Inspection Reports for Hubbard Hill Estates Inc
28070 CR 24, ELKHART, IN, 46517
Back to Facility ProfileInspection Report Summary
The most recent inspection on March 14, 2025, found no deficiencies related to the complaint investigated. Earlier inspections showed a mix of compliance and some deficiencies, primarily involving resident access to personal funds, oxygen equipment storage, care planning, infection control, and life safety equipment like sprinkler system maintenance. Complaint investigations were mostly unsubstantiated, except for one substantiated complaint in late 2022 related to resident rights during a quarantine, which resulted in cited deficiencies. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s inspection record shows some recurring issues but also periods of compliance, with no clear pattern of worsening or improvement.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
1.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
64% better than Indiana average
Indiana average: 4.2 deficiencies/year
Deficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
100% occupied
Based on a March 2025 inspection.
Census over time
Inspection Report
Complaint Investigation
Census: 60
Capacity: 60
Deficiencies: 0
Date: Mar 14, 2025
Visit Reason
This visit was conducted for the investigation of Complaint IN00450298.
Complaint Details
Complaint IN00450298 was investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the complaint allegations were cited. The facility was found to be in compliance with applicable regulations.
Report Facts
Medicare residents: 15
Medicaid residents: 14
Other residents: 31
Inspection Report
Census: 61
Capacity: 66
Deficiencies: 0
Date: Sep 30, 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 42 CFR 483.73 and 42 CFR 483.90(a).
Findings
The facility was found in compliance with Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers, as well as with Life Safety Code requirements including fire safety and building construction standards.
Inspection Report
Annual Inspection
Census: 163
Capacity: 163
Deficiencies: 2
Date: Sep 10, 2024
Visit Reason
This visit was for a Recertification and State Licensure Survey, including a State Residential Licensure Survey conducted on September 4, 5, 6, 9, and 10, 2024.
Findings
The facility was found to have deficiencies related to resident access to personal funds outside business hours and improper storage of oxygen tubing for residents on oxygen therapy. Corrective actions and policy updates were implemented to address these issues.
Deficiencies (2)
Facility failed to ensure a resident was able to withdraw her money on weekends and evenings for 1 of 1 resident reviewed for personal funds (Resident 31).
Facility failed to provide proper storage of oxygen accessories for 1 of 3 residents reviewed for oxygen (Resident 11).
Report Facts
Census Bed Type Total: 163
SNF/NF Census: 16
SNF Census: 43
Residential Census: 104
Census Payor Type Total: 59
Medicare Census: 15
Medicaid Census: 16
Other Payor Census: 28
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Anne Knouse | LNHA | Signed as Laboratory Director or Provider/Supplier Representative |
| Business office manager | Interviewed regarding resident access to personal funds | |
| Administrator | Interviewed regarding resident access to personal funds and facility policy | |
| CNA 8 | Interviewed regarding oxygen tubing storage | |
| Director of Nursing | Provided oxygen use policy |
Inspection Report
Renewal
Deficiencies: 0
Date: Sep 10, 2024
Visit Reason
The visit was conducted as a paper compliance review for the Recertification and State Licensure Survey.
Findings
Hubbard Hill Estates Inc was found to be in compliance with 42 CFR Part 483, Subpart B and 10 IAC 16.2-3.1 based on the paper compliance review.
Inspection Report
Complaint Investigation
Census: 59
Capacity: 197
Deficiencies: 0
Date: Mar 21, 2024
Visit Reason
This visit was conducted for the investigation of Complaint IN00429709.
Complaint Details
Complaint IN00429709 was investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations in Complaint IN00429709 were cited. The facility was found to be in compliance with relevant regulations.
Report Facts
Census: 59
Total Capacity: 197
Census Bed Type: 46
Census Bed Type: 13
Census Bed Type: 138
Census Payor Type: 13
Census Payor Type: 14
Census Payor Type: 32
Inspection Report
Complaint Investigation
Census: 138
Deficiencies: 0
Date: Dec 18, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00422881.
Complaint Details
Complaint IN00422881 was investigated and found to have no deficiencies related to the allegations.
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.
Inspection Report
Complaint Investigation
Census: 61
Deficiencies: 0
Date: Nov 3, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00420293.
Complaint Details
Complaint IN00420293 was investigated and found to have no deficiencies related to the allegation.
Findings
No deficiencies related to the complaint allegation were cited. The facility was found to be in compliance with applicable regulations.
Report Facts
Census: 61
Census Bed Type - SNF: 48
Census Bed Type - SNF/NF: 13
Census Payor Type - Medicare: 16
Census Payor Type - Medicaid: 13
Census Payor Type - Other: 32
Inspection Report
Life Safety
Census: 58
Capacity: 66
Deficiencies: 1
Date: Oct 12, 2023
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 42 CFR 483.73 and 42 CFR 483.90(a) respectively.
Findings
The facility was found in compliance with Emergency Preparedness Requirements and in substantial compliance with Life Safety Code requirements. However, a deficiency was cited for failure to maintain a spare sprinkler cabinet large enough to fit all spare sprinkler heads and a sprinkler wrench on the premises, which could affect all residents and staff.
Deficiencies (1)
Failed to ensure 2 of 2 sprinkler systems were provided with spare sprinklers, a spare sprinkler cabinet large enough to fit all spare sprinkler heads, and a sprinkler wrench on the premises.
Report Facts
Certified beds: 66
Census: 58
Deficiencies cited: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Terry Schollmeier | LNHA | Laboratory Director's or Provider/Supplier Representative's signature on report |
Inspection Report
Renewal
Census: 131
Capacity: 191
Deficiencies: 2
Date: Sep 13, 2023
Visit Reason
This visit was for a Recertification and State Licensure Survey, including a State Residential Licensure Survey and the Investigation of Complaint IN00413253.
Complaint Details
Complaint IN00413253 was investigated and no deficiencies related to the allegations were cited.
Findings
The facility was found to have deficiencies related to care planning for a resident's skin issue and infection prevention and control practices during medication administration. The complaint investigation found no deficiencies related to the allegations. The facility was found to be in compliance with State Residential Licensure Survey requirements.
Deficiencies (2)
Failed to have a care plan for a skin issue for 1 of 3 residents reviewed for skin (Resident 18).
Failed to ensure proper infection control practices related to fanning dry skin after cleansing with alcohol and not wearing gloves during insulin injection (RN 4).
Report Facts
Survey dates: 6
Census Bed Type - SNF/NF: 12
Census Bed Type - SNF: 48
Census Bed Type - Residential: 131
Total Capacity: 191
Census Payor Type - Medicare: 17
Census Payor Type - Medicaid: 12
Census Payor Type - Other: 31
Total Census Payor: 60
Resident 18 skin issue measurement: 1.2
Resident 18 skin issue measurement: 2
Medication dosage: 100
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN 4 | Registered Nurse | Named in infection control deficiency related to medication administration and blood glucose monitoring |
| Director of Nursing | Provided policies and interviews related to care plan and infection control deficiencies | |
| Infection Preventionist | Interviewed regarding care plan deficiency for Resident 18 |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Sep 13, 2023
Visit Reason
Paper compliance review to the Recertification and State Licensure Survey completed on September 13, 2023.
Findings
Hubbard Hill Estates Inc was found to be in compliance with 42 CFR Part 483, Subpart B and 10 IAC 16.2-3.1 regarding the paper compliance review to the Recertification and State Licensure Survey.
Inspection Report
Complaint Investigation
Census: 116
Deficiencies: 1
Date: Dec 21, 2022
Visit Reason
This visit was conducted for the investigation of complaint IN00397056, which was substantiated with related state deficiencies cited.
Complaint Details
Complaint IN00397056 was substantiated with state deficiencies related to the allegations cited at R0027.
Findings
The facility failed to ensure resident rights for residents in one of four households in the Living Wisdom Center Memory Care (Tudor). The entire Tudor unit was placed under quarantine due to one resident testing positive for COVID-19, and residents were denied leaves of absence even if they tested negative.
Deficiencies (1)
Failure to ensure resident rights for residents in the Living Wisdom Center Memory Care (Tudor) unit related to quarantine and leave of absence restrictions.
Report Facts
Residential Census: 116
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Terry L Schollmeier | COO/LNHA | Signed the report |
| Living Wisdom Memory Care Program Director | Interviewed regarding quarantine practices and resident restrictions | |
| Director of Nursing | Interviewed regarding quarantine practices and resident restrictions | |
| Administrator | Interviewed regarding quarantine practices and resident restrictions |
Inspection Report
Complaint Investigation
Census: 122
Deficiencies: 0
Date: Nov 9, 2022
Visit Reason
This visit was for the Investigation of Complaint IN00388605.
Complaint Details
Complaint IN00388605 was substantiated. No deficiencies related to the allegations are cited.
Findings
Complaint IN00388605 was substantiated, but 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.
Inspection Report
Life Safety
Census: 58
Capacity: 66
Deficiencies: 0
Date: Aug 2, 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 42 CFR 483.73 and 42 CFR 483.90(a).
Findings
The facility was found in compliance with Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers, and with Life Safety Code requirements including fire safety and sprinkler systems. The facility has a capacity of 66 beds and a census of 58 at the time of the survey.
Report Facts
Certified beds: 66
Census: 58
Generator capacity: 400
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