Inspection Reports for
Charles Ford Memorial Home Inc
920 S MAIN ST, NEW HARMONY, IN, 47631
Back to Facility ProfileDeficiencies (last 1 years)
Deficiencies (over 1 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
5% better than Indiana average
Indiana average: 4.2 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
63% occupied
Based on a December 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 22
Deficiencies: 2
Date: Dec 17, 2024
Visit Reason
This visit was for a State Residential Licensure Survey which included the investigation of Complaint IN00440674.
Complaint Details
Complaint IN00440674 was investigated and no deficiencies related to the allegations were cited.
Findings
No deficiencies related to the complaint allegations were cited. Two deficiencies were found: failure to properly administer insulin per manufacturer's instructions for 1 of 5 residents reviewed, and failure to follow facility policy by dating food once removed from original packaging in the kitchen.
Deficiencies (2)
Facility failed to properly administer insulin per manufacturer's instructions for 1 of 5 residents reviewed for medication administration (Resident 10).
Facility failed to follow the facility policy by dating food once removed from original packaging according to sanitation and safe food handling standards for 1 of 1 kitchen observations.
Report Facts
Residents reviewed for medication administration: 5
Residential Census: 22
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Knopf Koch | Executive Director | Signed the report as Laboratory Director's or Provider/Supplier Representative. |
| Registered Nurse 2 | Registered Nurse | Named in the insulin administration deficiency for failing to prime the insulin pen prior to administration. |
| Director of Nursing | Director of Nursing | Provided insulin administration policy and involved in corrective action and monitoring. |
| Dietary Director | Interviewed regarding food labeling and provided food safety policy. |
Inspection Report
Renewal
Census: 15
Deficiencies: 2
Date: Jan 8, 2024
Visit Reason
This visit was for a State Residential Licensure Survey conducted on January 4, 5, and 8, 2024 to assess compliance with state regulations for the facility.
Findings
The facility was found deficient for employing unlicensed staff providing more than limited assistance with activities of daily living on 3 of 5 days reviewed, and for failure to properly label food items with open and expiration dates in the kitchen. Corrective actions included revising schedules to ensure credentialed staff provide care and updating food labeling policies with staff education and monitoring.
Deficiencies (2)
Facility failed to ensure that unlicensed employees providing more than limited assistance with activities of daily living were certified nurse aides or home health aides for 3 of 5 days reviewed.
Food containers in the kitchen were not labeled with appropriate open and expiration dates, including spices, condiments, and prepared foods.
Report Facts
Residential Census: 15
Survey Dates: 3
Days reviewed for staffing: 5
Residents affected: 3
Food labeling observations: 2
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