Inspection Reports for Wyndmoor of Castleton, LLC
8480 CRAIG ST, INDIANAPOLIS, IN, 46250
Back to Facility ProfileInspection Report Summary
The most recent inspection on March 18, 2025, found no deficiencies related to the complaints investigated. Earlier inspections showed a mixed record, with some substantiated complaints citing deficiencies primarily related to resident safety, including falls and maintenance issues, as well as security of residents' property. Notable findings included improper handling of residents after falls, unsafe metal threshold strips causing injury, and misappropriation of residents’ money, but no fines or enforcement actions were listed in the available reports. Most complaint investigations were unsubstantiated or found no deficiencies, and the facility corrected prior issues as confirmed by a post-survey revisit. The inspection history shows some recurring themes in safety and property management, with recent inspections indicating compliance and corrective actions taken.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
76% better than Indiana average
Indiana average: 4.2 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
114 residents
Based on a March 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 114
Deficiencies: 0
Date: Mar 18, 2025
Visit Reason
This visit was for the investigation of complaints IN00452588 and IN00454317.
Complaint Details
Investigation of Complaints IN00452588 and IN00454317 found no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations in complaints IN00452588 and IN00454317 were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding these complaints.
Inspection Report
Census: 111
Deficiencies: 0
Date: Dec 18, 2024
Visit Reason
This visit was for a State Residential Licensure Survey and included the Investigation of Complaints IN00448747 and IN00445744.
Complaint Details
Complaints IN00448747 and IN00445744 were investigated with no deficiencies related to the allegations cited.
Findings
No deficiencies related to the allegations in complaints IN00448747 and IN00445744 were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the State Residential Licensure Survey and complaint investigations.
Inspection Report
Complaint Investigation
Census: 115
Deficiencies: 2
Date: Oct 3, 2024
Visit Reason
This visit was conducted for the investigation of Complaint IN00442989 regarding concerns about resident falls while staff was assisting with Activities of Daily Living (ADLs).
Complaint Details
Complaint IN00442989 was substantiated with state deficiencies cited at R240 and R248 related to two witnessed falls of Resident B while being assisted with ADLs and improper handling of the resident after falls.
Findings
The facility failed to ensure a resident (Resident B) was free from witnessed falls while being assisted with ADLs and failed to ensure unlicensed staff did not move residents who had fallen prior to assessment by a licensed nurse. Two witnessed falls occurred involving Resident B, with inadequate supervision and improper post-fall procedures.
Deficiencies (2)
Failed to ensure a resident was free from witnessed falls while staff was assisting with ADLs (Resident B).
Failed to ensure unlicensed staff did not move residents who have fallen prior to being assessed by a licensed nurse (Resident B).
Report Facts
Residents present: 115
Fall dates: 2
Systemic change implementation date: Oct 21, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Camille Beeson | Regional Director of Operations | Signed the inspection report |
Inspection Report
Complaint Investigation
Census: 118
Deficiencies: 0
Date: Aug 12, 2024
Visit Reason
This visit was conducted for the investigation of multiple complaints against Wyndmoor of Castleton, LLC, including complaints IN00422497, IN00422575, IN00429485, IN00430242, IN00430771, IN00431964, IN00435277, IN00435420, IN00440498, IN00440531, IN00440604, and IN00440626.
Complaint Details
Multiple complaints were investigated (IN00422497, IN00422575, IN00429485, IN00430242, IN00430771, IN00431964, IN00435277, IN00435420, IN00440498, IN00440531, IN00440604, IN00440626) and no deficiencies related to the allegations were cited in any of them.
Findings
The facility was found to be in compliance with 42 CFR 483, Subpart B and 410 IAC 16.2-5 with no deficiencies related to the allegations cited in any of the complaints investigated.
Report Facts
Residential census: 118
Inspection Report
Complaint Investigation
Census: 127
Deficiencies: 0
Date: Oct 19, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00419543.
Complaint Details
Complaint IN00419543 was investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations in Complaint IN00419543 were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the complaint investigation.
Inspection Report
Complaint Investigation
Census: 130
Deficiencies: 1
Date: Sep 25, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00417408 regarding safety concerns with metal threshold strips in residents' apartments.
Complaint Details
Complaint IN00417408 was substantiated with state deficiencies cited related to the allegations about unsafe metal threshold strips causing injury and lack of maintenance program.
Findings
The facility failed to ensure metal threshold strips to floors were kept in good repair for 2 of 5 residents' rooms and failed to establish and implement a written maintenance program for the continued upkeep of these strips. Resident B suffered a severe toe injury leading to amputation due to a loose metal strip, and Resident F had loose and improperly fastened threshold strips.
Deficiencies (1)
Failure to maintain metal threshold strips in good repair and lack of a written maintenance program for their upkeep.
Report Facts
Residents affected: 2
Survey dates: September 25 and 26, 2023
Facility census: 130
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Camille Beeson | Executive Director | Signed the report and involved in review of work orders and interviews. |
| Maintenance Director | Interviewed regarding maintenance issues and metal threshold strips; name not fully provided. | |
| Sales and Marketing Director | Present during interviews related to maintenance and resident concerns; name not fully provided. | |
| Director of Nursing | Interviewed regarding Resident F's mobility and risk related to metal threshold strips; name not fully provided. |
Inspection Report
Complaint Investigation
Census: 144
Deficiencies: 1
Date: Aug 23, 2023
Visit Reason
This visit was conducted for the investigation of complaints IN00412976 and IN00415413. Complaint IN00412976 found no deficiencies related to the allegations, while complaint IN00415413 resulted in state deficiencies related to misappropriation of residents' property.
Complaint Details
Complaint IN00415413 was substantiated with state deficiencies cited related to misappropriation of property. Complaint IN00412976 had no deficiencies related to the allegations.
Findings
The facility failed to ensure the safety and security of residents' money and checkbooks during admission for 3 of 4 residents reviewed (Residents C, E, and D). An employee was terminated for theft after evidence showed misappropriation of a resident's check and missing cash from other residents. The facility conducted investigations, notified authorities, and implemented corrective actions including resident interviews and staff education.
Deficiencies (1)
Facility failed to ensure residents' money and checkbook was kept safe and secure during admission for 3 of 4 residents reviewed for misappropriation of property.
Report Facts
Residents reviewed for misappropriation: 4
Resident census: 144
Check amount: 200
Dates of survey: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Camille Beeson | Executive Director | Interviewed and involved in investigation of theft and facility corrective actions |
Inspection Report
Complaint Investigation
Census: 146
Deficiencies: 0
Date: Jul 10, 2023
Visit Reason
This visit was for a State Residential Licensure Survey and included the Investigation of Complaints IN00412013, IN00408126, and IN00406625.
Complaint Details
Complaints IN00412013, IN00408126, and IN00406625 were investigated with no deficiencies cited related to the allegations.
Findings
No deficiencies related to the allegations in the complaints were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the State Residential Licensure and the investigation of the complaints.
Report Facts
Residential Census: 146
Inspection Report
Complaint Investigation
Census: 137
Deficiencies: 0
Date: Dec 28, 2022
Visit Reason
This visit was conducted for the investigation of three complaints: IN00392811, IN00397055, and IN00397628.
Complaint Details
Complaint IN00392811 - Unsubstantiated due to lack of evidence. Complaint IN00397055 - Unsubstantiated due to lack of evidence. Complaint IN00397628 - Unsubstantiated due to lack of evidence.
Findings
All three complaints were found to be unsubstantiated due to lack of evidence, and the facility was found to be in compliance with relevant regulations.
Report Facts
Residential Census: 137
Inspection Report
Re-Inspection
Census: 140
Deficiencies: 0
Date: Sep 1, 2022
Visit Reason
This visit was a Post Survey Revisit (PSR) to the Investigation of Complaint IN00384433 completed on July 18, 2022.
Complaint Details
Complaint IN00384433 was investigated and found to be corrected.
Findings
Wyndmoor of Castleton, LLC was found to be in compliance with 410 IAC 16.2-5 in regard to the PSR to the Investigation of Complaint IN00384433.
Inspection Report
Complaint Investigation
Census: 134
Deficiencies: 0
Date: Aug 4, 2022
Visit Reason
This visit was for the Investigation of Complaint IN00387045.
Complaint Details
Complaint IN00387045 - Substantiated. No deficiencies related to the allegations are cited.
Findings
Complaint IN00387045 was substantiated, but no deficiencies related to the allegations were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the complaint investigation.
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