Inspection Reports for Morrison Woods Patio Homes
4200 N Morrison Rd, Muncie, IN 47304, IN, 47304
Back to Facility ProfileInspection Report Summary
The most recent inspection on May 13, 2025, found no deficiencies related to multiple complaint investigations. Earlier inspections showed a mix of compliance and deficiencies, with issues primarily involving resident care documentation, medication management, and staff reporting practices. Notable deficiencies included delayed reporting of abuse in August 2024 and wound care provided by unqualified staff in January 2024, both of which were substantiated complaints. Most complaints investigated were unsubstantiated, and enforcement actions included suspension and termination of staff in abuse-related cases; fines or license actions were not listed in the available reports. The facility’s record shows some recurring themes but also evidence of corrective actions and compliance in recent inspections.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
5.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
26% worse than Indiana average
Indiana average: 4.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
116 residents
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: 116
Deficiencies: 0
Date: May 13, 2025
Visit Reason
This visit was conducted for the investigation of multiple complaints identified as IN00459013, IN00458824, IN00458071, IN00457070, and IN00456549.
Complaint Details
Complaints IN00459013, IN00458824, IN00458071, IN00457070, and IN00456549 were investigated with no deficiencies found related to the allegations.
Findings
No deficiencies related to the allegations in any of the complaints were cited. Morrison Woods Health Campus was found to be in compliance with relevant regulations.
Report Facts
Census Bed Type Total: 116
Census Payor Type Total: 56
SNF/NF Beds: 21
SNF Beds: 21
NF Beds: 14
Residential Beds: 60
Medicare Census: 21
Medicaid Census: 14
Other Payor Census: 21
Inspection Report
Renewal
Deficiencies: 0
Date: Sep 30, 2024
Visit Reason
The visit was a paper compliance review related to the State Residential Licensure Survey completed on August 23, 2024.
Findings
Morrison Woods Health Campus was found to be in compliance with 410 IAC 16.2-5 based on the paper review for the State Residential Licensure Survey.
Inspection Report
Life Safety
Census: 60
Capacity: 68
Deficiencies: 0
Date: Sep 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).
Findings
Morrison Woods Health Campus was found in compliance with Emergency Preparedness Requirements and Life Safety Code Requirements for Participation in Medicare/Medicaid. The facility has two buildings, both fully sprinklered with fire alarm systems and smoke detection, and separated from an Assisted Living building by a two-hour fire wall.
Report Facts
Facility capacity: 68
Census: 60
Generator capacity: 42
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Sep 6, 2024
Visit Reason
The inspection was conducted as a paper compliance review related to the Investigation of Complaint IN00438284 completed on August 9, 2024.
Complaint Details
Investigation of Complaint IN00438284 completed on August 9, 2024; facility found in compliance.
Findings
Morrison Woods Health Campus 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 of the complaint survey.
Inspection Report
Recertification
Census: 112
Deficiencies: 6
Date: Aug 23, 2024
Visit Reason
This visit was for a Recertification and State Licensure Survey and Investigation of Complaint IN00441163. The visit included a State Residential Licensure Survey.
Complaint Details
Complaint IN00441163 was investigated with no deficiencies related to the allegations cited.
Findings
The facility was found to have multiple deficiencies including inconsistent documentation of resident advance directives, failure to implement preventative measures for injury of unknown origin, failure to follow physician orders for oxygen administration, incomplete narcotic reconciliation, failure to follow physician ordered parameters for medication administration, and unsafe food storage and sanitation practices.
Deficiencies (6)
Failed to ensure consistent documentation and communication related to a resident's choice for advance directives (Resident 35).
Failed to implement preventative measures following an injury of unknown origin for Resident 24.
Failed to ensure physician's orders were followed regarding oxygen administration for Resident 261.
Failed to ensure narcotic reconciliation per facility policy for 2 of 3 medication carts reviewed.
Failed to follow a physician ordered parameter for medication administration for Resident 49.
Failed to store, prepare, and distribute foods under safe sanitary conditions regarding dating and labeling foods and cleaning equipment, potentially impacting all 25 residential residents.
Report Facts
Census Bed Type: 112
Census Payor Type: 55
Deficiencies cited: 6
Medication reconciliation missing dates: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amanda Crabill | Executive Director | Signed the report |
| LPN 6 | Interviewed regarding verification of resident code status | |
| LPN 8 | Completed wound management detail report and statement of witness for Resident 24 | |
| QMA 7 | Interviewed regarding Resident 24's contractures and bruise | |
| RN 5 | Interviewed regarding oxygen administration for Resident 261 | |
| LPN 9 | Accompanied medication storage observation on 100 hall | |
| LPN 10 | Accompanied medication storage observation on 300 hall and interviewed about narcotic count sheets |
Inspection Report
Complaint Investigation
Census: 145
Deficiencies: 1
Date: Aug 9, 2024
Visit Reason
This visit was conducted for the investigation of Complaint IN00438284 regarding allegations of abuse at Morrison Woods Health Campus.
Complaint Details
Complaint IN00438284 was substantiated with a federal/state deficiency cited at F609. The allegation involved delayed reporting of abuse by staff regarding Resident B. The Administrator was made aware two days after the incident, and the investigation was initiated thereafter. CNA 3 was suspended pending investigation.
Findings
The facility was found to have failed to ensure staff reported allegations of abuse to the Administrator immediately, resulting in a delay in reporting to appropriate state agencies and initiation of an investigation for one resident. The facility was otherwise found in compliance with applicable regulations.
Deficiencies (1)
Failed to ensure staff reported allegations of abuse to the Administrator immediately per facility policy, causing delay in reporting and investigation initiation for Resident B.
Report Facts
Census: 145
Census Bed Type - SNF: 26
Census Bed Type - NF: 16
Census Bed Type - Residential: 103
Census Payor Type - Medicare: 26
Census Payor Type - Medicaid: 16
Census Payor Type - Other: 16
Hours worked by CNA 3 after allegation: 32
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alicia Lambert | Area Executive Director | Signed the report as the provider/supplier representative |
| LPN 1 | Interviewed and acknowledged failure to report abuse allegation to Administrator | |
| CNA 3 | Subject of abuse allegation and suspended pending investigation | |
| Administrator | Made aware of allegation two days after incident and initiated investigation |
Inspection Report
Complaint Investigation
Census: 58
Deficiencies: 0
Date: Jun 20, 2024
Visit Reason
This visit was for the Investigation of Complaint IN00436005.
Complaint Details
Complaint IN00436005 - No deficiencies related to the allegations are cited.
Findings
No deficiencies related to the allegations are cited. Morrison Woods Health Campus was found to be in compliance with 410 IAC 16.2-5 in regard to the Investigation of Complaint IN00436005.
Inspection Report
Complaint Investigation
Census: 56
Capacity: 113
Deficiencies: 0
Date: Mar 18, 2024
Visit Reason
This visit was conducted for the investigation of Complaint IN00430038.
Complaint Details
Investigation of Complaint IN00430038 found no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations in Complaint IN00430038 were cited. The facility was found to be in compliance with applicable regulations.
Report Facts
Census Payor Type - Medicare: 20
Census Payor Type - Medicaid: 21
Census Payor Type - Other: 15
Census Bed Type - SNF/NF: 15
Census Bed Type - SNF: 20
Census Bed Type - NF: 21
Census Bed Type - Residential: 57
Inspection Report
Re-Inspection
Census: 56
Capacity: 116
Deficiencies: 0
Date: Feb 8, 2024
Visit Reason
This visit was a Post Survey Revisit (PSR) to the Investigation of Complaints IN00424262 and IN00425466 completed on January 8, 2024, and was conducted in conjunction with the Investigation of Complaint IN00427384.
Complaint Details
Complaint IN00424262 and IN00425466 were corrected. Complaint IN00427384 had no deficiencies related to the allegation cited.
Findings
The facility was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 regarding the PSR to the Investigations of Complaints IN00424262 and IN00425466. Complaints IN00424262 and IN00425466 were corrected, and no deficiencies related to Complaint IN00427384 were cited.
Report Facts
Census bed type - SNF: 34
Census bed type - SNF/NF: 22
Census bed type - Residential: 60
Total licensed capacity: 116
Census payor type - Medicare: 25
Census payor type - Medicaid: 15
Census payor type - Other: 16
Total census: 56
Inspection Report
Complaint Investigation
Census: 116
Capacity: 116
Deficiencies: 0
Date: Feb 7, 2024
Visit Reason
This visit was conducted for the investigation of Complaint IN00427384 and was in conjunction with a Post Survey Revisit to the Investigation of Complaints IN00424262 and IN00425466 completed on January 8, 2024.
Complaint Details
Complaint IN00427384 - No deficiencies related to the allegations are cited. Complaint IN00424262 - Corrected. Complaint IN00425466 - Corrected.
Findings
No deficiencies related to Complaint IN00427384 were cited. Complaints IN00424262 and IN00425466 were found to be corrected. The facility was found to be in compliance with applicable regulations.
Report Facts
Census Bed Type - SNF: 34
Census Bed Type - SNF/NF: 22
Census Bed Type - Residential: 60
Census Bed Type - Total: 116
Census Payor Type - Medicare: 25
Census Payor Type - Medicaid: 15
Census Payor Type - Other: 16
Census Payor Type - Total: 56
Inspection Report
Complaint Investigation
Census: 116
Deficiencies: 2
Date: Jan 8, 2024
Visit Reason
This visit was for the investigation of complaints IN00425466, IN00425348, and IN00424262. The investigation included review of wound care practices and infection control.
Complaint Details
Complaint IN00425466 resulted in a federal/state deficiency related to wound care by unqualified persons. Complaint IN00425348 had no deficiencies cited. Complaint IN00424262 resulted in a federal/state deficiency related to infection control during dressing changes.
Findings
The facility failed to ensure that wound care was provided by qualified persons within their scope of practice for 3 of 4 residents reviewed. Infection control protocols were not followed during a dressing change observation for one resident. Some wound care was performed by Qualified Medication Aides (QMAs) who were not authorized to provide such care. The facility implemented corrective actions including staff in-service and ongoing monitoring.
Deficiencies (2)
Failure to ensure staff provided resident care within their scope of practice for wound care for residents B, C, and G.
Failure to follow infection control protocol during dressing change observation for Resident B.
Report Facts
Census: 116
Residents reviewed for wound care: 4
Dates of survey: January 4, 5, and 8, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amanda Crabill | Executive Director | Signed report as provider/supplier representative |
| LPN 7 | Observed during dressing change, failed to follow hand hygiene and glove use protocol | |
| QMA 1 | Qualified Medication Aide | Documented wound care outside scope of practice and denied providing such care |
| QMA 2 | Qualified Medication Aide | Documented wound care outside scope of practice and denied providing such care |
| QMA 3 | Qualified Medication Aide | Documented wound care outside scope of practice and denied providing such care |
| QMA 5 | Qualified Medication Aide | Documented wound care outside scope of practice and denied providing such care |
| Corporate Nurse Consultant | Confirmed observation findings and provided policy information | |
| Director of Nursing | Present during dressing change observation and assisted |
Inspection Report
Life Safety
Census: 53
Capacity: 68
Deficiencies: 0
Date: Nov 27, 2023
Visit Reason
A Post Survey Revisit (PSR) to the Life Safety Code Recertification and State Licensure Survey conducted on 10/19/23 was conducted by the Indiana Department of Health in accordance with 42 CFR Subpart 483.90(a).
Findings
At this Life Safety Code Survey, Morrison Woods Health Campus was found in compliance with the Requirements for Medicare and Medicaid Participating Providers and Suppliers, 42 CFR 483.90(a).
Report Facts
Certified beds: 68
Census: 53
Inspection Report
Life Safety
Census: 51
Capacity: 68
Deficiencies: 2
Date: Oct 19, 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 but not in compliance with Life Safety Code requirements. Deficiencies included improper storage of spare sprinkler heads and combustible decorations exceeding allowed coverage on corridor doors.
Deficiencies (2)
Failed to ensure 1 of 1 sprinkler systems were provided with spare sprinklers, a spare sprinkler cabinet large enough to fit all spare sprinkler heads, and a sprinkler wrench on the premises.
Failed to ensure corridor doors contain decoration that did not exceed 30 percent of the door, with plastic decorations covering 90% of the Therapy and MDS Coordinator doors.
Report Facts
Facility capacity: 68
Census: 51
Spare sprinkler heads in cabinet: 6
Spare sprinkler heads not in protected slots: 3
Spare sprinkler heads in second cabinet: 6
Percentage of door covered by decorations: 90
Residents potentially affected: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amanda Crabill | Executive Director | Signed the report |
| Director of Plant Operations | Interviewed and involved in observations related to sprinkler system and decorations |
Inspection Report
Renewal
Census: 48
Deficiencies: 0
Date: Sep 26, 2023
Visit Reason
This visit was for a State Residential Licensure Survey, including a Recertification and State Licensure Survey and Investigation of Complaint IN00417448.
Complaint Details
Complaint IN00417448 was investigated with no deficiencies related to the allegation cited.
Findings
No deficiencies related to the complaint allegation were cited. Morrison Woods Health Campus was found to be in compliance with 410 IAC 16.2-5 regarding the State Residential Licensure Survey.
Report Facts
Residential Census: 48
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Sep 26, 2023
Visit Reason
The visit was a paper compliance review related to the Annual Recertification and State Licensure survey.
Findings
Morrison Woods Health Campus 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: 103
Deficiencies: 0
Date: Aug 9, 2023
Visit Reason
This visit was conducted for the investigation of Complaints IN00414578 and IN00414003.
Complaint Details
Investigation of Complaints IN00414578 and IN00414003 found no deficiencies related to the allegations; both complaints were not substantiated.
Findings
No deficiencies related to the allegations in Complaints IN00414578 and IN00414003 were cited. The facility was found to be in compliance with relevant regulations.
Report Facts
Census Bed Type: 103
Census Payor Type: 52
SNF/NF beds: 23
SNF beds: 29
Residential beds: 51
Medicare residents: 15
Medicaid residents: 15
Other payor residents: 22
Inspection Report
Complaint Investigation
Census: 56
Deficiencies: 1
Date: Jul 19, 2023
Visit Reason
The visit was conducted for the investigation of Complaint IN00412036 related to allegations of verbal abuse at the facility.
Complaint Details
Complaint IN00412036 was substantiated. The investigation found CNA 1 verbally abused Resident B by yelling and using inappropriate language. The employee was suspended pending investigation and terminated immediately after substantiation.
Findings
The facility failed to prevent verbal abuse of a cognitively impaired resident (Resident B) by a staff member (CNA 1). The abuse was substantiated after investigation, leading to the immediate suspension and termination of the employee. All residents were assessed with no other allegations found, and staff were educated on abuse and neglect policies.
Deficiencies (1)
Failed to prevent verbal abuse of a cognitively impaired resident by a staff member.
Report Facts
Residential Census: 56
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA 1 | Named in verbal abuse finding and terminated following substantiated complaint | |
| Amanda Crabill | Executive Director | Signed report and provided statement on abuse policy |
| Dietary Chef 2 | Witnessed verbal abuse and reported incident | |
| CNA 3 | Witnessed verbal abuse and provided statement | |
| CNA 4 | Witnessed verbal abuse and provided statement | |
| Dementia Unit Director | Received report of incident and notified Administrator | |
| Administrator | Initiated investigation and suspended CNA 1 pending investigation |
Inspection Report
Complaint Investigation
Census: 55
Capacity: 99
Deficiencies: 0
Date: Apr 18, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00400817.
Complaint Details
Complaint IN00400817 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 Total: 99
Census Payor Type Total: 55
Inspection Report
Complaint Investigation
Census: 55
Capacity: 102
Deficiencies: 0
Date: Jan 31, 2023
Visit Reason
This visit was conducted for the investigation of Nursing Home Complaint IN00398716 and Residential Complaint IN00399323.
Complaint Details
Complaint IN00398716 was unsubstantiated due to lack of evidence. Complaint IN00399323 was substantiated but no deficiencies related to the allegations were cited.
Findings
Complaint IN00398716 was unsubstantiated due to lack of evidence. Complaint IN00399323 was substantiated but no deficiencies related to the allegations were cited. The facility was found to be in compliance with relevant regulations.
Report Facts
Census by Payor Type: 55
Total Capacity: 102
Inspection Report
Complaint Investigation
Census: 49
Deficiencies: 0
Date: Nov 1, 2022
Visit Reason
This visit was conducted for the investigation of Complaint IN00392695.
Complaint Details
Complaint IN00392695 was substantiated; however, no deficiencies related to the allegations were cited.
Findings
The complaint was substantiated, but no deficiencies related to the allegations were cited. The facility was found to be in compliance with relevant regulations.
Report Facts
Census: 49
Census Bed Type: 21
Census Bed Type: 28
Census Payor Type: 17
Census Payor Type: 16
Census Payor Type: 16
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Oct 5, 2022
Visit Reason
The inspection was conducted as a paper compliance review for the Annual Recertification and State Licensure survey.
Findings
Morrison Woods Health Campus 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: 52
Capacity: 68
Deficiencies: 0
Date: Sep 27, 2022
Visit Reason
A Life Safety Code Preoccupancy Survey was conducted in conjunction with an Emergency Preparedness Survey, a Life Safety Code Recertification, and State Licensure Survey.
Findings
The facility was found in compliance with the Requirements for Participation in Medicare/Medicaid and the 2012 edition of the National Fire Protection Association (NFPA) 101 Life Safety Code. The building addition was fully sprinkled and had appropriate fire alarm and smoke detection systems.
Report Facts
Beds in addition: 10
Certified beds: 68
Census: 52
Inspection Report
Life Safety
Census: 52
Capacity: 68
Deficiencies: 1
Date: Sep 27, 2022
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). This visit was in conjunction with a Life Safety Code Preoccupancy Survey.
Findings
The facility was found not in compliance with Life Safety Code requirements related to electrical wiring protection in the riser room. Specifically, exposed wiring terminals were observed that could affect staff safety. The facility was otherwise fully sprinkled with appropriate fire alarm systems.
Deficiencies (1)
Electrical wiring in the riser room was not protected; exposed terminals and wires were observed, posing a hazard to staff.
Report Facts
Certified beds: 68
Census: 52
Staff potentially affected: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Plant Operations | Interviewed regarding exposed wiring in riser room | |
| Facility Management Support Director | Interviewed regarding exposed wiring in riser room |
Inspection Report
Life Safety
Deficiencies: 0
Date: Sep 27, 2022
Visit Reason
Paper compliance to the Life Safety Code Recertification and State Licensure Survey conducted on 09/27/22.
Findings
Morrison Woods Health Campus 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 (LSC), Chapter 19, Existing Health Care Occupancies and 410 IAC 16.2.
Inspection Report
Annual Inspection
Census: 53
Deficiencies: 8
Date: Sep 13, 2022
Visit Reason
This visit was for a Recertification and State Licensure Survey, including investigations of nursing home complaints IN00386325 and IN00377976, and residential complaint IN00384695.
Complaint Details
Complaint IN00386325 - Unsubstantiated due to lack of evidence. Complaint IN00377976 - Unsubstantiated due to lack of evidence. Complaint IN00384695 - Unsubstantiated due to lack of evidence.
Findings
The facility was found to have multiple deficiencies including failure to complete PASRR screening upon admission, failure to promptly revise care plans for dialysis patients, failure to apply ordered hand splints, failure to document dialysis communication and refusals, failure to implement QAPI corrective actions for dialysis communication, failure to complete service plans timely, failure to document medication administration properly, and incomplete narcotic count records.
Deficiencies (8)
Failure to ensure PASRR/Preadmission Screening completed upon admission for 1 of 1 residents reviewed (Resident 41).
Failure to promptly revise comprehensive care plan to reflect changes for 1 of 2 residents reviewed for dialysis (Resident 1).
Failure to ensure a resident had hand splint applied as ordered for 1 of 1 resident reviewed (Resident 17).
Failure to ensure communication between dialysis center and facility was documented for 2 of 2 residents reviewed for dialysis (Residents 1 and 47).
Failure to implement QAPI corrective action plan related to dialysis communication for residents 1 and 47.
Failure to complete service plan in a timely manner for 1 of 8 residents reviewed (Resident 17).
Failure to document administration of ordered medications for 1 of 3 residents reviewed (Resident 27).
Failure to ensure narcotic count records and shift-to-shift information was complete and accurate for 2 of 2 medication records reviewed (Halls 400 and 500).
Report Facts
Census: 53
Deficiency count: 8
Dialysis communication audit frequency: 3
Medication administration record review frequency: 5
Narcotic count sheet review frequency: 3
Viewing
Loading inspection reports...
