Inspection Reports for
Miller’s at Oak Pointe
411 N WOLF RD, COLUMBIA CITY, IN, 46725
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
3.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
21% better than Indiana average
Indiana average: 4.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
50% occupied
Based on a December 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Jul 16, 2025
Visit Reason
The inspection was conducted as a complaint investigation related to the use and monitoring of a physical restraint position changing alarm device for Resident B.
Complaint Details
This finding relates to Complaint 1586111.
Findings
The facility failed to ensure that a physical restraint position changing alarm device was ordered and monitored for Resident B. Interviews and record reviews showed no documented order or monitoring for the device despite its use for fall prevention.
Deficiencies (1)
F 0604: The facility failed to ensure a physical restraint position changing alarm device was ordered and monitored for Resident B, who was at risk for falls. Documentation and orders did not include the device or monitoring despite its use.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Interviewed regarding the use and monitoring of the position changing alarm device. |
| Unit Manager 3 | Unit Manager | Interviewed about Resident B's fall risk and alarm device use. |
| Certified Nurse Aide 2 | Certified Nurse Aide | Interviewed about the alarm device being active and used for fall prevention. |
| Nurse Practitioner 4 | Nurse Practitioner | Interviewed about awareness of the position changing device and documentation requirements. |
Inspection Report
Life Safety
Census: 41
Capacity: 82
Deficiencies: 0
Date: Dec 10, 2024
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 and Life Safety Code requirements for Medicare and Medicaid Participating Providers and Suppliers. The facility is fully sprinklered with a fire alarm system and smoke detection in required areas. A detached barn used for storage was not sprinklered.
Report Facts
Facility capacity: 82
Census: 41
Inspection Report
Renewal
Census: 52
Capacity: 52
Deficiencies: 2
Date: Nov 14, 2024
Visit Reason
This visit was for a Recertification and State Licensure Survey conducted on November 12, 13, and 14, 2024.
Findings
The facility was found deficient in securing medications and treatment supplies, proper labeling and discarding of insulin, safe storage of chemicals, and food safety practices including labeling leftovers, equipment cleanliness, gloving, and hand hygiene during food preparation and serving. The ice machine was found with residue but was subsequently cleaned and maintained per policy.
Deficiencies (2)
Failed to ensure medications and treatment supplies were secured, insulin was dated upon opening and discarded upon expiration for 4 of 11 reviewed residents.
Failed to ensure leftovers were labeled, equipment was cleaned, gloving and hand hygiene were observed during tray pass.
Report Facts
Census: 52
Total Capacity: 52
Deficiencies cited: 2
Dates of survey: November 12, 13, and 14, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephen C. Baker | Administrator | Signed the report |
| Licensed Practical Nurse 6 | Interviewed regarding medication administration and storage | |
| Director of Nursing | DON | Provided interviews and inserviced staff on medication administration and storage |
| Licensed Practical Nurse 5 | Interviewed regarding insulin storage and expiration | |
| Registered Nurse 7 | Interviewed regarding insulin expiration and administration | |
| Dietary Manager 3 | Addressed food safety concerns and provided education | |
| Maintenance 2 | Performed cleaning and maintenance of ice machine | |
| Dietary Aide 4 | Observed with improper gloving and hand hygiene during food preparation |
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Nov 14, 2024
Visit Reason
The inspection was conducted as a routine annual survey to assess compliance with healthcare regulations and standards at Miller's at Oak Pointe nursing home.
Findings
The facility was found to have deficiencies related to medication management, including unsecured medications and expired insulin use, as well as food safety issues such as unlabeled leftovers, unclean ice machine, and improper hand hygiene and gloving practices during food preparation.
Deficiencies (2)
F 0761: The facility failed to ensure medications and treatment supplies were secured, and insulin was dated upon opening and discarded upon expiration for 4 of 11 reviewed residents.
F 0812: The facility failed to ensure leftovers were labeled, equipment was cleaned, and proper gloving and hand hygiene were observed during tray pass for 52 residents served food prepared in the kitchen.
Report Facts
Residents affected: 4
Residents affected: 52
Medication count: 11
Insulin usage frequency: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) 6 | Interviewed regarding medication administration and awareness of rubbing alcohol at bedside | |
| Director of Nursing (DON) | Interviewed regarding medication administration policies and insulin labeling | |
| Licensed Practical Nurse (LPN) 5 | Interviewed regarding insulin discard procedures | |
| Registered Nurse (RN) 7 | Interviewed regarding insulin expiration and administration | |
| Dietary Manager (DM) 3 | Interviewed regarding food labeling, gloving, and hand hygiene issues | |
| Licensed Practical Nurse (LPN) 1 | Interviewed regarding ice machine residue | |
| Maintenance 2 | Interviewed and observed cleaning of ice machine | |
| Dietary Aide (DA) 4 | Observed improper gloving and hand hygiene during food preparation |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Nov 14, 2024
Visit Reason
Paper compliance review for the Annual Recertification and State Licensure survey was conducted.
Findings
Miller's at Oak Pointe was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 based on the paper review for the Recertification and State Licensure survey.
Inspection Report
Complaint Investigation
Census: 53
Deficiencies: 0
Date: Aug 23, 2024
Visit Reason
This visit was conducted for the investigation of Complaint IN00440764.
Complaint Details
Complaint IN00440764 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: 53
Census Bed Type: 45
Census Bed Type: 8
Census Payor Type: 4
Census Payor Type: 24
Census Payor Type: 25
Inspection Report
Life Safety
Census: 48
Capacity: 82
Deficiencies: 0
Date: Feb 20, 2024
Visit Reason
An Emergency Preparedness Survey and a Life Safety Code (LSC) 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 and Life Safety Code requirements for Medicare and Medicaid Participating Providers and Suppliers. The facility is fully sprinklered with a fire alarm system and smoke detection in required areas.
Report Facts
Facility capacity: 82
Census: 48
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Jan 17, 2024
Visit Reason
Annual inspection survey completed for regulatory compliance of the nursing home facility.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Annual Inspection
Census: 46
Capacity: 46
Deficiencies: 0
Date: Jan 17, 2024
Visit Reason
This visit was for a Recertification and State Licensure Survey, which included the Investigation of Complaint IN00424200.
Complaint Details
Complaint IN00424200 was investigated and no deficiencies related to the allegations were cited.
Findings
Miller's at Oak Pointe was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 regarding the Recertification and State Licensure Survey and the Investigation of Complaint IN00424200. No deficiencies related to the complaint allegations were cited.
Report Facts
Census: 46
Total Capacity: 46
Census Bed Type - SNF: 4
Census Bed Type - SNF/NF: 42
Census Payor Type - Medicare: 1
Census Payor Type - Medicaid: 18
Census Payor Type - Other: 27
Inspection Report
Complaint Investigation
Census: 50
Deficiencies: 0
Date: Oct 20, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00418654.
Complaint Details
Complaint IN00418654 was investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations of Complaint IN00418654 were cited. The facility was found to be in compliance with applicable regulations.
Report Facts
Census: 50
Census Bed Type - SNF: 6
Census Bed Type - SNF/NF: 44
Census Payor Type - Medicare: 4
Census Payor Type - Medicaid: 20
Census Payor Type - Private: 26
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Feb 10, 2023
Visit Reason
Paper compliance review for the Annual Recertification and State Licensure survey was conducted.
Findings
Miller's at Oak Pointe was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 based on the paper review for the Recertification and State Licensure survey.
Inspection Report
Life Safety
Census: 39
Capacity: 82
Deficiencies: 0
Date: Jan 31, 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) respectively.
Findings
The facility was found in compliance with Emergency Preparedness Requirements and Life Safety Code Requirements for Participation in Medicare/Medicaid. The facility is fully sprinklered with a fire alarm system and smoke detection in required areas.
Report Facts
Facility capacity: 82
Census: 39
Inspection Report
Routine
Census: 39
Deficiencies: 2
Date: Jan 17, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to respiratory care and food safety in the nursing home.
Findings
The facility failed to develop and implement care plans for oxygen administration for 2 of 5 residents reviewed. Additionally, the kitchen was found to have cleanliness issues, improper food labeling, and storage concerns affecting 39 residents.
Deficiencies (2)
F 0695: The facility failed to ensure care plans were developed and implemented for oxygen administration and maintenance for 2 of 5 residents reviewed (Resident 6 and Resident 16).
F 0812: The facility failed to ensure cleanliness of the kitchen, sanitary storage of cookware, and proper labeling of opened food items. Observed issues included unlabeled milk, dented soup cans, moisture on stacked pans, and a white substance on the floor.
Report Facts
Residents present: 39
Hours worked: 92
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN 9 | Registered Nurse | Provided current policy titled Food Protection and Storage on 1/12/23 |
| Director of Nursing | Director of Nursing | Interviewed regarding absence of care plans for oxygen administration |
| Dietary Manager | Dietary Manager | Interviewed during kitchen tour and referenced in Consultant Dietician reports |
| Consultant Dietician | Consultant Dietician | Provided reports on kitchen conditions and staff work hours |
| Administrator | Administrator | Interviewed regarding kitchen cleanliness and staffing |
Inspection Report
Renewal
Census: 39
Capacity: 39
Deficiencies: 3
Date: Jan 11, 2023
Visit Reason
This visit was for a Recertification and State Licensure Survey conducted on January 11, 12, 13, and 17, 2023.
Findings
The facility was found deficient in developing and implementing respiratory care plans for residents requiring oxygen, maintaining kitchen cleanliness and food safety standards, and ensuring accurate and complete employee personnel records.
Deficiencies (3)
Failed to ensure care plans were developed and implemented for residents requiring respiratory care including oxygen use.
Failed to ensure cleanliness of the kitchen, sanitary storage of cookware, and proper labeling of opened food items.
Failed to maintain current and accurate personnel records for employees, including incomplete orientation checklists and missing background checks.
Report Facts
Survey dates: 4
Residents present: 39
Total licensed capacity: 39
Residents reviewed for respiratory care: 5
Residents with deficient care plans: 2
Employees files reviewed: 5
Employees with deficient personnel records: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephen C. Baker | Administrator | Signed the report and interviewed regarding kitchen cleanliness and personnel records |
| Housekeeping Employee #3 | Had incomplete orientation checklist and Mantoux test reading issues | |
| Housekeeping Employee #4 | Had incomplete orientation checklist and missing background check | |
| Director of Nursing | DON | Interviewed regarding respiratory care plans and Mantoux test procedures |
| Certified Dietary Manager | CDM | Interviewed and responsible for kitchen cleanliness and food safety corrective actions |
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