Inspection Report Summary
The most recent inspection on April 15, 2025, found deficiencies related to expired and improperly stored food items. Earlier inspections showed a mix of compliance and deficiencies, including substantiated complaints about medication errors in May 2024 and incomplete clinical records in March 2023. The main issues identified involved medication management, clinical documentation, and food safety practices. Complaint investigations resulted in substantiated findings with cited deficiencies, including a medication error that caused resident harm and clinical record omissions during resident transfer. The pattern suggests ongoing challenges in compliance with medication and documentation protocols, while food safety issues appeared in the latest inspection.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
76% better than Indiana average
Indiana average: 4.2 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
115 residents
Based on a April 2025 inspection.
Occupancy over time
Inspection Report
Renewal
Census: 115
Deficiencies: 1
Date: Apr 15, 2025
Visit Reason
This visit was for a State Residential Licensure Survey conducted on April 15 and 16, 2025, to assess compliance with state regulations for Allisonville Meadows Assisted Living.
Findings
The facility failed to ensure expired food was disposed of timely and failed to store food properly, potentially affecting all 115 residents. Multiple expired food items were found in storage areas, and food storage policies were not fully followed.
Deficiencies (1)
Failed to ensure expired food was disposed of timely and failed to store food properly, including uncovered or unlabeled items.
Report Facts
Residential Census: 115
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kaitlin Buenavides | Executive Director | Signed the report and provided the Food Storage policy |
| Regional Culinary Manager 2 (RCM 2) | Observed during inspection and interviewed regarding food storage deficiencies |
Inspection Report
Complaint Investigation
Census: 117
Deficiencies: 1
Date: May 17, 2024
Visit Reason
This visit was conducted for the investigation of Complaint IN00433410 regarding medication administration errors at Allisonville Meadows Assisted Living.
Complaint Details
Complaint IN00433410 was substantiated with state deficiencies cited at R0297 related to medication errors causing harm to Resident B.
Findings
The facility failed to ensure medications were not left unattended in residents' apartments, resulting in Resident B taking Resident C's medications, causing Resident B to have low blood pressure and require hospitalization overnight. The facility identified medication administration errors and implemented re-education and skills validation for nursing staff.
Deficiencies (1)
Facility failed to ensure medications were not left in residents' apartments, leading to a resident taking the wrong medications.
Report Facts
Residential Census: 117
Hospitalization duration: 24
Medication administration re-education date: Apr 30, 2024
Medication administration skills validation completion date: May 6, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kaitlin Buenavides | Executive Director | Signed the report |
| Director of Nursing | Director of Nursing | Conducted interviews, provided re-education, and skills validation for nursing staff |
| Licensed Practical Nurse 2 | Licensed Practical Nurse | Employee involved in medication administration error |
Inspection Report
Original Licensing
Census: 121
Deficiencies: 0
Date: Feb 16, 2024
Visit Reason
This visit was for a State Residential Licensure Survey to assess compliance with state licensure requirements.
Findings
Allisonville Meadows Assisted Living was found to be in compliance with 410 IAC 16.2 in regards to the State Residential Licensure Survey.
Inspection Report
Complaint Investigation
Census: 106
Deficiencies: 1
Date: Mar 16, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00390467 regarding allegations related to clinical record deficiencies.
Complaint Details
Complaint IN00390467 was substantiated with state deficiencies cited at R349 related to incomplete clinical records for Resident B during transfer/discharge.
Findings
The facility failed to ensure that the clinical record for one resident (Resident B) was complete and readily accessible, specifically lacking a Notice of Transfer/Discharge and documentation that the receiving facility received all required information.
Deficiencies (1)
Clinical record for Resident B was incomplete and not readily accessible, missing Notice of Transfer/Discharge and evidence that receiving facility received nurses' notes on functional abilities, nursing care, and tuberculosis testing.
Report Facts
Residential Census: 106
Dates of emails providing clinical documents: Emails sent on 7/6/2022 and 7/14/2022 to receiving community with requested documents
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kaitlin Buenavides | Executive Director | Signed the inspection report |
| Director of Nursing | Interviewed regarding lack of Transfer to Another Facility policy and provision of discharge documents |
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