Harmony at Avon

Last licensure survey

October 7, 2025

Licensure surveys in three years

2

Complaint surveys in three years

10

Complaints with findings cited

10

Complaints with no findings cited

9

State findings (first visits, three years)

43

Substantiated complaint surveys (IDOH count)

2026: 4, 2025: 4, 2024: 3

Surveys (newest first)

• August 6, 2026: Complaint, 4 findings cited · survey report (PDF)
  • Intake 471202: State deficiencies related to the allegations are cited at R0036, R0052, R0144, and R0214.
  • Residents' Rights (deficiency): Based on interview and record review, the facility failed to consult the resident's physician and legal representative when a resident had a decline in physical health for 1 of 3 residents reviewed for neglect and quality of care (Resident B). 410 IAC 16.2-5-1.2(k)(1-2); correction date in the facility plan September 30, 2026
  • Residents' Rights (offense): Based on observations, interviews, and record review, the facility failed to protect a residents' right to be free from neglect when the facility failed to ensure a resident with new onset complaints of weakness and being unable to get out of bed was monitored, was assisted with activities of daily living, provided meals in his room, and treated timely resulting in the resident having a delay in treatment, having no meals for 3 days, and subsequently being admitted to the hospital with a diagnosis of dehydration for 1 of 3 residents reviewed for neglect (Resident B). 410 IAC 16.2-5-1.2(v)(1-6); correction date in the facility plan September 30, 2026
  • Sanitation and Safety Standards (deficiency): Based on observation, interview, and record review, the facility failed to maintain a sanitary and clean environment for 1 of 3 residents observed for cleanliness (Resident B). 410 IAC 16.2-5-1.5(a); correction date in the facility plan September 30, 2026
  • Evaluation (deficiency): Based on interview and record review, the facility failed to update a service plan for a resident who started receiving medication assistance for 1 of 3 residents reviewed for neglect and quality of care (Resident B). 410 IAC 16.2-5-2(a); correction date in the facility plan September 30, 2026
• July 29, 2026: Complaint, 9 findings cited · survey report (PDF)
  • Intake 471072: State deficiencies related to the allegations are cited at R0006, R0052, R0090, R0117, R0144, R0214, and R0215.
  • Scope of Residential Care (deficiency): Based on observation, interview, and record review, the facility failed to ensure appropriate level of care of a resident, including failure to assess the resident upon and after admission, which resulted in a resident eloping from the assisted living portion of the facility (Resident C) for 1 of 2 residents reviewed for elopement. 410 IAC 16.2-5-0.5(f)(1-5); correction date in the facility plan September 30, 2026
  • Residents' Rights (offense) 410 IAC 16.2-5-1.2(v)(1-6); correction date in the facility plan September 30, 2026
  • Administration and Management (deficiency) 410 IAC 16.2-5-1.3(g)(1-6); correction date in the facility plan September 30, 2026
  • Personnel (deficiency): Based on observations, interviews, and record review, the facility failed to ensure adequate staffing levels to effectively monitor and supervise residents in the Memory Care unit who were identified as at risk for elopement, which resulted in Resident B eloping from the facility, and the facility failed to take immediate action to increase staffing after the elopement to provide supervision at exit points which had the potential to effect 15 of 15 residents who resided on the memory care unit. 410 IAC 16.2-5-1.4(b); correction date in the facility plan September 30, 2026
  • Sanitation and Safety Standards (deficiency): Based on observations, interviews, and record reviews, the facility failed to maintain a clean homelike environment in the memory care unit. 410 IAC 16.2-5-1.5(a); correction date in the facility plan September 30, 2026
  • Evaluation (deficiency): Based on record review and interview, the facility failed to evaluate a resident's individual needs after the resident eloped for 1 of 4 residents reviewed for service plans (Resident B). 410 IAC 16.2-5-2(a); correction date in the facility plan September 30, 2026
  • Evaluation (deficiency): Based on observation, interview, and record review, the facility failed to conduct subsequent evaluations on a newly admitted resident to compare the resident's current status to her preadmission baseline and assure the resident received appropriate care for 1 of 4 residents reviewed for service plans (Resident C). 410 IAC 16.2-5-2(b); correction date in the facility plan September 30, 2026
  • Food and Nutritional Services (deficiency): Based on observation, interviews, and record review, the facility failed to ensure appropriate sanitation requirements were met by staff in the kitchen and failed to ensure dining areas were thoroughly cleaned of spot stains and dead insects. 410 IAC 16.2-5-5.1(f); correction date in the facility plan September 30, 2026
  • and 1 more
• July 7, 2026: Complaint, 4 findings cited · survey report (PDF)
  • Intake 470438: State deficiencies related to the allegations are cited at R0041, R0052, R0090, and R357.
  • Intake 470642: State deficiencies related to the allegations are cited at R0041, R0052, R0090, and R357.
  • Residents' Rights (deficiency): Based on interview and record review, the facility failed to address grievances in a manner which could be tracked for 7 of 7 months reviewed for grievance resolutions for the facility's grievance log (Resident B). 410 IAC 16.2-5-1.2(o)(4); correction date in the facility plan July 28, 2026
  • Residents' Rights (offense): Based on observation, interview, and record review, the facility failed to protect a resident's right to be free from physical abuse when two Certified Nursing Aides (CNAs) dragged a resident across the floor then forcefully jerked her body multiple times while attempting to lift her off of the floor and position her on a bed for 1 of 1 residents reviewed for abuse (Resident B). 410 IAC 16.2-5-1.2(v)(1-6); correction date in the facility plan July 28, 2026
  • Administration and Management (deficiency): Based on interview and record review, the facility failed to ensure a resident representative's allegation of abuse was documented, investigated, and reported to the Indiana Department of Health within 24 hours for 1 of 1 residents reviewed for abuse (Resident B). 410 IAC 16.2-5-1.3(g)(1-6); correction date in the facility plan July 28, 2026
  • Clinical Records (noncompliance): Based on interview and record review, the facility failed to document information concerning a resident's death for 1 of 3 residents reviewed for death (Resident B). 410 IAC 16.2-5-8.1(j)(1-3); correction date in the facility plan July 28, 2026
• April 21, 2026: Complaint, found in compliance · survey report (PDF)
  • Intake 467159: No deficiencies related to the allegations are cited.
  • Intake 467699: No deficiencies related to the allegations are cited.
• November 21, 2025: Complaint, 3 findings cited · survey report (PDF)
  • Intake 465765: State deficiencies related to the allegations are cited at R041 and R241.
  • Residents' Rights (deficiency): Based on observation, interview, and record review, the facility failed to provide a dignified existence for a resident (Resident B) by maintaining a safe and sanitary environment for 1 of 3 residents observed for cleanliness. 410 IAC 16.2-5-1.2(b); correction date in the facility plan December 31, 2025
  • Residents' Rights (deficiency): Based on interview and record review, the facility failed to address grievances in a manner which could be tracked for 3 of 3 months reviewed for grievance resolutions for the facility's grievance log (Resident B). 410 IAC 16.2-5-1.2(o)(4); correction date in the facility plan December 31, 2025
  • Health Services (offense): Based on observation, interview, and record review, the facility failed to administer medication in accordance with physician's orders and manufactures instructions for 1 of 3 residents reviewed for medication administration (Resident B) resulting in actual harm to the resident when he experienced hallucinations, weakness, and behaviors. 410 IAC 16.2-5-4(e)(1); correction date in the facility plan December 31, 2025

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

• Citation / Fine, notice to facility March 5, 2024, initial amount $7500, case closed April 1, 2024 (survey 75ID11)

IDOH consumer report → (HARMONY AT AVON)

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.