Sugar Grove Senior Living

Last licensure survey

July 8, 2025

Licensure surveys in three years

2

Complaint surveys in three years

6

Complaints with findings cited

2

Complaints with no findings cited

7

State findings (first visits, three years)

15

Substantiated complaint surveys (IDOH count)

2026: 1, 2025: 1, 2024: 4

Surveys (newest first)

• January 29, 2026: Complaint, 1 finding cited · survey report (PDF)
  • Intake 466949: State deficiencies related to the allegations are cited at R0052.
  • Residents' Rights (offense): Based on observations, interview, and record review, the facility failed to adequately supervise and monitor a resident (Resident B) who resided on a secured memory care unit with a diagnosis of dementia, and was at risk for elopement, which resulted in neglect as Resident B was able to elope from the secured unit. 410 IAC 16.2-5-1.2(v)(1-6); correction date in the facility plan February 23, 2026
• July 8, 2025: Complaint, Re-Licensure, 8 findings cited · survey report (PDF)
  • Complaint IN00461541: No deficiencies related to the allegations are cited.
  • Personnel (noncompliance): Based on observations and interview, the facility failed to provide the required 3 hour dementia training for 2 of 10 employees reviewed (LPN 9 and CNA 10). 410 IAC 16.2-5-1.4(e)(1-3); correction date in the facility plan August 8, 2025
  • Sanitation and Safety Standards (deficiency): Based on observation, interview, and record review, the facility failed to prevent the potential for accidents when half side rails were installed without initial assessment and/or ongoing monitoring for safety for 1 of 1 resident reviewed for accidents (Resident 3). 410 IAC 16.2-5-1.5(e)(1-4); correction date in the facility plan August 8, 2025
  • Evaluation (noncompliance): Based on observations, interviews, and record review, the facility failed to prevent the potential for accidents for a resident who had medications at bedside without being properly assessed for the ability to safely self-administer medications for 1 of 1 resident reviewed for self -administration (Resident 14). 410 IAC 16.2-5-2(c)(1-4)(d); correction date in the facility plan August 8, 2025
  • Evaluation (deficiency): Based on record review, observation, and interview, the facility failed to ensure a resident's service plan matched her current level of care, hospice, and nutritional status for 1 of 7 residents reviewed for service plans (Resident 3). 410 IAC 16.2-5-2(e)(1-5); correction date in the facility plan August 8, 2025
  Show all 9

  • Health Services (deficiency): Based on observation, interview, and record review, the facility failed to ensure a resident on the memory care unit was cued and encouraged to eat or offered a substitution for a meal for 1 of approximately 20 residents observed in the memory care dining room during a meal (Resident 8). 410 IAC 16.2-5-4(d); correction date in the facility plan August 8, 2025
  • Food and Nutritional Services (deficiency): Based on observation and interview, the facility failed to ensure bulk food storage containers were properly labeled and dated. 410 IAC 16.2-5-5.1(f); correction date in the facility plan August 8, 2025
  • Pharmaceutical Services (deficiency): Based on observations and interviews, the facility failed to ensure medications were properly labeled and dated. 410 IAC 16.2-5-6(c)(4); correction date in the facility plan August 8, 2025
  • Clinical Records (noncompliance): Based on record review and interview, the facility failed to administer an initial and second step tuberculin test (used to test for tuberculosis) to a resident upon admission for 1 of 7 residents reviewed (Resident 3). 410 IAC 16.2-5-8.1(g)(1-7); correction date in the facility plan August 8, 2025
• December 20, 2024: Complaint, found in compliance · survey report (PDF)
  • Complaint IN00448897: No deficiencies related to the allegations are cited.
• October 2, 2024: Complaint, found in compliance · survey report (PDF)
  • Complaint IN00442895: No deficiencies related to the allegations are cited.
• July 23, 2024: Complaint, 1 finding cited · survey report (PDF)
  • Complaint IN00438215: No deficiencies related to the allegations are cited.
  • Complaint IN00438357: No deficiencies related to the allegations are cited.
  • Complaint IN00437915: No deficiencies related to the allegations are cited.
  • Complaint IN00438231: State deficiencies related to the allegations are cited at R0154.
  • Sanitation and Safety Standards (deficiency): Based on observations and interviews, the facility failed to maintain adequate rinse temperatures for the dishwasher for 1 of 1 dishwasher observed which had the potential to affect 116 of 116 residents served from the kitchen. 410 IAC 16.2-5-1.5(k); correction date in the facility plan August 31, 2024
• June 27, 2024: Complaint, Re-Licensure, 5 findings cited · survey report (PDF)
  • Complaint IN00434118: No deficiencies related to the allegations are cited.
  • Personnel (deficiency): Based on interview and record review, the facility failed to ensure at least one staff member was present on each shift who was first aide certified to meet the potential needs of the residents for 7 of 21 shifts reviewed. 410 IAC 16.2-5-1.4(b); correction date in the facility plan August 31, 2024
  • Sanitation and Safety Standards (deficiency): Based on observation, interview, and record review, the facility failed to ensure a resident's environment remained free from the potential for accidents when bedrails were applied but not assessed for appropriateness or monitored for continued safety for 1 of 2 residents reviewed for bed rails (Resident 93). 410 IAC 16.2-5-1.5(e)(1-4); correction date in the facility plan July 26, 2024
  • Evaluation (noncompliance): Based on observation, interview, and record review, the facility failed to ensure assessments were completed for residents who self-administer their medication for 6 of 6 residents reviewed for medication self-administration (Resident 6, 10, 11, 16, 18, and 22). 410 IAC 16.2-5-2(c)(1-4)(d); correction date in the facility plan August 31, 2024
  • Food and Nutritional Services (deficiency): Based on observation, interview, and record review, the facility failed to ensure all foods were labeled and dated, hair restraints were worn by kitchen staff near food, internal thermometers were inside coolers, thermometers were cleaned appropriately for taking temperatures of the food, and frozen meats were thawed appropriately for 1 of 1 observation of the kitchen with the potential to affect 116 of 116 residents who consumed food from the kitchen. 410 IAC 16.2-5-5.1(f); correction date in the facility plan August 31, 2024
  • Pharmaceutical Services (noncompliance): Based on observation and interviews, the facility failed to date eye drops, insulin, and failed to label over the counter (OTC) from the 100 and 300 hall medication carts for 2 of 5 medication carts reviewed. 410 IAC 16.2-5-6(g)(1-9); correction date in the facility plan August 31, 2024

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

• Citation / Fine, notice to facility June 7, 2023, initial amount $10000, case closed July 5, 2023 (survey 1FJF11)
• Citation / Fine, notice to facility July 11, 2022, initial amount $2500, case closed December 2, 2022 (survey WDOT11)

IDOH consumer report → (SUGAR GROVE SENIOR LIVING)

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.