Inspection Reports for Primrose Retirement Community of Kokomo

This visit was for a State Residential Licensure Survey conducted on April 15 and 16, 2025, to assess compliance with state residential regulations.

The facility failed to ensure that annual health statements showing no evidence of tuberculosis in an infectious stage were provided for 5 of 7 residents reviewed. The deficiency involved residents 21, 66, 54, 82, and 83, with some residents deceased. The facility has implemented corrective actions including updating health statements, re-educating staff, and auditing resident records to ensure compliance.

This survey was conducted as a State Residential Licensure Survey including the investigation of Complaint IN00434187.

No deficiencies related to the complaint allegations were cited. However, deficiencies were found related to failure to conduct fire and disaster drills in conjunction with the local fire department at least every six months and failure to conduct quarterly fire drills on each shift. Additionally, deficiencies were found related to improper labeling of medications after order changes for 2 of 5 residents observed during medication administration.

Complaint IN00434187 was investigated with no deficiencies related to the allegations cited.

This visit was for a State Residential Licensure Survey conducted on May 23 and 24, 2023.

Primrose Retirement Community of Kokomo was found to be in compliance with 410 IAC 16.2-5 in regard to the State Residential Licensure Survey.

This visit was conducted for the investigation of complaints IN00389913 and IN00391844 at Primrose Retirement Community of Kokomo.

Both complaints were substantiated; however, no deficiencies related to the allegations were cited. The facility was found to be in compliance with applicable regulations.

Complaint IN00389913 - Substantiated with no deficiencies cited. Complaint IN00391844 - Substantiated with no deficiencies cited.

This visit was a Post Survey Revisit (PSR) to the Investigation of Complaint IN00381855 completed on July 27, 2022, and was conducted in conjunction with the PSR to the Investigation of Complaint IN00386391 completed on August 12, 2022.

Primrose Retirement Community of Kokomo was found to be in compliance with 410 IAC 16.2-5 in regard to the PSR to the Investigation of Complaint IN00381855. Both complaints IN00381855 and IN00386391 were corrected.

This visit was related to complaints IN00381855 and IN00386391, both of which were corrected.

This visit was a Post Survey Revisit (PSR) to the Investigation of Complaint IN00386391 completed on August 12, 2022, and was conducted in conjunction with the PSR to the Investigation of Complaint IN00381855 completed on July 27, 2022.

Primrose Retirement Community of Kokomo was found to be in compliance with 410 IAC 16.2-5 in regard to the PSR to the Investigation of Complaint IN00386391. Both complaints IN00386391 and IN00381855 were corrected.

This visit was related to complaints IN00386391 and IN00381855, both of which were corrected.

This survey was conducted for the investigation of Complaint IN00386391, which was substantiated with related state deficiencies cited.

The facility failed to ensure a resident's checkbook was kept safe and secure during her admission, resulting in misappropriation of property. A maintenance assistant forged the resident's signature on a check and cashed it, leading to his termination and police involvement.

Complaint IN00386391 was substantiated. The investigation revealed that Maintenance Assistant 5 forged Resident B's signature on a check and cashed it. The resident left her apartment doors unlocked and kept valuables in plain sight. The maintenance assistant was terminated and charged with forgery. The bank teller who cashed the check violated bank policy by not verifying the check with the resident.

This visit was conducted for the investigation of Complaint IN00381855, which was substantiated with state deficiencies related to the allegations cited.

The facility failed to ensure a resident (Resident B) was free from neglect when she was left unattended on the toilet by a CNA, resulting in a fall and fractured nose. The resident had vascular dementia and was identified as high risk for falls. The CNA was new and did not follow the resident's care plan requiring two-person assistance.

Complaint IN00381855 was substantiated. The investigation found that Resident B, diagnosed with vascular dementia and high fall risk, was left unattended by CNA 1 who went to get clothes, leading to a fall and injury.