Inspection Reports for
Life Care Center of Valparaiso
3405 N CAMPBELL RD, VALPARAISO, IN, 46385
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
8.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
105% worse than Indiana average
Indiana average: 4.2 deficiencies/yearDeficiencies per year
16
12
8
4
0
Occupancy
Latest occupancy rate
88% occupied
Based on a April 2025 inspection.
Occupancy rate over time
Inspection Report
Routine
Deficiencies: 5
Date: Jan 6, 2026
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to medication self-administration, respiratory care, wound care, medication administration, infection control, and drug regimen appropriateness at Life Care Center of Valparaiso.
Findings
The facility was found deficient in multiple areas including failure to assess and order self-administration of medications, incomplete documentation and administration of respiratory treatments and medications, inadequate wound assessments, improper oxygen therapy administration, failure to document non-pharmacological pain interventions, and lapses in infection control practices including improper use of PPE and medication handling.
Deficiencies (5)
F 0554: The facility failed to ensure residents were assessed for self-administration of medications and had a physician's order to self-administer medications for 1 of 1 resident reviewed.
F 0684: The facility failed to ensure oral suctioning was completed and documented as ordered, medications were administered as ordered, and wound assessments were completed and monitored for skin discolorations for multiple residents.
F 0695: The facility failed to ensure residents received proper respiratory care related to oxygen administration orders for 1 of 4 residents reviewed.
F 0757: The facility failed to ensure medications were given with adequate indication for use related to lack of non-pharmacological interventions prior to giving pain medication for 1 of 5 residents reviewed.
F 0880: The facility failed to ensure infection control guidelines were implemented, including staff not wearing eye protection in isolation rooms and improper medication handling during administration.
Report Facts
Medication administrations: 21
Medication administrations: 9
Oxygen liters per minute: 6
Oxygen liters per minute: 5
Wound measurement: 2.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Interviewed multiple times regarding deficiencies and findings. |
| RN 1 | Registered Nurse | Observed not wearing eye protection in isolation room. |
| LPN 1 | Licensed Practical Nurse | Observed touching medications with bare hands during administration. |
| Infection Control Nurse | Infection Control Nurse | Observed assisting Resident 4 with oral suctioning. |
Inspection Report
Complaint Investigation
Census: 97
Deficiencies: 0
Date: Apr 3, 2025
Visit Reason
The visit was conducted for the investigation of Complaint IN00456403.
Complaint Details
Complaint IN00456403 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 relevant regulations.
Report Facts
Census Bed Type - SNF/NF: 83
Census Bed Type - SNF: 14
Total Census: 97
Census Payor Type - Medicare: 22
Census Payor Type - Medicaid: 53
Census Payor Type - Other: 22
Inspection Report
Life Safety
Census: 86
Capacity: 110
Deficiencies: 3
Date: Dec 9, 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) and NFPA 101 standards.
Findings
The facility was found not in compliance with Life Safety Code requirements, including issues with the kitchen hood manual activation pull station height, lack of semi-annual fire alarm system inspection documentation, and use of non-medical grade power strips in resident rooms.
Deficiencies (3)
Failed to maintain kitchen extinguishing system manual activation pull station between 42 and 48 inches above the floor as required by NFPA 96.
Failed to maintain fire alarm system with required semi-annual visual inspections as per NFPA 72.
Failed to ensure power strips in 2 resident rooms met UL rating of 1363A or 60601-1 as required by NFPA 99.
Report Facts
Facility capacity: 110
Census: 86
Deficiencies cited: 3
Power strips non-compliant: 2
Medical grade surge protectors ordered: 40
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amber Janeczko | Executive Director | Named in relation to exit conference and plan of correction |
| Maintenance Director | Interviewed regarding deficiencies and corrective actions | |
| Maintenance Supervisor | Responsible for monitoring corrective actions and audits |
Inspection Report
Life Safety
Deficiencies: 0
Date: Dec 9, 2024
Visit Reason
The visit was conducted as a Life Safety Code Recertification and State Licensure Survey.
Findings
Life Care Center of Valparaiso was found in compliance with Medicare/Medicaid participation requirements, Life Safety from Fire regulations, and the 2012 Edition of the NFPA 101 Life Safety Code, Chapter 19, Existing Health Care Occupancies, and 410 IAC 16.2.
Inspection Report
Routine
Deficiencies: 6
Date: Nov 1, 2024
Visit Reason
The inspection was conducted as a routine regulatory survey to assess compliance with healthcare regulations and standards at the Life Care Center of Valparaiso.
Findings
The facility was found deficient in multiple areas including failure to develop and implement comprehensive care plans for residents with specific needs, inadequate monitoring and treatment of skin conditions, failure to ensure ordered use of palm protectors for residents with contractures, improper catheter care, and lapses in infection prevention practices such as failure to sanitize glucometers between residents and improper implementation of Enhanced Barrier Precautions for a resident with a multi-drug resistant organism.
Deficiencies (6)
F 0656: The facility failed to develop and implement a comprehensive care plan for a resident with a history of multi-drug resistant organisms (Resident 71).
F 0657: The facility failed to ensure care plans were implemented and updated for two residents, lacking documentation related to spontaneous ecchymosis and a skin lesion (Residents 21 and 14).
F 0684: The facility failed to provide appropriate treatment and monitoring for skin discolorations and a skin lesion for two residents (Residents 21 and 14).
F 0688: The facility failed to ensure palm protectors and/or splints were in place as ordered for two residents with contractures (Residents 56 and 40).
F 0690: The facility failed to keep an indwelling suprapubic catheter tubing and collection bag off the floor for one resident (Resident 1).
F 0880: The facility failed to implement infection control measures, including failure to sanitize a glucometer between residents and failure to place a resident with a multi-drug resistant organism on Enhanced Barrier Precautions as ordered (Resident 71).
Report Facts
Residents reviewed for care plans: 21
Residents reviewed for skin conditions: 3
Residents reviewed for range of motion: 2
Residents reviewed for urinary catheters: 1
Residents affected by deficiencies: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Infection Prevention Nurse | Interviewed regarding care plan for MDRO and Enhanced Barrier Precautions | |
| Director of Nursing | Interviewed regarding care plan updates and palm protector use | |
| RN 1 | Observed and interviewed regarding failure to sanitize glucometer between residents | |
| LPN 1 | Interviewed regarding knowledge of Enhanced Barrier Precautions for Resident 71 | |
| CNA 1 | Interviewed regarding application of palm protectors | |
| Administrator | Interviewed regarding palm protector deficiency |
Inspection Report
Annual Inspection
Census: 89
Capacity: 89
Deficiencies: 6
Date: Nov 1, 2024
Visit Reason
This visit was for a Recertification and State Licensure Survey conducted from October 28 to November 1, 2024.
Findings
The facility was found deficient in multiple areas including failure to develop and implement comprehensive care plans for residents, failure to ensure proper treatment and monitoring of skin conditions, failure to ensure adaptive devices were used as ordered, improper catheter management, and inadequate infection control practices related to glucometer cleaning and Enhanced Barrier Precautions for a resident with MDRO.
Deficiencies (6)
Failed to ensure a comprehensive care plan was developed and in place for a resident with a history of MDROs.
Failed to ensure care plans were implemented and/or updated for residents with skin discolorations and lesions.
Failed to ensure residents received necessary treatment and services related to monitoring and assessment of skin discolorations and lesions.
Failed to ensure palm protectors and/or splints were in place as ordered for residents with contractures.
Failed to ensure an indwelling suprapubic catheter tubing and collection bag was kept off the floor.
Failed to ensure infection control measures were in place related to a glucometer used for multiple residents and not cleaned and sanitized after each use, and failure to place a resident with MDRO on Enhanced Barrier Precautions as ordered.
Report Facts
Census: 89
Total Capacity: 89
Deficiencies cited: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amber Janeczko | Executive Director | Signed plan of correction and referenced in report |
| RN 1 | Registered Nurse | Observed not sanitizing glucometer between resident uses |
| LPN 1 | Licensed Practical Nurse | Interviewed regarding Enhanced Barrier Precautions for Resident 71 |
| Director of Nursing | Director of Nursing | Provided multiple interviews regarding care plans, adaptive devices, and infection control |
| Infection Prevention Nurse | Infection Prevention Nurse | Interviewed about Enhanced Barrier Precautions and care plan for Resident 71 |
| CNA 1 | Certified Nursing Assistant | Interviewed about application of palm protectors |
Inspection Report
Renewal
Deficiencies: 0
Date: Nov 1, 2024
Visit Reason
Paper compliance review to the Recertification and State Licensure survey completed on 11/1/24.
Findings
Life Care Center of Valparaiso 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 Recertification and State Licensure survey.
Inspection Report
Complaint Investigation
Census: 87
Deficiencies: 0
Date: Apr 18, 2024
Visit Reason
This visit was conducted for the investigation of Complaint IN00428373 at Life Care Center of Valparaiso.
Complaint Details
Complaint IN00428373 was investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations in Complaint IN00428373 were cited. The facility was found to be in compliance with relevant regulations.
Report Facts
Census: 87
Census Bed Type: 72
Census Bed Type: 15
Census Payor Type: 11
Census Payor Type: 60
Census Payor Type: 16
Inspection Report
Complaint Investigation
Census: 100
Deficiencies: 0
Date: Feb 7, 2024
Visit Reason
This visit was for the Investigation of Complaint IN00427495.
Complaint Details
Complaint IN00427495 - No deficiencies related to the allegations are cited.
Findings
No deficiencies related to the allegations are cited. The facility was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 in regard to the complaint investigation.
Report Facts
Census Bed Type - SNF/NF: 82
Census Bed Type - SNF: 18
Census Bed Type - Total: 100
Census Payor Type - Medicare: 18
Census Payor Type - Medicaid: 61
Census Payor Type - Other: 21
Census Payor Type - Total: 100
Inspection Report
Census: 96
Capacity: 110
Deficiencies: 0
Date: Nov 6, 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).
Findings
The facility was found in compliance with Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers, as well as Life Safety Code requirements including fire safety and sprinkler systems. The facility is a one-story, fully sprinklered Type II (111) construction with monitored fire alarm systems and hard-wired smoke detectors.
Report Facts
Facility capacity: 110
Census: 96
Inspection Report
Routine
Census: 99
Deficiencies: 6
Date: Oct 25, 2023
Visit Reason
The inspection was conducted as a routine regulatory survey to assess compliance with healthcare standards and regulations at the nursing home.
Findings
The facility was found deficient in multiple areas including accessibility of survey results to residents, monitoring and treatment of skin conditions, lack of physician orders for certain treatments, improper oxygen administration, unsanitary kitchen conditions, and inadequate antibiotic stewardship.
Deficiencies (6)
F 0577: The facility failed to have the State survey results easily accessible for all residents to review, affecting 99 residents.
F 0684: The facility failed to ensure necessary treatment and monitoring of a scabbed area on the skin for 1 of 3 residents reviewed for non-pressure related skin conditions.
F 0688: The facility failed to ensure a Physician's Order was in place for a palm protector for treatment of limited range of motion for 1 of 1 residents reviewed.
F 0695: The facility failed to ensure proper oxygen administration flow rate for 1 of 1 residents reviewed for respiratory care.
F 0812: The facility failed to ensure a sanitary kitchen related to built up burnt food debris and grease on stove top and convection oven, potentially affecting 96 residents.
F 0881: The facility failed to promote antibiotic stewardship by ensuring appropriate use of antibiotic therapy and monitoring for 1 of 1 residents reviewed for urinary tract infections.
Report Facts
Residents affected: 99
Residents affected: 96
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Inspection Report
Annual Inspection
Census: 99
Capacity: 99
Deficiencies: 7
Date: Oct 25, 2023
Visit Reason
This visit was for a Recertification and State Licensure Survey conducted on October 19, 20, 23, 24, and 25, 2023.
Findings
The facility was found deficient in several areas including failure to make state survey results easily accessible to residents, inadequate monitoring and treatment of a resident's skin condition, lack of physician orders for adaptive devices, improper oxygen administration, unsanitary kitchen conditions, failure to promote antibiotic stewardship, and improper administration of PRN medications by a Qualified Medication Aide without nurse authorization.
Deficiencies (7)
Failed to have the results of the State survey findings easily accessible for all residents to review.
Failed to ensure residents received necessary treatment and services related to monitoring and assessment of a scabbed area on the skin for 1 of 3 residents reviewed.
Failed to ensure a Physician's Order was in place for a palm protector for 1 of 1 residents reviewed for range of motion.
Failed to ensure residents received proper treatment and care related to oxygen administration flow rate for 1 of 1 residents reviewed for respiratory care.
Failed to ensure a sanitary kitchen related to built up burnt food debris and grease on stove top and convection oven.
Failed to promote antibiotic stewardship by ensuring appropriate use of antibiotic therapy and monitoring for 1 of 1 residents reviewed for urinary tract infections.
Failed to ensure a QMA received prior authorization from a licensed nurse before administering PRN medication to a resident for 1 of 5 residents reviewed.
Report Facts
Census residents: 99
Total licensed capacity: 99
Survey dates: 5
Residents with Medicare: 19
Residents with Medicaid: 61
Residents with Other payor: 19
Antibiotic therapy duration: 3
Antibiotic therapy duration: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amber Janeczko | Executive Director | Named in plan of correction and correspondence |
| LPN 1 | Interviewed regarding PRN medication administration | |
| Assistant Director of Nursing | Interviewed regarding palm protector order and antibiotic stewardship | |
| Director of Nursing | Interviewed regarding skin integrity, oxygen administration, antibiotic stewardship, and PRN medication administration | |
| Activities Director | Interviewed regarding location of state survey results | |
| Dietary Manager | Interviewed regarding kitchen sanitation and cleaning procedures | |
| Cook 1 | Interviewed regarding convection oven condition | |
| RN 1 | Interviewed regarding oxygen flow rate |
Inspection Report
Renewal
Deficiencies: 0
Date: Oct 25, 2023
Visit Reason
Paper compliance review to the Recertification and State Licensure survey.
Findings
Life Care Center of Valparaiso 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: 95
Deficiencies: 0
Date: Jun 1, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00409387.
Complaint Details
Complaint IN00409387 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
Census Bed Type - SNF/NF: 78
Census Bed Type - SNF: 17
Census Total: 95
Census Payor Type - Medicare: 18
Census Payor Type - Medicaid: 54
Census Payor Type - Other: 23
Census Payor Type - Total: 95
Inspection Report
Complaint Investigation
Census: 89
Deficiencies: 0
Date: May 17, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00396504 at Life Care Center of Valparaiso.
Complaint Details
Investigation of Complaint IN00396504 found no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations in Complaint IN00396504 were cited. The facility was found to be in compliance with relevant regulations.
Report Facts
Census: 89
Census Bed Type: 74
Census Bed Type: 15
Census Payor Type: 17
Census Payor Type: 52
Census Payor Type: 20
Inspection Report
Re-Inspection
Census: 93
Capacity: 110
Deficiencies: 0
Date: Feb 6, 2023
Visit Reason
A Post Survey Revisit (PSR) to the Life Safety Code Recertification and State Licensure Survey conducted on 12/19/22 was performed to verify compliance with prior deficiencies.
Findings
At this Post Survey Revisit, Life Care Center Valparaiso 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.
Report Facts
Facility capacity: 110
Census: 93
Inspection Report
Life Safety
Census: 82
Capacity: 110
Deficiencies: 1
Date: Dec 19, 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) respectively.
Findings
The facility was found in compliance with Emergency Preparedness Requirements but was found not in compliance with Life Safety Code Requirements due to combustible decorations exceeding allowed coverage on one corridor door. The Maintenance Director removed the decorations during the survey and implemented corrective actions including audits to prevent recurrence.
Deficiencies (1)
Combustible decorations on one corridor door exceeded 30 percent coverage, violating Life Safety Code 18.7.5.6.
Report Facts
Facility capacity: 110
Census: 82
Deficiencies cited: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amber Janeczko | Executive Director | Named in plan of correction and exit conference |
| Maintenance Director | Named in deficiency finding and corrective action |
Inspection Report
Annual Inspection
Census: 84
Capacity: 84
Deficiencies: 9
Date: Oct 28, 2022
Visit Reason
This visit was for a Recertification and State Licensure Survey conducted from October 24 to 28, 2022.
Findings
The facility was found deficient in multiple areas including failure to provide activities meeting resident interests, inadequate skin and wound care, lack of proper care plans and physician orders for injury prevention devices, improper G-tube management, insufficient dementia care activities, unsanitary kitchen conditions, lapses in infection control practices, and antibiotic stewardship issues.
Deficiencies (9)
Failed to ensure a dependent resident was provided activities to meet her interests.
Failed to ensure skin discolorations were assessed and monitored for residents on anticoagulants and wound dressings were changed as ordered.
Failed to ensure a resident with a pressure ulcer received appropriate care related to accurate measurement, staging and date assessed.
Failed to ensure an injury prevention device had a care plan, Physician's order, or monitoring for a resident with a history of falls.
Failed to ensure a resident with a gastronomy tube received appropriate treatment related to checking tube placement prior to use.
Failed to ensure a resident with dementia was provided activities to meet his interests.
Failed to ensure a sanitary kitchen related to built up food debris on the stove top and faulty dishwasher test strips.
Failed to ensure infection control measures were implemented related to incontinence care and hand hygiene during care.
Failed to promote antibiotic stewardship by ensuring appropriate use of antibiotic therapy and reducing antibiotic resistance.
Report Facts
Census: 84
Total Capacity: 84
Deficiencies cited: 9
Dishwasher wash temperature: 120
Dishwasher sanitizer level: 50
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amber Janeczko | Executive Director | Signed plan of correction and referenced in report |
| Angel Sutton | Corporate Wound Nurse, RN, MSN | Provided education on wound care and staging |
Inspection Report
Renewal
Deficiencies: 0
Date: Oct 28, 2022
Visit Reason
Paper compliance review to the Recertification and State Licensure survey.
Findings
Life Care Center of Valparaiso 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.
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