Inspection Reports for
Towne Centre Assisted Living LLC

Investigation of Complaints IN00457194 and IN00458664 found no deficiencies related to the allegations.

No deficiencies were cited related to the complaints. Deficiencies were found related to medication administration, service plan documentation, food preparation, clinical records, and emergency binder completeness.

The investigation was triggered by multiple complaints. Some complaints resulted in deficiencies cited, while others did not. Specific complaints with deficiencies include IN00450879, IN00451396, IN00452221, and IN00453719. The facility was cited for failures related to notification, reporting, sanitation, and medication administration.

The facility was found deficient in several areas including failure to notify physician and responsible party of low blood pressure and medication not administered, failure to report a major accident within 24 hours, unsanitary dining conditions with wet silverware and food crumbs on the floor, and failure to ensure medication was administered as ordered by the physician.

The investigation involved eight complaints, with deficiencies related only to complaints IN00445701 and IN00447134. Complaints IN00444826, IN00445088, IN00445291, IN00445944, IN00447573, and IN00450377 had no deficiencies related to the allegations. The cited deficiency involved incomplete follow-up documentation of a skin discoloration condition in Resident D.

The facility was found noncompliant in maintaining complete and accurate clinical records related to follow-up documentation of a new skin condition for one resident (Resident D). Several complaints had no deficiencies related to the allegations, but state deficiencies were cited related to complaints IN00445701 and IN00447134.

The investigation was triggered by multiple complaints alleging issues such as theft, inadequate grievance handling, resident elopement, environmental concerns, and care deficiencies. Some complaints resulted in cited deficiencies, while others did not.

The facility was found deficient in several areas including failure to implement grievance policies, inadequate supervision leading to resident elopement and injury, failure to maintain comfortable environmental temperatures, failure to update resident service plans to reflect changes in condition, and failure to provide adequate supervision and care related to falls and pressure ulcer treatments.

The visit included investigation of complaints IN00416936, IN00417082, IN00417715, IN00417984, IN00418886, IN00418935, IN00419284, IN00419841, and IN00422911. Several complaints were substantiated with related deficiencies cited.

The facility was found deficient in multiple areas including failure to promptly notify family of significant condition changes, failure to implement grievance policies, expired CNA certification, incomplete health screenings, environmental maintenance issues, kitchen sanitation problems, incomplete resident evaluations and service plans, medication availability issues, and incomplete clinical documentation.

Complaints IN00414337 and IN00415257 were substantiated with state deficiencies cited at R0241 related to medication administration errors. Complaints IN00414189, IN00415017, and IN00416416 had no deficiencies related to the allegations.

The facility failed to ensure medications were administered as ordered by the physician for 2 of 5 residents observed during a morning medication pass, including incorrect dosages and missed medication administration. Deficiencies were cited related to medication patch administration and incorrect dosage of lorazepam and omeprazole.

The complaint investigation revealed that for 1 of 3 residents reviewed for abuse (Resident E), the allegation was not reported to the Indiana Department of Health as required. The resident reported staff abuse on 5/11/23, but the Executive Director did not report it until 6/5/23 after the surveyor interview. The resident declined to meet with administration for further investigation.

The investigation found state deficiencies related to complaints IN00403733, IN00409478, and IN00409562 concerning failure to report an allegation of abuse to the Indiana Department of Health for one resident. Other complaints had no deficiencies cited.

This investigation was triggered by complaints IN00394470, IN00397091, IN00397140, IN00398308, and IN00401392. Deficiencies were substantiated for complaints IN00394470, IN00397091, and IN00398308. Complaints IN00397140 and IN00401392 had no deficiencies related to the allegations.

The facility was found deficient in several areas including failure to notify a resident's physician and responsible party of a fall, failure to ensure staff awareness of call light activation due to lack of walkie talkies, failure to update service plans to reflect resident behaviors and language barriers, failure to ensure medication patches were applied as ordered, improper medication preparation practices, and failure to follow infection control guidelines during medication administration.

Complaint IN00389230 - Substantiated with no deficiencies cited. Complaint IN00390925 - Substantiated with no deficiencies cited. Complaint IN00391642 - Substantiated with state deficiencies cited at R0041 and R0053. Previous complaints IN00377550, IN00379284, IN00381495, and IN00384290 were corrected.

The facility was substantiated for complaints related to verbal abuse involving one resident (Resident B). The facility failed to immediately notify the Administrator of the verbal abuse allegation and failed to ensure the resident was free from verbal abuse. The staff nurse involved was suspended and terminated, and corrective actions including staff education and audits were implemented.

Complaints IN00377550, IN00379284, IN00381495, and IN00384290 were corrected. Complaints IN00389230 and IN00390925 were substantiated with no deficiencies cited. Complaint IN00391642 was substantiated with state deficiencies cited at R0041 and R0053.

Several complaints were corrected, while three complaints were substantiated. No deficiencies were cited for two substantiated complaints, but state deficiencies related to one substantiated complaint were cited at R0041 and R0053. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the PSR and complaint investigations.

This visit included investigation of complaints IN00377550, IN00378152, IN00378896, IN00379284, IN00381495, IN00382665, and IN00384290. Several complaints were substantiated with related deficiencies cited.

The facility was found deficient in multiple areas including failure to provide comprehensive nursing care for pressure ulcers, failure to notify physicians and responsible parties of changes in condition, improper visitation restrictions during COVID-19 outbreak, failure to ensure transportation for orthopedic consult, lack of posting of survey results, incomplete fall investigations, employment of unlicensed nurse aide past waiver expiration, failure to ensure resident self-medication ability, failure to provide necessary personal care, incomplete medication administration documentation, failure to follow dietitian recommendations timely, incomplete clinical records, and infection control deficiencies including improper mask and glove use and lack of COVID-19 testing and isolation protocols.