Inspection Reports for Tipton Place

460 FORKS OF THE WABASH WAY, HUNTINGTON, IN, 46750

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Inspection Report Summary

The most recent inspection on November 22, 2024, identified several deficiencies including incomplete dementia training, unsigned resident service plans, improper medication administration, lack of an Activity Director, and infection control issues prior to September 2024. Earlier inspections also noted deficiencies related to medication storage, kitchen sanitation, service plan documentation, staffing certifications, fire drills, and facility maintenance. Complaint investigations conducted in January and March 2024 were unsubstantiated, with no deficiencies found related to the allegations. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. The inspection history shows recurring issues with documentation, medication management, and staffing, with no clear improvement trend over time.

Deficiencies (last 3 years)

Deficiencies (over 3 years) 5.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

26% worse than Indiana average
Indiana average: 4.2 deficiencies/year

Deficiencies per year

8 6 4 2 0
2022
2023
2024

Census

Latest occupancy rate 23 residents

Based on a November 2024 inspection.

This facility has shown a decline in demand based on occupancy rates.

Census over time

16 20 24 28 32 Aug 2022 Nov 2023 Jan 2024 Mar 2024 Nov 2024

Inspection Report

Renewal
Census: 23 Deficiencies: 6 Date: Nov 22, 2024

Visit Reason
This visit was for a State Residential Licensure Survey conducted on November 21 and 22, 2024, to assess compliance with state regulations for the facility.

Findings
The facility was found noncompliant in several areas including failure to have the most recent State Survey results readily available to the public, incomplete dementia training for some employees, unsigned resident service plans, improper medication administration technique, lack of an Activity Director, and inadequate infection control surveillance prior to September 2024.

Deficiencies (6)
Failed to have the most recent State Survey results readily available to the public.
Failed to ensure required dementia training was completed for 2 of 5 employee records reviewed.
Failed to ensure service plans were reviewed with the resident and/or their representative and acknowledged by signature for 3 of 6 residents reviewed.
Failed to ensure medications were administered according to professional guidelines for 1 of 5 residents reviewed.
Failed to employ an Activity Director.
Failed to ensure a system was in place to analyze patterns of infection prior to September 2024 for all residents.
Report Facts
Residential Census: 23 Dementia training hours for QMA 4: 2.25 Dementia training hours for CNA 5: 4 Insulin dose: 25 Date of survey completion: Nov 22, 2024

Employees mentioned
NameTitleContext
Melissa QuinnExecutive DirectorSigned the report and involved in interviews regarding findings
QMA 4Employee with incomplete dementia training and medication administration error
CNA 5Employee with incomplete dementia training

Inspection Report

Complaint Investigation
Census: 21 Deficiencies: 0 Date: Mar 27, 2024

Visit Reason
This visit was conducted for the investigation of Complaint IN00431272.

Complaint Details
Complaint IN00431272 was investigated and found to have no deficiencies related to the allegations.
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.

Inspection Report

Complaint Investigation
Census: 24 Deficiencies: 0 Date: Jan 10, 2024

Visit Reason
This visit was conducted for the investigation of Complaint IN00424710.

Complaint Details
Complaint IN00424710 was investigated and found to have no related deficiencies; the complaint was not substantiated.
Findings
No deficiencies related to the allegations in Complaint IN00424710 were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the complaint.

Inspection Report

Renewal
Census: 22 Deficiencies: 4 Date: Nov 20, 2023

Visit Reason
This visit was for a State Residential Licensure Survey conducted on November 20, 2023.

Findings
The facility was found deficient in multiple areas including medication storage, kitchen sanitation and maintenance, service plan documentation, and food safety. Specific issues included unsecured resident medication in the activity room refrigerator, poor kitchen cabinet maintenance and sanitation, incomplete service plan reviews and signatures, and unsanitary food preparation areas.

Deficiencies (4)
Failed to ensure a resident's medication was stored securely during a random observation.
Failed to ensure kitchen cabinetry was maintained in good condition to prevent contamination of dishes, food, and equipment.
Failed to ensure service plans were reviewed with the resident and/or their representative and acknowledged by signature for 5 of 7 residents reviewed.
Failed to ensure the kitchen was maintained in a sanitary manner, including issues with rusted equipment, slimy ice machine, spoiled lettuce, grime on fire dampers and vents, and dirty floors.
Report Facts
Residents affected by medication storage deficiency: 21 Residents affected by kitchen cabinetry deficiency: 21 Residents affected by kitchen sanitation deficiency: 21 Residents reviewed for service plans: 7

Employees mentioned
NameTitleContext
Melissa QuinnExecutive DirectorSigned the report and involved in corrective actions and audits.
Cook 73Provided information during kitchen observations regarding sanitation and cabinet conditions.
QMA 17Entered the activity room and indicated unawareness of medication being stored in the activity room refrigerator.
Director of FacilitiesInvolved in audits and retraining related to kitchen sanitation and repairs.
Executive ChefRetrained on cleaning, sanitation, and food handling procedures.
Director of Health & WellnessCompleted audit of resident service plans and was trained on ensuring proper signatures.
interim DONDirector of NursingIndicated service plans should be reviewed and signed by residents or their representatives.

Inspection Report

Renewal
Census: 25 Deficiencies: 6 Date: Aug 3, 2022

Visit Reason
This visit was for a State Residential Licensure Survey conducted on August 3 and 4, 2022, to assess compliance with state regulations for residential care facilities.

Findings
The facility was found noncompliant in several areas including failure to conduct monthly fire drills consistently, insufficient awake staff with first aid certification on multiple shifts, unclean and stained carpeting in common and resident areas, failure to address pharmacist recommendations with medical providers for some residents, missing clinical record for a discharged resident, and incomplete tuberculosis skin testing for one resident.

Deficiencies (6)
Failure to ensure monthly fire drills were completed as required.
Failure to ensure an awake employee with current CPR and first aid certification was present at all times.
Failure to maintain clean and good repair carpeting in common areas and resident rooms.
Failure to ensure pharmacist recommendations were addressed with a medical provider for 3 of 6 residents reviewed.
Failure to maintain clinical record for a discharged resident (Resident 6).
Failure to ensure a resident received a second-step tuberculin skin test for tuberculosis screening.
Report Facts
Residential Census: 25 Fire drills completed: 5 Shifts lacking awake staff with first aid training: 11 Residents reviewed for pharmacist recommendations: 6 Residents reviewed for tuberculin testing: 6

Employees mentioned
NameTitleContext
Care Services Manager NurseInterviewed regarding staffing, pharmacist recommendations, and tuberculosis testing.
Executive DirectorProvided fire drill records, completed fire drill, conducted audits, and re-educated staff.
Regional Director of Care ServicesProvided re-education on fire drills, staffing, pharmacist recommendations, clinical records, and tuberculosis testing.

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