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 Kokomo Healthcare Center during CMS and state inspections, most recent first.
The facility failed to ensure the outdoor patio concrete was even, leading to safety concerns for residents, including one who fell and hit his head. Residents and family members reported difficulties navigating the uneven surface, and staff confirmed the issue. The facility did not provide an environmental policy.
A resident with a history of alcohol abuse returned to the facility appearing intoxicated and was administered temazepam without physician notification. The resident, who later fell and refused neurological checks, had a bruise on her face. Facility policies on medication administration and resident safety were not followed, as the Director of Nursing acknowledged the medication should have been held.
The facility failed to ensure accurate physician's orders for oxygen use, correct oxygen flow rates, and proper labeling and dating of oxygen tubing for four residents. Observations revealed incorrect equipment settings and unlabeled tubing, with staff showing a lack of knowledge and adherence to orders and policies.
The facility failed to complete assessments and obtain physician's orders and consents before using side rails for two residents. Both residents had side rails in use without the required documentation and approvals, contrary to the facility's policy.
A facility failed to renew a PRN lorazepam order after 14 days for a resident with anxiety and depressed mood, despite policy requirements for reevaluation and documentation by the prescribing practitioner. The resident received lorazepam on multiple occasions without the necessary renewal.
Uneven Patio Concrete Poses Safety Risk for Residents
Penalty
Summary
The facility failed to maintain a safe and even outdoor patio area, resulting in safety concerns for residents and their family members. During a resident council interview, two residents expressed concerns about the uneven concrete, noting that other residents had tripped over it. One resident, who uses a wheelchair, tipped backwards and hit his head while attempting to navigate the uneven surface. Observations confirmed the presence of multiple uneven areas in the patio. The clinical record for the resident who fell indicated that he had multiple health conditions, including the absence of both legs below the knee, and used a manual wheelchair for mobility, requiring substantial assistance. Additionally, a family member of another resident reported that her father's legs would sometimes drop off his wheelchair foot pedals when encountering the uneven concrete. A staff member acknowledged that residents occasionally had trouble with the uneven surface, and the Executive Director confirmed the issue during a facility tour. The facility did not provide an environmental policy and stated they followed state regulations.
Failure to Notify Physician Before Administering Medication to Intoxicated Resident
Penalty
Summary
The facility failed to notify the physician before administering medication to a resident suspected of being intoxicated. Resident 53, who has a history of alcohol abuse, was observed with a bruise on her face and reported a fall she could not remember. The resident's clinical record included diagnoses such as moderate protein calorie malnutrition, anemia, major depressive disorder, opioid abuse, alcohol abuse, and anxiety. A physician's order was in place to administer temazepam at bedtime and to monitor for side effects like sedation and increased falls. On the evening of the incident, the resident returned from a leave of absence appearing intoxicated, and the temazepam was administered without notifying the physician of her condition. The resident was found on the floor with signs of intoxication and refused neurological checks after hitting her head. Despite the staff's observation of the resident smelling of alcohol and appearing intoxicated, there was no documentation of physician notification before administering the temazepam. The Director of Nursing later indicated that the medication should have been held if the resident was intoxicated. Facility policies emphasized the importance of avoiding adverse effects and safeguarding residents under the influence, but these were not adhered to in this instance.
Failure to Ensure Accurate Oxygen Administration and Equipment Settings
Penalty
Summary
The facility failed to ensure accurate physician's orders for the use of oxygen, correct oxygen flow rates, and proper labeling and dating of oxygen tubing for four residents. For Resident 118, the Easy Air compressor and oxygen concentrator settings were incorrect, and there was confusion among staff regarding the correct settings. The physician's order was not clear, leading to inconsistent oxygen administration. The DON had to intervene to correct the settings, and it was noted that the staff should have known how to set the equipment according to the physician's order. Resident 20 was observed wearing oxygen with unlabeled nasal cannula tubing on multiple occasions. The physician's order indicated the need for continuous oxygen at 2 liters per minute and for the tubing to be changed and labeled every Monday night shift. However, the tubing was not labeled as required. Similarly, Resident 23 was observed with unlabeled nasal cannula tubing and inconsistent oxygen flow rates. The physician's order specified continuous oxygen at 2 liters per minute and weekly tubing changes, but these instructions were not followed. Resident 43 was also observed with unlabeled nasal cannula tubing and an incorrect oxygen flow rate. The physician's order indicated continuous oxygen at 2 liters per minute and weekly tubing changes, but the tubing was not labeled, and the flow rate was set incorrectly. The facility's policies on continuous aerosol therapy and supplemental oxygen were not adhered to, resulting in these deficiencies. Staff interviews revealed a lack of knowledge and adherence to the physician's orders and facility policies regarding oxygen administration and equipment settings.
Failure to Obtain Assessments and Consents for Bed Rails
Penalty
Summary
The facility failed to ensure that assessments were completed and physician's orders and consents were obtained prior to the use of side rails for two residents. Resident 117 had two upper side rails in the raised position without a side rail assessment or consent in the electronic record. The physician's order for the side rails was completed after the side rails were already in use. The care plan was updated to include the side rails only after the physician's order was obtained. The Clinical Support Nurse confirmed that the side rail assessment was not completed until after the side rails were utilized, and the informed consent was signed without a date to show when it was signed. Similarly, Resident 118 had two upper side rails with the left side rail in the raised position without a side rail consent or assessment in the electronic record. The physician's order for the side rails was obtained after the side rails were already on the resident's bed. The Clinical Support Nurse confirmed that the resident did not have a side rail assessment or consent completed until after the side rails were applied. The facility's policy on the safe use of bed rails requires a physician's order, assessment, consent, and education prior to the use of bed rails, which was not followed in these cases.
Failure to Renew PRN Psychotropic Medication After 14 Days
Penalty
Summary
The facility failed to ensure a PRN psychotropic medication was renewed after 14 days for a resident with multiple diagnoses, including adjustment disorder with mixed anxiety and depressed mood, vascular dementia, and cognitive communication deficit. The resident had a care plan indicating mood problems related to anxiety and depressed mood, with interventions to monitor and record mood changes. A physician's order dated 5/1/24 prescribed lorazepam concentrate 2mg/ml to be given by mouth every 4 hours as needed. The Medication Administration Record (MAR) showed the resident received lorazepam on 5/14/24, 5/15/24, and 5/16/24. During interviews, the Director of Nursing (DON) and the Clinical Support Nurse confirmed that PRN lorazepam orders needed a 14-day stop date, requiring reevaluation by the physician for continued use. The facility's policy on antipsychotic medication orders also stipulated a 14-day limit for PRN use, necessitating a face-to-face assessment and documentation by the prescribing practitioner. The failure to renew the PRN lorazepam order after 14 days led to the deficiency identified in the report.
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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 Kokomo
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Aperion Care Kokomo | 0.8 mi | — | 1 | 0 |
| Wellbrooke Of Kokomo | 1.6 mi | — | 11 | 0 |
| North Woods Village | 2.8 mi | — | 7 | 0 |
| Brickyard Healthcare -sycamore Village Care Center | 3 mi | — | 10 | 0 |
| Waterford Place Health Campus | 3 mi | — | 11 | 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.