All citations for Hamilton Trace of Fishers

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Hamilton Trace of Fishers

Last standard health inspection on record

May 12, 2025

Showing 1 to 25 of 40 citations

  1. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of May 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

  2. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of May 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 4, 2025).

  3. No harm, with potential for more than minimal harm

    Ensure that testing and maintenance of electrical equipment is performed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 4, 2025).

  4. No harm, with potential for more than minimal harm

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of November 22, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 28, 2022).

  5. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of November 22, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 28, 2022).

  6. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of November 22, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 28, 2022).

  7. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 22, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 28, 2022).

  8. No harm, with potential for more than minimal harm

    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0927, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 22, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 28, 2022).

  9. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of May 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

  10. No harm, with potential for more than minimal harm

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of May 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

  11. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2024).

  12. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0511, Services Deficiencies. Inspection of March 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2024).

  13. No harm, with potential for more than minimal harm

    Provide activities to meet all resident's needs.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of November 22, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 6, 2023).

  14. No harm, with potential for more than minimal harm

    Meet requirements for sections of health care facilities separated by fire resistive construction.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0131, Construction Deficiencies. Inspection of November 22, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 28, 2022).

  15. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of November 22, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 28, 2022).

  16. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of November 22, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 28, 2022).

  17. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0511, Services Deficiencies. Inspection of November 22, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 28, 2022).

  18. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 22, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 28, 2022).

  19. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 10, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 27, 2026).

  20. No harm, with potential for more than minimal harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of January 30, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 20, 2026).

  21. No harm, with potential for more than minimal harm

    Keep residents' personal and medical records private and confidential.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0583, Resident Rights Deficiencies. Inspection of May 12, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

  22. No harm, with potential for more than minimal harm

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0585, Resident Rights Deficiencies. Inspection of May 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

  23. No harm, with potential for more than minimal harm

    PASARR screening for Mental disorders or Intellectual Disabilities

    Isolated (one or a few residents). CMS level D.

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of May 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

  24. No harm, with potential for more than minimal harm

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0661, Resident Assessment and Care Planning Deficiencies. Inspection of May 12, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

  25. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of May 12, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.