constipation, partial bowel obstruction, and ileus. Resident B, who was always incontinent of bowel and bladder, required maximum assistance for toileting. The resident had physician orders for Miralax and Dulcolax suppositories to be administered as needed for constipation, but the orders lacked specific frequency instructions. Despite a care plan indicating the need for abdominal assessments and physician notification if no bowel movement occurred after three days, these interventions were not consistently implemented. From early February to late March, Resident B experienced multiple episodes of constipation, with no bowel movements recorded for several consecutive days on multiple occasions. During these periods, the prescribed laxatives were not administered as per the physician's orders and the care plan. Additionally, there was no documentation of abdominal assessments or physician notifications when the resident went without a bowel movement for four or more days. Interviews with facility staff revealed inconsistencies in how bowel movements were monitored and reported, with some staff not counting small bowel movements in their assessments. The facility's Bowel Elimination policy outlined procedures for monitoring and addressing constipation, including administering laxatives after three days without a bowel movement and conducting abdominal assessments if no results were achieved by the fourth day. However, these procedures were not followed for Resident B, leading to a deficiency in the care provided. The lack of adherence to the policy and care plan resulted in inadequate management of the resident's constipation, as evidenced by the failure to administer prescribed medications and perform necessary assessments.
Failure to Provide Therapeutic Diet for Dialysis Resident
Penalty
Summary
The facility failed to provide a therapeutic diet as ordered for a resident receiving dialysis services, identified as Resident 31. The resident, who has diagnoses including dementia and end-stage renal disease, was observed during breakfast without the prescribed ice cream and was given orange juice instead of cranberry juice. The care plan for the resident, dated back to 2018, specified dietary restrictions including no orange juice and the inclusion of ice cream with every meal. However, during the observation, the Certified Nurse Aide (CNA) assisting the resident was unaware of these dietary requirements and allowed the resident to consume orange juice. Further investigation revealed that the dietary staff forgot to send the ice cream to the resident, as confirmed by the Culinary Manager. The Licensed Practical Nurse (LPN) on duty noted that the CNA was new to the unit and unaware of the resident's specific dietary needs. The facility's diet orders policy emphasizes the importance of providing liberalized diets tailored to each resident's medical condition, needs, and rights, but this was not adhered to in the case of Resident 31.
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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 Indianapolis
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Brickyard Healthcare - Brookview Care Center | 0.5 mi | — | 10 | 1 |
| Wildwood Healthcare Center | 0.6 mi | — | 9 | 0 |
| Arlington Place Health Campus | 1.8 mi | — | 9 | 0 |
| Miller's Merry Manor | 1.9 mi | — | 0 | 0 |
| Community Nursing And Rehabilitation Center | 2.2 mi | — | 17 | 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.