Evergreen Crossing and the Lofts
5404 Georgetown Road, Indianapolis, IN 46254
Evergreen Crossing and the Lofts is a nursing home in Indianapolis, Indiana. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 2 of 5CMS overall star rating
- 1 of 5CMS health inspection star rating
- 1 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (317) 291-5404
- Last standard health inspection
- April 17, 2026 (6 months ago)
- Certified beds
- 109
- Residents per day, on average
- 99.9
- Ownership type
- For profit - Corporation
- Legal business name
- Hancock Regional Hospital
- Chain
- Communicare Health
- Takes part in
- Medicare and Medicaid
More health citations than the Indiana average (33 vs 23).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
7 citations
Health inspection on April 17, 2026
CMS lists this as a standard inspection.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on May 22, 2026.
CMS has cited this home for F0812 3 times since 2023.
Citation F0561. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
CMS lists it as corrected on May 22, 2026.
Citation F0628. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS lists it as corrected on May 22, 2026.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on May 22, 2026.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on May 22, 2026.
CMS has cited this home for F0689 4 times since 2023.
Citation F0744. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
CMS lists it as corrected on May 22, 2026.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CMS lists it as corrected on May 22, 2026.
CMS has cited this home for F0761 2 times since 2025.
9 citations
Fire safety inspection on April 17, 2026
CMS lists this as a standard inspection.
Citation E0039. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on May 29, 2026.
Citation E0041. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Implement emergency and standby power systems.
CMS lists it as corrected on May 29, 2026.
Citation K0291. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install emergency lighting that can last at least 1 1/2 hours.
CMS lists it as corrected on May 29, 2026.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on May 29, 2026.
CMS has cited this home for K0345 2 times since 2025.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on May 29, 2026.
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on May 29, 2026.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on May 29, 2026.
CMS has cited this home for K0918 2 times since 2023.
Citation K0921. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure that testing and maintenance of electrical equipment is performed.
CMS lists it as corrected on May 29, 2026.
Citation K0754. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide properly sized and located linen or trash receptacles.
CMS lists it as corrected on May 29, 2026.
2 citations
Health inspection on February 2, 2026
CMS lists this as a complaint inspection.
Citation F0755. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Citation F0602. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Protect each resident from the wrongful use of the resident's belongings or money.
CMS update of January 14, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 1 of 5.
2 citations
Health inspection on December 31, 2025
CMS lists this as a complaint inspection.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on February 6, 2026.
Citation F0760. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on February 6, 2026.
CMS update of November 20, 2025
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
2 citations
Health inspection on November 14, 2025
CMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
61 of 507 Indiana homes (12%) got a citation at the actual harm level in 2025.
Citation F0686. Severity G: actual harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS has cited this home for F0686 3 times since 2023.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS has cited this home for F0657 2 times since 2025.
5 citations
Health inspection on August 11, 2025
CMS lists this as a complaint inspection.
Citation F0558. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Reasonably accommodate the needs and preferences of each resident.
CMS lists it as corrected on September 30, 2025.
Citation F0584. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
CMS lists it as corrected on September 30, 2025.
Citation F0921. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS lists it as corrected on September 30, 2025.
Citation F0925. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
CMS lists it as corrected on September 30, 2025.
Citation F0812. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on September 30, 2025.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
CMS update of May 28, 2025
Star rating
The CMS health inspection star rating changed from 1 of 5 to 2 of 5.
6 citations
Health inspection on February 28, 2025
CMS lists this as a standard inspection.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on March 25, 2025.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on March 25, 2025.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on March 25, 2025.
Citation F0692. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide enough food/fluids to maintain a resident's health.
CMS lists it as corrected on March 25, 2025.
Citation F0757. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS lists it as corrected on March 25, 2025.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CMS lists it as corrected on March 25, 2025.
6 citations
Fire safety inspection on February 28, 2025
CMS lists this as a standard inspection.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on April 18, 2025.
Citation K0521. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on April 15, 2025.
Citation K0914. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
CMS lists it as corrected on April 9, 2025.
Citation K0324. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on April 9, 2025.
Citation K0363. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on April 2, 2025.
Citation K0511. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on April 7, 2025.
2 citations
Health inspection on November 15, 2024
CMS lists this as a complaint inspection.
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on December 23, 2024.
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on December 23, 2024.
CMS update of October 30, 2024
Special Focus Facility
CMS no longer lists this home as a Special Focus Facility candidate.
CMS update of September 26, 2024
Fine
CMS changed the fine from February 3, 2023 from $15,000 to $9,750.
CMS update of August 29, 2024
Fine
CMS changed the fine from July 14, 2022 from $170,068 to $173,879.
CMS update of June 26, 2024
Fine
CMS changed the fine from July 14, 2022 from $161,587 to $170,068.
CMS update of April 25, 2024
Star rating
The CMS overall star rating changed from not rated by CMS to 2 of 5.
Star rating
The CMS health inspection star rating changed from not rated by CMS to 1 of 5.
Star rating
The CMS staffing star rating changed from not rated by CMS to 1 of 5.
Star rating
The CMS quality measures star rating changed from not rated by CMS to 5 of 5.
Special Focus Facility
CMS now lists this home as a Special Focus Facility candidate.
1 citation
Health inspection on March 6, 2024
CMS lists this as a complaint inspection.
Citation F0661. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
CMS lists it as corrected on March 11, 2024.
CMS update of February 29, 2024
Fire safety citation
CMS removed citation E0004 from the fire safety inspection on August 22, 2022.
Fire safety citation
CMS removed citation E0013 from the fire safety inspection on August 22, 2022.
Fire safety citation
CMS removed citation E0029 from the fire safety inspection on August 22, 2022.
Fire safety citation
CMS removed citation E0036 from the fire safety inspection on August 22, 2022.
Fire safety citation
CMS removed citation E0037 from the fire safety inspection on August 22, 2022.
Fire safety citation
CMS removed citation E0039 from the fire safety inspection on August 22, 2022.
Fire safety citation
CMS removed citation E0041 from the fire safety inspection on August 22, 2022.
Fire safety citation
CMS removed citation K0211 from the fire safety inspection on August 22, 2022.
Fire safety citation
CMS removed citation K0222 from the fire safety inspection on August 22, 2022.
Fire safety citation
CMS removed citation K0232 from the fire safety inspection on August 22, 2022.
Fire safety citation
CMS removed citation K0271 from the fire safety inspection on August 22, 2022.
Fire safety citation
CMS removed citation K0291 from the fire safety inspection on August 22, 2022.
Fire safety citation
CMS removed citation K0351 from the fire safety inspection on August 22, 2022.
Fire safety citation
CMS removed citation K0353 from the fire safety inspection on August 22, 2022.
Fire safety citation
CMS removed citation K0355 from the fire safety inspection on August 22, 2022.
Fire safety citation
CMS removed citation K0374 from the fire safety inspection on August 22, 2022.
Fire safety citation
CMS removed citation K0531 from the fire safety inspection on August 22, 2022.
Fire safety citation
CMS removed citation K0712 from the fire safety inspection on August 22, 2022.
Fire safety citation
CMS removed citation K0918 from the fire safety inspection on August 22, 2022.
1 citation
Health inspection on February 7, 2024
CMS lists this as a complaint inspection.
Citation F0585. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on February 28, 2024.
CMS update of January 31, 2024
Fine
CMS changed the fine from July 14, 2022 from $248,595 to $161,587.
5 citations
Health inspection on December 15, 2023
CMS lists this as a standard inspection and a complaint inspection.
Citation F0689. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on January 16, 2024.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on January 16, 2024.
Citation F0550. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on January 16, 2024.
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on January 16, 2024.
Citation F0803. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
CMS lists it as corrected on January 16, 2024.
1 citation
Fire safety inspection on December 15, 2023
CMS lists this as a standard inspection.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on January 25, 2024.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- HANCOCK REGIONAL HOSPITAL5% or greater direct ownership interest · 100% · since 11/14/2018
- GEORGETOWN MGT CO LLCOperational/managerial control · not applicable · since 09/01/2017
- LONG, STEVENOperational/managerial control · not applicable · since 11/14/2018
- MUSTAKLEM, MARWANOperational/managerial control · not applicable · since 07/20/2022
- ODENTHAL, RICHARDOperational/managerial control · not applicable · since 09/01/2017
- SPALL, AMANDAOperational/managerial control · not applicable · since 02/19/2015
Questions
When was Evergreen Crossing and the Lofts last inspected?
CMS lists April 17, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Evergreen Crossing and the Lofts have?
CMS lists 33 health citations since December 15, 2023. CMS also calls these deficiencies.
Has Evergreen Crossing and the Lofts been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Evergreen Crossing and the Lofts?
Its CMS overall star rating is 2 of 5.
Is Evergreen Crossing and the Lofts a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.
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