Inspection Reports for Sanders Glen Assisted Living
334 S Cherry St, Westfield, IN 46074, United States, IN, 46074
Back to Facility ProfileInspection Report Summary
The most recent inspection on March 21, 2025, found no deficiencies related to the complaint investigation conducted at that time. Earlier inspections showed a mixed pattern, with some deficiencies cited in medication security and resident protection, including a substantiated complaint in August 2024 involving missing narcotic medication and unsecured medication carts. Prior reports also noted issues with resident neglect and food temperature control during the May 2024 annual inspection. Complaint investigations in 2023 and 2025 were unsubstantiated, and no enforcement actions or fines were listed in the available reports. The facility’s record shows some recurring concerns with medication management and resident safety, but the most recent inspection suggests improvement in these areas.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
1.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
69% better than Indiana average
Indiana average: 4.2 deficiencies/year
Deficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
89 residents
Based on a March 2025 inspection.
Census over time
Inspection Report
Complaint Investigation
Census: 89
Deficiencies: 0
Mar 21, 2025
Visit Reason
This visit was for a State Residential Licensure Survey, which included the investigation of Complaints IN00443776 and IN00443849.
Findings
No deficiencies related to the allegations in Complaints IN00443776 and IN00443849 were cited. The facility was found to be in compliance with the State Residential Licensure Survey requirements.
Complaint Details
Complaint IN00443776 and Complaint IN00443849 were investigated with no deficiencies related to the allegations cited.
Report Facts
Residential Census: 89
Inspection Report
Complaint Investigation
Census: 102
Deficiencies: 2
Aug 27, 2024
Visit Reason
This visit was conducted for the investigation of complaints IN00440968 and IN00435958. Complaint IN00440968 resulted in state deficiencies related to the allegations, while Complaint IN00435958 had no deficiencies cited.
Findings
The facility failed to protect a resident's medication from loss or theft when narcotic medication and the narcotic count sheet went missing. Additionally, medication carts were not appropriately locked and keys were left unsecured in the narcotic books, violating facility policy and contributing to the misappropriation of property.
Complaint Details
Complaint IN00440968 was substantiated with state deficiencies cited at R0064 and R0304. Complaint IN00435958 had no deficiencies related to the allegation.
Deficiencies (2)
| Description |
|---|
| Failed to protect a resident's medication from loss or theft when narcotic medication and the narcotic count sheet were missing. |
| Failed to ensure medication carts were appropriately locked and staff left keys unsecured in narcotic books. |
Report Facts
Residential Census: 102
Medication count: 26
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sue Hamaker | Administrator | Signed the report |
| QMA 1 | Did not count narcotics with the nurse at shift start and left medication cart keys unattended | |
| LPN 2 | Nurse | Off-going nurse who left keys unsecured and counted narcotics alone |
| LPN 3 | Nurse | Counted narcotics and discovered missing narcotics and count sheet |
| LPN 4 | Nurse | Rechecked narcotics and alerted Director of Nursing about missing narcotics |
| Director of Nursing | Responsible for narcotic count oversight and alerted about missing narcotics | |
| Executive Director | Provided information about medication cart key policies |
Inspection Report
Annual Inspection
Census: 99
Deficiencies: 2
May 1, 2024
Visit Reason
This visit was for a State Residential Licensure Survey conducted on April 30 and May 1, 2024.
Findings
The facility was found deficient in protecting a resident with dementia from neglect when the resident exited the building unnoticed during the night shift. Additionally, food on the lunch line was not maintained at appropriate temperatures, with several hot foods held below required temperatures.
Deficiencies (2)
| Description |
|---|
| Failed to protect a resident with dementia from neglect when the resident exited the building without staff knowledge during the night shift. |
| Food on the lunch line was held below appropriate temperatures, including cooked carrots at 116.7°F, mixed vegetables at 118.4°F, polish sausage at 118.9°F, and chicken breasts at 120.4°F. |
Report Facts
Residential Census: 99
Food temperatures: 116.7
Food temperatures: 118.4
Food temperatures: 118.9
Food temperatures: 120.4
Inspection Report
Complaint Investigation
Census: 97
Deficiencies: 0
Sep 18, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00417273.
Findings
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 IN00417273 was investigated and found to have no deficiencies related to the allegations.
Inspection Report
Complaint Investigation
Census: 96
Deficiencies: 0
Aug 10, 2023
Visit Reason
This visit was for the Investigation of Complaint IN00414368.
Findings
No deficiencies related to the allegations were cited. Sanders Glen was found to be in compliance with 410 IAC 16.2-5 in regard to the Investigation of Complaint IN00414368.
Complaint Details
Complaint IN00414368 - No deficiencies related to the allegations are cited.
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