Inspection Reports for Kingston at Dupont

1716 E DUPONT RD, FORT WAYNE, IN, 46825

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Inspection Report Summary

The most recent inspection on March 25, 2025, identified deficiencies related to maintaining annual tuberculosis screening records for two employees and missing hospital preference documentation for two residents. Earlier inspections also noted issues with tuberculosis testing, medication pharmacy reviews, staff certification, and food labeling. Complaint investigations were unsubstantiated, with no deficiencies found related to the complaint reviewed in April 2023. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. The facility’s deficiencies have generally involved documentation and procedural compliance, with no clear pattern of worsening or improvement over time.

Deficiencies (last 3 years)

Deficiencies (over 3 years) 2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

52% better than Indiana average
Indiana average: 4.2 deficiencies/year

Deficiencies per year

4 3 2 1 0
2023
2024
2025

Census

Latest occupancy rate 29 residents

Based on a March 2025 inspection.

This facility has shown a decline in demand based on occupancy rates.

Census over time

20 25 30 35 40 45 Apr 2023 Apr 2023 Apr 2024 Mar 2025

Inspection Report

Renewal
Census: 29 Deficiencies: 2 Date: Mar 25, 2025

Visit Reason
This visit was for a State Residential Licensure Survey conducted on March 24 and 25, 2025, to assess compliance with state regulations for residential care facilities.

Findings
The facility was found noncompliant in maintaining annual tuberculosis screening records for two employees and failed to ensure hospital preference documentation was present in emergency files for two residents. Plans of correction were initiated to address these deficiencies with audits and staff education.

Deficiencies (2)
Failed to maintain health reports related to annual tuberculosis screening for 2 of 5 employees reviewed (LPN 17 and CNA 18).
Failed to ensure a hospital preference was available in emergency files for 2 of 5 residents reviewed (Resident 10 and Resident 30).
Report Facts
Residential Census: 29 Employees missing annual TB screening: 2 Residents missing hospital preference: 2

Employees mentioned
NameTitleContext
Dorian ShoemakerExecutive DirectorSigned as Laboratory Director's or Provider/Supplier Representative
Employee 17Licensed Practical Nurse (LPN)Named in tuberculosis screening deficiency
Employee 18Certified Nursing Assistant (CNA)Named in tuberculosis screening deficiency

Inspection Report

Renewal
Census: 34 Deficiencies: 2 Date: Apr 18, 2024

Visit Reason
This visit was for a State Residential Licensure Survey conducted on April 18 and 19, 2024, to assess compliance with state regulations for the facility.

Findings
The facility was found deficient in ensuring a medication pharmacy review was completed for one resident and in completing two-step tuberculosis skin tests according to guidelines for two residents. The facility provided plans of correction to address these issues, including monitoring and quality assurance audits.

Deficiencies (2)
Failed to ensure a medication pharmacy review was completed for 1 of 5 residents reviewed (Resident 6).
Failed to ensure a two-step tuberculosis test was completed according to guidelines for 2 of 5 residents reviewed (Resident 3 and Resident 5).
Report Facts
Residents reviewed for medication pharmacy review: 5 Residents reviewed for tuberculosis testing: 5 Resident census: 34

Employees mentioned
NameTitleContext
Director of NursingInterviewed regarding medication pharmacy review and tuberculosis testing processes
Registered Dietician 2Recommended folic acid supplementation for Resident 6

Inspection Report

Complaint Investigation
Census: 35 Deficiencies: 0 Date: Apr 21, 2023

Visit Reason
This visit was for the Investigation of Complaint IN00406110.

Complaint Details
Complaint IN00406110 - No deficiencies related to the allegations are cited.
Findings
No deficiencies related to the allegations are cited. Kingston At Dupont was found to be in compliance with 410 IAC 16.2-5 in regard to the Investigation of Complaint IN00406110.

Inspection Report

Renewal
Census: 36 Deficiencies: 2 Date: Apr 4, 2023

Visit Reason
This visit was for a State Residential Licensure Survey conducted on April 3 and 4, 2023, to assess compliance with state regulations for the facility.

Findings
The facility was found deficient for failing to ensure a first aid certified staff member was present on site for 11 of 21 shifts reviewed and for failing to ensure food items were dated when opened in the kitchen. Plans of correction were submitted to address these issues.

Deficiencies (2)
Failed to ensure a first aid certified staff member was present on site for 11 of 21 shifts reviewed.
Failed to ensure food items were dated when opened in the kitchen.
Report Facts
Residents present: 36 Shifts without first aid certified staff: 11 Food items undated: 9

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