Inspection Reports for Clark Rehabilitation and Skilled Nursing Center
517 N LITTLE LEAGUE BLVD, IN, 47129
Back to Facility ProfileInspection Report Summary
The most recent inspection on June 12, 2025, found the facility in compliance with Emergency Preparedness Requirements but identified a deficiency with two corridor doors failing to latch properly; these doors were repaired promptly. Earlier inspections showed a mix of compliance and deficiencies, with prior issues mainly related to life safety code elements such as door latching, smoke barrier protection, sprinkler obstructions, and corridor clearance, as well as some resident care concerns including shower provision and timely radiology follow-up. Complaint investigations were mostly unsubstantiated, with one substantiated complaint regarding delayed radiology results that was corrected through staff education and audits. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The trend suggests improvement in life safety compliance over time, with recent inspections showing fewer and less varied deficiencies.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
5.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
38% worse than Indiana average
Indiana average: 4.2 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
82% occupied
Based on a June 2025 inspection.
Census over time
Inspection Report
Life Safety
Census: 68
Capacity: 83
Deficiencies: 1
Jun 12, 2025
Visit Reason
An Emergency Preparedness Survey and a Life Safety Code Recertification and State Licensure Survey were conducted by the Indiana Department of Health on 06/12/2025.
Findings
The facility was found in compliance with Emergency Preparedness Requirements. However, the Life Safety Code survey identified a deficiency where 2 of over 50 corridor doors failed to latch properly, potentially affecting 6 staff and 15 residents. The doors were repaired and corrective actions were implemented to prevent recurrence.
Severity Breakdown
SS=E: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to ensure 2 of over 50 corridor doors had no impediment to closing and latching into the door frame, resisting the passage of smoke. | SS=E |
Report Facts
Certified beds: 83
Census: 68
Corridor doors inspected: 50
Deficient corridor doors: 2
Staff potentially affected: 6
Residents potentially affected: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Holly Bricker | Executive Director | Signed report and present at exit conference |
| Maintenance Director | Interviewed during survey and acknowledged door deficiencies |
Inspection Report
Life Safety
Deficiencies: 0
Jun 12, 2025
Visit Reason
The visit was a Life Safety Code Recertification and State Licensure Survey conducted on 06/12/2025.
Findings
Clark Rehabilitation and Skilled Nursing Center was found in compliance with Medicare/Medicaid participation requirements, Life Safety from Fire, and the 2012 Edition of the National Fire Protection Association (NFPA) 101, Life Safety Code, Chapter 19, Existing Health Care Occupancies and 410 IAC 16.2.
Inspection Report
Renewal
Census: 67
Deficiencies: 0
May 19, 2025
Visit Reason
This visit was for a Recertification and State Licensure Survey conducted over May 13, 14, 15, 16, and 19, 2025.
Findings
Clark Rehabilitation and Skilled Nursing Center was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 in regard to the Recertification and State Licensure survey.
Report Facts
Census Bed Type: 67
Census Payor Type Medicaid: 54
Census Payor Type Other: 13
Inspection Report
Complaint Investigation
Census: 72
Deficiencies: 0
Apr 29, 2025
Visit Reason
This visit was conducted for the investigation of Complaint IN00455660.
Findings
No deficiencies related to the complaint allegation were cited. The facility was found to be in compliance with applicable regulations.
Complaint Details
Investigation of Complaint IN00455660 found no deficiencies related to the allegation.
Report Facts
Census: 72
Census Bed Type: 63
Census Bed Type: 9
Census Payor Type: 5
Census Payor Type: 43
Census Payor Type: 24
Inspection Report
Life Safety
Census: 67
Capacity: 83
Deficiencies: 0
Jun 11, 2024
Visit Reason
A Post Survey Revisit (PSR) to the Life Safety Code Recertification survey which exited on 04/30/2024 was conducted by the Indiana Department of Health in accordance with 42 CFR 483.90(a).
Findings
Clark Rehabilitation and Skilled Nursing Center was found in compliance with Requirements for Participation in Medicare/Medicaid, 42 CFR Subpart 483.90(a), Life Safety from Fire and the 2012 edition of the National Fire Protection Association (NFPA) 101, Life Safety Code (LSC), Chapter 19, Existing Health Care Occupancies and 410 IAC 16.2. The facility was fully sprinklered with appropriate fire alarm systems.
Inspection Report
Complaint Investigation
Deficiencies: 0
May 29, 2024
Visit Reason
Paper compliance review to the Investigation of Complaint IN00405571 completed on April 5, 2024.
Findings
Clark Rehabilitation and Skilled Nursing was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 regarding the paper compliance review to the complaint investigation.
Complaint Details
Investigation of Complaint IN00405571 completed on April 5, 2024; facility found in compliance.
Inspection Report
Complaint Investigation
Census: 70
Capacity: 70
Deficiencies: 0
May 16, 2024
Visit Reason
This visit was conducted for the investigation of Complaint IN00432338.
Findings
No deficiencies related to the complaint allegations were cited. The facility was found to be in compliance with applicable regulations.
Complaint Details
Complaint IN00432338 was investigated and found to have no deficiencies related to the allegations.
Report Facts
Census Bed Type - SNF/NF: 64
Census Bed Type - SNF: 6
Total Census: 70
Census Payor Type - Medicare: 4
Census Payor Type - Medicaid: 48
Census Payor Type - Other: 18
Inspection Report
Annual Inspection
Census: 73
Capacity: 83
Deficiencies: 4
Apr 30, 2024
Visit Reason
An Emergency Preparedness Survey and a Life Safety Code Recertification and State Licensure Survey were conducted by the Indiana Department of Health in accordance with federal regulations.
Findings
The facility was found in compliance with Emergency Preparedness Requirements but was not in compliance with Life Safety Code requirements, with deficiencies noted in corridor width clearance, sprinkler system obstructions, door latching, and smoke barrier penetrations.
Severity Breakdown
SS=D: 3
SS=F: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to meet clear width requirements for 1 of 1 corridor near the staff lounge which could affect staff only. | SS=D |
| Failed to ensure the spray pattern for sprinkler heads were not obstructed in 1 mop closet, 1 dry storage room, and 1 office supply storage room which could affect staff, visitors, and residents. | SS=D |
| Failed to ensure 1 of 1 Dutch doors to resident sleeping rooms on the ground floor fully latched into the door frame which could affect up to 2 residents, staff and visitors. | SS=D |
| Failed to ensure 2 of 4 smoke barrier walls were protected to maintain the smoke resistance of the smoke barrier which could affect over 20 residents, staff, and visitors. | SS=F |
Report Facts
Certified beds: 83
Census: 73
Corridor width deficiency count: 1
Sprinkler obstruction deficiency count: 3
Dutch door deficiency count: 1
Smoke barrier deficiency count: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Holly Bricker | Executive Director | Signed report and referenced in exit conference |
| Maintenance Director | Interviewed and involved in observations related to deficiencies |
Inspection Report
Annual Inspection
Census: 68
Deficiencies: 2
Apr 5, 2024
Visit Reason
This visit was for a Recertification and State Licensure Survey, which included the Investigation of Complaint IN00429725.
Findings
The facility was found deficient in ensuring consistent shower provision for dependent residents and in providing splint devices to prevent decrease in range of motion for a resident. No deficiencies were cited related to the complaint investigation. Corrective actions and monitoring plans were outlined for the identified deficiencies.
Complaint Details
Complaint IN00429725 was investigated and no deficiencies related to the allegations were cited.
Severity Breakdown
SS=D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure showers were provided consistently for 2 of 4 residents reviewed for Activities of Daily Living care (Residents 19 and 67). | SS=D |
| Facility failed to ensure a splint device was provided to prevent a decrease in range of motion for 1 of 3 residents reviewed for range of motion (Resident 40). | SS=D |
Report Facts
Census: 68
SNF/NF beds: 7
SNF beds: 61
Medicare residents: 7
Medicaid residents: 47
Other payor residents: 14
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Holly Bricker | Executive Director | Signed the inspection report |
| LPN 5 | Licensed Practical Nurse | Interviewed regarding shower provision and splint application |
| CNA 8 | Certified Nurse Aide | Interviewed regarding shower schedule and resident care |
| CNA 9 | Certified Nurse Aide | Interviewed regarding shower schedule and resident care |
| Occupational Therapist 4 | Occupational Therapist | Interviewed regarding splint use and therapy |
| CNA 3 | Certified Nurse Aide | Interviewed regarding resident brace use |
| LPN 6 | Licensed Practical Nurse | Interviewed regarding facility policy on splints or braces |
| Corporate MDS Coordinator | Interviewed regarding restorative nursing and splint orders |
Inspection Report
Complaint Investigation
Census: 71
Deficiencies: 1
Jan 31, 2024
Visit Reason
This visit was conducted for the investigation of Complaint IN00424151 regarding allegations related to radiology and diagnostic services at the facility.
Findings
The facility failed to ensure radiology results were obtained in a timely manner for 1 of 3 residents reviewed (Resident B). The resident had a delayed follow-up on a CT scan result from 10/9/23, which was not acted upon by the facility despite being faxed to the primary care physician and uploaded to the resident's record. The deficiency was corrected by 12/31/23 after staff education and a 90-day audit.
Complaint Details
Complaint IN00424151 was substantiated with a Federal/State deficiency cited as F776 related to radiology and diagnostic services.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure radiology results were obtained in a timely manner for 1 of 3 residents reviewed (Resident B). | SS=D |
Report Facts
Census total residents: 71
Census SNF beds: 10
Census SNF/NF beds: 61
Census Medicare residents: 3
Census Medicaid residents: 50
Census Other payor residents: 18
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding the delayed follow-up on radiology results and facility policies |
Inspection Report
Complaint Investigation
Census: 67
Deficiencies: 0
Oct 30, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00419106.
Findings
No deficiencies related to the allegations of Complaint IN00419106 were cited. The facility was found to be in compliance with applicable regulations.
Complaint Details
Complaint IN00419106 was investigated and found to have no deficiencies related to the allegations.
Report Facts
Census: 67
Census Bed Type - SNF/NF: 64
Census Bed Type - SNF: 3
Census Payor Type - Medicare: 3
Census Payor Type - Medicaid: 50
Census Payor Type - Other: 14
Inspection Report
Complaint Investigation
Census: 65
Deficiencies: 0
Aug 21, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00414566.
Findings
No deficiencies related to the complaint allegations were cited. The facility was found to be in compliance with applicable regulations.
Complaint Details
Complaint IN00414566 was investigated and found to have no deficiencies related to the allegations.
Report Facts
Census Bed Type Total: 65
Census Payor Type Total: 65
Medicare Census: 3
Medicaid Census: 53
Other Payor Census: 9
SNF/NF Beds: 60
SNF Beds: 5
Inspection Report
Complaint Investigation
Census: 65
Deficiencies: 0
Jun 5, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00404845.
Findings
No deficiencies related to the allegations in Complaint IN00404845 were cited. The facility was found to be in compliance with applicable regulations.
Complaint Details
Complaint IN00404845 was investigated and found to have no related deficiencies.
Report Facts
Census bed type: 65
Census bed type SNF: 4
Census bed type SNF/NF: 61
Census payor type Medicare: 4
Census payor type Medicaid: 50
Census payor type Other: 11
Inspection Report
Re-Inspection
Census: 67
Capacity: 83
Deficiencies: 0
May 30, 2023
Visit Reason
A Post Survey Revisit (PSR) to the Life Safety Code Recertification and State Licensure Survey conducted on 04/03/23 by the Indiana Department of Health.
Findings
Clark Rehabilitation and Skilled Nursing Center was found in compliance with Medicare/Medicaid participation requirements, Life Safety from Fire, and the 2012 edition of the National Fire Protection Association (NFPA) 101 Life Safety Code, Chapter 19, Existing Health Care Occupancies and 410 IAC 16.2. The facility was fully sprinklered with appropriate fire alarm systems.
Inspection Report
Re-Inspection
Census: 67
Capacity: 67
Deficiencies: 0
May 2, 2023
Visit Reason
This visit was a Post Survey Revisit (PSR) to the Recertification and State Licensure Survey completed on 2023-03-14.
Findings
Clark Rehabilitation and Skilled Nursing Center was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 in regard to the PSR to the Recertification and State Licensure Survey.
Report Facts
Census by bed type: 67
Census by payor type: 67
Inspection Report
Life Safety
Census: 71
Capacity: 83
Deficiencies: 4
Apr 3, 2023
Visit Reason
An Emergency Preparedness Survey and a Life Safety Code Recertification and State Licensure Survey were conducted by the Indiana Department of Health in accordance with 42 CFR 483.73 and 42 CFR 483.90(a) respectively.
Findings
The facility was found in compliance with Emergency Preparedness Requirements. However, deficiencies were identified in life safety code compliance including corridor doors not closing and latching properly, unprotected smoke barrier walls, lack of GFCI protection in a wet location, and unsecured nonflammable gas cylinders.
Severity Breakdown
SS=E: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 45 resident room corridor doors would close completely and latch into their door frames, potentially affecting at least 15 residents, staff and visitors. | SS=E |
| Failed to ensure 2 of 4 smoke barrier walls were protected to maintain the smoke resistance of the smoke barrier, potentially affecting over 20 residents, staff and visitors. | SS=E |
| Failed to ensure 1 of over 20 wet locations were provided with ground fault circuit interrupter (GFCI) protection against electric shock. | SS=E |
| Failed to ensure cylinders of nonflammable gases such as oxygen were properly secured from falling in 1 of 5 smoke compartments. | SS=E |
Report Facts
Certified beds: 83
Census: 71
Resident room corridor doors inspected: 45
Smoke barrier walls inspected: 4
Wet locations inspected: 20
Smoke compartments inspected: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Holly Bricker | Executive Director | Signed report and participated in exit conference |
| Maintenance Director | Interviewed regarding deficiencies and corrective actions | |
| Senior Maintenance Supervisor | Interviewed regarding deficiencies and corrective actions |
Inspection Report
Annual Inspection
Census: 67
Capacity: 67
Deficiencies: 11
Mar 14, 2023
Visit Reason
This visit was for a Recertification and State Licensure Survey. This visit included the Investigation of Complaints IN00400507 and IN00402331.
Findings
The facility was found deficient in multiple areas including resident dignity, notification of changes, abuse investigation, vision care, pressure ulcer care, fall prevention, urinary catheter management, respiratory care, medication administration, kitchen sanitation, and COVID-19 testing. Several residents were affected by these deficiencies, and corrective actions were initiated.
Complaint Details
Complaint IN00400507 and IN00402331 were investigated with no deficiencies related to the allegations cited.
Severity Breakdown
SS=D: 7
SS=G: 2
SS=E: 2
Deficiencies (11)
| Description | Severity |
|---|---|
| Failed to respect the dignity of a resident with a Foley catheter by ensuring the urine side of the bag was not in sight. | SS=D |
| Failed to notify the physician when a resident's blood pressure was elevated and when staff withheld medication. | SS=D |
| Failed to ensure an investigation was initiated and completed related to a resident's complaint of mistreatment. | SS=D |
| Failed to ensure a resident who had a referral for an evaluation by an ophthalmologist received proper treatment to maintain vision. | SS=D |
| Failed to ensure residents' Weekly Skin Assessments were completed and accurate, interventions were implemented, and treatment and monitoring was completed to prevent worsening of pressure ulcers. | SS=G |
| Failed to ensure appropriate intervention to prevent a fall for a resident which resulted in broken bones, bruising, and skin tears. | SS=G |
| Failed to ensure a resident with a history of UTIs was provided proper management of the urinary catheter drainage system by maintaining the drainage system off the floor. | SS=D |
| Failed to ensure oxygen concentrator filters were applied and maintained for residents reviewed for respiratory care. | SS=E |
| Failed to ensure accurate documentation in the Controlled Substances Record sheet of administered narcotics and expired medications in medication storage. | SS=D |
| Failed to ensure the kitchen, dry storage room and equipment were clean and in good repair during kitchen observations. | SS=E |
| Failed to ensure residents were COVID-19 tested in accordance with facility policy. | SS=D |
Report Facts
Census: 67
Total Capacity: 67
Deficiencies cited: 11
Severity SS=D: 7
Severity SS=G: 2
Severity SS=E: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| LPN 6 | Licensed Practical Nurse | Named in medication administration deficiency and oxygen concentrator filter observation |
| LPN 5 | Licensed Practical Nurse | Named in medication administration deficiency |
| LPN 4 | Licensed Practical Nurse | Named in medication administration deficiency |
| LPN 3 | Licensed Practical Nurse | Named in medication administration deficiency |
| CNA 12 | Certified Nurse Aide | Named in fall incident observation |
| CNA 19 | Certified Nurse Aide | Named in fall incident observation |
| DON | Director of Nursing | Named in multiple interviews related to deficiencies |
| Executive Director | Named as facility representative signing report and in interviews | |
| Physical Therapist 17 | Physical Therapist | Named in pressure ulcer observation and interview |
| LPN 11 | Licensed Practical Nurse | Named in pressure ulcer care observation |
| CNA 21 | Certified Nurse Aide | Named in catheter care observation |
| CNA 22 | Certified Nurse Aide | Named in catheter care observation |
| Corporate Dietary Manager | Named in kitchen sanitation interview | |
| Dietary Cook | Named in kitchen sanitation interview | |
| LPN 25 | Licensed Practical Nurse | Named in kitchen sanitation interview |
Inspection Report
Complaint Investigation
Census: 66
Deficiencies: 0
Jan 24, 2023
Visit Reason
This visit was conducted for the investigation of complaints IN00396410, IN00397139, IN00397947, and IN00399062 at Clark Rehabilitation and Skilled Nursing Center.
Findings
Complaints IN00397139 and IN00399062 were substantiated but no deficiencies related to the allegations were cited. Complaints IN00396410 and IN00397947 were unsubstantiated due to lack of sufficient evidence. The facility was found to be in compliance with relevant regulations.
Complaint Details
Complaint IN00396410 was unsubstantiated due to lack of sufficient evidence. Complaint IN00397139 was substantiated with no deficiencies cited. Complaint IN00397947 was unsubstantiated due to lack of sufficient evidence. Complaint IN00399062 was substantiated with no deficiencies cited.
Report Facts
Census Bed Type - SNF/NF: 65
Census Bed Type - SNF: 1
Total Census: 66
Census Payor Type - Medicare: 2
Census Payor Type - Medicaid: 53
Census Payor Type - Other: 11
Total Census Payor: 66
Inspection Report
Complaint Investigation
Census: 66
Deficiencies: 0
Nov 1, 2022
Visit Reason
This visit was conducted for the investigation of Complaint IN00387819.
Findings
The complaint IN00387819 was found to be unsubstantiated due to lack of evidence. The facility was found to be in compliance with applicable regulations related to the complaint.
Complaint Details
Complaint IN00387819 was investigated and found unsubstantiated due to lack of evidence.
Report Facts
Census Bed Type - SNF/NF: 59
Census Bed Type - SNF: 7
Total Census: 66
Census Payor Type - Medicare: 4
Census Payor Type - Medicaid: 47
Census Payor Type - Other: 15
Total Census Payor: 66
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