Deficiencies per Year
4
3
2
1
0
Unclassified
Census Over Time
Inspection Report
Follow-Up
Census: 100
Deficiencies: 0
May 27, 2025
Visit Reason
This visit was a Post Survey Revisit (PSR) to the Investigation of Complaint IN00455663 completed on 2025-04-08.
Findings
Bridge Pointe Gardens was found to be in compliance with 410 IAC 16.2-5 regarding the PSR to Investigation of Complaint IN00455663.
Complaint Details
Complaint IN00455663 was investigated and found to be corrected.
Report Facts
Residential Census: 100
Inspection Report
Complaint Investigation
Census: 101
Deficiencies: 3
Apr 7, 2025
Visit Reason
This visit was conducted for the investigation of complaints IN00455361 and IN00455663. Complaint IN00455361 had no deficiencies related to the allegations, while Complaint IN00455663 resulted in state deficiencies cited at R0051, R0052, and R0243.
Findings
The facility failed to ensure a resident was free from chemical restraint related to antipsychotic medication without exhibited behaviors, failed to prevent verbal abuse by staff to a resident, and failed to document a one-time antipsychotic medication order and administration properly. The former Director of Nursing (DON) was terminated due to these deficiencies, and corrective actions including staff in-service and monitoring plans were implemented.
Complaint Details
Complaint IN00455361 had no deficiencies related to the allegations. Complaint IN00455663 was substantiated with deficiencies cited at R0051, R0052, and R0243 related to chemical restraint, verbal abuse, and medication documentation.
Deficiencies (3)
| Description |
|---|
| Failed to ensure a resident was free of chemical restraint related to antipsychotic medication administration without exhibited behaviors, resulting in over sedation. |
| Failed to ensure staff to resident verbal abuse did not occur. |
| Failed to ensure a one-time order for an antipsychotic medication was in place and documented as administered. |
Report Facts
Deficiencies cited: 3
Medication dose: 4.5
Resident census: 101
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Peter Hastings | Executive Director | Signed report and provided policy documents |
Inspection Report
Original Licensing
Census: 91
Deficiencies: 0
Nov 12, 2024
Visit Reason
This visit was for a State Residential Licensure Survey conducted on November 12, 2024.
Findings
Bridgepointe Gardens was found to be in compliance with 410 IAC 16.2-5 in regard to the State Residential Licensure Survey.
Inspection Report
Complaint Investigation
Census: 80
Deficiencies: 1
Apr 19, 2024
Visit Reason
The visit was conducted for the investigation of Complaint IN00430169 regarding food storage and expiration practices at the facility.
Findings
The facility failed to ensure expired foods were discarded and opened food items were dated in 2 of 2 refrigerators observed. Multiple food items were found undated or past their expiration dates in both the walk-in and standard refrigerators.
Complaint Details
Complaint IN00430169 was substantiated with a state deficiency cited at R0273 related to food and nutritional services.
Deficiencies (1)
| Description |
|---|
| Expired foods were not discarded and opened food items were not dated in the walk-in and standard refrigerators. |
Report Facts
Residential Census: 80
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding food storage policy and practices |
Inspection Report
Census: 36
Deficiencies: 1
Sep 5, 2023
Visit Reason
This visit was for a State Residential Licensure Survey conducted on September 5 and 6, 2023.
Findings
The facility failed to maintain a minimum of one staff member on duty with current First Aid certification 24 hours a day for 2 of 10 days reviewed, potentially affecting all 36 residents. The facility submitted a plan of correction indicating all nursing staff now have active First Aid certification and procedures to maintain compliance.
Deficiencies (1)
| Description |
|---|
| Failed to maintain a minimum of one staff member on duty with current First Aid certification 24 hours a day for 2 of 10 days reviewed. |
Report Facts
Residential Census: 36
Days reviewed: 10
Shifts lacking First Aid certification: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rhonda Mullins | Administrator | Signed as Laboratory Director's or Provider/Supplier Representative |
Inspection Report
Complaint Investigation
Census: 32
Deficiencies: 0
Apr 27, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00404004 at Bridgepointe Gardens.
Findings
No deficiencies related to the allegations in Complaint IN00404004 were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the complaint investigation.
Complaint Details
Complaint IN00404004 was investigated and found to have no related deficiencies; the complaint was not substantiated.
Report Facts
Facility number: 15122
Residential Census: 32
Inspection Report
Original Licensing
Census: 15
Deficiencies: 0
Oct 6, 2022
Visit Reason
This visit was for an Initial State Residential Licensure Survey.
Findings
Bridgepointe Gardens was found to be in compliance with 410 IAC 16.2-5 in regard to the State Residential Licensure Survey.
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