Inspection Reports for Albany Health Care & Rehabilitation Center

This visit was conducted for the investigation of complaint IN00462025 regarding allegations of staff-to-resident abuse at Albany Health Care & Rehabilitation Center.

The facility failed to ensure a cognitively impaired resident (Resident B) was free from staff-to-resident abuse, specifically physical retaliation by a staff member. The resident had bruising on bilateral wrists and left hand attributed to a staff member holding her arms. The staff member was terminated. The facility also failed to immediately report the alleged abuse to the administrator as required. The facility conducted a thorough investigation, provided staff education on abuse prevention and reporting, and implemented systemic corrective actions.

Complaint IN00462025 involved allegations of staff-to-resident abuse of Resident B. The complaint was substantiated with federal deficiencies cited at F600 and F609. The investigation confirmed bruising consistent with abuse and failure to timely report the incident.

This visit was for the investigation of Complaint IN00456790.

No deficiencies related to the allegations in Complaint IN00456790 were cited. The facility was found to be in compliance with applicable regulations.

Complaint IN00456790 was investigated and found to have no deficiencies related to the allegations.

This visit was for the Investigation of Complaint IN00455281.

No deficiencies related to the allegations are cited. Albany Health Care & Rehabilitation Center was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 in regard to the Investigation of Complaint IN00455281.

Complaint IN00455281 - No deficiencies related to the allegations are cited.

This visit was a Post Survey Revisit (PSR) to the Recertification and State Licensure Survey completed on January 14, 2025.

Albany Health Care & Rehabilitation Center was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 in regard to the PSR to the Recertification and State Licensure Survey.

A Post Survey Revisit (PSR) to the Life Safety Code Recertification and State Licensure Survey that exited on 02/03/25 was conducted by the Indiana Department of Health in accordance with 42 CFR 483.90(a).

At this PSR Life Safety Code survey, Albany Health Care and Rehabilitation Center was found in compliance with Requirements for Participation in Medicare/Medicaid, Life Safety from Fire, and the 2012 edition of the National Fire Protection Association (NFPA) 101, Life Safety Code (LSC), Chapter 19, Existing Health Care Occupancies. The facility is fully sprinklered except for a barn and a garage which were not sprinklered.

The survey was conducted as a Life Safety Code Recertification and State Licensure Survey by the Indiana Department of Health in accordance with 42 CFR 483.90(a).

The facility was found not in compliance with Life Safety Code requirements, including issues with locked exit discharge gates, missing exit signage, improper placement of cooking appliances under kitchen hood extinguishing systems, use of extension cords in place of fixed wiring, and lack of required maintenance and documentation for Patient Care Related Electrical Equipment (PCREE).

This visit was for a Recertification and State Licensure Survey conducted over January 7, 8, 9, 10, 13, and 14, 2025.

The facility was cited for multiple deficiencies including failure to distribute mail on Saturdays, failure to maintain up-to-date survey reports, failure to submit PASRR for a resident with new mental health diagnoses, failure to develop and implement comprehensive care plans, failure to invite resident representatives to care planning, failure to provide restorative care, failure to provide adequate supervision to prevent falls, and failure to notify the physician of significant weight loss.

This visit was for a Quality Assurance Walk Through Survey conducted on November 22, 2024.

Albany Health Care & Rehabilitation Center was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 in regard to the Quality Assurance Walk Through Survey.

This visit was conducted for the investigation of Complaints IN00445515 and IN00445196.

No deficiencies related to the allegations in Complaints IN00445515 and IN00445196 were cited. The facility was found to be in compliance with relevant regulations.

Investigation of Complaints IN00445515 and IN00445196 found no deficiencies related to the allegations.

This visit was conducted for the investigation of Complaints IN00442546 and IN00441750.

No deficiencies related to the allegations in Complaints IN00442546 and IN00441750 were cited. The facility was found to be in compliance with applicable regulations.

Investigation of Complaints IN00442546 and IN00441750 found no deficiencies related to the allegations.

This visit was conducted for the investigation of Complaint IN00432737.

No deficiencies related to the complaint allegations were cited. The facility was found to be in compliance with applicable regulations.

Complaint IN00432737 was investigated and found to have no deficiencies related to the allegations.

A Post Survey Revisit (PSR) was conducted to the Emergency Preparedness Survey and the Life Safety Code Recertification and State Licensure Survey originally conducted on 02/05/24.

At this PSR, Albany Health Care and Rehabilitation Center was found in compliance with Emergency Preparedness Requirements and Life Safety Code requirements. The facility was fully sprinklered with a fire alarm system and smoke detection in required areas.

An Emergency Preparedness Survey and a Life Safety Code Recertification and State Licensure Survey were conducted by the Indiana Department of Health to assess compliance with emergency preparedness and life safety requirements.

The facility was found not in compliance with emergency preparedness requirements due to failure to document 36-month emergency generator testing. Life Safety Code deficiencies included missing fire department connection signage, lack of GFCI protection on an electrical outlet near a sink, improperly grounded electrical receptacles in resident rooms, overdue annual testing of non-hospital grade receptacles, improper storage and segregation of oxygen cylinders, and failure to secure one oxygen cylinder.

Paper compliance review for the Annual Recertification and State Licensure survey.

Albany Health Care & Rehabilitation Center was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 based on the paper review for the Recertification and State Licensure survey.

This visit was for a Recertification and State Licensure Survey, which included the Investigation of Complaints IN00424167 and IN00425811.

No deficiencies were cited related to the complaints investigated. Deficiencies were cited related to failure to notify the Long-Term Care Ombudsman of resident transfers, failure to implement fall prevention care plan interventions, use of uncertified CNA students beyond allowed time, and inaccurate controlled substance medication records.

Complaint IN00424167 and Complaint IN00425811 were investigated with no deficiencies related to the allegations cited.

This visit was a Post Survey Revisit (PSR) to the Investigation of Complaint IN00415086 completed on 2023-08-16.

Albany Health Care and Rehabilitation Center was found to be in compliance with 42 CFR Part 483 Subpart B and 410 IAC 16.2-3.1 in regard to the PSR to the Investigation of Complaint IN00415086.

Complaint IN00415086 was investigated and found to be corrected.

This visit was conducted for the investigation of complaint IN00415086 regarding a significant medication error involving residents at Albany Health Care & Rehabilitation Center.

The facility failed to prevent a significant medication error when QMA1 administered the wrong medications to Resident B and Resident C, resulting in Resident B being hospitalized for accidental drug ingestion and related complications. The facility implemented corrective actions including staff education, competency checks, and changes to resident identifiers.

Complaint IN00415086 was substantiated with a federal/state deficiency cited at F0760 related to the medication error incident.

This visit was conducted for the investigation of complaints IN00411799 and IN00411479.

No deficiencies related to the allegations in complaints IN00411799 and IN00411479 were cited. The facility was found to be in compliance with relevant regulations.

Complaint IN00411799 and IN00411479 were investigated with no deficiencies related to the allegations cited.

This visit was conducted for the investigation of Complaint IN00400659.

No deficiencies related to the allegations in Complaint IN00400659 were cited. The facility was found to be in compliance with applicable regulations.

Complaint IN00400659 was investigated and found to have no deficiencies related to the allegations.

Paper compliance review to the Investigation of Complaint IN00403125 completed on March 6, 2023.

Albany Health Care & Rehabilitation Center was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 regarding the paper compliance review to the Complaint Investigation.

Investigation of Complaint IN00403125 completed on March 6, 2023; facility found in compliance.

This visit was conducted for the investigation of complaint IN00403125, which involved federal and state deficiencies related to allegations of failure to notify physician and family of self-harm intent, failure to report abuse allegations, and failure to develop a behavioral care plan.

The facility failed to notify the physician and responsible party when a severely cognitively impaired resident verbalized intent for self-harm, failed to ensure staff reported allegations of abuse in a timely manner, and failed to develop and implement a behavioral care plan for the resident with self-harm verbalizations. Corrective actions and staff re-education were implemented.

Complaint IN00403125 involved allegations related to failure to notify physician and family of self-harm statements by Resident B, failure to report abuse allegations regarding Resident C, and failure to develop a behavioral care plan for Resident B. The complaint was substantiated with deficiencies cited.

Paper compliance review to the Annual Recertification and State Licensure survey was completed.

Albany Health Care and Rehabilitation Center was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 based on the paper review for the Recertification and State Licensure survey.

An Emergency Preparedness Survey and a Life Safety Code Recertification and State Licensure Survey were conducted by the Indiana Department of Health in accordance with 42 CFR 483.73 and 42 CFR 483.90(a).

The facility was found in compliance with Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers, and with Requirements for Participation in Medicare/Medicaid related to Life Safety from Fire and the 2012 edition of the Life Safety Code (LSC).

This visit was for a Recertification and State Licensure Survey, which included the Investigation of Complaint IN00396346.

The facility was substantiated for Complaint IN00396346 with no deficiencies related to the allegations cited. However, the facility failed to ensure a resident was not administered a PRN antipsychotic medication without indication for use or non-pharmacological interventions for 1 of 5 residents reviewed for unnecessary medications.

Complaint IN00396346 was substantiated, but no deficiencies related to the allegations were cited.

This visit was a Post Survey Revisit (PSR) to the Investigation of Complaint IN00388151 completed on 2022-08-25.

Albany Health Care and Rehabilitation was found to be in compliance with 42 CFR Part 483 Subpart B and 410 IAC 16.2-3.1 in regard to the PSR to the Investigation of Complaint IN00388151. The complaint was corrected.

Complaint IN00388151 - Corrected.

This visit was conducted for the investigation of complaint IN00388151, which was substantiated. The complaint involved concerns related to accident hazards and supervision.

The facility failed to ensure a resident's seatbelt was disconnected prior to transfer with a mechanical lift, resulting in the resident being lifted while secured to the wheelchair and sustaining a fractured hip. The investigation included interviews, record reviews, and observations confirming the incident and related deficiencies.

Complaint IN00388151 was substantiated. The complaint involved a resident being lifted with a mechanical lift while secured to a wheelchair seatbelt, resulting in a fractured hip.