Inspection Reports for Life Care Center of Michigan City
802 US HIGHWAY 20 EAST, IN, 46360
Back to Facility ProfileInspection Report Summary
The most recent inspection on May 1, 2025, found no deficiencies related to the complaint investigated. Earlier inspections showed a pattern of deficiencies primarily involving resident care issues such as timely notification of changes, fall prevention, medication management, and documentation. Some complaints were substantiated with citations related to abuse prevention, accident hazards, and medication self-administration, while most complaint investigations were unsubstantiated or found in compliance. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history shows some recurring issues but also periods of compliance, with no clear worsening or consistent improvement trend.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
12.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
193% worse than Indiana average
Indiana average: 4.2 deficiencies/yearDeficiencies per year
20
15
10
5
0
Census
Latest occupancy rate
100% occupied
Based on a May 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 81
Capacity: 81
Deficiencies: 0
May 1, 2025
Visit Reason
This visit was conducted for the investigation of Complaint IN00457736.
Findings
No deficiencies related to the complaint allegation were cited. The facility was found to be in compliance with applicable regulations.
Complaint Details
Complaint IN00457736 was investigated and found to have no deficiencies related to the allegation.
Report Facts
Medicare census: 13
Medicaid census: 58
Other payor census: 10
Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 24, 2025
Visit Reason
Paper compliance review to the Investigation of Complaint IN00451276 completed on March 31, 2025.
Findings
Life Care Center of Michigan City 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 IN00451276 completed on March 31, 2025; facility found in compliance.
Inspection Report
Complaint Investigation
Census: 88
Capacity: 88
Deficiencies: 2
Mar 31, 2025
Visit Reason
This visit was conducted for the investigation of Complaint IN00451276 regarding federal and state deficiencies related to allegations of failure to notify responsible parties of resident changes and failure to update fall interventions.
Findings
The facility was found deficient for failing to notify the responsible party in a timely manner of an unwitnessed fall for one resident and for failing to update fall interventions for a resident with multiple falls. Plans of correction and audits were implemented to address these issues.
Complaint Details
Complaint IN00451276 was substantiated with federal and state deficiencies cited at tags F580 and F689 related to notification of changes and fall hazard prevention.
Severity Breakdown
SS=D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to ensure the responsible party was notified of an unwitnessed fall in a timely manner for 1 of 3 residents reviewed for accidents (Resident B). | SS=D |
| Failed to ensure fall interventions were updated to prevent injury for a resident with multiple falls for 1 of 3 residents reviewed for accidents (Resident D). | SS=D |
Report Facts
Census: 88
Total Capacity: 88
Medicare Census: 21
Medicaid Census: 51
Other Payor Census: 16
Falls for Resident D: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Terri Phillips | Executive Director | Signed the report and provided policy information |
| Not fully named | Director of Nursing | Interviewed regarding delayed notification and fall interventions |
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 7, 2024
Visit Reason
The inspection was conducted as a paper compliance review related to the investigation of Complaint IN00442864 completed on September 11, 2024.
Findings
Life Care Center of Michigan City 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 of the complaint investigation.
Complaint Details
Investigation of Complaint IN00442864 completed on September 11, 2024; facility found in compliance.
Inspection Report
Complaint Investigation
Census: 85
Capacity: 85
Deficiencies: 2
Sep 11, 2024
Visit Reason
The visit was conducted for the investigation of two complaints, IN00439115 and IN00442864. Complaint IN00439115 resulted in no deficiencies, while Complaint IN00442864 resulted in federal/state deficiencies cited at F661 and F757.
Findings
The facility failed to ensure a discharge summary was completed at the time of discharge for one resident requiring home health services, and failed to ensure adequate indication for use of a scheduled antifungal powder for one resident. Both deficiencies were related to Complaint IN00442864.
Complaint Details
The investigation was triggered by complaints IN00439115 and IN00442864. Complaint IN00439115 had no deficiencies related to the allegations. Complaint IN00442864 was substantiated with deficiencies cited at F661 (Discharge Summary) and F757 (Drug Regimen is Free from Unnecessary Drugs).
Severity Breakdown
SS=D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to ensure a discharge summary was completed at the time of discharge for a resident requiring home health services. | SS=D |
| Failure to ensure there was an adequate indication for use of a scheduled antifungal powder for a resident with non-pressure skin conditions. | SS=D |
Report Facts
Census: 85
Total Capacity: 85
Medicare Census: 13
Medicaid Census: 59
Other Payor Census: 13
Medication Administration Frequency: 3
Compliance Date: Oct 4, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Terri Phillips | Executive Director | Signed the report and responsible for ensuring compliance in the plan of correction |
| Director of Nursing | Interviewed regarding discharge summary completion | |
| Assistant Director of Nursing | Interviewed regarding antifungal powder indication documentation |
Inspection Report
Life Safety
Census: 88
Capacity: 120
Deficiencies: 3
Jul 11, 2024
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 Life Safety Code requirements.
Findings
The facility was found not in compliance with Life Safety Code requirements, with deficiencies including failure to maintain latching hardware on smoke barrier doors, missing escutcheon plate on a sprinkler head, and improper use of power strips including powering a refrigerator with a power strip and daisy chaining power strips in a resident room.
Severity Breakdown
SS=E: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to maintain latching hardware on 1 of 4 smoke barrier doors, causing one door not to latch properly. | SS=E |
| Failed to maintain ceiling construction in 1 of 5 smoke compartments; sprinkler head missing escutcheon plate leaving annular space. | SS=E |
| Failed to ensure power strips were not used as a substitute for fixed wiring; refrigerator powered by power strip and daisy chained power strips found in resident room. | SS=E |
Report Facts
Certified beds: 120
Census: 88
Deficiencies cited: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Terri Phillips | Executive Director | Named in relation to exit conference and plan of correction |
| Maintenance Director | Interviewed and involved in observations and corrective actions | |
| Administrator | Participated in exit conference |
Inspection Report
Life Safety
Deficiencies: 0
Jul 11, 2024
Visit Reason
The visit was conducted as a Life Safety Code Recertification and State Licensure Survey.
Findings
Life Care Center of Michigan City was found in compliance with Medicare/Medicaid participation requirements, the Life Safety from Fire regulations, and the 2012 Edition of the National Fire Protection Association (NFPA) 101 Life Safety Code, Chapter 19, Existing Health Care Occupancies and 410 IAC 16.2.
Inspection Report
Renewal
Census: 86
Capacity: 86
Deficiencies: 5
Jun 14, 2024
Visit Reason
This visit was for a Recertification and State Licensure Survey conducted from June 10 to June 14, 2024.
Findings
The facility was found deficient in several areas including failure to transmit a resident's Minimum Data Set (MDS) assessment timely, failure to ensure hearing aids were administered per physician orders, incomplete food consumption logs for residents with weight loss, incorrect oxygen flow rates for residents on oxygen therapy, and incomplete pre-employment physical examinations for staff.
Severity Breakdown
SS=A: 1
SS=D: 3
Deficiencies (5)
| Description | Severity |
|---|---|
| Failed to transmit a Minimum Data Set (MDS) assessment in the required timeframe for 1 of 20 residents reviewed (Resident 71). | SS=A |
| Failed to ensure hearing aids were administered as per physician's order for 1 of 2 residents reviewed for vision/hearing (Resident 4). | SS=D |
| Failed to complete food consumption logs for residents with a history of weight loss for 3 of 5 residents reviewed (Residents 59, 14, and 42). | SS=D |
| Failed to ensure oxygen was at the correct flow rate for 2 of 3 residents reviewed for oxygen use (Residents 42 and 48). | SS=D |
| Failed to ensure each employee had a complete physical examination by a licensed Physician or Nurse Practitioner within one month prior to employment for 5 of 10 employees reviewed. | — |
Report Facts
Census: 86
Total Capacity: 86
Residents with MDS assessments reviewed: 20
Residents reviewed for vision/hearing: 2
Residents reviewed for nutrition: 5
Residents reviewed for oxygen use: 3
Employees reviewed for physical exam compliance: 10
Employees lacking complete physical exam: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Terri Phillips | Executive Director | Signed the report and responsible for ensuring compliance with the Plan of Correction |
| MDS Coordinator 1 | Interviewed regarding missing discharge MDS for Resident 71 | |
| Director of Nursing | DON | Interviewed regarding hearing aid administration and oxygen flow rate issues |
| Human Resources Director | Interviewed regarding incomplete pre-employment physical examinations | |
| CNA 1 | Interviewed regarding hearing aid use for Resident 4 | |
| LPN 1 | Interviewed regarding hearing aid location and documentation | |
| Assistant Director of Nursing | ADON | Interviewed regarding food consumption logs |
Inspection Report
Renewal
Deficiencies: 0
Jun 14, 2024
Visit Reason
Paper compliance review to the Recertification and State Licensure Survey completed on June 14, 2024.
Findings
Life Care Center of Michigan City 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 Recertification and State Licensure Survey.
Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 2, 2024
Visit Reason
Paper compliance review to the Investigation of Complaints IN00430795, IN00430978, and IN00431405 completed on April 2, 2024.
Findings
Life Care Center of Michigan City was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 in regard to the paper compliance review to the Complaint investigation.
Complaint Details
Investigation of Complaints IN00430795, IN00430978, and IN00431405; paper compliance review found facility in compliance.
Inspection Report
Complaint Investigation
Census: 85
Capacity: 85
Deficiencies: 4
Apr 1, 2024
Visit Reason
This visit was for the investigation of complaints IN00430795, IN00430978, and IN00431405 involving multiple federal and state deficiencies related to medication self-administration, notification of changes, quality of care, and accident hazards.
Findings
The facility failed to ensure residents had proper assessments and physician orders for self-administration of medications, timely notification of physician for significant changes, adequate treatment and assessment of wounds, timely hospital transfer for increased pain and swelling, and adequate supervision to prevent accidents in the shower. Deficiencies were cited related to these issues for multiple residents.
Complaint Details
This investigation was triggered by complaints IN00430795, IN00430978, and IN00431405. The complaints involved medication self-administration without proper assessments or orders, failure to notify physicians of significant changes, inadequate wound care and treatment, delayed hospital transfer for pain and swelling, and inadequate supervision leading to a fall in the shower.
Severity Breakdown
SS=E: 2
SS=D: 2
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to ensure residents had assessment and physician orders to self-administer medications for 4 residents. | SS=E |
| Failed to notify physician timely of increased pain and leg swelling for 1 resident. | SS=D |
| Failed to ensure timely hospital transfer and wound treatments for 3 residents. | SS=E |
| Failed to provide adequate supervision in the shower to prevent accidents for 1 resident. | SS=D |
Report Facts
Residents reviewed for self-administration: 4
Residents reviewed for accidents: 3
Residents reviewed for skin conditions: 3
Facility census: 85
Licensed capacity: 85
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Terri Phillips | Executive Director | Signed report and responsible for compliance |
| LPN 1 | Involved in assessment and notification failures related to Resident D | |
| Director of Nursing | DON | Interviewed regarding deficiencies and corrective actions |
| Physical Therapist | PT | Observed wound care treatment for Resident F |
Inspection Report
Complaint Investigation
Census: 95
Capacity: 95
Deficiencies: 0
Feb 14, 2024
Visit Reason
This visit was conducted for the investigation of Complaint IN00428004.
Findings
No deficiencies related to the allegations 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 investigation.
Complaint Details
Complaint IN00428004 was investigated and found to have no deficiencies related to the allegations.
Report Facts
Census Payor Type - Medicare: 23
Census Payor Type - Medicaid: 50
Census Payor Type - Other: 22
Inspection Report
Complaint Investigation
Census: 97
Capacity: 97
Deficiencies: 0
Jan 26, 2024
Visit Reason
This visit was conducted for the investigation of complaints IN00425337 and IN00426833.
Findings
No deficiencies related to the allegations in complaints IN00425337 and IN00426833 were cited. The facility was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1.
Complaint Details
Complaint IN00425337 and Complaint IN00426833 were investigated and found to have no deficiencies related to the allegations.
Report Facts
Medicare census: 24
Medicaid census: 49
Other payor census: 24
Inspection Report
Follow-Up
Census: 91
Capacity: 120
Deficiencies: 0
Jul 11, 2023
Visit Reason
A Post Survey Revisit (PSR) was conducted for the Emergency Preparedness Survey and the Life Safety Code Recertification and State Licensure Survey originally conducted on 05/22/23.
Findings
At this Emergency Preparedness PSR and Life Safety Code PSR, Life Care Center of Michigan City was found in compliance with Emergency Preparedness Requirements and Life Safety Code requirements, including fire safety and state licensure standards.
Report Facts
Facility capacity: 120
Census: 91
Inspection Report
Life Safety
Census: 84
Capacity: 120
Deficiencies: 17
May 22, 2023
Visit Reason
An Emergency Preparedness Survey and Life Safety Code Recertification and State Licensure Survey were conducted by the Indiana Department of Health to assess compliance with emergency preparedness and life safety code requirements.
Findings
The facility was found not in compliance with emergency preparedness requirements including failure to annually review and update the Emergency Preparedness Plan, policies and procedures, communication plan, training and testing, and procedures for tracking staff and residents. Life safety deficiencies included nonfunctional emergency lighting, kitchen suppression system not verified as UL 300 approved, fire alarm system with incorrect time and date, sprinkler head obstructions and corrosion, blocked and improperly installed fire extinguishers, corridor doors not latching properly, and unsecured electrical panel.
Severity Breakdown
SS=F: 11
SS=E: 4
SS=C: 1
Deficiencies (17)
| Description | Severity |
|---|---|
| Failed to review and update the Emergency Preparedness Plan annually. | SS=F |
| Failed to develop and update Emergency Preparedness policies and procedures annually. | SS=F |
| Failed to include a system to track location of on-duty staff and sheltered residents during and after an emergency. | SS=F |
| Failed to review and update the Emergency Preparedness Communication Plan annually. | SS=F |
| Failed to review and update the Emergency Preparedness Training and Testing Plan annually. | SS=F |
| Battery powered emergency light in generator transfer switch room did not work. | SS=F |
| Kitchen suppression system not verified as UL 300 approved. | SS=E |
| Fire alarm control panel had incorrect time and date. | SS=C |
| Sprinkler heads obstructed by linen and blankets in storage closets. | SS=F |
| Gap between sprinkler escutcheon plate and ceiling in housekeeping closet. | SS=F |
| Sprinkler pipe in resident room had cable wrapped around it. | SS=F |
| Sprinkler head above washers showed signs of corrosion. | SS=F |
| Portable fire extinguisher blocked by magnetically propped open door near main dining area. | SS=E |
| Kitchen fire extinguisher not properly installed in cabinet due to size. | SS=E |
| Three corridor doors failed to latch properly or close completely. | SS=E |
| Electrical panel in 400 hall unsecured due to broken lock mechanism. | SS=E |
| Staff not properly trained on oxygen trans-filling procedures. | SS=F |
Report Facts
Certified beds: 120
Census: 84
Deficiencies cited: 16
Inspection Report
Annual Inspection
Census: 89
Capacity: 89
Deficiencies: 14
Apr 28, 2023
Visit Reason
This visit was for a Recertification and State Licensure Survey, which included the Investigation of Complaint IN00402546.
Findings
The facility was found deficient in multiple areas including failure to complete self-administration medication assessments, inaccurate Minimum Data Set (MDS) assessments, inadequate assistance with activities of daily living, insufficient 1:1 activities, failure to properly assess and treat skin tears and bruising, improper treatment of pressure ulcers, inadequate fall prevention measures, incomplete meal consumption documentation, incorrect oxygen therapy administration, failure to monitor psychotropic medications, medication administration errors, improper medication storage, and unsanitary kitchen conditions.
Complaint Details
Complaint IN00402546 was investigated with no deficiencies related to the allegations cited.
Severity Breakdown
SS=E: 4
SS=D: 7
SS=A: 1
Deficiencies (14)
| Description | Severity |
|---|---|
| Failure to ensure residents had assessments to self-administer medications. | SS=D |
| Failure to ensure MDS comprehensive assessments were accurately completed related to oxygen use. | SS=A |
| Failure to ensure dependent residents received assistance with activities of daily living related to nail care. | SS=D |
| Failure to ensure residents received 1:1 activities at least 3 times a week. | SS=D |
| Failure to ensure skin tears and bruising were assessed, monitored, and treated as ordered. | SS=E |
| Failure to ensure residents with pressure ulcers received necessary treatment and pressure reduction devices. | SS=D |
| Failure to ensure resident was free from accidents and received supervision with medications. | SS=D |
| Failure to ensure residents maintained acceptable nutritional status related to incomplete meal consumption records. | SS=D |
| Failure to ensure oxygen was set at the correct flow rate and positioned correctly for residents receiving oxygen therapy. | SS=E |
| Failure to ensure psychotropic medications were monitored for side effects and effectiveness and AIMS assessments completed. | SS=D |
| Failure to ensure resident was free from significant medication errors related to insulin administration. | SS=D |
| Failure to ensure medications were properly stored for safety, labeled, and dated in medication storage room. | SS=D |
| Failure to ensure food was procured, stored, prepared, and served in a sanitary manner in the kitchen. | SS=E |
| Failure to ensure kitchen area was clean and in good repair related to dirty floors, cabinets, pipes, and walls. | SS=E |
Report Facts
Survey dates: April 24, 25, 26, 27, and 28, 2023
Census: 89
Total capacity: 89
Medicare census: 36
Medicaid census: 42
Other payor census: 11
Weight loss: 23.5
Oxygen flow rate: 2
Oxygen flow rate: 3
Oxygen flow rate: 3
Oxygen flow rate: 2
Oxygen flow rate: 5
Insulin dose: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| RN 1 | Registered Nurse | Administered insulin without priming pen |
| LPN 1 | Licensed Practical Nurse | Left medications with resident without supervision |
| LPN 2 | Licensed Practical Nurse | Medication storage observation and interview about lock |
| Director of Nursing | Director of Nursing | Multiple interviews regarding deficiencies and corrective actions |
| Assistant Director of Nursing | Assistant Director of Nursing | Interviews regarding oxygen therapy and bruising documentation |
| Food Service Manager | Food Service Manager | Interview and kitchen observations |
| Activity Director | Activity Director | Interview and corrective action for 1:1 activities |
Inspection Report
Renewal
Deficiencies: 0
Apr 28, 2023
Visit Reason
Paper compliance review to the Recertification and State Licensure Survey completed on April 28, 2023.
Findings
Life Care Center of Michigan City 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 Recertification and State Licensure Survey.
Inspection Report
Complaint Investigation
Census: 73
Capacity: 73
Deficiencies: 0
Feb 1, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00395262.
Findings
The complaint was substantiated; however, no deficiencies related to the allegations were cited. The facility was found to be in compliance with applicable regulations.
Complaint Details
Complaint IN00395262 was substantiated but no deficiencies related to the allegations were cited.
Report Facts
Medicare census: 22
Medicaid census: 42
Other payor census: 9
Inspection Report
Plan of Correction
Deficiencies: 0
Nov 10, 2022
Visit Reason
Paper compliance review to the Investigation of Complaints IN00390355 and IN00391568 completed on October 7, 2022.
Findings
Life Care Center of Michigan City 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
This visit was related to complaint investigations IN00390355 and IN00391568. The facility was found in compliance.
Inspection Report
Complaint Investigation
Census: 71
Capacity: 71
Deficiencies: 2
Oct 6, 2022
Visit Reason
This visit was conducted for the investigation of three complaints (IN00381873, IN00390355, and IN00391568). Two complaints were substantiated with federal/state deficiencies cited, and one was unsubstantiated due to lack of evidence.
Findings
The facility was found to have failed to ensure a resident was free from abuse when staff forcibly moved her back into the facility against her will. Additionally, the facility failed to ensure fall precautions were in place for a resident with a history of falls. Corrective actions and education plans were implemented to address these deficiencies.
Complaint Details
Complaint IN00381873 was unsubstantiated due to lack of evidence. Complaint IN00390355 was substantiated with deficiencies cited at F689 related to accident hazards and supervision. Complaint IN00391568 was substantiated with deficiencies cited at F600 related to abuse and neglect.
Severity Breakdown
SS=D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure each resident was free from abuse related to staff forcibly moving a resident back into the facility against her will. | SS=D |
| Facility failed to ensure fall precautions were in place for a resident with a history of falls. | SS=D |
Report Facts
Census: 71
Total Capacity: 71
Medicare Census: 19
Medicaid Census: 40
Other Payor Census: 12
Deficiency Completion Date: Oct 23, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Terri Phillips | Executive Director | Signed the report and involved in administrative oversight |
| Environmental Services Director | Involved in forcibly moving resident back into facility | |
| Administrator | Informed resident about nonsmoking policy and was involved in follow-up | |
| Insurance Coordinator | Witnessed incident involving resident on sidewalk | |
| Speech Therapist 1 | Witnessed and interacted with resident during incident | |
| Social Services Director | Informed about incident after the fact and spoke with resident | |
| CNA 2 | Witnessed resident being pushed back inside | |
| CNA 1 | Provided information about fall precautions for Resident J |
Inspection Report
Life Safety
Census: 68
Capacity: 120
Deficiencies: 0
Sep 15, 2022
Visit Reason
A Post Survey Revisit (PSR) Life Safety Code Recertification and State Licensure Survey was conducted by the Indiana Department of Health in accordance with 42 CFR 483.90(a).
Findings
The facility was found in compliance with Requirements for Participation in Medicare/Medicaid, Life Safety from Fire, and the 2012 edition of the National Fire Protection Association (NFPA) 101, Life Safety Code. The building is fully sprinklered except for one detached garage and two sheds used for facility storage which were not sprinklered.
Report Facts
Facility capacity: 120
Census: 68
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