Inspection Reports for Muncie Estates Senior Living

1601 N Morrison Rd, Muncie, IN 47304, United States, IN, 47304

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Inspection Report Summary

The most recent inspection on July 14, 2025, found no deficiencies related to the complaints investigated. Earlier inspections showed a mix of compliance and deficiencies, including substantiated complaints involving fall prevention and staff-to-resident physical abuse, as well as issues with staff certification and medication administration. Inspectors cited deficiencies mainly in resident care practices, such as failure to implement fall prevention interventions and ensuring residents were free from abuse, along with staffing qualifications and medication management. Complaint investigations were mostly unsubstantiated except for two substantiated cases involving abuse and fall prevention, with the abusive staff member removed promptly. The facility’s record shows some improvement in recent inspections, with the latest survey and complaint investigations indicating compliance.

Deficiencies (last 4 years)

Deficiencies (over 4 years) 2.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

45% better than Indiana average
Indiana average: 4.2 deficiencies/year

Deficiencies per year

8 6 4 2 0
2022
2023
2024
2025

Census

Latest occupancy rate 59 residents

Based on a July 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Census over time

35 42 49 56 63 70 Sep 2022 Dec 2023 Feb 2024 Feb 2025 Jul 2025

Inspection Report

Complaint Investigation
Census: 59 Deficiencies: 0 Date: Jul 14, 2025

Visit Reason
This visit was conducted for the investigation of complaints IN00462816 and IN00460716 at Muncie Estates Senior Living.

Complaint Details
Investigation of Complaints IN00462816 and IN00460716 found no deficiencies related to the allegations; both complaints were not substantiated.
Findings
No deficiencies related to the allegations in complaints IN00462816 and IN00460716 were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding these complaints.

Inspection Report

Renewal
Census: 60 Deficiencies: 0 Date: Feb 28, 2025

Visit Reason
This visit was for a State Residential Licensure Survey conducted on February 27 and 28, 2025.

Findings
Muncie Estates Senior Living was found to be in compliance with 410 IAC 16.2-5 in regard to the State Residential Licensure Survey.

Inspection Report

Complaint Investigation
Census: 61 Deficiencies: 0 Date: Feb 3, 2025

Visit Reason
This visit was conducted for the investigation of Complaint IN00450939 at Muncie Estates Senior Living.

Complaint Details
Complaint IN00450939 was investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations in Complaint IN00450939 were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the complaint investigation.

Report Facts
Residential Census: 61

Inspection Report

Complaint Investigation
Census: 54 Deficiencies: 1 Date: Jul 19, 2024

Visit Reason
This visit was conducted for the investigation of complaint IN00434037 regarding fall prevention interventions at Muncie Estates Senior Living.

Complaint Details
Complaint IN00434037 was substantiated with state deficiencies cited related to fall prevention interventions.
Findings
The facility failed to implement identified care plan interventions to prevent falls for 2 of 3 residents reviewed. Observations and record reviews showed missing nonslip mats, lack of 'Call don't fall' signs, and incomplete documentation of fall prevention care tasks.

Deficiencies (1)
Failure to implement identified care plan interventions to prevent falls for residents B and C.
Report Facts
Residential Census: 54 Dates missing care completion initials: 16

Employees mentioned
NameTitleContext
Dawn BeemanHealth Facility AdministratorSigned the report and involved in review and update of care plans
LPN 5Licensed Practical NurseIndicated aides were supposed to document completion of tasks on tablet
CNA 3Certified Nursing AssistantProvided information about resident interventions and documentation
CNA 6Certified Nursing AssistantIndicated interventions and care tasks were documented electronically
Interim Health Services DirectorHSDReviewed and updated care plans, provided information on resident status and fall interventions
Home Health Aide 4HHANew employee uncertain about fall interventions

Inspection Report

Re-Inspection
Census: 45 Deficiencies: 0 Date: Feb 19, 2024

Visit Reason
This visit was a Post Survey Revisit (PSR) to the Investigation of Complaint IN00425490 completed on January 23, 2024.

Complaint Details
Complaint IN00425490 - Corrected.
Findings
Muncie Estates Senior Living was found to be in compliance with 410 IAC 16.2-5 in regard to the PSR to the Investigation of Complaint IN00425490.

Inspection Report

Complaint Investigation
Census: 49 Deficiencies: 1 Date: Jan 22, 2024

Visit Reason
This visit was conducted for the investigation of Complaint IN00425490 concerning allegations of staff-to-resident physical abuse at Muncie Estates Senior Living.

Complaint Details
Complaint IN00425490 was substantiated. The investigation found that LPN 1 physically abused Resident B by slapping her during care. LPN 1 was immediately removed from the facility. Allegations of abuse are logged and reviewed monthly by the Executive Director and QAPI committee to ensure ongoing compliance.
Findings
The facility failed to ensure a cognitively impaired resident (Resident B) was free from physical abuse by a staff member (LPN 1). The investigation confirmed that LPN 1 slapped Resident B during care, an incident witnessed by other staff and resulting in immediate removal of LPN 1 from the facility.

Deficiencies (1)
Failure to ensure a cognitively impaired resident was free from physical abuse by a staff member.
Report Facts
Residential Census: 49 Survey Date: Jan 22, 2024

Employees mentioned
NameTitleContext
LPN 1Licensed Practical NurseNamed in physical abuse finding involving Resident B
HHA 3Health Care AssistantWitnessed abuse incident, provided written statement
HHA 4Health Care AssistantWitnessed abuse incident, provided written statement
QMA 2Qualified Medication AideReported abuse to Administrator and DON, involved in escorting LPN 1 from facility
Dawn BeemanHealth Facility AdministratorAdministrator who received abuse report and coordinated response

Inspection Report

Renewal
Census: 51 Deficiencies: 2 Date: Dec 6, 2023

Visit Reason
This visit was for a State Residential Licensure Survey conducted on December 6 and 7, 2023, to assess compliance with state residential licensure requirements.

Findings
The facility was found deficient in ensuring that staff members were certified in First Aid for all shifts and that Qualified Medication Assistants (QMAs) obtained proper authorization from licensed nurses or physicians prior to administering PRN medications for several residents.

Deficiencies (2)
Failed to ensure a working staff member was certified in First Aid for 3 of 21 shifts reviewed.
Qualified Medication Assistant (QMA) failed to obtain authorization from a licensed nurse or physician prior to administering PRN medication for 3 of 7 sampled residents.
Report Facts
Shifts without First Aid certification: 3 Residents with unauthorized PRN medication administration: 3 Total shifts reviewed for First Aid certification: 21 Total residents sampled for PRN medication administration: 7

Employees mentioned
NameTitleContext
Dawn BeemanHealth Facility AdministratorSigned the report and provided facility policy information.

Inspection Report

Renewal
Census: 51 Deficiencies: 5 Date: Dec 2, 2022

Visit Reason
This visit was for a State Residential Licensure Survey conducted on November 30, December 1 and 2, 2022 to assess compliance with Indiana regulatory requirements.

Findings
The facility was found deficient in several areas including failure to assist a resident with meals in a dignified manner, lack of CPR and First Aid certification for staff on multiple shifts, incomplete medication self-administration assessments, failure to obtain authorization for PRN medication administration by a Qualified Medication Aide, and improper insulin administration technique.

Deficiencies (5)
Failed to ensure a dependent resident was assisted with a meal in a dignified manner.
Failed to ensure a working staff member was certified in CPR and First Aid for 7 of 21 shifts reviewed.
Failed to ensure Medication Self-Administration Assessments were completed and documented prior to residents self-administering medications for 2 of 7 residents reviewed.
Qualified Medication Aide failed to obtain authorization from a licensed nurse or physician prior to administering PRN medication for 1 of 7 residents reviewed.
Failed to ensure insulin administration was completed per manufacturers guidelines for 1 of 1 resident observed.
Report Facts
Residents present: 51 Shifts without CPR/First Aid certification: 7 Residents reviewed for medication self-administration: 7 Residents reviewed for PRN medication orders: 7 Insulin administration observations: 1

Employees mentioned
NameTitleContext
LPN 5Licensed Practical NurseObserved administering insulin incorrectly
HHA 4Home Health AideObserved assisting resident with meal without sitting
QMA 3Qualified Medication AideAdministered PRN medication without proper authorization
Dawn BeemanHealth Facility AdministratorSigned report

Inspection Report

Complaint Investigation
Census: 53 Deficiencies: 0 Date: Sep 29, 2022

Visit Reason
This visit was for the Investigation of Complaint IN00386615.

Complaint Details
Complaint IN00386615 - Unsubstantiated due to lack of evidence.
Findings
The complaint IN00386615 was found to be unsubstantiated due to lack of evidence. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the complaint investigation.

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