The most recent inspection on June 19, 2025, found no deficiencies related to the complaint investigated. Earlier inspections showed a mixed pattern, with several Life Safety Code surveys citing issues such as egress door accessibility, sprinkler system maintenance, and electrical equipment testing, as well as clinical care deficiencies including medication management, fall prevention, and infection control. Complaint investigations were mostly unsubstantiated, though one substantiated complaint in April 2024 involved failure to report a resident’s change in condition and complete an assessment after a fall resulting in the resident’s death. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s recent inspections indicate improvement in correcting prior Life Safety Code and care-related deficiencies.
Deficiencies (last 5 years)
Deficiencies (over 5 years)4.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
14% worse than Indiana average
Indiana average: 4.2 deficiencies/year
Deficiencies per year
86420
2021
2022
2023
2024
2025
Census
Latest occupancy rate58% occupied
Based on a June 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
A Post Survey Revisit (PSR) to the Life Safety Code Recertification and State Licensure Survey conducted on 01/27/25 was conducted by the Indiana Department of Health in accordance with 42 CFR 483.90(a).
Findings
At this PSR Life Safety Code survey, Heritage Pointe of Huntington was found in compliance with Requirements for Participation in Medicare/Medicaid, 42 CFR Subpart 483.90(a), 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.
This visit was a Post Survey Revisit (PSR) to the Recertification and State Licensure Survey completed on 2025-01-03, including a PSR to the State Residential Licensure Survey completed on the same date.
Findings
Heritage Pointe of Huntington was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 in regard to the PSR to the Recertification and State Licensure Survey.
Inspection Report Life SafetyCensus: 71Capacity: 78Deficiencies: 6Jan 27, 2025
Visit Reason
The survey was conducted as a Life Safety Code Recertification and State Licensure Survey by the Indiana Department of Health in accordance with 42 CFR 483.90(a).
Findings
The facility was found not in compliance with Life Safety Code requirements, with deficiencies noted in egress door accessibility, cooking facility shutoff access, sprinkler system installation and maintenance, combustible decorations, and electrical equipment testing.
Severity Breakdown
SS=E: 3SS=F: 2SS=D: 1
Deficiencies (6)
Description
Severity
Failed to ensure the means of egress for 1 of over 5 exit doors was readily accessible; incorrect or difficult to decipher keypad codes posted on exit doors.
SS=E
Failed to ensure staff had access to the shutoff switch for 1 of 1 stove/oven in the therapy area; no timer shut-off device installed.
SS=E
Failed to ensure only one type of sprinkler head (quick response or standard) was installed in 1 smoke compartment; mixed sprinkler heads found.
SS=E
Failed to ensure 3 of 5 sprinkler system gauges were replaced or tested every 5 years; outdated gauges found.
SS=F
Failed to ensure 1 of 1 Resident Room was maintained free of combustible decorations; two wick burning candles found in resident room.
SS=D
Failed to conduct required maintenance and maintain documentation for Patient Care Related Electrical Equipment (PCREE); no documentation available for testing.
SS=F
Report Facts
Facility capacity: 78Census: 71Exit doors with keypad codes: 5Sprinkler system gauges outdated: 3Residents affected by combustible decorations: 2Residents/staff/visitors potentially affected: 10Residents/staff/visitors potentially affected: 12
Employees Mentioned
Name
Title
Context
Jodie Stanley
Health Facility Administrator
Named as Administrator present during observations and interviews
Director of Maintenance
Named as involved in observations, interviews, and corrective actions
Administrator
Present during observations and interviews
Director of Maintenance (DM)
Involved in observations, interviews, and corrective actions
This visit was for a Recertification and State Licensure Survey including a State Residential Licensure Survey conducted over December 26, 27, 30, 31, 2024 and January 2 and 3, 2025.
Findings
The facility was found deficient in multiple areas including failure to provide daily grooming assistance, failure to prevent repeated falls, inappropriate use of antipsychotic medication without proper clinical indication, improper medication storage with unlabeled and unused medications, failure to implement transmission-based precautions during a gastroenteritis outbreak, and failure to complete tuberculin skin tests according to guidelines.
Severity Breakdown
SS=D: 4SS=E: 1
Deficiencies (6)
Description
Severity
Failed to provide daily grooming assistance for 1 of 3 residents reviewed for ADLs (Resident 3).
SS=D
Failed to provide supervision to prevent repeated falls for 1 of 3 residents reviewed for falls (Resident 30).
SS=D
Failed to ensure appropriate clinical indications for the use of an antipsychotic medication for 1 of 5 residents reviewed (Resident 2).
SS=D
Failed to dispose of unlabeled and unused medications for 2 of 3 medication carts reviewed (Medication Cart B and C).
SS=D
Failed to implement transmission-based precautions to prevent spread of infectious gastroenteritis for 1 of 9 residents with gastroenteritis, resulting in outbreak affecting 8 additional residents.
SS=E
Failed to complete tuberculin skin tests according to state and federal guidelines for 7 of 10 residents reviewed.
—
Report Facts
Survey dates: 6Census Bed Type: 121Residents on transmission-based precautions: 9Residents reviewed for infection control: 10Residents with incomplete tuberculin testing: 7
Employees Mentioned
Name
Title
Context
Jodie Stanley
Health Facility Administrator
Signed the inspection report.
RN 8
Registered Nurse
Provided information on medication storage and resident care.
SSD
Social Services Director
Provided information on resident behaviors and antipsychotic medication use.
DON
Director of Nursing
Provided information on infection control and resident psychosis.
ADON
Assistant Director of Nursing
Provided information on nail care and fall interventions.
This visit was conducted for the investigation of Complaint IN00437518 at Heritage Pointe of Huntington.
Findings
No deficiencies related to the allegations of Complaint IN00437518 were cited. The facility was found to be in compliance with applicable regulations.
Complaint Details
Investigation of Complaint IN00437518 found no deficiencies related to the allegations.
Report Facts
Census Payor Type - Medicare: 14Census Payor Type - Medicaid: 28Census Payor Type - Other: 27Census Bed Type - SNF/NF: 59Census Bed Type - SNF: 10Census Bed Type - Residential: 53
The visit was conducted as a paper compliance review related to the Investigation of Complaint IN00432892 completed on April 23, 2024.
Findings
Heritage Pointe of Huntington was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 regarding the paper compliance review to the Complaint Investigation.
Complaint Details
Investigation of Complaint IN00432892 completed on April 23, 2024; facility found in compliance.
A Post Survey Revisit (PSR) to the Life Safety Code Recertification and State Licensure Survey conducted on 03/12/24 was conducted by the Indiana Department of Health in accordance with 42 CFR 483.90(a).
Findings
At this Life Safety Code survey, Heritage Pointe of Huntington was found in compliance with Requirements for Participation in Medicare/Medicaid, 42 CFR Subpart 483.90(a), 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.
This visit was conducted for the investigation of Complaint IN00432892 regarding federal and state deficiencies related to allegations about quality of care.
Findings
The facility failed to ensure staff reported a resident's change in condition before proceeding with care and failed to complete a physical assessment after an unwitnessed fall with head injury for a cognitively impaired and dependent resident (Resident B), who subsequently died. The clinical record lacked an assessment after the fall, and staff moved the resident contrary to policy.
Complaint Details
Complaint IN00432892 was substantiated with federal and state deficiencies cited related to the allegations of failure to report changes in condition and failure to complete assessments after a fall.
Severity Breakdown
SS=D: 1
Deficiencies (1)
Description
Severity
Failure to report a resident's change in condition before proceeding with care and failure to complete a physical assessment after an unwitnessed fall with head injury.
This visit was conducted for the investigation of Complaint IN00429697.
Findings
No deficiencies related to the allegations in Complaint IN00429697 were cited. The facility was found to be in compliance with applicable regulations.
Complaint Details
Complaint IN00429697 was investigated and found to have no deficiencies related to the allegations.
Report Facts
Census Bed Type Total: 71Census Payor Type Total: 71SNF Beds: 11SNF/NF Beds: 60Medicare Residents: 14Medicaid Residents: 28Other Payor Residents: 29
Inspection Report Life SafetyCensus: 72Capacity: 78Deficiencies: 4Mar 12, 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 regulations.
Findings
The facility was found in compliance with Emergency Preparedness Requirements but was found not in compliance with Life Safety Code requirements. Deficiencies included obstructed corridor egress due to a non-wheeled PPE cart, a non-functioning GFCI receptacle near a sink, conflicting smoking policies, and improper segregation of empty and full oxygen cylinders.
Severity Breakdown
SS=E: 3SS=D: 1
Deficiencies (4)
Description
Severity
Failed to ensure 1 of 6 corridor means of egresses were continuously maintained free of obstructions due to a PPE cart without wheels in the corridor by room 169.
SS=E
Failed to ensure 1 of over 20 ground fault circuit interrupter (GFCI) was properly maintained for protection against electric shock; GFCI receptacle near room 164 did not trip when tested.
SS=D
Failed to enforce 1 of 1 non-smoking policies due to conflicting smoking policy documents and staff smoking outside at the picnic table.
SS=E
Failed to ensure empty oxygen cylinders were segregated from full cylinders and marked to avoid confusion; empty cylinder was intermixed with full cylinders in oxygen storage room.
SS=E
Report Facts
Facility capacity: 78Census: 72Number of corridor means of egress: 6Number of GFCI receptacles: 20Residents potentially affected by PPE cart obstruction: 6Residents potentially affected by faulty GFCI: 2Residents potentially affected by oxygen cylinder storage: 15
Employees Mentioned
Name
Title
Context
Jodie Stanley
Health Facility Administrator
Signed the report
Director of Maintenance
Interviewed and involved in findings related to PPE cart, GFCI receptacle, smoking policy, and oxygen cylinder storage
Director of Nursing
Involved in exit conference and review of findings
This visit was for a Recertification and State Licensure Survey, including a State Residential Licensure Survey conducted from February 19 to 26, 2024.
Findings
The facility was found to have deficiencies related to failure to maintain current advance directives in resident records, failure to apply a dynamic elbow brace per physician's order, and failure to obtain criminal histories for new employees. The facility was found to be in compliance with State Residential Licensure Survey requirements.
Severity Breakdown
SS=D: 2
Deficiencies (3)
Description
Severity
Failed to ensure a current copy of the resident's advance directive was in the clinical record for 1 of 1 residents reviewed.
SS=D
Failed to apply a dynamic elbow brace per physician's order for 1 of 1 resident reviewed for range of motion.
SS=D
Failed to ensure criminal histories were obtained for 3 of 5 new employee records reviewed.
—
Report Facts
Survey dates: 6Census Bed Type - SNF: 10Census Bed Type - SNF/NF: 61Census Bed Type - Residential: 49Total Census: 71Total Capacity: 120Medicare Census: 7Medicaid Census: 31Other Payor Census: 33Deficiencies cited: 3Employee records reviewed: 5Employees missing criminal history: 3
Paper compliance review to the Annual Recertification and State Licensure survey.
Findings
Heritage Pointe of Huntington was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 regarding the paper review for the Recertification and State Licensure survey.
This visit was conducted for the investigation of Complaint IN00417649.
Findings
No deficiencies related to the complaint allegations were cited. The facility was found to be in compliance with applicable regulations.
Complaint Details
Complaint IN00417649 was investigated and found to have no deficiencies related to the allegations.
Report Facts
Census: 69Census Bed Type - SNF: 11Census Bed Type - SNF/NF: 58Census Payor Type - Medicare: 11Census Payor Type - Medicaid: 34Census Payor Type - Other: 24
This visit was conducted for the investigation of Nursing Home Complaints IN00413635 and IN00414058, as well as a COVID-19 Focused Infection Control Survey.
Findings
No deficiencies related to the allegations in complaints IN00413635 and IN00414058 were cited. The facility was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 regarding the complaint investigations and the COVID-19 survey.
Complaint Details
Complaint IN00413635 and Complaint IN00414058 were investigated with no deficiencies related to the allegations cited.
Inspection Report Life SafetyCensus: 58Capacity: 78Deficiencies: 0Jun 6, 2023
Visit Reason
A Post Survey Revisit (PSR) to the Life Safety Code Recertification and State Licensure Survey conducted on 05/11/23 was conducted by the Indiana Department of Health in accordance with 42 CFR Subpart 483.90(a).
Findings
At this Life Safety Code Survey, Heritage Pointe of Huntington was found in compliance with the Requirements for Medicare and Medicaid Participating Providers and Suppliers, 42 CFR 483.90(a).
Inspection Report Life SafetyCensus: 63Capacity: 78Deficiencies: 4May 11, 2023
Visit Reason
A Life Safety Code Recertification and State Licensure Survey was conducted by the Indiana Department of Health in accordance with 42 CFR 483.90(a) to assess compliance with fire safety and life safety code requirements.
Findings
The facility was found not in compliance with several Life Safety Code requirements including failure to ensure annual testing of battery backup emergency lights, lack of spare sprinklers properly stored, smoke barrier doors not restricting smoke movement adequately, and missing current inspection certificates for fuel fired water heaters and boilers.
Severity Breakdown
SS=F: 2SS=C: 1SS=E: 1
Deficiencies (4)
Description
Severity
Failed to ensure all battery backup emergency lights were tested annually for 90 minutes.
SS=F
Failed to ensure sprinkler system was provided with spare sprinklers, a spare sprinkler cabinet, and a sprinkler wrench on the premises.
SS=C
Failed to ensure smoke barrier doors would restrict the movement of smoke for at least 20 minutes due to a 1/2 inch gap between doors.
SS=E
Failed to ensure all fuel fired water heaters and boilers had current inspection certificates to ensure safe operating condition.
This visit was for a Recertification and State Licensure Survey, including a State Residential Licensure Survey conducted over April 23-27, 2023.
Findings
Heritage Pointe of Huntington 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.
Report Facts
Census Payor Type - Medicare: 15Census Payor Type - Medicaid: 28Census Payor Type - Other: 19Census Bed Type - SNF/NF: 51Census Bed Type - SNF: 11Census Bed Type - Residential: 40
This visit was conducted for the investigation of Complaint IN00399832.
Findings
The complaint IN00399832 was found to be unsubstantiated due to lack of evidence. The facility was found to be in compliance with relevant regulations.
Complaint Details
Complaint IN00399832 was investigated and found to be unsubstantiated due to lack of evidence.
An investigation of Complaint Number IN00397749 was conducted by the Indiana Department of Health in accordance with 42 CFR 483.90(a).
Findings
The complaint was substantiated but no Life Safety Code deficiencies were found. The facility was found in compliance with Medicare/Medicaid participation requirements, Life Safety from Fire, and applicable codes.
Complaint Details
Complaint Number IN00397749 was substantiated but had no Life Safety Code deficiencies.
This visit was conducted for the investigation of Complaint IN00386644.
Findings
The complaint was substantiated; however, no deficiencies related to the allegations were cited. The facility was found to be in compliance with relevant regulations.
Complaint Details
Complaint IN00386644 was substantiated but no deficiencies related to the allegations were cited.
Report Facts
Census SNF/NF: 53Census Residential: 45Total Census: 98Census Payor Medicare: 3Census Payor Medicaid: 31Census Payor Other: 19Total Census Payor: 53
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