Inspection Reports for Rose Senior Living Carmel

IN, 46032

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Inspection Report Complaint Investigation Census: 82 Deficiencies: 0 Jul 16, 2025
Visit Reason
This visit was conducted for the investigation of Complaint IN00461693.
Findings
No deficiencies related to the allegations in Complaint IN00461693 were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the complaint investigation.
Complaint Details
Complaint IN00461693 was investigated and found to have no deficiencies related to the allegations.
Inspection Report Complaint Investigation Census: 83 Deficiencies: 3 May 22, 2025
Visit Reason
This visit was for a State Residential Licensure Survey which included the investigation of complaints IN00459428 and IN00455940.
Findings
No deficiencies were cited related to the complaints investigated. However, deficiencies were found related to personnel records including missing pre-employment references for 2 employees, incomplete orientation checklists for 2 employees, and missing tuberculosis testing and annual health screenings for 6 employees.
Complaint Details
Complaint IN00459428 and Complaint IN00455940 were investigated with no deficiencies related to the allegations cited.
Deficiencies (3)
Description
Facility failed to ensure employees' files contained pre-employment references for 2 of 5 employees reviewed (CNA 3 and CNA 6).
Facility failed to ensure employees completed general and specific orientation checklists for 2 of 10 employees reviewed (CNA 6 and CNA 7).
Facility failed to maintain health records including tuberculosis testing and annual health screenings for 6 of 10 employees reviewed (Dementia Care Director 2, QMA 4, QMA 5, QMA 8, CNA 9, CNA 10).
Report Facts
Residential Census: 83 Employees reviewed for pre-employment references: 5 Employees missing pre-employment references: 2 Employees reviewed for orientation checklists: 10 Employees missing orientation checklists: 2 Employees reviewed for TB testing and health screenings: 10 Employees missing TB testing and health screenings: 6
Employees Mentioned
NameTitleContext
Angela MartinezExecutive DirectorSigned the report.
Director of NursingInterviewed regarding missing pre-employment references, orientation documentation, and TB records.
CNA 3Certified Nursing AssistantEmployee missing pre-employment references.
CNA 6Certified Nursing AssistantEmployee missing pre-employment references and orientation checklist.
CNA 7Certified Nursing AssistantEmployee missing orientation checklist.
Dementia Care Director 2Employee missing TB testing and health screenings.
QMA 4Qualified Medication AssistantEmployee missing TB testing and health screenings.
QMA 5Qualified Medication AssistantEmployee missing TB testing and health screenings.
QMA 8Qualified Medication AssistantEmployee missing TB testing and health screenings.
CNA 9Certified Nursing AssistantEmployee missing TB testing and health screenings.
CNA 10Certified Nursing AssistantEmployee missing TB testing and health screenings.
Inspection Report Complaint Investigation Census: 67 Deficiencies: 8 May 31, 2024
Visit Reason
This visit was for a State Residential Licensure Survey which included the Investigation of Complaint IN00414606.
Findings
No deficiencies related to the complaint allegations were cited. The facility was found deficient in several areas including failure to conduct monthly fire drills for two months, incomplete pre-employment reference checks, insufficient first aid certification coverage for staff, a staff member working without valid CNA certification, incomplete resident service plan reviews and signatures, medication administration error involving incorrect dosage of blood pressure medication, and food service sanitation and safety violations.
Complaint Details
Complaint IN00414606 was investigated and no deficiencies related to the allegations were cited.
Deficiencies (8)
Description
Failed to conduct monthly fire drills for November and December 2023.
Failed to ensure reference checks were completed prior to employment for 1 of 5 employees reviewed (Cook 6).
Failed to ensure staff on duty had first aid certification for 9 of 21 shifts reviewed between 5/22/24 and 5/28/24.
Failed to ensure a staff member working as a CNA held a valid CNA/HHA certification (CNA 1).
Failed to ensure a resident's service plan was reviewed and updated at least semi-annually (Resident 3).
Failed to ensure service plans were signed by the resident, responsible party, or Power of Attorney for 1 of 10 residents (Resident 4).
Failed to ensure the correct dose of blood pressure medication (amlodipine) was provided to 1 of 5 residents (Resident 1).
Failed to maintain food preparation and serving areas in accordance with state and local sanitation and safe food handling standards, including lack of hair coverings, uncovered equipment, improperly stored food items, and blocked electrical panels.
Report Facts
Residential Census: 67 Fire drills missed: 2 Shifts without first aid certification: 9 Residents reviewed for service plans: 10 Medication doses: 5 Medication doses: 10
Employees Mentioned
NameTitleContext
Mitchell BacksExecutive DirectorNamed in relation to fire drill deficiencies and interviews
QMA 5Qualified Medication AideNamed in relation to medication administration error
Cook 6Named in relation to missing pre-employment reference checks
CNA 1Certified Nurse AideNamed in relation to lack of valid CNA/HHA certification
Nurse ManagerInvolved in medication administration error investigation
Dietary ManagerNamed in relation to food service sanitation deficiencies
Inspection Report Complaint Investigation Census: 57 Deficiencies: 0 May 31, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00409654.
Findings
No deficiencies related to the allegations in Complaint IN00409654 were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the complaint investigation.
Complaint Details
Complaint IN00409654 was investigated and found to have no deficiencies related to the allegations.
Inspection Report Renewal Census: 55 Deficiencies: 3 Jan 19, 2023
Visit Reason
This visit was for a State Residential Licensure Survey conducted on January 17, 18, and 19, 2023 to assess compliance with state regulations.
Findings
The facility was found noncompliant in several areas including failure to document fire department participation in fire drills, improper food storage and handling practices, and failure to complete required two-step and annual Tuberculin skin testing for residents.
Deficiencies (3)
Description
Failed to provide documentation showing fire department was invited or attended fire drills every six months.
Failed to prevent freezer burn, cover, label, and date foods; discard expired foods; keep perishable foods off the floor; monitor dishwasher temperatures; ensure staff wore hair nets; and keep personal items out of the kitchen.
Failed to administer two-step Tuberculin skin tests and annual TB skin tests for 6 of 7 residents reviewed.
Report Facts
Residents affected: 55 Residents reviewed for TB testing: 7 Residents noncompliant with TB testing: 6 Fire drills required annually: 12
Employees Mentioned
NameTitleContext
Mitch BacksExecutive DirectorSigned report and provided policies during interviews
Maintenance DirectorIndicated no fire department invitations to drills in 2022
Director of Food ServicesInterviewed regarding food storage and handling deficiencies
Sous ChefObserved without hair net during cooking
Director of NursingIndicated residents should receive TB screening annually and acknowledged missing documentation
Inspection Report Complaint Investigation Census: 60 Deficiencies: 0 Aug 24, 2022
Visit Reason
This visit was conducted for the investigation of Complaint IN00388042.
Findings
The complaint was substantiated; however, no deficiencies related to the allegations were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the complaint investigation.
Complaint Details
Complaint IN00388042 was substantiated but no deficiencies related to the allegations were cited.
Report Facts
Residential Census: 60
Inspection Report Complaint Investigation Census: 59 Deficiencies: 0 Aug 1, 2022
Visit Reason
This visit was conducted for the investigation of Complaint IN00373292.
Findings
The complaint was substantiated; however, no deficiencies related to the allegations were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the complaint.
Complaint Details
Complaint IN00373292 was substantiated but no deficiencies related to the allegations were cited.

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