All citations for Hendricks Community Hospital

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 Hendricks Community Hospital

Last standard health inspection on record

June 25, 2026

Showing 1 to 25 of 44 citations

No harm, with potential for more than minimal harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Widespread (many residents). CMS level F.
Fire safety citation K-0521, Services Deficiencies. Inspection of June 25, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (August 14, 2026).
No harm, with potential for more than minimal harm
Provide a written emergency evacuation plan.
Widespread (many residents). CMS level F.
Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of June 25, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (July 31, 2026).
No harm, with potential for more than minimal harm
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Widespread (many residents). CMS level F.
Fire safety citation K-0901, Electrical Deficiencies. Inspection of June 25, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (July 31, 2026).
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 June 25, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (August 14, 2026).
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 June 25, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (July 27, 2026).
No harm, with potential for more than minimal harm
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Widespread (many residents). CMS level F.
Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.
A waiver was granted (June 25, 2025).
No harm, with potential for more than minimal harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Widespread (many residents). CMS level F.
Health citation F-0865, Administration Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 25, 2025).
No harm, with potential for more than minimal harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Widespread (many residents). CMS level F.
Health citation F-0867, Administration Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 25, 2025).
No harm, with potential for more than minimal harm
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Widespread (many residents). CMS level F.
Health citation F-0868, Administration Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 25, 2025).
No harm, with potential for more than minimal harm
Meet requirements for sections of health care facilities separated by fire resistive construction.
Widespread (many residents). CMS level F.
Fire safety citation K-0131, Construction Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 20, 2025).
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 April 30, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 21, 2025).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Widespread (many residents). CMS level F.
Fire safety citation K-0511, Services Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 30, 2025).
No harm, with potential for more than minimal harm
Provide a written emergency evacuation plan.
Widespread (many residents). CMS level F.
Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 27, 2025).
No harm, with potential for more than minimal harm
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Widespread (many residents). CMS level F.
Fire safety citation K-0926, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 30, 2025).
No harm, with potential for more than minimal harm
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Widespread (many residents). CMS level F.
Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of May 30, 2024. Found during a standard inspection.
A waiver was granted.
No harm, with potential for more than minimal harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Widespread (many residents). CMS level F.
Health citation F-0867, Administration Deficiencies. Inspection of May 30, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 31, 2024).
No harm, with potential for more than minimal harm
Have a Compliance and Ethics Program.
Widespread (many residents). CMS level F.
Health citation F-0895, Administration Deficiencies. Inspection of May 30, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 31, 2024).
No harm, with potential for more than minimal harm
Honor the resident's right to organize and participate in resident/family groups in the facility.
Pattern (more than a few residents). CMS level E.
Health citation F-0565, Resident Rights Deficiencies. Inspection of June 25, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (July 31, 2026).
No harm, with potential for more than minimal harm
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Pattern (more than a few residents). CMS level E.
Health citation F-0868, Administration Deficiencies. Inspection of June 25, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (July 31, 2026).
No harm, with potential for more than minimal harm
Add 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.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0222, Egress Deficiencies. Inspection of June 25, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 30, 2026).
No harm, with potential for more than minimal harm
Have horizontal exits used in accordance with safety requirements.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0226, Egress Deficiencies. Inspection of June 25, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (August 14, 2026).
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 June 25, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (July 28, 2026).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of June 25, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (July 31, 2026).
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 June 25, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (July 17, 2026).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of June 25, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (August 14, 2026).

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.