Inspection Reports for The Mansion on Main
1420 E Main St, New Albany, IN 47150, United States, IN, 47150
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
Unclassified
Census Over Time
Inspection Report
Complaint Investigation
Census: 99
Deficiencies: 0
Jul 16, 2025
Visit Reason
This visit was for a State Residential Licensure Survey and included the Investigation of Complaint IN00461233.
Findings
No deficiencies related to the complaint allegations were cited. The facility was found to be in compliance with the applicable state residential licensure regulations.
Complaint Details
Complaint IN00461233 was investigated and found to have no deficiencies related to the allegations.
Report Facts
Residential Census: 99
Inspection Report
Complaint Investigation
Census: 106
Deficiencies: 0
Dec 17, 2024
Visit Reason
This visit was conducted for the investigation of Complaint IN00443130.
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 IN00443130 was investigated and found to have no deficiencies related to the allegations.
Inspection Report
Census: 99
Deficiencies: 0
Jun 20, 2024
Visit Reason
This visit was for a State Residential Licensure Survey conducted on June 19 and 20, 2024.
Findings
The Mansion on Main 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: 107
Deficiencies: 0
Jun 12, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00409147.
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 IN00409147 was investigated and found to have no deficiencies related to the allegations.
Inspection Report
Follow-Up
Census: 100
Deficiencies: 0
May 3, 2023
Visit Reason
This visit was a Post Survey Revisit (PSR) to investigate Complaint IN00402455 completed on 2023-03-20.
Findings
The facility was found to be in compliance with 410 IAC 16.2-5 regarding the PSR to Investigation of Complaint IN00402455.
Complaint Details
Complaint IN00402455 was corrected.
Inspection Report
Complaint Investigation
Census: 101
Deficiencies: 1
Mar 20, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00402455 regarding allegations of neglect related to failure to initiate CPR on a resident with a CPR advance directive.
Findings
The facility failed to initiate CPR on Resident B who had a CPR advance directive. The clinical record lacked documentation of pulse assessment or CPR initiation. Staff responded timely to the call pendant and notified EMS, but CPR was not performed due to circumstances including fire department restrictions and staff certification limitations.
Complaint Details
Complaint IN00402455 was substantiated with a state deficiency cited at R0052 related to failure to initiate CPR on Resident B.
Deficiencies (1)
| Description |
|---|
| Failure to initiate CPR on a resident with a CPR advance directive. |
Report Facts
Residential Census: 101
Date of incident: Feb 22, 2023
Date of survey: Mar 20, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| LPN 2 | Licensed Practical Nurse | Responded to Resident B's call, notified EMS, and was involved in the incident. |
| CNA 3 | Certified Nurse Aide | Responded to Resident B's call pendant and notified LPN 2. |
| Director of Nursing | Director of Nursing | Interviewed regarding the incident and facility policies on CPR. |
Inspection Report
Complaint Investigation
Census: 102
Deficiencies: 3
Jan 4, 2023
Visit Reason
This visit was for a State Residential Licensure Survey including the investigation of Complaints IN00397084 and IN00393841.
Findings
The facility was found to have deficiencies related to personnel records and food and nutritional services. Specifically, missing employee references and orientation documentation were noted, and the kitchen was found unclean and in disrepair, affecting all residents receiving meals.
Complaint Details
Complaint IN00397084 was substantiated with a related state deficiency cited at R0273. Complaint IN00393841 was substantiated but no deficiencies related to the allegations were cited.
Deficiencies (3)
| Description |
|---|
| Failed to ensure an employee's references were documented for 1 of 5 personnel files reviewed (LPN 4). |
| Failed to ensure documentation of general and specific orientation was completed for 2 of 5 personnel files reviewed (CNA 5 and LPN 3). |
| Failed to ensure the kitchen and equipment were clean and in good repair during 3 of 3 kitchen observations, including frost buildup, grease accumulation, and food particles. |
Report Facts
Personnel files reviewed: 5
Residents affected: 102
Survey dates: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Peter Hastings | Executive Director | Signed the report and provided facility policy. |
| LPN 4 | Licensed Practical Nurse | Personnel file lacked documentation of employee references. |
| LPN 3 | Licensed Practical Nurse | Personnel file lacked documentation of general and specific orientation. |
| CNA 5 | Certified Nurse Aide | Personnel file lacked documentation of specific orientation. |
| Executive Chef | Observed kitchen deficiencies and conducted in-service training. | |
| Cook 1 | Interviewed regarding frost buildup in freezer. | |
| Director of Nursing | DON | Interviewed about missing employee references and orientation documentation. |
| Maintenance Director | Inspected freezer door and reset it to improve alignment. |
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