Inspection Reports for Camelot Care Center
1555 Commerce St, Logansport, IN 46947, IN, 46947
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Re-Inspection
Census: 82
Capacity: 91
Deficiencies: 0
Oct 10, 2024
Visit Reason
A Post Survey Revisit (PSR) to the Life Safety Code Recertification and State Licensure Survey conducted on 08/27/24 was performed to verify compliance with prior deficiencies.
Findings
Camelot Care 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. The facility was fully sprinklered except for an aluminum shed used for storage.
Report Facts
Facility capacity: 91
Census: 82
Inspection Report
Plan of Correction
Deficiencies: 0
Sep 10, 2024
Visit Reason
Paper compliance review related to the Recertification and State Licensure survey and the Investigation of Complaint IN00440500 completed on August 9, 2024.
Findings
Camelot Care 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 of the Recertification and State Licensure survey and the Investigation of Complaint IN00440500.
Inspection Report
Life Safety
Census: 83
Capacity: 91
Deficiencies: 4
Aug 27, 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 in accordance with federal and state regulations.
Findings
The facility was found in compliance with Emergency Preparedness Requirements but was not in compliance with Life Safety Code requirements. Deficiencies included a non-functioning battery-powered emergency light, lack of self-closing devices on hazardous area doors, corroded sprinkler heads needing replacement, and an outdated sprinkler system gauge.
Severity Breakdown
SS=E: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Battery-operated emergency light in the Mechanical/Sprinkler room door location failed to function during testing. | SS=E |
| Corridor doors to two hazardous areas (Brief Room and Business office) lacked self-closing devices. | SS=E |
| Four of five sprinkler heads in the kitchen were corroded and needed replacement. | SS=E |
| One of five sprinkler system gauges was over five years old and had not been replaced or recalibrated as required. | SS=E |
Report Facts
Certified beds: 91
Census: 83
Deficiencies cited: 4
Residents potentially affected: 18
Staff potentially affected: 6
Visitors potentially affected: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Samantha D. Biddle | BSN, RN, HFA/Administrator | Administrator present at exit conference and involved in review of findings. |
| Maintenance Director | Interviewed regarding emergency lighting, door closures, sprinkler heads, and gauges; responsible for corrective actions. |
Inspection Report
Annual Inspection
Census: 85
Capacity: 85
Deficiencies: 4
Aug 9, 2024
Visit Reason
This visit was for a Recertification and State Licensure Survey, which included the Investigation of Complaint IN00440500.
Findings
The facility was found deficient in multiple areas including failure to ensure PRN psychotropic medications were not ordered beyond 14 days without documented rationale, improper medication storage accessible to residents, failure to properly don personal protective equipment during catheter care, and inadequate room size for one multiple-resident room. Corrective actions and plans of correction were documented for each deficiency.
Complaint Details
Complaint IN00440500 was investigated during this survey. Federal/State deficiencies related to the allegations are cited at F880.
Severity Breakdown
SS=D: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to ensure a PRN psychotropic medication was not ordered beyond 14 days or the attending physician documented their rationale in the resident's medical record to indicate the duration for the PRN order for 1 of 5 residents reviewed for unnecessary medications (Resident 62). | SS=D |
| Failed to keep medications within eyesight or stored in a location not accessible to residents or unauthorized personnel for 3 of 3 residents' medications randomly observed for medication storage (Residents 70, 33, and 74). | SS=D |
| Failed to ensure staff covered their clothing with personal protective equipment while providing catheter care for 1 of 1 resident observed (Resident K). | SS=D |
| Failed to provide at least 80 square feet per resident in 1 of 33 resident rooms reviewed (Room 16). | SS=D |
Report Facts
Census Bed Type: 85
Total Capacity: 85
Survey Dates: 5
Room Size: 79.3
Number of Beds in Room 16: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Samantha D. Biddle | BSN, RN, HFA/Administrator | Signed the report and is the facility administrator |
| LPN 2 | Named in the finding related to improper donning of personal protective equipment during catheter care | |
| Regional Director | Interviewed regarding PPE gown use and room size waiver |
Inspection Report
Complaint Investigation
Census: 82
Capacity: 82
Deficiencies: 0
Nov 28, 2023
Visit Reason
This visit was for the Investigation of Complaint IN00421397.
Findings
No deficiencies related to the allegations are cited. Camelot Care 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 IN00421397.
Complaint Details
Complaint IN00421397 - No deficiencies related to the allegations are cited.
Report Facts
Census SNF/NF: 82
Total Capacity: 82
Census Medicaid: 82
Inspection Report
Re-Inspection
Census: 88
Capacity: 91
Deficiencies: 0
Jul 28, 2023
Visit Reason
A Post Survey Revisit (PSR) to the Life Safety Code Recertification and State Licensure Survey conducted on 06/13/23 was performed to verify compliance with Medicare/Medicaid participation requirements and Life Safety Code standards.
Findings
At this PSR survey, Camelot Care 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. The facility was fully sprinkled except for an aluminum shed used for storage.
Report Facts
Facility capacity: 91
Census: 88
Inspection Report
Annual Inspection
Census: 86
Capacity: 91
Deficiencies: 4
Jun 13, 2023
Visit Reason
An annual Life Safety Code Recertification and State Licensure Survey was conducted by the Indiana Department of Health in accordance with 42 CFR 483.90(a) and NFPA 101 standards.
Findings
The facility was found not in compliance with Life Safety Code requirements, with deficiencies related to hazardous area enclosure, fire drills, smoking regulations, and soiled linen and trash container storage. Corrective actions were planned and implemented promptly.
Severity Breakdown
SS=E: 3
SS=F: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 1 conference/storage rooms with large amounts of combustible storage and greater than 50 square feet was protected as a hazardous area due to the corridor door not being self-closing or automatic closing. | SS=E |
| Failed to conduct fire drills on each shift for 3 of 4 quarters as required by NFPA 101. | SS=F |
| Failed to enforce non-smoking policies evidenced by cigarette butts found around the employee exit, a non-smoking area. | SS=E |
| Failed to ensure trash receptacles in 1 of 4 corridors were maintained in accordance with NFPA 101, with five 20-gallon soiled linen hampers exceeding allowed capacity in a 64 square foot area. | SS=E |
Report Facts
Certified beds: 91
Census: 86
Fire drills missing: 3
Cigarette butts: 20
Soiled linen hampers: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| James D. Sizemore | HFA/Administrator | Named in relation to findings and exit conference |
Inspection Report
Renewal
Census: 88
Capacity: 88
Deficiencies: 1
May 10, 2023
Visit Reason
This visit was for a Recertification and State Licensure Survey conducted over multiple days in May 2023.
Findings
The facility failed to provide at least 80 square feet per resident in one of 33 multiple resident rooms (Room 16), which had three beds with only 79.3 square feet per resident. A waiver for this room was previously granted and a request to continue the waiver was submitted to the Indiana State Department of Health.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to provide at least 80 square feet per resident for 1 of 33 resident rooms (Room 16) which had 79.3 sq.ft. per resident. | SS=D |
Report Facts
Census: 88
Total Capacity: 88
Beds in Room 16: 3
Square feet per resident in Room 16: 79.3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| James D. Sizemore | HFA/Administrator | Administrator who provided documentation and interview regarding room size waiver |
Inspection Report
Renewal
Deficiencies: 0
May 10, 2023
Visit Reason
The inspection was conducted as a Recertification and State Licensure survey to assess compliance with regulatory requirements.
Findings
Camelot Care Center was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 during the Recertification and State Licensure survey.
Inspection Report
Re-Inspection
Census: 86
Capacity: 91
Deficiencies: 0
Aug 16, 2022
Visit Reason
A Post Survey Revisit (PSR) to the Life Safety Code Recertification and State Licensure Survey conducted on 08/01/22 was conducted by the Indiana Department of Health in accordance with 42 CFR 483.90(a).
Findings
At this PSR survey, Camelot Care 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 and 410 IAC 16.2. The facility is fully sprinkled except for an aluminum shed used for storage.
Report Facts
Facility capacity: 91
Census: 86
Inspection Report
Life Safety
Census: 85
Capacity: 91
Deficiencies: 5
Aug 1, 2022
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 federal regulations.
Findings
The facility was found in compliance with Emergency Preparedness Requirements but was not in compliance with Life Safety Code requirements. Deficiencies included failure to maintain emergency lighting, improperly secured electrical junction box, corridor width obstruction, lack of self-closing devices on hazardous area doors, and unsecured oxygen cylinders.
Severity Breakdown
SS=E: 5
Deficiencies (5)
| Description | Severity |
|---|---|
| Battery-operated emergency light failed to function when tested. | SS=E |
| Electrical junction box cover was not properly aligned, leaving high voltage wires exposed. | SS=E |
| Loveseat placed in corridor reduced clear width to less than six feet and was not secured. | SS=E |
| Corridor door to Medical Records room lacked a self-closing device. | SS=E |
| Oxygen cylinder was unsecured and not in an approved container or holder. | SS=E |
Report Facts
Certified beds: 91
Census: 85
Battery powered emergency lights: 18
Electrical junction boxes observed: 1
Corridors inspected: 4
Hazardous areas inspected: 6
Oxygen cylinders observed: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Supervisor | Acknowledged deficiencies related to emergency lighting, electrical junction box, corridor obstruction, hazardous area doors, and oxygen cylinder storage. | |
| Facility Administrator | Participated in observations and interviews regarding deficiencies and corrective actions. |
Inspection Report
Renewal
Deficiencies: 0
Jun 15, 2022
Visit Reason
The inspection was conducted as a Recertification and State Licensure survey for Camelot Care Center.
Findings
Camelot Care Center was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 regarding the Recertification and State Licensure survey.
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