Inspection Reports for The Commons on Meridian
8549 N Meridian St., Indianapolis, IN 46260, IN, 46260
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Inspection Report
Complaint Investigation
Census: 49
Deficiencies: 0
May 22, 2025
Visit Reason
This visit was conducted for the investigation of complaints IN00459126 and IN00458393.
Findings
No deficiencies related to the allegations in complaints IN00459126 and IN00458393 were cited. The facility was found to be in compliance with applicable regulations.
Complaint Details
Investigation of Complaints IN00459126 and IN00458393 found no deficiencies related to the allegations; both complaints were not substantiated.
Report Facts
Residential Census: 49
Inspection Report
Complaint Investigation
Census: 46
Deficiencies: 2
Apr 7, 2025
Visit Reason
This visit was for a State Residential Licensure Survey which included the investigation of Complaint IN00445429.
Findings
No deficiencies related to the complaint allegations were cited. Two deficiencies were found: failure to ensure a Qualified Medication Aide received authorization from a licensed nurse before giving a PRN medication for one resident, and failure to obtain daily weights and notify the physician of significant weight gain for another resident.
Complaint Details
Complaint IN00445429 was investigated and no deficiencies related to the allegations were cited.
Deficiencies (2)
| Description |
|---|
| Failed to ensure a Qualified Medication Aide received authorization from a licensed nurse before giving an as needed (prn) medication for 1 of 7 residents reviewed for prn medications (Resident 11). |
| Failed to ensure staff obtained a resident's weight daily and notified the physician of a weight gain according to the physician's order for 1 of 1 resident reviewed for medications (Resident 8). |
Report Facts
Residents reviewed for PRN medications: 7
Residents reviewed for medication weight monitoring: 1
Residential Census: 46
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Carrie Hamilton | Executive Director | Signed the report and involved in interviews regarding findings. |
| Director of Nursing | Interviewed regarding medication administration and weight monitoring deficiencies. | |
| Clinical Support | Interviewed regarding missing daily weights and notification to physician. |
Inspection Report
Complaint Investigation
Census: 53
Deficiencies: 3
May 13, 2024
Visit Reason
This visit was for a State Residential Licensure Survey including the investigation of three complaints (IN00433084, IN00432871, and IN00415348).
Findings
No deficiencies were cited related to the complaints investigated. Deficiencies were found related to personnel background checks, food and nutritional services, and pharmaceutical services, with corrective actions planned and implemented.
Complaint Details
Complaints IN00433084, IN00432871, and IN00415348 were investigated with no deficiencies related to the allegations cited.
Deficiencies (3)
| Description |
|---|
| Facility failed to obtain a criminal background check on 1 of 5 employees reviewed (Housekeeper 1). |
| Facility failed to ensure staff covered facial hair in the kitchen, dishes were clean and air dried before shelving, food items were labeled with open dates, and food was not left open to air in freezer, pantry, and cooler. |
| Facility failed to ensure staff signed the narcotic logbook during shift change for 2 of 2 narcotic books reviewed. |
Report Facts
Residents receiving meals from kitchen: 53
Employees reviewed for background checks: 5
Narcotic logbooks reviewed: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Carrie Hamilton | Executive Director | Signed report and involved in corrective action oversight. |
| Housekeeper 1 | Employee missing criminal background check. | |
| Dietary Staff 3 | Interviewed regarding kitchen deficiencies. | |
| Dietary Manager | Interviewed regarding food labeling and storage. | |
| QMA 4 | Interviewed regarding narcotic logbook procedures. |
Inspection Report
Re-Inspection
Census: 38
Deficiencies: 0
Sep 27, 2023
Visit Reason
This visit was a Post Survey Revisit (PSR) to the Investigation of Complaints IN00414444 and IN00413906 completed on August 8, 2023, conducted in conjunction with a PSR to the State Residential Licensure Survey completed on May 10, 2023.
Findings
Both complaints IN00414444 and IN00413906 were found to be corrected, and the facility was found to be in compliance with 410 IAC 16.2-5 regarding the PSR to the investigation of these complaints.
Complaint Details
Complaint IN00414444 and Complaint IN00413906 were investigated and found to be corrected.
Report Facts
Residential Census: 38
Inspection Report
Re-Inspection
Census: 38
Deficiencies: 0
Sep 27, 2023
Visit Reason
This visit was a Post Survey Revisit (PSR) to the State Residential Licensure Survey completed on May 10, 2023, conducted in conjunction with a PSR to Complaints IN00414444 and IN00413906 completed on August 8, 2023.
Findings
Anthology of Meridian Hills was found to be in compliance with 410 IAC 16.2-5 in regard to the PSR to the State Residential Licensure Survey. Both complaints IN00414444 and IN00413906 were corrected.
Complaint Details
Complaint IN00414444 and Complaint IN00413906 were investigated and found to be corrected.
Report Facts
Facility number: 13933
Residential Census: 38
Inspection Report
Complaint Investigation
Census: 40
Deficiencies: 3
Aug 7, 2023
Visit Reason
The visit was conducted for the investigation of complaints IN00414444 and IN00413906 regarding alleged deficiencies in resident care and medication management.
Findings
The facility failed to notify physicians and responsible parties about missed blood pressure medications for residents, failed to provide timely assistance with activities of daily living for one resident, and failed to ensure medications were ordered and in stock for two residents. Documentation and notification policies were not properly followed.
Complaint Details
This visit was complaint-related for complaints IN00414444 and IN00413906. Deficiencies related to these complaints were cited at R0036, R0240, and R0305.
Deficiencies (3)
| Description |
|---|
| Failed to notify physician and responsible party when blood pressure medications were not administered for 2 of 7 residents. |
| Failed to ensure timely assistance with activities of daily living for 1 of 11 residents observed for incontinence care. |
| Failed to ensure medications were ordered and in stock for 2 of 7 residents reviewed for pharmacy services. |
Report Facts
Residential Census: 40
Days medication not administered: 8
Days medication not administered: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Charette | Executive Director | Signed the report and involved in interviews regarding medication and care issues. |
| Director of Nursing | Interviewed regarding medication reordering responsibilities and notification procedures. |
Inspection Report
Complaint Investigation
Census: 42
Deficiencies: 6
May 10, 2023
Visit Reason
This visit was for a State Residential Licensure Survey which included the Investigation of Complaint IN00402328.
Findings
No deficiencies were cited related to the complaint allegations. However, multiple deficiencies were found including failure to ensure residents were advised of their rights upon admission, failure to prevent abuse by staff, lack of first aid certified nursing staff on one shift, incomplete dementia training for staff, unsigned resident service plans, and lack of an infection control program with a system to analyze infectious symptoms.
Complaint Details
Complaint IN00402328 was investigated and no deficiencies related to the allegations were cited.
Deficiencies (6)
| Description |
|---|
| Failed to ensure a resident was advised of their rights upon admission for 1 of 7 residents reviewed (Resident G). |
| Failed to ensure a resident was free from physical and mental abuse from a staff member for 1 of 3 residents reviewed for abuse (Resident J). |
| Failed to ensure nursing staff with first aid certification was onsite for 1 of 21 shifts reviewed (April 18, 2023 night shift). |
| Failed to ensure staff having contact with cognitively impaired residents received required dementia training within required timeframes for 2 of 5 staff reviewed. |
| Failed to ensure residents' service plans were signed and dated for 7 of 7 residents reviewed (Residents B, C, D, E, F, G, H). |
| Failed to develop and implement an Infection Control program including a system to analyze patterns of known infectious symptoms affecting all 42 residents. |
Report Facts
Residential Census: 42
Shifts without first aid certified staff: 1
Staff reviewed for dementia training: 5
Residents reviewed for service plans: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Charette | Executive Director | Interviewed regarding resident rights and abuse allegations; signed report. |
| QMA 5 | Qualified Medication Aide | Named in abuse allegation involving Resident J; terminated on 02/23/2023. |
| Director of Health and Wellness | Interviewed regarding abuse allegations and staff training. | |
| RN 8 | Primary Hospice Nurse | Interviewed regarding Resident J's injury and abuse allegations. |
Inspection Report
Complaint Investigation
Census: 35
Deficiencies: 0
Dec 1, 2022
Visit Reason
This visit was conducted for the investigation of Complaint IN00393362.
Findings
The complaint 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 IN00393362 was investigated and found to be unsubstantiated due to lack of evidence.
Inspection Report
Re-Inspection
Census: 36
Deficiencies: 0
Nov 9, 2022
Visit Reason
This visit was a Post Survey Revisit (PSR) to the Investigation of Complaint IN00387612 completed on August 22, 2022.
Findings
Anthology of Meridian Hills was found to be in compliance with 410 IAC 16.2-5 in regard to the PSR to Investigation of Complaint IN00387912.
Complaint Details
Complaint IN00387612 - Corrected.
Inspection Report
Complaint Investigation
Census: 33
Deficiencies: 1
Aug 22, 2022
Visit Reason
This visit was for the investigation of Complaints IN00387612 and IN00387683. Complaint IN00387612 was substantiated with state deficiencies cited, while Complaint IN00387683 was unsubstantiated due to lack of evidence.
Findings
The facility failed to ensure a resident with dementia was free from neglect when Resident B wandered away from the facility grounds without staff knowledge, resulting in the resident being missing for approximately 4 hours and walking three miles on busy roads before being returned by a stranger and spouse. The facility's elopement alarm was not responded to timely, and policies for elopement were not properly implemented.
Complaint Details
Complaint IN00387612 was substantiated with related state deficiencies cited. Complaint IN00387683 was unsubstantiated due to lack of evidence.
Deficiencies (1)
| Description |
|---|
| Failed to ensure a resident was free from neglect when a resident with dementia wandered away from the facility grounds without staff's knowledge. |
Report Facts
Response time to elopement alarm: 41.38
Resident census: 33
Duration resident missing: 4
Distance walked by resident: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding the incident, indicated she was not present when resident wandered out and acknowledged failure to respond timely to alarm. | |
| Activity Director | Interviewed about last sighting of Resident B before elopement. | |
| Qualified Medication Assistant (QMA) 1 | Responded to alarm, conducted head count, and resolved alarm. | |
| Qualified Medication Assistant (QMA) 2 | Not aware of resident leaving until informed later. |
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