01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-05-12 | 1 | 2026-05-12 | 2 |
| Cycle 2 | 2025-06-06 | 4 | 2025-06-06 | 7 |
| Cycle 3 | 2024-08-27 | 10 | 2024-08-27 | 13 |
CMS CCN 1553272026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
University Heights Health And Living Community
1380 E County Line Rd S · Indianapolis, IN 46227 · Marion County
Certified beds176CMS provider file
Recent citation rows37current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
37 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-12 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2026-05-252026-05-12 · FIREK0300Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Meet other general requirements that are deficient.
Correction field: Deficient, Provider has date of correction · 2026-05-252026-05-12 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-05-252025-06-06 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-07-022025-06-06 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2025-07-022025-06-06 · FIREK0100Severity E · pattern; potential for more than minimal harm
Construction Deficiencies
Meet other general requirements.
Correction field: Deficient, Provider has date of correction · 2025-07-182025-06-06 · FIREK0374Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Deficient, Provider has date of correction · 2025-07-182025-06-06 · FIREK0511Severity D · isolated; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2025-07-182025-06-06 · FIREK0911Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Correction field: Deficient, Provider has date of correction · 2025-07-182025-06-06 · FIREK0916Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Correction field: Deficient, Provider has date of correction · 2025-07-182025-06-06 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2025-07-182025-06-06 · FIREK0920Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2025-07-182024-11-07 · HEALTHF0755Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2024-11-25 · complaint2024-11-07 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-11-25 · complaint2024-08-27 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2024-09-182024-08-27 · HEALTHF0554Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2024-09-182024-08-27 · HEALTHF0559Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Correction field: Deficient, Provider has date of correction · 2024-09-182024-08-27 · HEALTHF0644Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Correction field: Deficient, Provider has date of correction · 2024-09-182024-08-27 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2024-09-182024-08-27 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-09-182024-08-27 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2024-09-182024-08-27 · FIREK0291Severity C · widespread; potential for minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2024-09-182024-08-27 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2024-09-182024-08-27 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-09-1803 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- RIVERVIEW HOSPITALOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 12/01/2011
- GERMAN AMERICAN BANKOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 04/29/2024
- BALLA, MATTHEWIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/23/2022
- CATTELL, ZACHARYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/25/2022
- FAUTH, KENDRAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 12/26/2021
- GIRDLER, JENNIFERIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/28/2020
- GORMAL, GREGGIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/01/2016
- GRZYCH, BENJYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/11/2019
- HASHMI, SYEDIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 08/15/2022
- HAUG, AMYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/04/2022
- HYATT, DAVIDIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/27/2023
- INGRAM, STEPHANIEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 09/01/2021
- LOPOSSA, LYNNIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 12/17/2023
- MCCLARNON, DANIELLEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/01/2024
- MCCLELLAND, THOMASIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 12/26/2021
- SPENCER, LEAANNIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/18/2018
- FRIEND, JAYNAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/01/2021
- CARDON AND ASSOCIATES INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/23/2013
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.35per resident day
RN hours0.50per resident day
Weekend nurse hours2.91per resident day
Staff turnover50.0%CMS reported field
06 / LOCAL RECORDS
Open the Indianapolis ledger →Other published facilities nearby
Allison Pointe Healthcare Center144 beds · CMS overall 2/583 citation rowsAlpha Home - A Waters Community86 beds · CMS overall 1/557 citation rowsAltenheim Health & Living Community87 beds · CMS overall 4/538 citation rowsAmerican Village150 beds · CMS overall 3/573 citation rowsArlington Place Health Campus84 beds · CMS overall 4/536 citation rowsBethany Village100 beds · CMS overall 2/539 citation rowsBrickyard Healthcare - Brookview Care Center136 beds · CMS overall 3/543 citation rowsBrickyard Healthcare - Churchman Care Center115 beds · CMS overall 4/547 citation rows