Inspection Report Summary
The most recent inspection on February 27, 2025, found no deficiencies related to the complaint investigated. Earlier inspections showed a mix of results, with the July 1, 2024, survey citing a deficiency related to walk-in freezer seals that could affect food safety, and the January 3, 2023, survey noting issues with food labeling and medication labeling. Complaint investigations were mostly unsubstantiated, except for one substantiated complaint in September 2022 that did not result in cited deficiencies. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. The facility’s inspection history shows some recurring issues with food and medication management but also indicates improvement in recent complaint investigations and compliance.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
0.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
81% better than Indiana average
Indiana average: 4.2 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
80 residents
Based on a February 2025 inspection.
Census over time
Inspection Report
Complaint Investigation
Census: 80
Deficiencies: 0
Date: Feb 27, 2025
Visit Reason
This visit was conducted for the investigation of Complaint IN00449655.
Complaint Details
Complaint IN00449655 was investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations were cited. Brownsburg Meadows Assisted Living was found to be in compliance with 410 IAC 16.2-5 regarding the complaint investigation.
Report Facts
Facility number: 13356
Residential Census: 80
Inspection Report
Renewal
Census: 91
Deficiencies: 1
Date: Jul 1, 2024
Visit Reason
This visit was for a State Residential Licensure Survey conducted on July 1 and 2, 2024, to assess compliance with state regulations for Brownsburg Meadows Assisted Living.
Findings
The facility failed to maintain the walk-in freezer seals in working order, resulting in ice buildup and potential contamination risks. The issue was observed during a kitchen tour and was addressed with temporary repairs and a plan for permanent maintenance.
Deficiencies (1)
Failed to ensure that the walk-in freezer seals were maintained in working order to prevent ice buildup and potential contamination of dripping water.
Report Facts
Residential Census: 91
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Griffin Bilskie | Executive Director | Signed the report |
| Culinary Director | Interviewed regarding freezer condition | |
| Assisting Executive Director | Provided facility policy and exit interview |
Inspection Report
Complaint Investigation
Census: 92
Deficiencies: 0
Date: Feb 14, 2024
Visit Reason
This visit was conducted for the investigation of complaints IN00419741 and IN00426581.
Complaint Details
Complaint IN00419741 and Complaint IN00426581 were investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations in complaints IN00419741 and IN00426581 were cited. The facility was found to be in compliance with applicable regulations.
Report Facts
Residential Census: 92
Inspection Report
Complaint Investigation
Census: 81
Deficiencies: 0
Date: Mar 24, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00403124 at Brownsburg Meadows Assisted Living.
Complaint Details
Complaint IN00403124 was investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations in Complaint IN00403124 were cited. The facility was found to be in compliance with applicable regulations.
Inspection Report
Census: 104
Deficiencies: 0
Date: Feb 20, 2023
Visit Reason
Paper compliance review to the State Residential Licensure Survey completed on January 4, 2023.
Findings
Brownsburg Meadows Assisted Living was found to be in compliance with 410 IAC 16.2-5 in regard to the paper compliance review to the State Residential Licensure Survey.
Inspection Report
Renewal
Census: 80
Deficiencies: 2
Date: Jan 3, 2023
Visit Reason
This visit was for a State Residential Licensure Survey conducted on January 3 and 4, 2023, to assess compliance with state regulations for Brownsburg Meadows Assisted Living.
Findings
The facility was found deficient in food labeling practices, failing to label or date various food items in the kitchen, and in pharmaceutical services, where one resident's medication label was incomplete. Corrective actions included discarding unlabeled food and replacing improperly labeled medication.
Deficiencies (2)
Facility failed to ensure all foods were labeled with open or expiration dates in the kitchen, affecting all 80 residents receiving food.
Facility failed to ensure all facility administered medications had complete pharmacy labels for one of five residents reviewed.
Report Facts
Residential Census: 80
Residents affected by food labeling deficiency: 80
Residents reviewed for medication labeling: 5
Residents affected by medication labeling deficiency: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Griffin Bilskie | Executive Director | Signed the report and provided policy documentation |
| Culinary Manager | Conducted kitchen tour and food labeling audit | |
| Assistant Director of Nursing | Provided information on medication labeling and conducted medication audit | |
| Director of Nursing | Provided medication administration record and policy information | |
| Qualified Medication Aide 9 | Administered medication with incomplete label |
Inspection Report
Complaint Investigation
Census: 81
Deficiencies: 0
Date: Sep 21, 2022
Visit Reason
This visit was for the Investigation of Complaint IN00389617.
Complaint Details
Complaint IN00389617 - Substantiated. No deficiencies related to the allegations are cited.
Findings
Complaint IN00389617 was substantiated, but no deficiencies related to the allegations were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the complaint.
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