The most recent inspection on June 10, 2025, found no deficiencies related to the complaint investigated. Earlier inspections showed some deficiencies primarily involving food safety practices, such as serving food at unsafe temperatures and issues with food labeling, hair restraints, and hand hygiene in the kitchen. There was also a substantiated complaint in March 2025 regarding verbal abuse by a Certified Nurse Aide, which resulted in the employee’s termination. Other complaint investigations were unsubstantiated, and no fines or enforcement actions were listed in the available reports. The facility’s record shows some recurring issues with food safety and resident care, with no clear pattern of improvement or worsening over time.
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/year
Deficiencies per year
43210
2023
2024
2025
Census
Latest occupancy rate37 residents
Based on a June 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
This visit was conducted for the investigation of Complaint IN00458038.
Findings
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 investigation.
Complaint Details
Complaint IN00458038 was investigated and found to have no deficiencies related to the allegations.
This visit was conducted for the investigation of Complaint IN00454243 regarding allegations of verbal abuse by a Certified Nurse Aide (CNA 5).
Findings
The facility failed to ensure residents were free from verbal abuse for 2 of 3 residents reviewed (Resident K and Resident M). CNA 5 was found to have been verbally abusive, including yelling commands, rough handling, and making disparaging remarks. The employee was placed on administrative leave and subsequently terminated after investigation.
Complaint Details
Complaint IN00454243 was substantiated with deficiencies related to verbal abuse by CNA 5. The investigation confirmed multiple verbal abuse incidents including yelling, rough handling, and discriminatory remarks. CNA 5 was not suspended immediately upon allegations and worked a full shift after the complaint was made. The employee was terminated following the investigation.
Deficiencies (1)
Description
Facility failed to ensure residents were free from verbal abuse by CNA 5 towards Resident K and Resident M.
Report Facts
Residential Census: 35Dates of alleged abuse incidents: Feb 22, 2025Dates of alleged abuse incidents: Feb 23, 2025CNA 5 shift worked after allegations: 8.5Plan of Correction Completion Date: Apr 1, 2025
Employees Mentioned
Name
Title
Context
Belinda Branham
Executive Director
Signed the report and involved in corrective action oversight
This visit was for a State Residential Licensure Survey conducted on January 14 and 15, 2024, to assess compliance with state regulations for residential care facilities.
Findings
The facility failed to serve food at a safe and appropriate temperature to 36 out of 36 residents consuming food prepared in the kitchen, with multiple food items observed below the required temperature of 165 degrees Fahrenheit.
Deficiencies (1)
Description
Failed to serve food at a safe and appropriate temperature to 36 out of 36 residents consuming food prepared in the kitchen.
Report Facts
Residents affected: 36Residential Census: 38Food temperature readings: 78Food temperature readings: 131Food temperature readings: 81Food temperature readings: 127Food temperature readings: 97Food temperature readings: 76Food temperature readings: 127Food temperature readings: 128Food temperature readings: 97Food temperature readings: 99Food temperature readings: 126Food temperature readings: 86Food temperature readings: 97Food temperature readings: 83Food temperature readings: 87Food temperature readings: 124Food temperature readings: 91Food temperature readings: 124Food temperature readings: 93Food temperature readings: 86Food temperature readings: 86Food temperature readings: 97Food temperature readings: 91Food temperature readings: 83Food temperature readings: 82Food temperature readings: 86Food temperature readings: 81Food temperature readings: 124Food temperature readings: 86Food temperature readings: 68Food temperature readings: 71Food temperature readings: 127
Employees Mentioned
Name
Title
Context
Belinda Branham
Executive Director
Signed the report
Dietary Manager
Mentioned in relation to food temperature findings but no full name provided
This visit was conducted for the investigation of complaints IN00434451 and IN00435003.
Findings
No deficiencies related to the allegations in complaints IN00434451 and IN00435003 were cited. The facility was found to be in compliance with relevant regulations.
Complaint Details
Investigation of Complaints IN00434451 and IN00435003 found no deficiencies related to the allegations; both complaints were not substantiated.
This visit was for a State Residential Licensure Survey conducted on March 12, 13 & 14, 2024 to assess compliance with state regulations.
Findings
The facility failed to ensure foods were properly labeled after opening, employees wore hairnets, and hand hygiene was practiced in the kitchen. Observations included unlabeled opened food items, employees not wearing hairnets, and improper hand hygiene during food preparation.
Deficiencies (1)
Description
Failed to ensure foods were labeled after opening, hair was restrained, and hand hygiene was practiced.
Report Facts
Residential Census: 30Survey Dates: 3
Employees Mentioned
Name
Title
Context
Belinda Branham
Executive Director
Signed as Laboratory Director's or Provider/Supplier Representative
Qualified Medication Aide 3
Observed rinsing dishes without hairnet
Dietary Manager
Observed multiple hygiene and food safety violations during kitchen observations and interviewed regarding policies
This visit was conducted for the investigation of Complaint IN00417742.
Findings
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 investigation.
Complaint Details
Complaint IN00417742 was investigated and found to have no deficiencies related to the allegations.