Inspection Reports for
Sanders Glen Assisted Living

334 S Cherry St, Westfield, IN 46074, United States, IN, 46074

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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
2023
2024
2025

Census

Latest occupancy rate 89 residents

Based on a March 2025 inspection.

Occupancy over time

84 90 96 102 108 Aug 2023 Sep 2023 May 2024 Aug 2024 Mar 2025

Inspection Report

Complaint Investigation
Census: 89 Deficiencies: 0 Date: Mar 21, 2025

Visit Reason
This visit was for a State Residential Licensure Survey, which included the investigation of Complaints IN00443776 and IN00443849.

Complaint Details
Complaint IN00443776 and Complaint IN00443849 were investigated with no deficiencies related to the allegations cited.
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.

Report Facts
Residential Census: 89

Inspection Report

Complaint Investigation
Census: 102 Deficiencies: 2 Date: 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.

Complaint Details
Complaint IN00440968 was substantiated with state deficiencies cited at R0064 and R0304. Complaint IN00435958 had no deficiencies related to the allegation.
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.

Deficiencies (2)
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
NameTitleContext
Sue HamakerAdministratorSigned the report
QMA 1Did not count narcotics with the nurse at shift start and left medication cart keys unattended
LPN 2NurseOff-going nurse who left keys unsecured and counted narcotics alone
LPN 3NurseCounted narcotics and discovered missing narcotics and count sheet
LPN 4NurseRechecked narcotics and alerted Director of Nursing about missing narcotics
Director of NursingResponsible for narcotic count oversight and alerted about missing narcotics
Executive DirectorProvided information about medication cart key policies

Inspection Report

Annual Inspection
Census: 99 Deficiencies: 2 Date: 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)
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 Date: Sep 18, 2023

Visit Reason
This visit was conducted for the investigation of Complaint IN00417273.

Complaint Details
Complaint IN00417273 was investigated and found to have no deficiencies related to the allegations.
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.

Inspection Report

Complaint Investigation
Census: 96 Deficiencies: 0 Date: Aug 10, 2023

Visit Reason
This visit was for the Investigation of Complaint IN00414368.

Complaint Details
Complaint IN00414368 - No deficiencies related to the allegations are cited.
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.

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