Belvedere Senior Housing

Last licensure survey

March 11, 2026

Licensure surveys in three years

3

Complaint surveys in three years

7

Complaints with findings cited

6

Complaints with no findings cited

8

State findings (first visits, three years)

22

Substantiated complaint surveys (IDOH count)

2026: 2, 2025: 2, 2024: 2

Surveys (newest first)

• July 7, 2026: Complaint, 2 findings cited · survey report (PDF)
  • Intake 470456: State deficiencies related to the allegations are cited at R0036 and R0241.
  • Intake 470513: State deficiency related to the allegations is cited at R0036.
  • Residents' Rights (deficiency): Based on record review and interview, the facility failed to ensure the resident's physician was notified of weight loss, blood pressure that was outside of parameters, and medication refusals for 2 of 3 residents reviewed for blood pressure monitoring and weight loss. 410 IAC 16.2-5-1.2(k)(1-2); correction date in the facility plan July 13, 2026
  • Health Services (offense): Based on record review and interview, the facility failed to ensure physician's orders were followed related to blood pressure medications not administered as ordered for 1 of 3 residents reviewed for blood pressure monitoring. 410 IAC 16.2-5-4(e)(1); correction date in the facility plan July 13, 2026
• March 11, 2026: Complaint, Re-Licensure, 4 findings cited · survey report (PDF)
  • Intake 466192: State deficiencies related to the allegations are cited at R0349.
  • Intake 468229: No deficiencies related to the allegations are cited.
  • Evaluation (noncompliance): Based on record review and interview, the facility failed to ensure residents had physician's orders for medications and an assessment to self-administer their own medications for 1 of 8 sampled residents. 410 IAC 16.2-5-2(c)(1-4)(d); correction date in the facility plan April 1, 2026
  • Health Services (offense): Based on record review and interview, the facility failed to ensure physician's orders were followed related to insulin administration for 1 of 8 residents reviewed. 410 IAC 16.2-5-4(e)(1); correction date in the facility plan April 1, 2026
  • Pharmaceutical Services (deficiency): Based on observation and interview, the facility failed to ensure prescription medications were labeled for 1 of 5 residents reviewed during a medication pass observation. 410 IAC 16.2-5-6(c)(5); correction date in the facility plan April 1, 2026
  • Clinical Records (noncompliance): Based on record review and interview, the facility failed to ensure clinical records were complete and accurately documented related to a transfer to the hospital for 1 of 8 records reviewed. 410 IAC 16.2-5-8.1(a)(1-4); correction date in the facility plan April 1, 2026
• August 28, 2025: Complaint, 1 finding cited · survey report (PDF)
  • Complaint IN00459600: State deficiency related to the allegations is cited at R0090.
  • Complaint IN00463775: State deficiency related to the allegations is cited at R0090.
  • Complaint IN00464219: State deficiency related to the allegations is cited at R0090.
  • Administration and Management (deficiency): Based on record review and interview, the facility failed to ensure an allegation of abuse was reported to the Indiana Department of Health (IDOH) for 1 of 3 residents reviewed for abuse. 410 IAC 16.2-5-1.3(g)(1-6); correction date in the facility plan September 19, 2025
• February 12, 2025: Complaint, Re-Licensure, 6 findings cited · survey report (PDF)
  • Complaint IN00447809: No deficiencies related to the allegations are cited.
  • Complaint IN00452292: No deficiencies related to the allegations are cited.
  • Residents' Rights (noncompliance): Based on record review and interview, the facility failed to ensure the most recent annual survey results were readily available for review. 410 IAC 16.2-5-1.2(p); correction date in the facility plan March 12, 2025
  • Residents' Rights (deficiency): Based on record review and interview, the facility failed to ensure clinical records were accurate and complete related to lack of transfer/discharge documentation for 2 of 3 residents reviewed for transfer/ discharge. 410 IAC 16.2-5-1.2(r)(6-9); correction date in the facility plan March 12, 2025
  • Evaluation (deficiency): Based on record review and interview, the facility failed to ensure Service Plans were signed and/ or updated with changes related to self medication administration, home health services, hospice services, mental health services and therapy for 4 of 8 service plans reviewed. 410 IAC 16.2-5-2(e)(1-5); correction date in the facility plan March 12, 2025
  Show all 8

  • Health Services (offense): Based on record review and interview, the facility failed to ensure physician's orders were followed, related to medications not administered as ordered for 1 of 8 residents reviewed. 410 IAC 16.2-5-4(e)(1); correction date in the facility plan March 12, 2025
  • Food and Nutritional Services (deficiency): Based on record review and interview, the facility failed to ensure there was a physician's order for a diet for 7 of 8 residents reviewed for dietary orders. 410 IAC 16.2-5-5.1(h); correction date in the facility plan March 12, 2025
  • Infection Control (noncompliance): Based on record review and interview, the facility failed to ensure each resident had a signed annual health statement for 7 of 8 records reviewed for annual health statements. 410 IAC 16.2-5-12(d); correction date in the facility plan March 12, 2025
• September 12, 2024: Complaint, found in compliance · survey report (PDF)
  • Complaint IN00440981: No deficiencies related to the allegations are cited.
• March 18, 2024: Complaint, found in compliance · survey report (PDF)
  • Complaint IN00426912: No deficiencies related to the allegations are cited.
  • Complaint IN00429098: No deficiencies related to the allegations are cited.
  • Complaint IN00429235: No deficiencies related to the allegations are cited.
• December 6, 2023: Complaint, Re-Licensure, 9 findings cited · survey report (PDF)
  • Complaint IN00421087: No deficiencies related to the allegations are cited.
  • Administration and Management (noncompliance): Based on record review and interview, the facility failed to ensure the fire department was invited to participate in scheduled fire drills at least every six months. 410 IAC 16.2-5-1.3(i)(1-2); correction date in the facility plan January 5, 2024
  • Personnel (deficiency): Based on record review and interview, the facility failed to ensure there was one staff member with a current CPR certification scheduled for 8 of 33 shifts and current first aid certification for 33 of 33 shifts reviewed. 410 IAC 16.2-5-1.4(b); correction date in the facility plan January 5, 2024
  • Personnel (noncompliance): Based on record review and interview, the facility failed to ensure all staff received annual inservice training related to six hour required training not completed by a Qualified Medication Assistant. 410 IAC 16.2-5-1.4(e)(1-3); correction date in the facility plan January 5, 2024
  • Evaluation (deficiency): Based on observation, record review, and interview, the facility failed to ensure resident service plans were reviewed and signed by the resident or resident's representative for 6 of 8 service plans reviewed. 410 IAC 16.2-5-2(e)(1-5); correction date in the facility plan January 5, 2024
  Show all 10

  • Food and Nutritional Services (deficiency): Based on observation and interview, the facility failed to store, serve, and prepare food under sanitary conditions related to dirty food equipment, food crumbs on clean surfaces, undated food in the refrigerator and freezer, a food scoop stored improperly, serving dishes and storage containers stored improperly, food stored improperly in the freezer, and improper hand hygiene during food preparation for 1 of 1 kitchen areas observed (the main kitchen). 410 IAC 16.2-5-5.1(f); correction date in the facility plan January 5, 2024
  • Clinical Records (noncompliance): Based on record review and interview, the facility failed to ensure clinical records were accurate and complete related to no Physician notification of lab results, lack of documentation related to home health provided, insulin not given as ordered and not monitoring blood pressures as ordered for 4 of 8 records reviewed. 410 IAC 16.2-5-8.1(a)(1-4); correction date in the facility plan January 5, 2024
  • Clinical Records (noncompliance): Based on record review and interview, the facility failed to ensure a transfer/discharge form was completed for 1 of 2 closed records reviewed. 410 IAC 16.2-5-8.1(g)(1-7); correction date in the facility plan January 5, 2024
  • Clinical Records (noncompliance): Based on record review and interview, the facility failed to ensure a current emergency information file was complete for 5 of 6 residents reviewed. 410 IAC 16.2-5-8.1(i)(1-8); correction date in the facility plan January 5, 2024
  • and 1 more

Enforcement actions (IDOH consumer report posted August 6, 2025)

• Citation / Fine, notice to facility June 7, 2023, initial amount $2500, case closed June 27, 2023 (survey Y9NJ11)

IDOH consumer report → (BELVEDERE SENIOR HOUSING)

Findings are counted from IDOH survey reports for first visits only, so a finding repeated on a revisit is not counted twice. Source: Indiana Department of Health, Division of Long Term Care, data as of October 16, 2026. Always visit in person and ask the community about anything listed here.