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AMERICAN VILLAGE Inspection Report, Violations & Safety Grade (INDIANAPOLIS, Indiana)

2026 EAST 54TH ST, INDIANAPOLIS, Indiana 46220

Phone: 3172536950

CMS Overall:2/5

Overview & Bed Count

Certified Beds
150
Avg Residents/Day
132.8
Ownership
Government - County
Provider Type
Medicare and Medicaid
County
Marion
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
Yes

CMS Star Ratings

Overall2/5
Health2/5
Staffing1/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityIndiana AvgDifference
RN Hours per Resident per Day0.470.68-0.21
Total Nurse Hours per Resident per Day3.433.73-0.30
CMS Staffing Rating1/52.6/5-
Nursing Staff Turnover50.0%45.9%-

Health Citation History

32 health citations on record

DateCategoryDescriptionSeverity
2026-03-25Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G – Actual Harm
2026-03-25Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2026-03-25Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.D – Moderate Harm Potential
2026-03-25Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.D – Moderate Harm Potential
2026-03-25Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.D – Moderate Harm Potential
2026-03-25Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-07-01Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.D – Moderate Harm Potential
2025-02-25Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E – Moderate Harm Potential
2025-02-25Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2025-02-25Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2025-02-25Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2025-02-25Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D – Moderate Harm Potential
2025-02-25Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.D – Moderate Harm Potential
2025-02-25Quality of Life and Care DeficienciesProvide medically-related social services to help each resident achieve the highest possible quality of life.D – Moderate Harm Potential
2025-02-25Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-01-10Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E – Moderate Harm Potential
2024-01-10Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.E – Moderate Harm Potential
2024-01-10Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.E – Moderate Harm Potential
2024-01-10Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E – Moderate Harm Potential
2024-01-10Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E – Moderate Harm Potential
2024-01-10Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2024-01-10Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.D – Moderate Harm Potential
2024-01-10Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D – Moderate Harm Potential
2024-01-10Quality of Life and Care DeficienciesProvide appropriate foot care.D – Moderate Harm Potential
2024-01-10Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2024-01-10Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2024-01-10Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.D – Moderate Harm Potential
2024-01-10Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2024-01-10Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2024-01-10Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D – Moderate Harm Potential
2024-01-10Administration DeficienciesArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D – Moderate Harm Potential
2024-01-10Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.C – Minimal Harm Potential

Fire Safety Citation History

39 fire safety citations on record

DateCategoryDescriptionSeverity
2026-03-25Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2026-03-25Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.F – Moderate Harm Potential
2026-03-25Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2026-03-25Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.E – Moderate Harm Potential
2026-03-25Egress DeficienciesHave stairways and smokeproof enclosures used as exits that meet safety requirements.E – Moderate Harm Potential
2026-03-25Egress DeficienciesHave corridors or aisles that are unobstructed and are at least 8 feet in width.E – Moderate Harm Potential
2026-03-25Egress DeficienciesMeet other general requirements that are deficient.E – Moderate Harm Potential
2026-03-25Smoke DeficienciesHave properly installed hallway dispensers for alcohol-based hand rub.E – Moderate Harm Potential
2026-03-25Smoke DeficienciesInstall an approved automatic sprinkler system.E – Moderate Harm Potential
2026-03-25Smoke DeficienciesEnsure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.E – Moderate Harm Potential
2026-03-25Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2026-03-25Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.E – Moderate Harm Potential
2026-03-25Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.E – Moderate Harm Potential
2026-03-25Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2026-03-25Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2025-02-25Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2025-02-25Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2025-02-25Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.E – Moderate Harm Potential
2025-02-25Miscellaneous DeficienciesProvide properly sized and located linen or trash receptacles.E – Moderate Harm Potential
2025-02-25Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.C – Minimal Harm Potential
2024-01-10Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.F – Moderate Harm Potential
2024-01-10Egress DeficienciesMeet other general requirements that are deficient.F – Moderate Harm Potential
2024-01-10Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2024-01-10Miscellaneous DeficienciesHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.F – Moderate Harm Potential
2024-01-10Construction DeficienciesMeet other general requirements.E – Moderate Harm Potential
2024-01-10Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2024-01-10Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2024-01-10Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2024-01-10Smoke DeficienciesInstall an approved automatic sprinkler system.E – Moderate Harm Potential
2024-01-10Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.E – Moderate Harm Potential
2024-01-10Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2024-01-10Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2024-01-10Services DeficienciesHave properly installed electrical wiring and gas equipment.E – Moderate Harm Potential
2024-01-10Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.E – Moderate Harm Potential
2024-01-10Miscellaneous DeficienciesHave restrictions on the use of portable space heaters.E – Moderate Harm Potential
2024-01-10Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2024-01-10Gas, Vacuum, and Electrical Systems DeficienciesHave proper fire barriers, ventilation and signs for the transfilling of oxygen.E – Moderate Harm Potential
2024-01-10Emergency Preparedness DeficienciesProvide emergency officials' contact information.C – Minimal Harm Potential
2024-01-10Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.C – Minimal Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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