Inspection Reports for
Saint Anthony Rehabilitation & Nursing Center
IN, 47904
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
5.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
38% worse than Indiana average
Indiana average: 4.2 deficiencies/yearDeficiencies per year
20
15
10
5
0
Occupancy
Latest occupancy rate
100% occupied
Based on a January 2025 inspection.
Occupancy rate over time
Inspection Report
Deficiencies: 1
Date: Sep 16, 2025
Visit Reason
The inspection was conducted to assess compliance with respiratory care regulations, specifically to verify proper physician orders for oxygen use and equipment settings for a resident receiving respiratory care.
Findings
The facility failed to ensure a physician's order for oxygen use including the equipment setting for flow rate was obtained for one resident receiving respiratory care. Observations confirmed oxygen was administered without a corresponding physician order specifying flow rate.
Deficiencies (1)
F 0695: The facility failed to obtain a physician's order for oxygen use including the equipment setting for flow rate for Resident 47 receiving respiratory care.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Indicated a physician's order for oxygen had not been transcribed. | |
| RN 2 | Indicated admitting nurse should have reviewed hospital discharge orders and contacted physician to update orders. |
Inspection Report
Complaint Investigation
Census: 85
Capacity: 85
Deficiencies: 0
Date: Jan 10, 2025
Visit Reason
This visit was conducted for the investigation of Complaints IN00449717 and IN00447575.
Complaint Details
Complaint IN00449717 and Complaint IN00447575 were investigated with no deficiencies cited related to the allegations.
Findings
No deficiencies related to the allegations in either complaint were cited. The facility was found to be in compliance with applicable regulations.
Report Facts
Census SNF/NF beds: 85
Census Medicare residents: 7
Census Medicaid residents: 49
Census Other residents: 29
Inspection Report
Re-Inspection
Census: 80
Capacity: 120
Deficiencies: 0
Date: Nov 15, 2024
Visit Reason
A Post Survey Revisit (PSR) to the Life Safety Code Recertification and State Licensure Survey conducted on 09/16/24 was performed to verify compliance with previous deficiencies.
Findings
The facility was found in compliance with Medicare/Medicaid participation requirements, Life Safety from Fire, and the 2012 edition of the NFPA 101 Life Safety Code. The building is fully sprinklered except for a detached garage and two woodsheds used for storage.
Report Facts
Facility capacity: 120
Resident census: 80
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Sep 25, 2024
Visit Reason
The inspection was conducted in response to complaints regarding a staff member photographing and posting a resident's video online without consent, and a resident eloping from the facility without staff knowledge.
Complaint Details
This inspection relates to Complaint IN00441445 regarding the unauthorized photographing and posting of a resident's video online, and Complaint IN00442388 regarding the resident elopement incident.
Findings
The facility failed to protect a resident's dignity by allowing a staff member to videotape and post the resident online, resulting in the staff member's termination. Additionally, the facility failed to provide adequate supervision when a resident eloped and was found three blocks away, leading to corrective actions including staff termination and policy changes.
Deficiencies (2)
F 0550: The facility failed to ensure a staff member did not photograph or videotape a resident and post the video online on social media. The deficient practice was corrected prior to the survey start date.
F 0689: The facility failed to ensure a resident received adequate supervision when the resident exited the facility without staff knowledge and was found down the street three blocks away. The deficient practice was corrected prior to the survey start date.
Report Facts
BIMS score: 3
BIMS score: 3
Duration of elopement: 20
Distance traveled during elopement (miles): 0.2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff Member 10 | Identified as the staff member who videotaped and posted the resident online; terminated from employment. | |
| Staff Member 3 | Terminated for not following policy and procedure related to the alarm system during resident elopement. | |
| Director of Nursing | Director of Nursing (DON) | Involved in investigation and reassessment of residents; provided interviews regarding incidents. |
| Executive Director | Executive Director (ED) | Reviewed video evidence and provided policy documents during investigation. |
Inspection Report
Complaint Investigation
Census: 70
Capacity: 70
Deficiencies: 2
Date: Sep 25, 2024
Visit Reason
This visit was conducted for the investigation of complaints IN00442388 and IN00441445 related to resident rights and accident hazards.
Complaint Details
Complaint IN00442388 related to accident hazards and supervision; Complaint IN00441445 related to resident rights violations involving unauthorized photographing and videotaping of a resident.
Findings
The facility was found deficient for failing to protect a resident's dignity by allowing a staff member to photograph and post a video of a resident online, and for inadequate supervision when a resident eloped from the facility and was found down the street. Both deficiencies were corrected prior to the survey.
Deficiencies (2)
Failure to ensure a staff member did not photograph or videotape a resident and post the video online on social media.
Failure to ensure a resident received adequate supervision when the resident exited the facility without staff knowledge and was found down the street.
Report Facts
Census: 70
Total Capacity: 70
Resident B elopement duration (minutes): 20
Resident B distance traveled (miles): 0.2
Resident F BIMS score: 3
Resident B BIMS score: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff Member 10 | Identified as the staff member who videotaped and photographed Resident F and had the video on her phone; terminated from employment. | |
| Staff Member 3 | Terminated for turning off the secondary alarm and failing to check for missing residents after the alarm sounded. | |
| Executive Director | Executive Director | Interviewed regarding the video of Resident F and the alarm system related to Resident B's elopement. |
| Director of Nursing | Director of Nursing | Interviewed regarding the video incident and Resident B's elopement; notified nursing board about Staff Member 10. |
| Staff Member 2 | Notified facility staff of Resident B's elopement and stayed with resident until nursing staff arrived. | |
| Staff Member 7 | Aware of Resident F's photo posted online and Resident B's elopement; had been in-serviced on abuse and alarm system. | |
| Staff Member 8 | Aware of Resident F's photo posted online and Resident B's elopement; had been in-serviced on abuse and alarm system. | |
| Staff Member 9 | Aware of Resident F's photo posted online and Resident B's elopement; conducted weekly checks on door alarms. |
Inspection Report
Life Safety
Census: 75
Capacity: 120
Deficiencies: 4
Date: Sep 16, 2024
Visit Reason
The Indiana Department of Health conducted an Emergency Preparedness Survey and a Life Safety Code Recertification and State Licensure Survey at Saint Anthony Rehab and Nursing Center on 09/16/2024.
Findings
The facility was found in compliance with Emergency Preparedness Requirements but was not in compliance with Life Safety Code requirements, including deficiencies related to sprinkler system maintenance, electrical junction box covers, electrical receptacle testing documentation, and improper use of power strips.
Deficiencies (4)
The facility failed to ensure all sprinkler heads that were loaded or damaged were replaced or cleaned in accordance with NFPA 25; sprinklers in the dishwashing area were corroded and bent, and sprinklers near laundry dryers were covered with lint.
The facility failed to ensure one electrical junction box above the drop ceiling near the south nurse's station was maintained in a safe operating condition; the junction box was missing a cover exposing spliced wiring.
The facility failed to ensure documentation of electrical outlet receptacle testing for resident sleeping rooms was available for review as required by NFPA 99.
The facility failed to ensure power strips were not used as a substitute for fixed wiring to provide power to equipment with a high current draw; a power strip was used to power a refrigerator in the Admissions office.
Report Facts
Certified beds: 120
Census: 75
Residents potentially affected by electrical junction box deficiency: 40
Residents potentially affected by electrical receptacle testing deficiency: 70
Staff and visitors potentially affected by power strip deficiency: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dylan Johnson | Administrator | Reviewed findings at exit conference |
| Director of Plant Operations | Interviewed and involved in observations and corrective actions related to sprinkler system, electrical junction box, receptacle testing, and power strip use |
Inspection Report
Plan of Correction
Deficiencies: 1
Date: Aug 19, 2024
Visit Reason
The document is a plan of correction related to a deficiency found during a survey completed on 08/19/2024 at Saint Anthony Rehab and Nursing Center.
Findings
The facility failed to ensure a resident's functional limitation in range of motion was included in the comprehensive care plan for 1 of 2 residents reviewed for mobility. Specifically, the care plan did not include the parts of the body affected by arthritis for Resident 53.
Deficiencies (1)
F 0656: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The facility failed to include the affected body parts in the care plan for a resident with polyosteoarthritis and functional limitations in range of motion.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Director of Nursing | Interviewed regarding the occupational therapist note showing arthritic changes in resident's hands. |
Inspection Report
Routine
Deficiencies: 4
Date: Aug 19, 2024
Visit Reason
The inspection was conducted as a routine survey to assess compliance with regulatory requirements related to resident care, safety, and facility operations at Saint Anthony Rehab and Nursing Center.
Findings
The facility was found deficient in accommodating resident needs related to dining table height, ensuring physician notification for out-of-range blood glucose levels, documenting and monitoring resident bruising, verifying gastrostomy tube placement according to policy, and maintaining a fully functional call light system across all halls.
Deficiencies (4)
F 0558: The facility failed to ensure a resident was seated at a table with the height adjusted to accommodate the resident's needs for 1 of 1 resident reviewed for accommodation of needs.
F 0684: The facility failed to ensure a resident's bruising was documented as assessed and monitored and to ensure out-of-range glucometer readings were reported to the physician as ordered for 3 of 3 residents reviewed for quality of care.
F 0693: The facility failed to ensure a staff member followed policy when verifying gastrostomy tube placement prior to medication administration for 1 of 1 resident reviewed.
F 0919: The facility failed to ensure all areas of the wireless call system were functioning properly for 5 of 5 halls reviewed, impacting resident call light notifications and response.
Report Facts
Medication Administration Record blood glucose readings below 60: 7
Medication Administration Record blood glucose readings above 450: 2
Gastrostomy tube water volume: 60
Bruise size: 3.3
Bruise size: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN 4 | Registered Nurse | Observed pushing water into gastrostomy tube and incorrectly verifying tube placement. |
| Director of Nursing | Director of Nursing | Provided interviews regarding resident seating, physician notification expectations, and call light system. |
| Assistant Director of Nursing | Assistant Director of Nursing | Provided interview regarding resident falls and bruising documentation. |
| RN 2 | Registered Nurse | Described call light system functionality and staff notification process. |
| RN 3 | Registered Nurse | Described use of personal phone for call light notifications. |
Inspection Report
Annual Inspection
Census: 75
Capacity: 75
Deficiencies: 5
Date: Aug 19, 2024
Visit Reason
This visit was for a Recertification and State Licensure Survey, including the Investigation of Complaints IN00440491 and IN00438928.
Complaint Details
Complaint IN00440491 and IN00438928 were investigated with no deficiencies related to the allegations cited.
Findings
The facility was found deficient in accommodating a resident's needs related to dining table height, updating comprehensive care plans for functional limitations, documenting and monitoring bruising and reporting out-of-range blood glucose levels, verifying gastrostomy tube placement, and ensuring proper functioning of the resident call light system.
Deficiencies (5)
Failed to ensure a resident was seated at a table with the height adjusted to accommodate the resident's needs.
Failed to ensure a resident's functional limitation in range of motion was included in the comprehensive care plan.
Failed to ensure a resident's bruising was documented as being assessed and monitored and to ensure out of range glucometer readings were reported to the physician as ordered for 3 residents.
Failed to ensure staff followed policy when verifying gastrostomy tube placement prior to medication administration.
Failed to ensure all areas of the wireless call system were functioning properly for 5 halls.
Report Facts
Survey dates: 5
Census: 75
Total capacity: 75
Medicare residents: 5
Medicaid residents: 46
Other payor residents: 24
Blood glucose levels: 9
G-tube flush volume: 60
Bruising size: 3.3
Bruising size: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nicole Hardy | RN | Laboratory Director's or Provider/Supplier Representative's signature on report |
| RN 4 | Registered Nurse | Named in gastrostomy tube placement verification deficiency and interview |
| Director of Nursing | DON | Interviewed regarding multiple deficiencies including blood glucose notification and call light system |
| Assistant Director of Nursing | ADON | Interviewed regarding bruising assessments and blood glucose notifications |
Inspection Report
Renewal
Deficiencies: 0
Date: Aug 19, 2024
Visit Reason
Paper compliance review to the Recertification and State Licensure survey completed on August 19, 2024.
Findings
Saint Anthony Rehab and Nursing Center 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
Deficiencies: 0
Date: Nov 3, 2023
Visit Reason
The document is a statement of deficiencies and plan of correction for Saint Anthony Rehab and Nursing Center following a survey completed on November 3, 2023.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Complaint Investigation
Census: 80
Capacity: 80
Deficiencies: 0
Date: Nov 2, 2023
Visit Reason
This visit was conducted for the investigation of complaints IN00418933 and IN00412484 at Saint Anthony Rehab and Nursing Center.
Complaint Details
Complaint IN00418933 and Complaint IN00412484 were investigated; no deficiencies related to the allegations were cited.
Findings
No deficiencies related to the allegations in complaints IN00418933 and IN00412484 were cited. The facility was found to be in compliance with applicable regulations.
Report Facts
Medicare census: 11
Medicaid census: 34
Other census: 35
Inspection Report
Life Safety
Census: 69
Capacity: 120
Deficiencies: 1
Date: Jul 27, 2023
Visit Reason
The visit was conducted as a Life Safety Code Recertification and State Licensure Survey by the Indiana Department of Health in accordance with 42 CFR 483.90(a).
Findings
The facility was found not in compliance with Life Safety Code requirements due to failure to conduct quarterly fire drills for 2 of 4 quarters, affecting all staff and residents. The facility was otherwise found in compliance with Emergency Preparedness requirements.
Deficiencies (1)
Failed to conduct quarterly fire drills for 2 of 4 quarters as required by LSC 19.7.1.6, affecting all staff and residents.
Report Facts
Certified beds: 120
Census: 69
Fire drill quarters missed: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dylan Johnson | Administrator | Signed report and participated in exit conference |
| Director of Plant Operations | Interviewed regarding fire drill deficiencies and responsible for corrective actions |
Inspection Report
Life Safety
Deficiencies: 0
Date: Jul 27, 2023
Visit Reason
The Life Safety Code Recertification and State Licensure Survey was conducted to assess compliance with fire safety and state licensure requirements.
Findings
Saint Anthony Rehab and Nursing Center was found in compliance with Medicare/Medicaid participation requirements, Life Safety from Fire, and the 2012 Edition of the National Fire Protection Association (NFPA) 101 Life Safety Code.
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Jun 20, 2023
Visit Reason
Annual inspection survey conducted to assess compliance with health and safety regulations at Saint Anthony Rehab and Nursing Center.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Renewal
Census: 70
Capacity: 70
Deficiencies: 0
Date: Jun 20, 2023
Visit Reason
This visit was for a Recertification and State Licensure Survey conducted over multiple days in June 2023.
Findings
Saint Anthony Rehab and Nursing Center was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 during the Recertification and State Licensure Survey.
Report Facts
Census Payor Type - Medicare: 24
Census Payor Type - Medicaid: 37
Census Payor Type - Other: 9
Inspection Report
Complaint Investigation
Census: 81
Capacity: 81
Deficiencies: 0
Date: Nov 3, 2022
Visit Reason
This visit was for the investigation of Complaint IN00392009.
Complaint Details
Complaint IN00392009 was investigated and found to be unsubstantiated due to lack of evidence.
Findings
The complaint IN00392009 was found to be unsubstantiated due to lack of evidence. The facility was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 in regard to the complaint investigation.
Report Facts
Census: 81
Total Capacity: 81
Medicare Census: 15
Medicaid Census: 41
Other Payor Census: 25
Inspection Report
Complaint Investigation
Census: 72
Capacity: 72
Deficiencies: 0
Date: Aug 30, 2022
Visit Reason
This visit was conducted for the investigation of Complaint IN00388372.
Complaint Details
Complaint IN00388372 was substantiated, but no deficiencies related to the allegations were cited.
Findings
The complaint was substantiated; however, no deficiencies related to the allegations were cited. The facility was found to be in compliance with applicable regulations.
Report Facts
Medicare census: 11
Medicaid census: 35
Other payor census: 26
Inspection Report
Life Safety
Census: 75
Capacity: 120
Deficiencies: 3
Date: Aug 11, 2022
Visit Reason
The survey was conducted as a Life Safety Code Recertification and State Licensure Survey by the Indiana Department of Health in accordance with 42 CFR 483.90(a) and related regulations.
Findings
The facility was found not in compliance with Life Safety Code requirements, including failure to maintain means of egress free of obstructions, failure to maintain fire alarm system testing and maintenance documentation, and failure to secure electrical panels from unauthorized access.
Deficiencies (3)
Facility failed to maintain the means of egress free from obstructions in 1 of 8 corridors due to a 3-drawer plastic chest of drawers containing PPE stored in the corridor outside resident room #C124.
Facility failed to maintain 1 of 1 fire alarm systems in accordance with NFPA 72; no documentation of visual semi-annual fire alarm system inspection was available.
Facility failed to ensure all electrical panels in the corridors were secured from non-authorized personnel; electric panel outside resident's room F147 was unlocked.
Report Facts
Deficiencies cited: 3
Facility capacity: 120
Census: 75
Residents potentially affected: 16
Staff potentially affected: 4
Visitors potentially affected: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Plant Operations | Director of Plant Operations (D.P.O.) | Interviewed and acknowledged deficiencies related to means of egress obstruction, fire alarm system inspection, and electrical panel security. |
| Executive Director | Executive Director | Provided information regarding fire panel access requirements during electrical panel deficiency observation. |
Inspection Report
Life Safety
Deficiencies: 0
Date: Aug 11, 2022
Visit Reason
The visit was conducted as a Life Safety Code Recertification and State Licensure Survey.
Findings
Saint Anthony Rehab and Nursing Center was found in compliance with Medicare/Medicaid participation requirements, Life Safety from Fire, and the 2012 Edition of the National Fire Protection Association (NFPA) 101, Life Safety Code, Chapter 19, Existing Health Care Occupancies and 410 IAC 16.2.
Inspection Report
Renewal
Census: 71
Capacity: 71
Deficiencies: 0
Date: Jul 27, 2022
Visit Reason
This visit was for a Recertification and State Licensure Survey and included the Investigation of Complaint IN00384802.
Complaint Details
Complaint IN00384802 was investigated and found to be unsubstantiated due to lack of evidence.
Findings
Saint Anthony Rehab and Nursing Center was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1. The complaint investigation was unsubstantiated due to lack of evidence.
Report Facts
Census SNF/NF: 71
Census Medicare: 8
Census Medicaid: 37
Census Other: 26
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