Inspection Reports for The Crossings at Kokomo
2501 Friendship Blvd, Kokomo, IN 46901, United States, IN, 46901
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Inspection Report
Renewal
Census: 63
Deficiencies: 3
Jul 2, 2024
Visit Reason
This visit was for a State Residential Licensure Survey conducted on July 2 and 3, 2024, to assess compliance with state regulations.
Findings
The facility was found deficient in administering required tuberculosis (TB) screenings for employees and residents, and in ensuring proper medication storage and administration for residents. Specific deficiencies included failure to complete two-step TB testing for one employee and one resident, and failure to ensure a resident without self-administration assessment did not possess medications.
Deficiencies (3)
| Description |
|---|
| Failed to administer first and second step tuberculosis (TB) test to a new employee (QMA 4). |
| Failed to ensure a resident (Resident 39) without self-administration assessment was not in possession of medications. |
| Failed to complete first and second step tuberculosis (TB) test for one resident (Resident 63). |
Report Facts
Residential Census: 63
Employees reviewed for TB testing: 5
Residents reviewed for TB testing: 5
Residents reviewed for medication storage: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Douglas Hurlbut | Executive Director | Signed the report and provided the Tuberculosis Control Plan. |
| Director of Nursing | Interviewed regarding TB testing and medication storage deficiencies. | |
| Clinical Support 2 | Interviewed regarding medication storage. | |
| LPN 3 | Interviewed regarding resident's medication possession. |
Inspection Report
Renewal
Census: 64
Deficiencies: 4
May 24, 2023
Visit Reason
This visit was for a State Residential Licensure Survey conducted on May 23 and 24, 2023, to assess compliance with state regulations.
Findings
The facility was found deficient in several areas including failure to involve the local fire department in fire drills, incomplete tuberculosis (TB) screening for staff and residents, and improper food handling practices related to thawing and dating meat. Plans of correction were submitted addressing these deficiencies.
Deficiencies (4)
| Description |
|---|
| Failed to ensure an attempt was made to hold fire drills in conjunction with the local fire department. |
| Failed to ensure staff received tuberculin (TB) skin testing or screening prior to resident contact for 4 of 5 recently hired staff. |
| Failed to ensure meat was dated when moved from the freezer to the refrigerator to thaw and thawed meat had a use by date. |
| Failed to ensure residents received tuberculin (TB) testing prior to or at admission for 2 of 7 residents reviewed. |
Report Facts
Residential Census: 64
Fire drills required: 12
Fire drills reviewed: 12
Staff without TB screening: 4
Residents without TB testing: 2
Days thawed chicken kept: 8
Monitoring period: 13
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Indicated multiple staff had not had TB testing done and facility lacked a provider to order PPD solution. |
| Executive Director | Executive Director | Provided policies and indicated lack of documentation for local fire department participation in drills. |
| Maintenance Director | Maintenance Director | Had been at facility for 3 months and had not included local fire department in drills. |
| Dining Manager | Dining Manager | Observed thawed meat without proper dating and indicated food was discarded. |
Inspection Report
Complaint Investigation
Census: 61
Deficiencies: 1
Jan 19, 2023
Visit Reason
This visit was for the investigation of complaints IN00389996, IN00398736, and IN00399459. Complaints IN00398736 and IN00399459 were substantiated with state deficiencies cited at R272, while complaint IN00389996 was unsubstantiated due to lack of evidence.
Findings
The facility failed to ensure food temperatures were completed prior to serving breakfast, lunch, and dinner, potentially affecting all 61 residents. The Business Office Manager was unaware of the requirement to check food temperatures, and the facility lacked a food temperature policy. Food temperature logs were incomplete, with the last entry dated 10/24/22.
Complaint Details
Complaint IN00389996 was unsubstantiated due to lack of evidence. Complaints IN00398736 and IN00399459 were substantiated with state deficiencies cited at R272 related to food temperature issues.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure food temperatures were completed prior to food being served for breakfast, lunch, and dinner. |
Report Facts
Residential Census: 61
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Douglas Hurlbut | Executive Director | Named as Executive Director who indicated food should always be tempted prior to serving residents |
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