Inspection Reports for StoryPoint Schererville
7770 Burr St, Schererville, IN 46375, United States, IN, 46375
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Inspection Report
Routine
Census: 88
Deficiencies: 12
Mar 27, 2025
Visit Reason
This visit was for a State Residential Licensure Survey including the Investigation of Complaint IN00449511.
Findings
The survey identified deficiencies including failure to complete transfer/discharge paperwork, lack of fire department participation in fire drills, absence of first aid certified staff on all shifts, incomplete health screenings for employees, incomplete service plans reflecting hospice care, lack of nurse authorization for PRN medications, improper medication administration, unsafe kitchen practices, missing physician diet orders, incomplete clinical records documentation, and incomplete emergency binder information.
Complaint Details
Complaint IN00449511 was investigated with no deficiencies related to the allegations cited.
Deficiencies (12)
| Description |
|---|
| Failed to ensure transfer/discharge papers were completed when residents were transferred out of the facility for 2 of 7 records reviewed. |
| Failed to invite the fire department to participate in fire drills every six months as required. |
| Failed to ensure there was one staff member with a current first aid certificate scheduled for 21 of 21 shifts reviewed. |
| Failed to ensure health screenings were completed for employees for 2 of 5 employee records reviewed. |
| Failed to ensure service plans were updated to reflect hospice services and ensure a service plan was signed by the resident's power of attorney for 2 of 7 service plans reviewed. |
| Failed to ensure QMAs received authorization from a licensed nurse prior to giving PRN medication for 2 of 7 records reviewed. |
| Failed to ensure medications were given as ordered for 2 of 5 residents observed for medication administration. |
| Failed to maintain a safe and sanitary kitchen related to improper thawing of frozen meat and staff not wearing hairnets while food was being prepared for 2 of 4 kitchens observed. |
| Failed to ensure there was a physician's order for a diet for 1 of 7 residents reviewed for dietary orders. |
| Failed to ensure clinical records were complete and accurate related to lack of documentation of timely follow up related to a new physician's order for 1 of 7 residents reviewed. |
| Failed to ensure a transfer/discharge form was completed for 1 of 7 resident records reviewed. |
| Failed to ensure the Emergency Binder had complete resident information for 4 of 5 resident records reviewed. |
Report Facts
Residential Census: 88
Shifts without first aid certified staff: 21
Residents with transfer/discharge paperwork deficiency: 2
Residents with service plan deficiencies: 2
Residents with PRN medication authorization deficiency: 2
Residents with medication administration errors: 2
Residents with incomplete emergency binder information: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Peterson | Executive Director | Sent letter to local fire department requesting assistance with fire drills. |
| Health and Wellness Director | Interviewed multiple times regarding deficiencies in transfer paperwork, first aid certification, medication administration, and clinical record documentation. | |
| Maintenance Director | Interviewed regarding fire drill participation and scheduling. | |
| LPN 1 | Observed administering medications and interviewed regarding medication administration errors. | |
| QMA 1 | Observed administering medications and interviewed regarding medication administration errors. | |
| Executive Chef | Re-educated dietary staff on thawing procedures and hairnet use. | |
| Culinary Manager | Interviewed regarding thawing procedures. | |
| Dining Manager | Interviewed regarding hairnet use in kitchen. | |
| Sous Chef | Interviewed regarding thawing procedures and hairnet use. |
Inspection Report
Complaint Investigation
Census: 92
Deficiencies: 1
Oct 2, 2024
Visit Reason
This visit was conducted for the investigation of Complaint IN00441444 regarding allegations of noncompliance related to employee resident rights orientation.
Findings
The facility failed to ensure that one of six employees hired in the past six months received resident rights orientation prior to working independently. Specifically, CNA 1 lacked documentation of resident rights training.
Complaint Details
Complaint IN00441444 was substantiated with a state deficiency cited at R0119 related to failure in employee resident rights orientation.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure an employee received resident rights orientation prior to working independently. |
Report Facts
Residential Census: 92
Employees reviewed: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| CNA 1 | Certified Nursing Assistant | Named in finding for lack of resident rights orientation |
| Natasha Dawkins | Wellness Director (Director of Nursing) | Interviewed and indicated CNA 1 had not received resident rights training |
Inspection Report
Complaint Investigation
Census: 89
Deficiencies: 0
Apr 25, 2024
Visit Reason
This visit was conducted for the investigation of Complaint IN00430976.
Findings
No deficiencies related to the allegations in Complaint IN00430976 were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the complaint investigation.
Complaint Details
Complaint IN00430976 was investigated and found to have no deficiencies related to the allegations.
Inspection Report
Complaint Investigation
Census: 84
Deficiencies: 5
Feb 28, 2024
Visit Reason
This visit was for the investigation of complaints IN00429185 and IN00429398 concerning allegations of abuse and inadequate care at StoryPoint Schererville.
Findings
The facility was found deficient in multiple areas including failure to ensure adequate medical care and psychosocial assessments after an altercation, failure to follow abuse reporting policies timely, failure to properly screen employees with criminal background checks, failure to provide required inservice education, and failure to provide necessary care and pain management after resident falls and ER transfers.
Complaint Details
This investigation was triggered by complaints IN00429185 and IN00429398 involving allegations of abuse and inadequate care. The complaints were substantiated by findings including failure to assess residents properly after altercations and falls, failure to report abuse timely, and failure to provide ordered pain management.
Deficiencies (5)
| Description |
|---|
| Administrator failed to ensure adequate provision of medical care related to psychosocial and emotional assessment after resident altercation. |
| Facility failed to follow abuse policy by not reporting an allegation of abuse timely to the Indiana Department of Health and not conducting a timely investigation. |
| Facility failed to properly screen employees hired in the past four months with required criminal background checks through the Indiana State Police Repository. |
| Facility failed to ensure yearly inservice education, including abuse education, was completed for all employees. |
| Facility failed to ensure residents received necessary care and services including thorough assessments after falls and ER transfers, transcription and initiation of physician orders, and treatment of pain as ordered. |
Report Facts
Residential Census: 84
Deficiencies cited: 5
Employee background checks missing: 4
Inservice education hours required: 8
Inservice education hours required: 4
Dementia-specific training hours: 6
Dementia-specific training hours annually: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Craig Clemons | Administrator | Named as the facility administrator responsible for oversight and interviewed regarding deficiencies. |
| CNA 1 | Named in findings related to improper psychosocial assessment and resident care. | |
| CNA 2 | Provided interview about resident pain and bruising after falls. | |
| CNA 3 | Employee found to have not completed yearly abuse education inservice. | |
| CNA 4 | Employee with missing criminal background check. | |
| LPN 5 | Employee with missing criminal background check. | |
| QMA 6 | Employee with missing criminal background check. | |
| CNA 7 | Employee with missing criminal background check. |
Inspection Report
Complaint Investigation
Census: 81
Deficiencies: 0
Feb 14, 2024
Visit Reason
This visit was for the Investigation of Complaints IN00421503 and IN00426914, conducted in conjunction with Post Survey Revisits related to previous complaint investigations and the State Residential Licensure Survey.
Findings
No deficiencies related to the allegations in complaints IN00421503 and IN00426914 were cited. Previous complaints IN00412422 and IN00412687 were corrected. The facility was found to be in compliance with applicable regulations.
Complaint Details
Complaint IN00421503 - No deficiencies related to the allegations are cited. Complaint IN00426914 - No deficiencies related to the allegations are cited. Complaint IN00412422 - Corrected. Complaint IN00412687 - Corrected.
Report Facts
Residential Census: 81
Inspection Report
Re-Inspection
Census: 81
Deficiencies: 0
Feb 14, 2024
Visit Reason
This visit was a Post Survey Revisit (PSR) to the PSR completed on 10/24/23 related to the Investigation of Complaints IN00412422 and IN00412687 completed on 7/19/23, done in conjunction with the PSR to the State Residential Licensure Survey completed on 10/24/23 and the Investigation of Complaints IN00421503 and IN00426914.
Findings
Complaints IN00412422 and IN00412687 were corrected. Complaints IN00421503 and IN00426914 had no deficiencies related to the allegations. The facility was found to be in compliance with applicable regulations.
Complaint Details
Complaint IN00412422 - Corrected. Complaint IN00412687 - Corrected. Complaint IN00421503 - No deficiencies related to the allegations are cited. Complaint IN00426914 - No deficiencies related to the allegations are cited.
Report Facts
Residential Census: 81
Inspection Report
Follow-Up
Census: 81
Deficiencies: 0
Feb 14, 2024
Visit Reason
This visit was for the Post Survey Revisit (PSR) to the State Residential Licensure Survey completed on 10/24/23, conducted in conjunction with investigations of multiple complaints.
Findings
The facility was found to be in compliance with the State Residential Licensure Survey requirements. Complaints IN00412422 and IN00412687 were corrected, and no deficiencies were cited related to complaints IN00421503 and IN00426914.
Complaint Details
Complaints IN00412422 and IN00412687 were corrected. Complaints IN00421503 and IN00426914 had no deficiencies related to the allegations cited.
Report Facts
Residential Census: 81
Inspection Report
Follow-Up
Census: 96
Deficiencies: 0
Oct 24, 2023
Visit Reason
This visit was a Post Survey Revisit (PSR) to the Investigation of Complaint IN00398471 completed on 2023-06-01, conducted in conjunction with PSRs to other complaint investigations and the State Residential Licensure Survey.
Findings
Clarendale of Schererville was found to be in compliance with 410 IAC 16.2-5 regarding the PSR to Investigation of Complaint IN00398471. Some complaints were corrected while others were not corrected, and no deficiencies related to one complaint were cited.
Complaint Details
Complaint IN00398471 was corrected; Complaints IN00412422 and IN00412687 were not corrected; Complaint IN00419038 had no deficiencies related to the allegations cited.
Report Facts
Residential Census: 96
Inspection Report
Complaint Investigation
Census: 96
Deficiencies: 13
Oct 24, 2023
Visit Reason
This visit was for the State Residential Licensure Survey and the Investigation of Complaint IN00419038, conducted in conjunction with Post Survey Revisits to previous complaints.
Findings
The facility was found deficient in multiple areas including failure to timely notify responsible parties and physicians after resident incidents, involuntary seclusion due to automatic door locks, incomplete fire drills, unlicensed staff providing care, incomplete annual inservice training, kitchen sanitation issues, residents smoking in rooms, unsigned and outdated service plans, improper food handling, incomplete clinical records documentation, improper infection control practices including glucometer cleaning, lack of infection tracking, and missing annual tuberculin skin tests for residents.
Complaint Details
Complaint IN00419038 - No deficiencies related to the allegations cited. Complaint IN00398471 - Corrected. Complaint IN00412422 - Not Corrected. Complaint IN00412687 - Not Corrected.
Deficiencies (13)
| Description |
|---|
| Failure to ensure timely notification of resident's Responsible Party and/or Physician after falls and injuries for 3 of 11 records reviewed. |
| Residents were subjected to involuntary seclusion due to automatic door locks on 15 resident rooms in memory care units. |
| Failure to conduct fire drills quarterly on each shift and to hold fire and disaster drills with local fire department every 6 months. |
| Unlicensed employees providing more than limited assistance with activities of daily living were hired without proper certification or license. |
| Failure to complete required annual inservice training including dementia training for 2 of 5 staff reviewed. |
| Kitchen sanitation issues including stained walls, rusted ceiling tile trim, dust accumulation, dried food spillage, and staff not wearing hair restraints. |
| Resident found smoking inside their room contrary to community policy. |
| Failure to ensure service plans were signed by residents or responsible parties and updated according to changes for 8 of 11 residents reviewed. |
| Food preparation and serving areas not maintained in sanitary condition including improper glove use and hair restraints during meal preparation. |
| Clinical records incomplete and inaccurately documented related to falls, follow-up assessments, skin tears, bruising, and PRN medication administration for 3 of 11 residents. |
| Failure to clean glucometer with appropriate germicidal wipes before and after use. |
| Lack of documentation and implementation of infection control tracking and trending for infections. |
| Failure to complete tuberculin skin tests within required timeframes for 5 of 11 residents reviewed. |
Report Facts
Residents affected by involuntary seclusion: 51
Residents census: 96
Rooms with auto door locks: 15
Employees reviewed for licensing: 37
Employees hired without proper license: 4
Staff reviewed for annual dementia training: 5
Staff deficient in dementia training: 2
Residents reviewed for service plans: 11
Residents with unsigned or outdated service plans: 8
Residents reviewed for clinical records: 11
Residents with incomplete clinical documentation: 3
Residents reviewed for tuberculin skin tests: 11
Residents missing required TB skin tests: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karen Yarnell Rumple | Administrator | Signed the report. |
| LPN 1 | Named in infection control deficiency related to glucometer cleaning. | |
| HHA 3 | Home Health Aide | Hired without proper certification. |
| HHA 4 | Home Health Aide | Hired without proper certification. |
| CNA 1 | Certified Nursing Assistant | Hired without proper certification. |
| DON | Director of Nursing | Hired with expired license and later terminated. |
Inspection Report
Re-Inspection
Census: 96
Deficiencies: 3
Oct 23, 2023
Visit Reason
This visit was a Post Survey Revisit (PSR) to the Investigation of Complaints IN00412422 and IN00412687 completed on 7/19/23, done in conjunction with the PSR to Investigation of Complaint IN00398471 completed on 6/1/23, the State Residential Licensure Survey, and the Investigation of Complaint IN00419038.
Findings
The facility failed to timely notify residents' Responsible Party and/or Physician after falls and injuries for 3 of 11 records reviewed, had involuntary seclusion issues due to automatic door locks on 15 resident rooms in memory care units, and failed to ensure required annual dementia training for 2 of 5 staff members reviewed.
Complaint Details
Complaints IN00412422 and IN00412687 were not corrected; Complaint IN00398471 was corrected; Complaint IN00419038 had no deficiencies related to allegations.
Deficiencies (3)
| Description |
|---|
| Failed to ensure timely notification of resident's Responsible Party and/or Physician after falls, skin tears, bruising, and excoriation for Residents D, K, and F. |
| Failed to ensure residents were free from involuntary seclusion related to automatic door locks locking resident room doors once inside for 15 rooms on memory care units. |
| Failed to ensure required personnel annual inservice training, including dementia training, was completed for 2 of 5 staff members (HHA 1 and Concierge). |
Report Facts
Residential Census: 96
Number of resident rooms with auto-locking doors: 15
Staff members reviewed for dementia training: 5
Staff members non-compliant with dementia training: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karen Yarnell Rumple | Administrator | Signed report and interviewed as Executive Director regarding findings |
| HHA 1 | Staff member found non-compliant with dementia training | |
| Concierge | Staff member found non-compliant with dementia training |
Inspection Report
Complaint Investigation
Census: 95
Deficiencies: 7
Jul 18, 2023
Visit Reason
This visit was for the investigation of complaints IN00411782, IN00412422, and IN00412687 at Clarendale of Schererville.
Findings
The facility was found deficient in multiple areas including failure to notify families of resident-to-resident altercations, failure to protect residents from abuse, failure to provide requested medical records timely, failure to complete required employee background checks and orientation, failure to provide annual inservice education, and failure to properly assess a resident after a fall for possible injury.
Complaint Details
This visit was complaint-related for complaints IN00411782, IN00412422, and IN00412687. Complaint IN00411782 had no deficiencies related to allegations. Complaints IN00412422 and IN00412687 had multiple state deficiencies cited related to resident rights, abuse, personnel screening, and health services.
Deficiencies (7)
| Description |
|---|
| Failed to notify residents' families about a resident to resident altercation for 2 of 3 residents reviewed. |
| Failed to ensure residents were free from abuse, related to neglecting to protect Memory Care Residents from aggressive residents, resulting in injury and hospital transfer. |
| Failed to ensure a Power of Attorney received copies of the resident's medical record within five working days. |
| Failed to screen employees hired in the past four months related to criminal background checks and references for 6 of 6 employee records reviewed. |
| Failed to orient employees to the facility's abuse policy for 6 of 6 employees hired in the past 4 months. |
| Failed to ensure inservice education was completed yearly for all employees who had worked longer than four months related to abuse and resident rights education for 2 of 5 employees reviewed. |
| Failed to ensure a resident received necessary care and services related to a thorough assessment after a fall to determine if the resident had signs and symptoms of a fractured hip prior to moving the resident off the floor. |
Report Facts
Residential Census: 95
Number of employees reviewed for background checks: 6
Number of employees reviewed for orientation to abuse policy: 6
Number of employees reviewed for annual inservice education: 5
Number of employees lacking yearly inservice education: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kristin Landahl | Executive Director | Signed the report. |
| LPN 1 | Mentioned in relation to resident-to-resident altercation and late record entry. | |
| LPN 2 | Responded to resident altercation and provided signed statement. | |
| Director of Nursing | Director of Nursing | Interviewed regarding resident altercation and employee orientation. |
| Business Office Manager | Interviewed regarding employee background checks and orientation. | |
| Administrator | Provided facility policies and statements regarding complaints and record requests. | |
| CNA 1 | Witnessed resident altercation aftermath. |
Inspection Report
Complaint Investigation
Census: 94
Deficiencies: 2
Jun 1, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00398471 regarding resident grievances and allegations of abuse.
Findings
The facility failed to thoroughly investigate and document resident grievances for 1 of 3 residents reviewed (Resident C). Additionally, the facility failed to report allegations of sexual inappropriateness and results of investigations to the State Agency in a timely manner for 1 of 3 residents reviewed for abuse (Resident D).
Complaint Details
Complaint IN00398471 was substantiated with a state deficiency cited at R0041 related to resident grievances. The investigation also revealed failure to timely report abuse allegations to the State Agency.
Deficiencies (2)
| Description |
|---|
| Failed to ensure resident grievances were thoroughly investigated and documented in writing for 1 of 3 residents reviewed (Resident C). |
| Failed to ensure all alleged allegations of sexual inappropriateness and results of reportable investigations were reported to the State Agency in a timely manner for 1 of 3 residents reviewed for abuse (Resident D). |
Report Facts
Residential Census: 94
Dates of grievances and incidents: Grievance dated 9/15/22; abuse incidents documented on 3/10/23 and 3/15/23; State Reportable dated 5/17/23.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kristin Landahl | Executive Director | Interviewed regarding grievance investigation and abuse reporting; signed the report. |
Inspection Report
Complaint Investigation
Census: 95
Deficiencies: 0
Dec 6, 2022
Visit Reason
This visit was conducted for the investigation of Complaint IN00385200.
Findings
The complaint IN00385200 was found to be unsubstantiated due to lack of evidence, and the facility was found to be in compliance with 410 IAC 16.2-5 regarding the complaint investigation.
Complaint Details
Complaint IN00385200 was investigated and found to be unsubstantiated due to lack of evidence.
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