Inspection Reports for Lake Park Residential Care
2075 RIPLEY ST, LAKE STATION, IN, 46405
Back to Facility ProfileInspection Report Summary
The most recent inspection on July 2, 2025, found the facility in compliance with no deficiencies cited. Earlier inspections showed a pattern of deficiencies related mainly to medication administration, documentation, abuse reporting, and staff training. Notable issues included a medication error resulting in hospitalization, failure to prevent and report staff-to-resident mental abuse, incomplete resident evaluations, and lapses in infection control and background checks. Several complaint investigations were substantiated, particularly those involving abuse reporting failures and medication management, while most other complaints were unsubstantiated. The facility appears to have addressed prior deficiencies by the latest inspection, indicating improvement over time.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
4.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
7% worse than Indiana average
Indiana average: 4.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
92 residents
Based on a July 2025 inspection.
Census over time
Inspection Report
Follow-Up
Census: 92
Deficiencies: 0
Date: Jul 2, 2025
Visit Reason
This visit was a Post Survey Revisit (PSR) to the State Residential Licensure Survey completed on May 2, 2025, including the PSR to the Investigation of Complaint IN00458671 completed on May 2, 2025.
Complaint Details
Complaint IN00458671 was investigated and found to be corrected.
Findings
Lake Park Residential Care was found to be in compliance with 410 IAC 16.2-5 in regard to the PSR to the State Residential Licensure Survey and the PSR to the Investigation of Complaint IN00458671.
Report Facts
Residential Census: 92
Inspection Report
Complaint Investigation
Census: 94
Deficiencies: 6
Date: May 2, 2025
Visit Reason
This visit was for a State Residential Licensure Survey including the investigation of Complaints IN00454508 and IN00458671. Complaint IN00454508 had no deficiencies cited, while Complaint IN00458671 resulted in a state deficiency citation.
Complaint Details
Complaint IN00454508 - No deficiencies related to the allegations are cited. Complaint IN00458671 - State deficiency related to the allegations is cited at R0241.
Findings
The facility failed to notify physicians of blood sugar results outside parameters and insulin being held for residents, administered wrong medications to a resident resulting in hospitalization, failed to administer sliding scale insulin as ordered, failed to label and date insulin pens properly, failed to maintain complete oxygen orders, and failed to complete transfer/discharge forms for residents transferred to hospitals.
Deficiencies (6)
Failed to ensure the resident's physician was notified of blood sugar results outside parameters and insulin being held for 2 of 7 resident records reviewed.
Failed to ensure medications were administered as ordered to the correct resident, resulting in hospitalization.
Failed to ensure sliding scale insulin was administered as ordered for 1 of 7 records reviewed.
Failed to ensure insulin pens were labeled and dated in 2 of 3 medication carts observed.
Failed to ensure clinical records were complete and accurately documented related to oxygen use for 1 of 1 residents reviewed.
Failed to ensure a transfer/discharge form was completed for 2 of 7 residents reviewed.
Report Facts
Residential Census: 94
Insulin pens in Medication Cart 1: 15
Insulin pens in Medication Cart 3: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joelynn Miller Johnson | Administrator | Signed the report |
| Director of Nursing | Interviewed regarding deficiencies and corrective actions | |
| QMA 1 | Involved in insulin administration and documentation | |
| QMA 2 | Administered wrong medications to Resident B and was in-serviced | |
| RN 1 | Nurse on duty informed about medication error |
Inspection Report
Complaint Investigation
Census: 101
Deficiencies: 0
Date: Dec 4, 2024
Visit Reason
This visit was for the Investigation of Complaints IN00447020 and IN00447938.
Complaint Details
Investigation of Complaints IN00447020 and IN00447938 found no deficiencies related to the allegations; facility was compliant.
Findings
No deficiencies related to the allegations in complaints IN00447020 and IN00447938 were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding these complaints.
Report Facts
Residential Census: 101
Inspection Report
Re-Inspection
Census: 97
Deficiencies: 0
Date: Sep 12, 2024
Visit Reason
This visit was a Post Survey Revisit (PSR) to the Investigation of Complaints IN00439023, IN00439472, and IN00439550 completed on 7/26/24.
Complaint Details
This visit was related to complaints IN00439023, IN00439472, and IN00439550. All complaints were corrected.
Findings
Lake Park Residential Care was found to be in compliance with 410 IAC 16.2-5 in regard to the PSR to Investigation of Complaints IN00439023, IN00439472, and IN00439550. All three complaints were corrected.
Inspection Report
Complaint Investigation
Census: 99
Deficiencies: 3
Date: Jul 26, 2024
Visit Reason
This visit was for the investigation of complaints IN00439023, IN00439472, and IN00439550 concerning allegations of abuse and failure to follow facility policies.
Complaint Details
The complaint involved Resident B alleging mental abuse by the Director of Nursing who took pictures of his groin area without consent, causing him to feel humiliated and violated. The DON was suspended and later terminated. The Administrator failed to report the abuse allegation timely to the Indiana Department of Health, Adult Protective Services, and the Indiana Ombudsman's Office. Multiple staff interviews confirmed the incident and lack of proper reporting.
Findings
The facility failed to prevent staff-to-resident mental abuse when the Director of Nursing took unauthorized pictures of a resident's groin area, causing humiliation and distress. Additionally, the facility failed to report the abuse allegation timely to the appropriate authorities and failed to complete semi-annual resident evaluations for three residents.
Deficiencies (3)
Failed to prevent staff-to-resident mental abuse during a skin assessment when a nurse took cell phone pictures of a resident's groin without permission.
Failed to follow abuse policy by not reporting allegations of mental abuse to the Administrator and regulatory authorities.
Failed to complete resident evaluations semi-annually for 3 of 3 residents reviewed.
Report Facts
Residents present: 99
Survey dates: 2
Semi-annual assessments overdue: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joelynn Miller Johnson | Administrator | Named in relation to investigation and reporting of abuse allegations |
| Director of Nursing | Director of Nursing | Involved in taking unauthorized pictures and was suspended and terminated |
| RN 1 | Reported presence during picture taking and gave conflicting statements about resident consent | |
| Mental Health Technician 6 | Mental Health Technician | Educated resident on coping skills but failed to report abuse allegation |
| Employee 3 | Confidential interviewee who confirmed DON took pictures without permission | |
| Employee 4 | Confidential interviewee who witnessed incident and confirmed no permission was obtained | |
| Employee 5 | Confidential interviewee who witnessed incident and confirmed resident was upset |
Inspection Report
Complaint Investigation
Census: 94
Deficiencies: 0
Date: Jul 2, 2024
Visit Reason
This visit was conducted to investigate complaints IN00437286, IN00437371, IN00437565, and IN00437873 at Lake Park Residential Care.
Complaint Details
Complaints IN00437286, IN00437371, IN00437565, and IN00437873 were investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations in any of the complaints were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the investigation of these complaints.
Inspection Report
Complaint Investigation
Census: 102
Deficiencies: 8
Date: Jan 18, 2024
Visit Reason
This visit was for a State Residential Licensure Survey including investigation of Complaints IN00419576 and IN00424759. Complaint IN00419576 had no deficiencies cited, while Complaint IN00424759 had state deficiencies related to allegations cited at R0060 and R0349.
Complaint Details
Complaint IN00419576 - No deficiencies related to the allegations are cited. Complaint IN00424759 - State deficiencies related to the allegations are cited at R0060 and R0349.
Findings
The facility failed to provide reasonable access to health services during a COVID-19 outbreak, failed to report a resident-to-resident altercation to the State Agency, failed to complete criminal background checks through the Indiana State Police for one employee, failed to provide annual dementia training for some staff, failed to maintain kitchen cleanliness and sanitation, failed to ensure residents had physician orders and assessments for self-administered medications, failed to maintain complete and accurate clinical records related to wound treatments and blood pressure checks, and failed to obtain annual health statements indicating no evidence of infectious tuberculosis for several residents.
Deficiencies (8)
Failed to provide reasonable access to health services during a COVID-19 outbreak for 1 of 7 sampled residents (Resident B).
Failed to report a resident-to-resident altercation to the State Agency for 1 of 1 abuse allegations reviewed (Residents 7 and 8).
Failed to ensure a criminal history background check was completed through the Indiana State Police repository for 1 of 2 employees hired within the last 120 days (Housekeeper 1).
Failed to provide annual dementia training for 3 of 5 employee files reviewed (LPN 1, RN 1, QMA 1).
Failed to ensure kitchen cleanliness related to dirt, debris, stained ceiling tiles, dirty PVC pipes, greasy ovens, dirty oven hood, dirty stove top grates, dirty sink, and outdated food in the main kitchen.
Failed to ensure residents had physician orders and assessments for self-administered medications for 1 of 7 sampled residents (Resident B).
Failed to maintain complete and accurate clinical records related to wound treatments and blood pressure checks for 2 of 7 sampled residents (Residents B and C).
Failed to obtain annual health statements indicating no evidence of tuberculosis in an infectious stage for 5 of 7 residents reviewed (Residents 2, 7, 3, B, and C).
Report Facts
residential_census: 102
deficiencies_cited: 8
dates_of_survey: 2024-01-17 to 2024-01-18
completion_date_plan_of_correction: Mar 30, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Involved in findings related to Resident B's treatment and self-administration of medication, and monitoring blood pressure documentation. |
| Administrator | Administrator | Involved in findings related to COVID-19 outbreak management and reporting of resident altercation. |
| Case Manager Supervisor | Case Manager Supervisor | Involved in scheduling and canceling resident appointments during COVID-19 outbreak. |
| Housekeeper 1 | Housekeeper | Employee with incomplete criminal background check through Indiana State Police. |
| Dietary Food Manager | Dietary Food Manager | Involved in findings related to kitchen cleanliness and sanitation. |
Inspection Report
Complaint Investigation
Census: 97
Deficiencies: 0
Date: Aug 15, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00414801.
Complaint Details
Complaint IN00414801 was investigated and found to have no related deficiencies; the complaint was not substantiated.
Findings
No deficiencies related to the allegations in Complaint IN00414801 were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the complaint.
Inspection Report
Complaint Investigation
Census: 91
Deficiencies: 0
Date: May 4, 2023
Visit Reason
This visit was conducted for the investigation of complaints IN00407403 and IN00407461 at Lake Park Residential Care.
Complaint Details
Investigation of Complaints IN00407403 and IN00407461 found no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations in complaints IN00407403 and IN00407461 were cited. The facility was found to be in compliance with applicable regulations.
Inspection Report
Complaint Investigation
Census: 91
Deficiencies: 1
Date: Dec 28, 2022
Visit Reason
This visit was for the investigation of Complaint IN00397214, which was substantiated with a state deficiency cited related to the allegations.
Complaint Details
Complaint IN00397214 was substantiated. The allegation involved failure to report abuse immediately to the Administrator for Resident B.
Findings
The facility failed to ensure the abuse policy was followed, specifically not immediately reporting an abuse allegation to the Administrator for one resident. The deficiency involved failure to report an allegation documented in a progress note dated 11/29/22.
Deficiencies (1)
Failure to immediately report an abuse allegation to the Administrator as required by facility policy.
Report Facts
Residential Census: 91
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joelynn Miller-Johnson | Administrator | Named as the Administrator who was not immediately informed of the abuse allegation. |
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