Inspection Reports for
Corydon Specialty Care

The complaint was substantiated as the facility did not send Resident #2's medications with her upon discharge, despite the resident being private pay and owning the medications. The resident was without pain medications for over 10 hours until refills were obtained.

The facility failed to provide Resident #2 with her unused and controlled medications upon discharge to another facility, resulting in the resident being without pain medication for over 10 hours. The facility followed a protocol to send back unused medications to the pharmacy and destroy controlled medications, which conflicted with the resident's rights and facility policy allowing controlled medications to be sent with discharged residents.

Investigation of complaint #127271-C found the facility did not meet the requirement to respect the resident's right to retain personal property, including medications, during discharge. The complaint was substantiated based on clinical record review, staff interviews, and pharmacy communication.

The facility failed to provide a private pay resident being discharged to another facility with her unused medications and controlled medications, violating the resident's right to retain personal property. The resident was left without pain medications for over 10 hours after discharge.

The facility failed to consistently complete physician orders for weekly weights for one resident, failed to implement fall risk interventions for another resident resulting in multiple falls and injuries, and failed to ensure proper food handling and hand hygiene practices during meal service.

Complaint #123071-C was investigated during the survey and was not substantiated.

The facility was found to have deficiencies in meeting professional standards for comprehensive care plans, free of accident hazards, and food procurement, storage, preparation, and sanitation. The complaint was not substantiated. The facility failed to consistently complete physician's orders for weekly weights, protect residents from falls, and ensure proper food handling and hygiene during meal service.

The facility was found to have multiple deficiencies including failure to treat residents with dignity and respect, improper perineal care, failure to reposition residents as needed, failure to provide restorative exercises, delayed response to call lights, unsafe and unsanitary environment with foul odors, jagged edges on heating units, and presence of mouse droppings indicating pest control issues.

The visit was complaint-related based on substantiated complaints #117753-C, #118156-C, #118157-C, and #118184-C.

The facility was found to have multiple deficiencies including failure to treat residents with dignity and respect, inadequate assistance with activities of daily living, failure to provide restorative exercises, insufficient nursing staff leading to delayed call light responses, unsafe and unsanitary environment with foul odors and jagged heating unit edges, and ineffective pest control with evidence of mouse droppings and sightings.

The facility failed to complete the Minimum Data Set (MDS) within 14 days of starting Hospice services for one resident, miscoded Preadmission Screening and Resident Review (PASRR) status for another resident, and failed to provide individualized restorative programs to three of four residents as instructed by their care plans. The facility reported a census of 51 residents.

The survey included investigation of complaints #114568-C, #111008-C, #112659-C, and a facility-reported incident #113418-I.

The facility was found deficient in completing comprehensive assessments after significant changes, accuracy of assessments, and providing/restorative nursing services. Specific residents' records showed failures in timely updates, coding accuracy, and restorative care provision.

The investigation involved Complaints #107433-C, #107765-C, #107799-C, #107827-C, #109258-C, #109623-C, #109772-C, #110527-C, #110745-C, #110813-C and Facility Self-Reported Incident #109643-I. Complaints #107433-C, #109623-C, #110527-C, #110745-C, and #110813-C were substantiated. Facility Self-Reported Incident #109643-I was substantiated.

The facility was found to have substantiated deficiencies related to failure to follow physician's orders for pain management in a hospice resident and failure to ensure accurate transcription of advanced directives for a resident who experienced cardiac arrest. The facility was compliant with COVID-19 infection control practices.

The facility failed to ensure the PASARR was accurate upon admission for 1 of 3 sampled residents reviewed. Specifically, Resident #45's PASARR did not reflect known mental health diagnoses including anxiety disorder and major depressive disorder.

Complaint #105828-C was investigated during the survey and was unsubstantiated.

The facility failed to ensure the accuracy of the pre-admission screening and resident review (PASRR) upon admission for one resident (Resident #45), as the PASRR did not reflect the resident's mental health diagnoses of anxiety disorder and major depressive disorder.

Complaints #101254-A, #101321-A, #101453-C, #101894-C, #102010-C, #102882-C, #104485-C, and #104818-C were substantiated. Facility-reported incidents #100108-I and #102202-I were substantiated. Facility-reported incident #100422-I was not substantiated. Investigation of #101847-M resulted in deficiency.

The facility was found to have restrained Resident #1 with a bed sheet tied to the wheelchair arms, constituting abuse. The investigation identified two nurses as alleged perpetrators, resulting in suspensions and termination. The facility failed to ensure residents were free from physical restraints for convenience and failed to maintain adequate supervision to prevent abuse. Additional deficiencies were found related to dependent residents' care, quality of care, free of accident hazards, and sufficient nursing staff.

Investigation of self-reported incidents #98548 and #98549 was not substantiated; incident #98809 was substantiated with a deficiency related to inadequate supervision leading to a resident exiting the facility unsupervised.

The facility failed to provide adequate nursing supervision to prevent hazards for one resident who exited the facility unsupervised. The resident was found outside the building without injuries, and corrective actions including installation of door alarms and wander guard bracelets were implemented.

Complaint #96424-C was substantiated. Facility Reported Incident #93178-I was not substantiated.

The facility failed to immediately isolate residents who developed respiratory illness and/or signs and symptoms of COVID-19 for 3 of 5 sampled residents. The complaint was substantiated while the facility reported incident was not substantiated.

The complaint investigation was substantiated based on staff interviews and record review. Staff A and Staff B failed to report incidents of verbal abuse immediately. The facility self-reported alleged abuse incidents involving Residents #1 and #2 occurring on 11/27/19 and 12/16/19. Staff disciplinary actions and resignations followed the investigation.

The facility failed to ensure residents remained free from abuse, neglect, and verbal mistreatment as evidenced by staff comments and actions toward Residents #1 and #2. The facility also failed to report allegations of abuse in a timely manner and did not ensure staff completed mandatory abuse reporting training prior to the incidents.