Inspection Reports for Morrison Woods Patio Homes

This visit was conducted for the investigation of multiple complaints identified as IN00459013, IN00458824, IN00458071, IN00457070, and IN00456549.

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.

Complaints IN00459013, IN00458824, IN00458071, IN00457070, and IN00456549 were investigated with no deficiencies found related to the allegations.

The visit was a paper compliance review related to the State Residential Licensure Survey completed on August 23, 2024.

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.

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).

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.

The inspection was conducted as a paper compliance review related to the Investigation of Complaint IN00438284 completed on August 9, 2024.

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.

Investigation of Complaint IN00438284 completed on August 9, 2024; facility found in compliance.

This visit was for a Recertification and State Licensure Survey and Investigation of Complaint IN00441163. The visit included a State Residential Licensure Survey.

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.

Complaint IN00441163 was investigated with no deficiencies related to the allegations cited.

This visit was conducted for the investigation of Complaint IN00438284 regarding allegations of abuse at Morrison Woods Health Campus.

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.

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.

This visit was for the Investigation of Complaint IN00436005.

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.

Complaint IN00436005 - No deficiencies related to the allegations are cited.

This visit was conducted for the investigation of Complaint IN00430038.

No deficiencies related to the allegations in Complaint IN00430038 were cited. The facility was found to be in compliance with applicable regulations.

Investigation of Complaint IN00430038 found no deficiencies related to the allegations.

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.

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.

Complaint IN00424262 and IN00425466 were corrected. Complaint IN00427384 had no deficiencies related to the allegation cited.

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.

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.

Complaint IN00427384 - No deficiencies related to the allegations are cited. Complaint IN00424262 - Corrected. Complaint IN00425466 - Corrected.

This visit was for the investigation of complaints IN00425466, IN00425348, and IN00424262. The investigation included review of wound care practices and infection control.

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.

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.

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).

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).

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.

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.

This visit was for a State Residential Licensure Survey, including a Recertification and State Licensure Survey and Investigation of Complaint IN00417448.

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.

Complaint IN00417448 was investigated with no deficiencies related to the allegation cited.

The visit was a paper compliance review related to the Annual Recertification and State Licensure survey.

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.

This visit was conducted for the investigation of Complaints IN00414578 and IN00414003.

No deficiencies related to the allegations in Complaints IN00414578 and IN00414003 were cited. The facility was found to be in compliance with relevant regulations.

Investigation of Complaints IN00414578 and IN00414003 found no deficiencies related to the allegations; both complaints were not substantiated.

The visit was conducted for the investigation of Complaint IN00412036 related to allegations of verbal abuse at the facility.

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.

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.

This visit was conducted for the investigation of Complaint IN00400817.

No deficiencies related to the complaint allegations were cited. The facility was found to be in compliance with applicable regulations.

Complaint IN00400817 was investigated and found to have no deficiencies related to the allegations.

This visit was conducted for the investigation of Nursing Home Complaint IN00398716 and Residential Complaint IN00399323.

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.

Complaint IN00398716 was unsubstantiated due to lack of evidence. Complaint IN00399323 was substantiated but no deficiencies related to the allegations were cited.

This visit was conducted for the investigation of Complaint IN00392695.

The complaint was substantiated, but no deficiencies related to the allegations were cited. The facility was found to be in compliance with relevant regulations.

Complaint IN00392695 was substantiated; however, no deficiencies related to the allegations were cited.

The inspection was conducted as a paper compliance review for the Annual Recertification and State Licensure survey.

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.

A Life Safety Code Preoccupancy Survey was conducted in conjunction with an Emergency Preparedness Survey, a Life Safety Code Recertification, and State Licensure Survey.

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.

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.

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.

Paper compliance to the Life Safety Code Recertification and State Licensure Survey conducted on 09/27/22.

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.

This visit was for a Recertification and State Licensure Survey, including investigations of nursing home complaints IN00386325 and IN00377976, and residential complaint IN00384695.

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.

Complaint IN00386325 - Unsubstantiated due to lack of evidence. Complaint IN00377976 - Unsubstantiated due to lack of evidence. Complaint IN00384695 - Unsubstantiated due to lack of evidence.