Inspection Reports for Albany Health Care & Rehabilitation Center
910 W WALNUT ST, ALBANY, IN, 47320
Back to Facility ProfileInspection Report Summary
The most recent inspection on July 2, 2025, identified deficiencies related to staff-to-resident abuse and failure to promptly report the incident to the administrator. Earlier inspections showed a mix of compliance and deficiencies, including issues with medication errors, care planning, fall prevention, and life safety code violations. The main themes of deficiencies involved resident care concerns such as abuse prevention, medication management, supervision, and safety measures. Several complaint investigations were substantiated, including cases of medication errors, abuse, and improper resident transfers, but many complaints were found unsubstantiated. The facility’s inspection history shows ongoing challenges with resident care and safety, with some corrective actions implemented, but deficiencies have recurred over time.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
90% worse than Indiana average
Indiana average: 4.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
100% occupied
Based on a July 2025 inspection.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 77
Capacity: 77
Deficiencies: 2
Date: Jul 2, 2025
Visit Reason
This visit was conducted for the investigation of complaint IN00462025 regarding allegations of staff-to-resident abuse at Albany Health Care & Rehabilitation Center.
Complaint Details
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.
Findings
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.
Deficiencies (2)
Failure to ensure a resident was free from staff-to-resident abuse, resulting in bruising from physical retaliation.
Failure to immediately report alleged abuse to the administrator as required by regulation.
Report Facts
Residents on 300 Unit: 19
Total residents: 77
Staff signatures on abuse in-service: 74
Staff called for in-service via phone: 45
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA 3 | Certified Nursing Assistant | Named in abuse finding for physically restraining Resident B and terminated for abuse |
| RN 8 | Registered Nurse | Received abuse allegation report from Resident B's daughter and notified DON |
| LPN 4 | Licensed Practical Nurse | Witnessed bruising and failed to report abuse immediately |
| CNA 6 | Certified Nursing Assistant | Observed bruising and resident's allegation but failed to report immediately |
| CNA 7 | Certified Nursing Assistant | Observed bruising and resident's allegation but failed to report immediately |
| Administrator | Facility Administrator | Notified by DON of abuse allegation and led investigation |
| DON | Director of Nursing | Received abuse allegation from RN 8, notified Administrator, and led investigation |
Inspection Report
Complaint Investigation
Census: 80
Capacity: 80
Deficiencies: 0
Date: Apr 24, 2025
Visit Reason
This visit was for the investigation of Complaint IN00456790.
Complaint Details
Complaint IN00456790 was investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations in Complaint IN00456790 were cited. The facility was found to be in compliance with applicable regulations.
Report Facts
Medicare census: 7
Medicaid census: 60
Other payor census: 13
Inspection Report
Complaint Investigation
Census: 76
Capacity: 76
Deficiencies: 0
Date: Mar 31, 2025
Visit Reason
This visit was for the Investigation of Complaint IN00455281.
Complaint Details
Complaint IN00455281 - No deficiencies related to the allegations are cited.
Findings
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.
Report Facts
Census Bed Type: 76
Census Payor Type - Medicare: 4
Census Payor Type - Medicaid: 58
Census Payor Type - Other: 14
Inspection Report
Re-Inspection
Census: 83
Capacity: 83
Deficiencies: 0
Date: Mar 4, 2025
Visit Reason
This visit was a Post Survey Revisit (PSR) to the Recertification and State Licensure Survey completed on January 14, 2025.
Findings
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.
Report Facts
Census Payor Type - Medicare: 6
Census Payor Type - Medicaid: 63
Census Payor Type - Other: 14
Inspection Report
Life Safety
Census: 83
Capacity: 102
Deficiencies: 0
Date: Feb 26, 2025
Visit Reason
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).
Findings
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.
Inspection Report
Life Safety
Census: 85
Capacity: 102
Deficiencies: 5
Date: Feb 3, 2025
Visit Reason
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).
Findings
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).
Deficiencies (5)
Failed to ensure 2 of 2 exit discharge paths through a courtyard were readily accessible and staff knew how to unlock gates.
Failed to install exit signage in 2 of 2 courtyard exits and directional signage at 3 exits.
Failed to provide an approved method for returning cooking appliances to approved design location under kitchen hood extinguishing system.
Failed to ensure 1 of 1 flexible cords were not used as a substitute for fixed wiring (extension cord used in laundry).
Failed to conduct required maintenance and maintain complete documentation of inspections for Patient Care Related Electrical Equipment (PCREE).
Report Facts
Certified beds: 102
Census: 85
Staff affected: 6
Staff affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jason Gimre | Administrator | Facility Administrator signing the report. |
| Maintenance Director | Named in multiple findings related to exit discharge gates, exit signage, kitchen hood appliance placement, extension cord use, and PCREE maintenance. |
Inspection Report
Annual Inspection
Census: 79
Capacity: 79
Deficiencies: 8
Date: Jan 14, 2025
Visit Reason
This visit was for a Recertification and State Licensure Survey conducted over January 7, 8, 9, 10, 13, and 14, 2025.
Findings
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.
Deficiencies (8)
Failed to ensure mail was distributed to residents on Saturdays affecting all 79 residents.
Failed to ensure the most recent Indiana Department of Health survey reports were readily available for review affecting all 79 residents.
Failed to ensure a PASRR was submitted for a resident with new mental health diagnosis and psychotropic medication.
Failed to develop and implement a comprehensive care plan with individualized interventions for a resident at risk for decreased range of motion.
Failed to ensure the resident's representative was invited to participate in ongoing care planning for a resident.
Failed to provide appropriate restorative care services as recommended by therapy for a resident with limited range of motion.
Failed to provide supervision to prevent repeated falls for a cognitively impaired resident with a history of falls.
Failed to ensure the physician was notified of a resident's significant weight loss.
Report Facts
Census: 79
Total Capacity: 79
Weight loss percentage: 8.69
Weight loss percentage: 6.75
Weight loss percentage: 10.24
Deficiency counts: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jason Gimre | Administrator | Signed the inspection report |
| QMA 4 | Interviewed regarding mail delivery on Saturdays | |
| CNA 6 | Interviewed regarding mail delivery on Saturdays | |
| Dementia Care Director | Interviewed regarding mail delivery on Saturdays | |
| Activity Director | Interviewed regarding mail delivery on Saturdays and mail distribution policy | |
| Human Resources Director | Interviewed regarding survey report maintenance | |
| Social Services Designee | Responsible for PASRR submissions and care plan invitations | |
| MDS Coordinator | Interviewed regarding care plans and restorative care | |
| Restorative Aide 10 | Interviewed regarding restorative care services | |
| Restorative Aide 15 | Interviewed regarding restorative care services | |
| Physical Therapist | Provided therapy discharge recommendations | |
| DON | Director of Nursing | Provided policies and interviewed regarding deficiencies |
| LPN 17 | Charge nurse interviewed regarding weight loss notifications | |
| LPN 19 | Interviewed regarding fall prevention interventions | |
| CNA 20 | Interviewed regarding fall prevention interventions | |
| QMA 13 | Interviewed regarding fall prevention interventions | |
| RN 18 | Unit manager and part of nutritional at risk team |
Inspection Report
Census: 85
Capacity: 85
Deficiencies: 0
Date: Nov 22, 2024
Visit Reason
This visit was for a Quality Assurance Walk Through Survey conducted on November 22, 2024.
Findings
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.
Report Facts
Census Payor Type - Medicare: 9
Census Payor Type - Medicaid: 63
Census Payor Type - Other: 13
Inspection Report
Complaint Investigation
Census: 78
Capacity: 78
Deficiencies: 0
Date: Oct 18, 2024
Visit Reason
This visit was conducted for the investigation of Complaints IN00445515 and IN00445196.
Complaint Details
Investigation of Complaints IN00445515 and IN00445196 found no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations in Complaints IN00445515 and IN00445196 were cited. The facility was found to be in compliance with relevant regulations.
Report Facts
Census SNF/NF beds: 78
Census Medicare residents: 7
Census Medicaid residents: 58
Census Other residents: 13
Inspection Report
Complaint Investigation
Census: 79
Capacity: 79
Deficiencies: 0
Date: Sep 12, 2024
Visit Reason
This visit was conducted for the investigation of Complaints IN00442546 and IN00441750.
Complaint Details
Investigation of Complaints IN00442546 and IN00441750 found no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations in Complaints IN00442546 and IN00441750 were cited. The facility was found to be in compliance with applicable regulations.
Report Facts
Census SNF/NF beds: 79
Census Medicare residents: 6
Census Medicaid residents: 58
Census Other residents: 15
Inspection Report
Complaint Investigation
Census: 86
Capacity: 86
Deficiencies: 0
Date: May 3, 2024
Visit Reason
This visit was conducted for the investigation of Complaint IN00432737.
Complaint Details
Complaint IN00432737 was investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the complaint allegations were cited. The facility was found to be in compliance with applicable regulations.
Report Facts
Medicare census: 13
Medicaid census: 60
Other payor census: 13
Inspection Report
Re-Inspection
Census: 87
Capacity: 102
Deficiencies: 0
Date: Mar 19, 2024
Visit Reason
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.
Findings
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.
Inspection Report
Life Safety
Census: 74
Capacity: 102
Deficiencies: 7
Date: Feb 5, 2024
Visit Reason
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.
Findings
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.
Deficiencies (7)
Failed to document 36-month period emergency generator testing for 1 of 1 emergency generators in accordance with NFPA 99 and NFPA 110.
Failed to ensure 1 of 1 fire department connection sign was installed.
Failed to ensure 1 of over 10 wet locations were provided with ground fault circuit interrupter (GFCI) protection against electric shock.
Failed to ensure receptacles in 2 of over 50 resident sleeping rooms were properly grounded in accordance with NFPA 70.
Failed to ensure non-hospital grade electrical receptacles in resident sleeping rooms were tested at least annually.
Failed to ensure empty oxygen cylinders are segregated from full cylinders and marked to avoid confusion.
Failed to ensure 1 of 15 cylinders of nonflammable gases such as oxygen were properly secured from falling.
Report Facts
Facility capacity: 102
Census: 74
Deficiency count: 7
Generator load test interval: 36
Generator load test duration: 4
Fire department connection sign audit frequency: 4
Fire department connection sign audit frequency: 2
Fire department connection sign audit frequency: 3
Fire department connection sign audit frequency: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jason Gimre | Administrator | Named in relation to exit conference and review of findings |
| Maintenance Director | Interviewed and involved in review of generator testing, electrical and oxygen storage deficiencies |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Jan 22, 2024
Visit Reason
Paper compliance review for the Annual Recertification and State Licensure survey.
Findings
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.
Inspection Report
Annual Inspection
Census: 75
Capacity: 75
Deficiencies: 4
Date: Jan 22, 2024
Visit Reason
This visit was for a Recertification and State Licensure Survey, which included the Investigation of Complaints IN00424167 and IN00425811.
Complaint Details
Complaint IN00424167 and Complaint IN00425811 were investigated with no deficiencies related to the allegations cited.
Findings
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.
Deficiencies (4)
Failed to notify the Long-Term Care Ombudsman of transfers out of the facility for 2 of 3 residents reviewed for hospitalizations.
Failed to implement care plan interventions to prevent falls for 1 of 5 residents reviewed for falls.
Failed to remove CNA students from CNA duties when they failed to become certified within four months of their hire date.
Failed to ensure accurate records were kept of the administration of controlled medications for 6 of 14 residents reviewed.
Report Facts
Survey dates: 5
Census Bed Type: 75
Census Payor Type: 75
Deficiencies cited: 4
CNA 5 work dates: 20
CNA 6 work dates: 11
Controlled medication discrepancies: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jason Gimre | Administrator | Signed the report and involved in interview regarding CNA student status. |
| LPN 4 | Observed medication cart and narcotic reconciliation, noted documentation issues with controlled substances. | |
| Social Services Designee | SSD | Provided ombudsman notification binder and interviewed regarding failure to notify ombudsman of resident transfers. |
| Director of Nursing | DON | Interviewed regarding fall prevention interventions and controlled substance documentation. |
| Assistant Director of Nursing | ADON | Interviewed regarding fall prevention interventions and resident care plan. |
| CNA 9 | Interviewed regarding fall interventions and use of resident care plans. | |
| CNA 10 | Interviewed regarding resident footwear and fall prevention interventions. |
Inspection Report
Follow-Up
Census: 82
Capacity: 82
Deficiencies: 0
Date: Sep 29, 2023
Visit Reason
This visit was a Post Survey Revisit (PSR) to the Investigation of Complaint IN00415086 completed on 2023-08-16.
Complaint Details
Complaint IN00415086 was investigated and found to be corrected.
Findings
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.
Report Facts
Census SNF/NF beds: 82
Census total residents: 82
Census Medicare residents: 4
Census Medicaid residents: 69
Census other payor residents: 9
Inspection Report
Complaint Investigation
Census: 79
Capacity: 79
Deficiencies: 1
Date: Aug 16, 2023
Visit Reason
This visit was conducted for the investigation of complaint IN00415086 regarding a significant medication error involving residents at Albany Health Care & Rehabilitation Center.
Complaint Details
Complaint IN00415086 was substantiated with a federal/state deficiency cited at F0760 related to the medication error incident.
Findings
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.
Deficiencies (1)
Failed to prevent a significant medication error when QMA1 administered the wrong medications to Resident B and Resident C.
Report Facts
Census: 79
Total Capacity: 79
Medicare Residents: 7
Medicaid Residents: 68
Other Residents: 4
Medication Administration Competency Audit Frequency: 3
Medication Administration Competency Audit Frequency: 2
Medication Administration Competency Audit Frequency: 1
Audit Duration: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| QMA1 | Qualified Medication Aide | Named in medication error finding for administering wrong medications to residents |
| Director of Nursing | Provided interview details regarding the medication error incident and corrective actions |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 77
Deficiencies: 0
Date: Jul 3, 2023
Visit Reason
This visit was conducted for the investigation of complaints IN00411799 and IN00411479.
Complaint Details
Complaint IN00411799 and IN00411479 were investigated with no deficiencies related to the allegations cited.
Findings
No deficiencies related to the allegations in complaints IN00411799 and IN00411479 were cited. The facility was found to be in compliance with relevant regulations.
Report Facts
Census Bed Type: 77
Medicare Census: 7
Medicaid Census: 56
Other Payor Census: 14
Inspection Report
Complaint Investigation
Census: 76
Capacity: 76
Deficiencies: 0
Date: Apr 5, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00400659.
Complaint Details
Complaint IN00400659 was investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations in Complaint IN00400659 were cited. The facility was found to be in compliance with applicable regulations.
Report Facts
Medicare residents: 8
Medicaid residents: 56
Other residents: 12
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 30, 2023
Visit Reason
Paper compliance review to the Investigation of Complaint IN00403125 completed on March 6, 2023.
Complaint Details
Investigation of Complaint IN00403125 completed on March 6, 2023; facility found in compliance.
Findings
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.
Inspection Report
Complaint Investigation
Census: 76
Capacity: 76
Deficiencies: 3
Date: Mar 5, 2023
Visit Reason
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.
Complaint Details
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.
Findings
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.
Deficiencies (3)
Failed to notify physician and responsible party when a severely cognitively impaired resident verbalized intent for self-harm.
Failed to ensure staff reported allegations of abuse to the Administrator in a timely manner.
Failed to develop and implement a behavioral care plan for a severely cognitively impaired resident with verbalization of self-harm intent.
Report Facts
Census: 76
Total Capacity: 76
Medicare Census: 5
Medicaid Census: 65
Other Payor Census: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jason Gimre | Administrator | Signed report and mentioned in interviews |
| Director of Nursing | Director of Nursing | Mentioned in relation to failure to notify and abuse reporting |
| Business Office Manager | Business Office Manager | Reported hearing resident's self-harm statements |
| MDS Coordinator | MDS Coordinator | Interviewed regarding resident behaviors and documentation |
| RN 2 | Registered Nurse | Failed to report abuse allegation to Administrator |
| CNA 9 | Certified Nursing Aide | Reported mistreatment of Resident C to RN 2 |
| Administrator | Administrator | Interviewed regarding abuse reporting and care plan development |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Jan 13, 2023
Visit Reason
Paper compliance review to the Annual Recertification and State Licensure survey was completed.
Findings
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.
Inspection Report
Census: 73
Capacity: 102
Deficiencies: 0
Date: Jan 10, 2023
Visit Reason
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).
Findings
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).
Report Facts
Facility capacity: 102
Census: 73
Inspection Report
Annual Inspection
Census: 78
Capacity: 78
Deficiencies: 1
Date: Dec 12, 2022
Visit Reason
This visit was for a Recertification and State Licensure Survey, which included the Investigation of Complaint IN00396346.
Complaint Details
Complaint IN00396346 was substantiated, but no deficiencies related to the allegations were cited.
Findings
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.
Deficiencies (1)
Facility failed to ensure a resident was not administered a PRN antipsychotic medication without indication for use or non-pharmacological interventions.
Report Facts
Survey dates: 6
Census Bed Type: 78
Medicare residents: 10
Medicaid residents: 57
Other payor residents: 11
PRN antipsychotic medication orders: 1
Plan of correction completion date: Jan 6, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rose Smalley | Regulatory Compliance Director | Signed the report |
| LPN 5 | Licensed Practical Nurse | Named in relation to behavior management and medication administration |
| Dementia Care Director | Provided interview regarding resident agitation and medication orders | |
| NP Marshall | Nurse Practitioner | Educated on regulation and policy regarding PRN antipsychotic medications |
Inspection Report
Follow-Up
Census: 80
Capacity: 80
Deficiencies: 0
Date: Sep 29, 2022
Visit Reason
This visit was a Post Survey Revisit (PSR) to the Investigation of Complaint IN00388151 completed on 2022-08-25.
Complaint Details
Complaint IN00388151 - Corrected.
Findings
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.
Report Facts
Census: 80
Total Capacity: 80
Medicare Census: 8
Medicaid Census: 61
Other Payor Census: 11
Inspection Report
Complaint Investigation
Census: 80
Capacity: 80
Deficiencies: 1
Date: Aug 24, 2022
Visit Reason
This visit was conducted for the investigation of complaint IN00388151, which was substantiated. The complaint involved concerns related to accident hazards and supervision.
Complaint Details
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.
Findings
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.
Deficiencies (1)
Failed to ensure a resident's seatbelt was disconnected prior to transfer with a mechanical lift, resulting in injury.
Report Facts
Census: 80
Total Capacity: 80
Medicare Census: 9
Medicaid Census: 57
Other Payor Census: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA 21 | Certified Nursing Assistant | Assisted with transfer of Resident B and reported seatbelt was not unbuckled |
| Agency CNA 6 | Certified Nursing Assistant | Hooked Resident B to mechanical lift without unbuckling seatbelt |
| LPN 16 | Licensed Practical Nurse | Interviewed regarding incident and resident condition |
| LPN 27 | Licensed Practical Nurse | Reported resident pain and communication with Nurse Practitioner |
| DON | Director of Nursing | Interviewed about incident and facility policies |
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