Inspection Reports for The Crossings at Banta Pointe
6510 US-31, Indianapolis, IN 46227, United States, IN, 46227
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Inspection Report
Complaint Investigation
Census: 48
Deficiencies: 1
Apr 29, 2025
Visit Reason
This visit was conducted for the investigation of Complaint IN00457589 regarding allegations of verbal abuse at the facility.
Findings
The facility failed to protect one resident's right to be free from verbal abuse by a staff member who used foul language towards the resident. The staff member involved was terminated, and corrective actions including staff training on resident rights were planned.
Complaint Details
Complaint IN00457589 was substantiated with state deficiencies cited related to verbal abuse allegations.
Deficiencies (1)
| Description |
|---|
| Failure to protect resident's right to be free from verbal abuse for 1 of 3 residents reviewed (Resident B). |
Report Facts
Residential Census: 48
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| QMA 1 | Terminated due to using foul language while speaking to Resident B | |
| QMA 2 | Interviewed regarding the incident involving Resident B and QMA 1 | |
| CNA 1 | Interviewed and involved in removing Resident B from the situation | |
| Administrator | Provided information about the incident and resident rights policy |
Inspection Report
Complaint Investigation
Census: 48
Deficiencies: 7
Mar 13, 2025
Visit Reason
This visit was for a State Residential Licensure Survey including the Investigation of Complaint IN00453902.
Findings
The facility was found deficient in multiple areas including failure to protect residents' confidentiality, unsecured hazardous materials, incomplete resident service plan signatures, improper food storage, incomplete drug disposition documentation for a discharged resident, missing annual health statements, and failure to provide a second step tuberculosis skin test.
Complaint Details
Complaint IN00453902 triggered the investigation; state deficiencies related to the allegations were cited at R306.
Deficiencies (7)
| Description |
|---|
| Failed to protect residents' right to confidentiality of clinical and personal records. |
| Failed to ensure potentially hazardous materials were kept secure behind locked doors. |
| Failed to ensure resident service plans had signatures from resident or responsible party for 2 of 7 residents reviewed. |
| Failed to ensure foods were maintained and served in a sanitary and safe manner; foods were not kept covered or dated. |
| Failed to document a completed drug disposition for a discharged resident. |
| Failed to ensure annual health statements were documented for 1 of 7 residents reviewed. |
| Failed to ensure a resident was provided the second step of a two-step Mantoux skin test upon admission. |
Report Facts
Residential Census: 48
Residents affected by confidentiality deficiency: 48
Residents affected by hazardous materials deficiency: 8
Residents reviewed for service plans: 7
Residents with missing service plan signatures: 2
Residents reviewed for infection control: 7
Residents missing annual health statement: 1
Residents missing second step Mantoux skin test: 1
Residents reviewed for drug disposition: 2
Residents with incomplete drug disposition: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tim Cooper | Executive Director | Signed the report |
| Director of Nursing | Interviewed regarding confidentiality, hazardous materials, service plans, infection control, and tuberculosis testing | |
| Business Office Manager | Provided policies and information regarding complaint and deficiencies | |
| Dietary Manager | Interviewed regarding food storage deficiencies | |
| Culinary Director | Responsible for food service corrective actions and monitoring | |
| Director of Health and Wellness | Responsible for auditing service plans and drug disposition corrective actions |
Inspection Report
Follow-Up
Census: 54
Deficiencies: 0
Mar 6, 2025
Visit Reason
This visit was a Post Survey Revisit (PSR) to the Investigation of Complaint IN00453428 completed on February 14, 2025.
Findings
Five Star Residences of Banta Pointe was found to be in compliance with 410 IAC 16.2-5 in regard to the PSR to Investigation of Complaint IN00453428.
Complaint Details
Complaint IN00453428 - Corrected.
Inspection Report
Complaint Investigation
Census: 45
Deficiencies: 2
Feb 14, 2025
Visit Reason
This visit was conducted for the investigation of Complaint IN00453428, which involved allegations related to medication administration errors and failure to report a significant medication incident.
Findings
The facility failed to submit a required reportable incident to the State Department of Health regarding a significant medication error that resulted in a resident being hospitalized. The error involved a transcription mistake causing a resident to receive twice the prescribed dose of warfarin for 15 days, leading to an uncontrolled nosebleed and prolonged blood clotting time.
Complaint Details
Complaint IN00453428 was substantiated with state deficiencies cited at tags R90 and R241 related to medication administration errors and failure to report the incident.
Deficiencies (2)
| Description |
|---|
| Failed to submit a required facility reportable incident to the State Department of Health regarding a significant medication error resulting in hospitalization. |
| Failed to administer medications per physician's orders, resulting in uncontrolled nosebleed and hospitalization. |
Report Facts
Residents reviewed for medication administration: 3
Duration of incorrect medication administration: 15
INR level: 7
Residential Census: 45
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tim Cooper | Executive Director | Signed the report and responsible for monitoring reportable events. |
| LPN 2 | Transcribed the incorrect Coumadin order leading to medication error. | |
| Director of Nursing | DON | Provided medication incident report and indicated corrective actions. |
| Administrator | Indicated the facility reportable for the medication error should have been reported to the State Department of Health. |
Inspection Report
Complaint Investigation
Census: 55
Deficiencies: 0
Dec 30, 2024
Visit Reason
This visit was conducted for the investigation of Complaint IN00448486.
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 investigation.
Complaint Details
Complaint IN00448486 was investigated and found to have no deficiencies related to the allegations.
Inspection Report
Complaint Investigation
Census: 53
Deficiencies: 0
Oct 15, 2024
Visit Reason
This visit was conducted for the investigation of Complaint IN00443995.
Findings
No deficiencies related to the complaint allegation were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the complaint investigation.
Complaint Details
Complaint IN00443995 was investigated and found to have no deficiencies related to the allegation.
Inspection Report
Renewal
Census: 56
Deficiencies: 4
Apr 22, 2024
Visit Reason
This visit was for a State Residential Licensure Survey conducted on April 22 and 23, 2024, to assess compliance with state regulations for the facility.
Findings
The facility was found deficient in conducting the required quarterly fire drills on each shift, maintaining proper certification for a Resident Assistant, securing hazardous materials behind locked doors, and maintaining hot water temperatures within the required range in one resident apartment.
Deficiencies (4)
| Description |
|---|
| Failed to ensure twelve fire drills were completed in a calendar year and quarterly on each shift. |
| Failed to ensure a Resident Assistant had a valid Certified Nursing Assistant (CNA) certification prior to providing more than limited assistance. |
| Failed to ensure potentially hazardous materials were kept secure behind locked doors to prevent resident access. |
| Failed to maintain hot water temperatures between 100 and 120 degrees Fahrenheit in one resident apartment. |
Report Facts
Residential Census: 56
Fire drills completed: 9
Resident Assistants reviewed: 10
Shifts missing fire drills: 3
Self-mobile cognitively impaired residents: 3
Resident 8 shifts worked: 17
Hot water temperature: 124
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Resident Assistant 8 | Resident Assistant | Named in deficiency for lacking valid CNA certification while providing more than limited assistance. |
| Linda Potts | Provider/Supplier representative who signed the report. |
Inspection Report
Complaint Investigation
Census: 57
Deficiencies: 0
Mar 4, 2024
Visit Reason
This visit was conducted for the investigation of Complaint IN00425932.
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 investigation.
Complaint Details
Complaint IN00425932 was investigated and found to have no deficiencies related to the allegations.
Report Facts
Residential Census: 57
Inspection Report
Complaint Investigation
Census: 56
Deficiencies: 1
Sep 25, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00415966 regarding state deficiencies related to allegations cited at R349.
Findings
The facility failed to ensure a complete and accurate resident record was readily available for 1 of 3 residents reviewed (Resident B). Specifically, narcotic medication packets and corresponding narcotic sign out sheets were unaccounted for, indicating noncompliance with clinical record-keeping requirements.
Complaint Details
Complaint IN00415966 was investigated and state deficiencies related to the allegations were cited at R349.
Deficiencies (1)
| Description |
|---|
| Failed to ensure a complete and accurate resident record was readily available for Resident B, including missing narcotic sign out sheets and unaccounted narcotic medication packets. |
Report Facts
Residential Census: 56
Medication packets delivered: 28
Medication packets delivered: 60
Medication administrations: 8
Medication administrations: 11
Audit frequency: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Interviewed regarding missing narcotic medication packets and sign out sheets for Resident B |
| LPN 1 | Licensed Practical Nurse | Interviewed about missing narcotic medication packets for Resident B |
| LPN 2 | Licensed Practical Nurse | Interviewed about missing narcotic medication packets for Resident B |
| Director of Resident Care | Director of Resident Care | Conducted in-service training on narcotic medication policies |
Inspection Report
Complaint Investigation
Census: 58
Deficiencies: 0
Aug 7, 2023
Visit Reason
This visit was for the Investigation of Complaint IN00414115.
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 investigation.
Complaint Details
Complaint IN00414115 was investigated and found to have no deficiencies related to the allegations.
Inspection Report
Census: 54
Deficiencies: 0
May 24, 2023
Visit Reason
This visit was for a State Residential Licensure Survey conducted on May 23 and 24, 2023.
Findings
Five Star Residences of Banta Pointe was found to be in compliance with 410 IAC 16.2-5 in regard to the State Residential Licensure Survey.
Inspection Report
Complaint Investigation
Census: 52
Deficiencies: 0
Jan 19, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00394828.
Findings
The complaint IN00394828 was found to be unsubstantiated due to lack of evidence, and the facility was found to be in compliance with applicable regulations.
Complaint Details
Complaint IN00394828 was investigated and found unsubstantiated due to lack of evidence.
Report Facts
Residential Census: 52
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