Inspection Reports for Melrose Assisted Living LLC
7101 HIGHWAY 41 NORTH, EVANSVILLE, IN, 47725
Back to Facility ProfileInspection Report Summary
The most recent inspection on June 6, 2025, found no deficiencies related to the complaint investigated at Melrose Assisted Living LLC. Earlier inspections showed some deficiencies, including issues with diet modifications, infection control practices, and medication self-administration evaluations. Prior reports also noted problems with medication administration procedures, food storage and sanitation, and documentation of resident assessments. One complaint investigation in May 2024 was substantiated with deficiencies cited, while other complaints were unsubstantiated. The facility’s inspection history shows some recurring themes around medication management and infection control, with no deficiencies found in the latest complaint investigation, indicating some improvement.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
2.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
36% better than Indiana average
Indiana average: 4.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
42 residents
Based on a June 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 42
Deficiencies: 0
Date: Jun 6, 2025
Visit Reason
This visit was conducted for the investigation of Complaint IN00459340 at Melrose Assisted Living LLC.
Complaint Details
Complaint IN00459340 was investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations in Complaint IN00459340 were cited. The facility was found to be in compliance with applicable regulations.
Report Facts
Residential Census: 42
Inspection Report
Renewal
Census: 29
Deficiencies: 2
Date: Jan 13, 2025
Visit Reason
This visit was for a State Residential Licensure Survey conducted on January 13 and 14, 2025, to assess compliance with state regulations for Melrose Assisted Living LLC.
Findings
The facility was found deficient in ensuring a resident received a modified diet according to physician orders and failed to ensure proper infection control practices, specifically cleaning blood pressure equipment between residents during medication passes.
Deficiencies (2)
Facility failed to ensure a resident received a mechanical soft diet according to physician order.
Facility failed to ensure infection control practices and cleaning of blood pressure equipment between residents during medication passes.
Report Facts
Residential Census: 29
Deficiency completion date: Feb 13, 2025
Deficiency completion date: Feb 14, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Leslie | Head | Signed as Laboratory Director or Provider/Supplier Representative |
| RN 8 | Registered Nurse | Named in infection control deficiency for not sanitizing blood pressure equipment between residents |
| Administrator | Provided information and documentation related to diet orders and infection control policies | |
| Kitchen Manager | Interviewed regarding modified diets and awareness of resident diet orders |
Inspection Report
Complaint Investigation
Census: 24
Capacity: 24
Deficiencies: 0
Date: Oct 9, 2024
Visit Reason
This visit was conducted for the investigation of Complaint IN00444274 at Melrose Assisted Living LLC.
Complaint Details
Complaint IN00444274 was investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations in Complaint IN00444274 were cited. The facility was found to be in compliance with applicable regulations.
Report Facts
Medicaid residents: 2
Other payor residents: 22
Inspection Report
Complaint Investigation
Census: 24
Deficiencies: 0
Date: Sep 3, 2024
Visit Reason
This visit was for the Investigation of Complaint IN00436529.
Complaint Details
Complaint IN00436529 - No deficiencies related to the allegations are cited.
Findings
No deficiencies related to the allegations are cited. Melrose Assisted Living was found to be in compliance with 410 IAC 16.2-5 in regard to the Investigation of Complaint IN00436529.
Inspection Report
Complaint Investigation
Census: 21
Deficiencies: 1
Date: May 9, 2024
Visit Reason
This visit was for the investigation of complaints IN00431909, IN00431945, IN00433133, and IN00433183. The investigation focused on allegations related to medication administration and resident evaluations.
Complaint Details
Complaint IN00431909 was substantiated with state deficiencies cited at R216. Complaints IN00431945, IN00433133, and IN00433183 had no deficiencies related to the allegations.
Findings
The facility failed to ensure that a resident who self-administered medications had a documented evaluation to ensure the ability to safely self-administer medications. An unlabeled bottle of eye drops was found in the resident's room without a current physician order, and the facility lacked a self-administration of medications policy.
Deficiencies (1)
Failure to ensure a resident who self-administered medications had an evaluation to ensure safe self-administration.
Report Facts
Residential Census: 21
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Leslie Head | Administrator | Named as the Administrator who indicated the facility did not have a self-administration of medications policy |
| Licensed Practical Nurse (LPN) 5 | Observed administering medications and involved in the finding related to unlabeled eye drops |
Inspection Report
Original Licensing
Census: 5
Deficiencies: 5
Date: Sep 14, 2023
Visit Reason
This visit was for an Initial State Residential Licensure Survey conducted on September 13 and 14, 2023.
Findings
The facility was found deficient in several areas including failure to assess residents' capability to self-administer medications, failure to obtain authorization for PRN medication administration by Qualified Medication Aides, improper insulin pen administration, inadequate food storage and sanitation practices, and incomplete admission Tuberculin testing documentation.
Deficiencies (5)
Facility failed to ensure residents self-administering medications were assessed for capability to self-administer medications.
Facility failed to obtain authorization from a licensed nurse prior to a Qualified Medication Aide administering PRN medications.
Insulin pen was not primed prior to insulin administration.
Food containers and kitchen utensils were not stored and sanitized appropriately; unlabeled and undated food items were observed.
Admission Tuberculin testing was not completed or documented for one resident.
Report Facts
Residents reviewed for medication administration: 4
Residents reviewed for PRN medication administration: 5
Insulin dose: 14
Inspection dates: 2
Residents present: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Leslie Head | Administrator | Administrator involved in interviews and plan of correction. |
| Licensed Practical Nurse 3 | Observed administering medications including insulin to Resident 5. | |
| Director of Nursing (DON) | Interviewed regarding medication administration and facility policies. | |
| Qualified Medication Aide 5 | Administered PRN medications without documented nurse authorization. | |
| Dietary Manager | Interviewed regarding food storage and sanitation practices. |
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