Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
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 Restoracy Of Carmel during CMS and state inspections, most recent first.
The facility failed to provide dignity covers for urinary catheter bags for two residents, compromising their dignity. One resident with benign prostatic hyperplasia and other conditions was observed without a cover, despite a care plan indicating its necessity. Another resident with chronic kidney disease and other diagnoses was also seen without a cover. An LPN confirmed the absence of covers, which contradicted the facility's dignity policy.
The facility failed to follow physician's orders for two residents, leading to improper medication administration. A resident with diabetes and hypertension did not receive hydralazine as ordered for high systolic blood pressure. Another resident received sacubitril-valsartan and metoprolol succinate despite blood pressure and heart rate being below the hold parameters. The DON confirmed these discrepancies in the MAR.
The facility failed to ensure proper infection control practices for three residents with catheters. A resident's catheter bag was improperly placed on a wheelchair footrest, another resident had a used catheter bag in a trash can without proper documentation of a change, and a third resident had used catheter bags hanging in their bathroom. These actions were not in line with the facility's infection prevention and control policies.
The facility failed to secure residents' credit cards, resulting in a CNA fraudulently using the cards of two residents. One resident's son discovered unauthorized charges, leading to an investigation involving the ED and police. Another resident found her cards missing post-discharge, with fraudulent charges linked to the same CNA. The facility's policy on property misappropriation was not effectively enforced.
Failure to Provide Dignity Covers for Urinary Catheter Bags
Penalty
Summary
The facility failed to ensure that urinary catheter bags had dignity covers in place for two residents, compromising their dignity. Resident 40 was observed in the TV area without a dignity cover on his catheter bag. His clinical record indicated diagnoses of benign prostatic hyperplasia, other obstructive and reflux uropathy, and hypertension, with a physician's order for a urinary catheter starting from January 22, 2023. The resident's care plan included instructions to obscure the visibility of the drainage bag with a dignity cover. During an interview, an LPN confirmed the absence of the dignity cover. Similarly, Resident 52 was observed on two occasions in the TV area without a dignity cover for his urinary catheter. His clinical record showed diagnoses of chronic kidney disease, neuromuscular dysfunction of the bladder, and muscle weakness, with a physician's order for a Foley catheter due to urinary retention starting from January 21, 2025. An LPN acknowledged the lack of a dignity cover, which needed to be addressed. The facility's policy on dignity, approved in May 2020, explicitly prohibited practices that compromise dignity and required staff to assist residents in keeping urinary catheter bags covered.
Failure to Follow Physician's Orders in Medication Administration
Penalty
Summary
The facility failed to adhere to physician's orders regarding medication administration for two residents, leading to deficiencies in quality of care. Resident 19, diagnosed with type 2 diabetes, heart failure, and hypertension, had a physician's order to receive hydralazine for systolic blood pressure (SBP) above 170. However, the medication was not administered on multiple occasions when the resident's SBP exceeded this threshold, as documented in the Medication Administration Record (MAR). The Director of Nursing (DON) confirmed that the medication should have been given and documented, but there was no evidence of administration in the MAR. Similarly, Resident 7, with diagnoses including hypertension and neuromuscular dysfunction of the bladder, was affected by improper medication administration. The resident had orders for sacubitril-valsartan and metoprolol succinate, both with specific parameters to hold the medication if the SBP or heart rate fell below certain levels. Despite these orders, the MAR indicated that sacubitril-valsartan was administered when the SBP was below the hold parameter, and metoprolol succinate was given multiple times when either the SBP or heart rate was below the ordered hold parameters. The DON acknowledged that the medications were administered contrary to the physician's orders, as evidenced by the MAR.
Infection Control Deficiencies in Catheter Management
Penalty
Summary
The facility failed to maintain proper infection control practices for three residents with catheters. Resident 52's catheter bag was observed resting on the footrest of his Broda chair, with his feet on top of it, for an extended period without staff intervention. This oversight occurred despite the resident's medical conditions, including chronic kidney disease and neuromuscular dysfunction of the bladder, which necessitated the use of a Foley catheter. LPN 4 acknowledged the need for staff education regarding the correct placement of catheter bags. Resident 7 had a used catheter drainage bag improperly disposed of in a trash can next to his bed, following a leak that occurred a few days prior. There was no documentation in the electronic medical record to confirm a catheter change after the leak, despite the resident's medical history of neuromuscular dysfunction of the bladder and benign prostatic hyperplasia. Additionally, Resident 44 had a catheter drainage bag with dried sediment and a used leg drainage bag hanging in her bathroom for an extended period. RN 3 confirmed that these bags should have been disposed of properly. The facility's policies on infection prevention and control, as well as resident rights, were not adhered to in these instances.
Failure to Protect Residents' Credit Cards from Misappropriation
Penalty
Summary
The facility failed to ensure the security of residents' credit cards during their admission, leading to the misappropriation of property for two residents. Resident B's son discovered fraudulent charges on her credit cards, which were traced back to a CNA employed at the facility. The CNA was found to have used Resident B's credit cards without authorization, resulting in multiple unauthorized transactions. The facility's Executive Director and the police were involved in the investigation, which confirmed the CNA's involvement in the fraudulent activities. Similarly, Resident C reported missing credit cards after her discharge from the facility, with subsequent fraudulent charges being investigated by her credit card companies. She identified the same CNA as the perpetrator of the theft and unauthorized use of her credit cards. The facility's policy on abuse and misappropriation of property was not effectively enforced, leading to these incidents of exploitation and mistreatment of residents' property.
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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 Carmel
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Carmel Health & Living Community | 0.9 mi | — | 17 | 0 |
| Barrington Of Carmel, The | 1 mi | — | 0 | 0 |
| Wellbrooke Of Carmel | 1.7 mi | — | 10 | 0 |
| Majestic Care Of Carmel | 1.7 mi | — | 0 | 0 |
| Bridgewater Healthcare Center | 2.3 mi | — | 3 | 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.