Inspection Reports for Villages at Historic Silvercrest the
1 SILVERCREST DRIVE, IN, 47150
Back to Facility ProfileInspection Report Summary
The most recent inspection on May 29, 2025, found the facility in compliance with all previously cited deficiencies related to a complaint about fire safety and emergency preparedness. Earlier inspections showed a pattern of deficiencies primarily related to kitchen safety, fire safety procedures, and resident care documentation, including issues with kitchen equipment cleanliness, staff training on fire suppression systems, and monitoring of residents’ health conditions. Several substantiated complaints involved food procurement and kitchen safety, fire safety plan accuracy, and quality of care concerns such as failure to identify abnormal bowel patterns and notify physicians of critical lab results. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility appears to have addressed prior deficiencies through corrective actions and follow-up visits, indicating improvement over time.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
6.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
50% worse than Indiana average
Indiana average: 4.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
77% occupied
Based on a May 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Follow-Up
Census: 77
Capacity: 100
Deficiencies: 0
May 29, 2025
Visit Reason
A Post Survey Revisit (PSR) was conducted to investigate Complaint Number IN00456847 from 04/10/2025, to verify correction of previously cited deficiencies.
Findings
The facility was found in compliance with Medicare/Medicaid participation requirements, Life Safety from Fire, and the 2012 edition of the NFPA 101 Life Safety Code. All previously cited deficiencies related to the complaint were corrected as of 04/16/2025.
Complaint Details
This visit was a Post Survey Revisit to Complaint Number IN00456847. Federal/State deficiencies related to the complaint were corrected on 04/16/2025. The facility was found in compliance at the time of this survey.
Report Facts
Facility capacity: 100
Census: 77
Skilled Care Unit capacity: 54
Skilled Care Unit census: 44
Inspection Report
Complaint Investigation
Census: 36
Capacity: 70
Deficiencies: 1
Apr 15, 2025
Visit Reason
This visit was conducted for the investigation of Nursing Home Complaint IN00456878 regarding food procurement and kitchen safety.
Findings
The facility failed to ensure kitchen equipment related to the ovens was properly cleaned and maintained, which led to a fire in the kitchen oven. The fire was extinguished without resident harm, and the facility implemented corrective actions including staff education and enhanced cleaning schedules.
Complaint Details
Complaint IN00456878 was substantiated with a federal/state deficiency cited at F812 related to food procurement and kitchen safety. The fire occurred on 4/3/25 in the kitchen oven due to grease buildup. The facility corrected the deficiency by 4/7/25 with a systemic plan including staff education and cleaning schedule monitoring.
Severity Breakdown
SS=F: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to ensure kitchen equipment, related to the ovens, were properly cleaned and maintained to prevent a fire from occurring. | SS=F |
Report Facts
Residents affected: 36
Total licensed capacity: 70
Census: 36
Date of fire incident: Apr 3, 2025
Date of survey: Apr 15, 2025
Date of correction: Apr 7, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cook 1 | Present during the fire incident and provided details about the event. | |
| Director of Food Service | Director of Food Service | Interviewed regarding the fire and cleaning practices of the ovens. |
| Director of Plant Operations | Director of Plant Operations | Interviewed about the fire incident and maintenance checklist. |
Inspection Report
Complaint Investigation
Census: 73
Capacity: 100
Deficiencies: 2
Apr 10, 2025
Visit Reason
An investigation of Complaint Number IN00456847 was conducted by the Indiana Department of Health in accordance with 42 CFR 483.90(a) and Emergency Preparedness requirements.
Findings
The facility was found not in compliance with Medicare/Medicaid participation requirements related to fire safety and emergency preparedness. Deficiencies included failure to ensure staff were instructed in the proper use of the UL 300 hood fire suppression system in the kitchen and failure to have an accurate fire safety plan addressing all required elements for kitchen staff protection.
Complaint Details
Complaint Number IN00456847 was substantiated with federal/state deficiencies cited at tags K324 and K711 related to fire safety and emergency preparedness.
Severity Breakdown
SS=E: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to ensure staff were instructed in the proper use of the UL 300 hood fire suppression system in 1 of 1 kitchens. | SS=E |
| Failed to ensure the fire safety plan accurately addressed all life safety systems and required elements for kitchen staff protection. | SS=E |
Report Facts
Facility capacity Skilled Care Unit: 54
Census Skilled Care Unit: 39
Facility total capacity: 100
Facility total census: 73
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Miller | Executive Director | Named in relation to exit conference and overall facility management |
| Director of Food Services | Named in relation to education on fire hood system and fire evacuation plan | |
| Director of Plant Operations | Named in relation to education on fire hood system and fire evacuation plan |
Inspection Report
Follow-Up
Census: 49
Capacity: 79
Deficiencies: 0
Jan 30, 2025
Visit Reason
This visit was a Post Survey Revisit (PSR) for Nursing Home Complaint IN00448119 completed on 12/18/24.
Findings
The Villages at Historic Silvercrest was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 in regard to the PSR for Complaint IN00448119. The complaint was corrected.
Complaint Details
Complaint IN00448119 - Corrected.
Report Facts
Census SNF/NF: 49
Census Residential: 30
Total Census: 79
Census Payor Medicare: 27
Census Payor Medicaid: 10
Census Payor Other: 12
Inspection Report
Complaint Investigation
Census: 44
Capacity: 74
Deficiencies: 1
Dec 18, 2024
Visit Reason
This visit was for the Investigation of Nursing Home Complaint IN00448119 related to allegations of quality of care.
Findings
The facility failed to identify an abnormal bowel pattern for a resident with a previous diagnosis of C-diff. The resident had multiple loose stools and was eventually hospitalized and treated for UTI and sepsis. The facility lacked a policy on bowel and bladder management and did not consistently monitor or notify providers of abnormal bowel movements.
Complaint Details
Complaint IN00448119 was substantiated with a federal/state deficiency cited at F684 related to quality of care.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to identify an abnormal bowel pattern for a resident with previous C-diff diagnosis. | SS=D |
Report Facts
Census Bed Type - Total: 74
Census Payor Type - Total: 44
Survey dates: December 16, 17 and 18, 2024
Date of alleged compliance: Jan 7, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Victoria Roby Harper | Executive Director | Signed report and referenced in plan of correction |
| Tori Harper | Executive Director | Contact person for the facility and named in plan of correction |
| NP 15 | Nurse Practitioner | Interviewed regarding resident's bowel condition and treatment |
Inspection Report
Complaint Investigation
Census: 45
Capacity: 79
Deficiencies: 0
Oct 24, 2024
Visit Reason
This visit was conducted for the investigation of Complaint IN00444872.
Findings
No deficiencies related to the complaint allegations were cited. The facility was found to be in compliance with applicable regulations.
Complaint Details
Complaint IN00444872 was investigated and found to have no deficiencies related to the allegations.
Report Facts
Census Bed Type Total: 79
Census Payor Type Total: 45
Inspection Report
Re-Inspection
Census: 46
Capacity: 76
Deficiencies: 0
Aug 26, 2024
Visit Reason
This visit was a Post Survey Revisit (PSR) to the Recertification and State Licensure Survey completed on 7/22/24, including the PSR to the Residential Complaint Investigation completed on 6/20/24.
Findings
The Villages at Historic Silvercrest was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 in regard to the PSR to the Recertification Survey.
Complaint Details
This visit included the PSR to the Residential Complaint Investigation IN00434496 completed on 6/20/24.
Report Facts
Census Bed Type - SNF: 37
Census Bed Type - SNF/NF: 9
Census Bed Type - Residential: 30
Total Capacity: 76
Census Payor Type - Medicare: 24
Census Payor Type - Medicaid: 9
Census Payor Type - Other: 13
Total Census: 46
Inspection Report
Follow-Up
Census: 30
Deficiencies: 0
Aug 26, 2024
Visit Reason
This visit was a Post Survey Revisit (PSR) to the Investigation of Residential Complaint IN00434496 completed on 6/20/24, conducted in conjunction with a PSR to the Recertification and State Licensure Survey and a PSR to the State Residential Licensure Survey completed on 7/22/24.
Findings
The Villages at Historic Silvercrest was found to be in compliance with 42 CFR Part 483 Subpart B and 410 IAC 16.2-3.1 regarding the Investigation of Complaints IN00434496.
Complaint Details
Residential Complaint IN00434496 was corrected as of this visit.
Report Facts
Residential Census: 30
Inspection Report
Life Safety
Census: 46
Capacity: 56
Deficiencies: 7
Aug 6, 2024
Visit Reason
An Emergency Preparedness Survey and a Life Safety Code Recertification and State Licensure Survey were conducted by the Indiana Department of Health on 08/06/2024 to assess compliance with emergency preparedness and life safety requirements.
Findings
The facility was found in substantial compliance with emergency preparedness and life safety requirements, but several deficiencies were identified including unsecured fire alarm annunciator panel, lack of proper sprinkler wrench, incomplete fire hydrant and fire pump inspections, ceiling penetrations, uninspected fire extinguishers, corridor doors not latching properly, and incomplete electrical receptacle testing documentation.
Severity Breakdown
SS=F: 3
SS=E: 3
Deficiencies (7)
| Description | Severity |
|---|---|
| Fire alarm annunciator panel door had a key inserted and was accessible to unauthorized persons. | SS=F |
| Sprinkler system cabinet lacked the appropriate sprinkler wrench as specified by the manufacturer. | SS=F |
| Private fire hydrants were not inspected annually and after each operation as required; fire pump inspection was overdue. | SS=F |
| Ceiling penetrations and cracks in laundry and nursing supply rooms compromised smooth ceiling requirements for sprinkler operation. | — |
| Fire extinguishers in laundry room and across from medical records were not inspected monthly as required. | SS=E |
| Corridor doors including oxygen room, fire tower door, storage room, and dietary delivery door did not latch properly into frames. | SS=E |
| Incomplete documentation for annual testing of non-hospital-grade electrical receptacles in resident rooms. | SS=E |
Report Facts
Certified beds: 56
Current census: 46
Fire extinguisher inspection interval: 30
Fire hydrant inspection frequency: 1
Fire pump inspection frequency: 1
Sprinkler wrench audit frequency: 1
Door latch audit frequency: 14
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Victoria Roby Harper | Executive Director | Signed report and provided education on deficiencies |
| Tori Harper | Executive Director | Named in plan of correction and education for deficiencies |
Inspection Report
Life Safety
Deficiencies: 0
Aug 6, 2024
Visit Reason
The visit was a Life Safety Code Recertification and State Licensure Survey conducted to assess compliance with fire safety and state licensure requirements.
Findings
The Villages at Historic Silvercrest was found in compliance with Medicare/Medicaid participation requirements, Life Safety from Fire, and the 2012 Edition of the NFPA 101 Life Safety Code, Chapter 19, Existing Health Care Occupancies, and 410 IAC 16.2.
Inspection Report
Annual Inspection
Census: 46
Capacity: 75
Deficiencies: 3
Jul 22, 2024
Visit Reason
This visit was for a Recertification and State Licensure Survey including a State Residential Licensure Survey conducted from July 15 to July 22, 2024.
Findings
The facility was found deficient in monitoring and documenting urinary output for one resident with bladder incontinence, and in maintaining kitchen equipment cleanliness and sanitation, which had the potential to affect all residents receiving food from the kitchen.
Severity Breakdown
SS=D: 1
SS=E: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to monitor and appropriately document observation of the resident's urinary output for 1 of 2 residents reviewed for bladder incontinence (Resident 11). | SS=D |
| Failed to ensure the kitchen equipment was clean and free from grease and food particles for 3 of 3 kitchen observations, affecting residents on the 200 and 300 Halls. | SS=E |
| Failed to ensure the kitchen equipment was clean and free from grease and food particles for 3 of 3 kitchen observations, affecting residents on the Assisted Living floors. | — |
Report Facts
Survey dates: 6
Census Bed Type - SNF: 37
Census Bed Type - SNF/NF: 9
Census Bed Type - Residential: 29
Total Capacity: 75
Census Payor Type - Medicare: 23
Census Payor Type - Medicaid: 9
Census Payor Type - Other: 14
Residents potentially affected by kitchen deficiencies: 47
Residents potentially affected by kitchen deficiencies (Assisted Living): 29
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tori Harper | Executive Director | Named in relation to the plan of correction and survey report |
Inspection Report
Complaint Investigation
Census: 43
Capacity: 76
Deficiencies: 1
Jun 19, 2024
Visit Reason
This visit was conducted for the investigation of Nursing Home Complaints IN00435536 and IN00435798, as well as the investigation of Residential Complaint IN00434496.
Findings
No deficiencies were cited related to complaints IN00435536 and IN00435798. A state deficiency related to complaint IN00434496 was cited at R241. The facility was found to be in compliance with 42 CFR Part 483 Subpart B and 410 IAC 16.2-3.1 regarding the investigated nursing home complaints.
Complaint Details
Complaint IN00435536 - No deficiencies related to the allegation cited. Complaint IN00435798 - No deficiencies related to the allegations cited. Complaint IN00434496 - State deficiency related to the allegation cited at R241.
Deficiencies (1)
| Description |
|---|
| State deficiency related to Residential Complaint IN00434496 cited at R241. |
Report Facts
Census Bed Type - SNF/NF: 10
Census Bed Type - SNF: 33
Census Bed Type - Residential: 33
Total Capacity: 76
Census Payor Type - Medicare: 17
Census Payor Type - Medicaid: 10
Census Payor Type - Other: 16
Total Census: 43
Inspection Report
Complaint Investigation
Census: 50
Capacity: 83
Deficiencies: 0
Feb 23, 2024
Visit Reason
This visit was for the investigation of Nursing Home Complaint IN00427238.
Findings
No deficiency related to the allegation in Complaint IN00427238 was cited. The facility was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 regarding the complaint investigation.
Complaint Details
Complaint IN00427238 - No deficiency related to the allegation is cited.
Report Facts
Census Bed Type - SNF/NF: 12
Census Bed Type - SNF: 38
Census Bed Type - Residential: 33
Census Payor Type - Medicare: 22
Census Payor Type - Medicaid: 11
Census Payor Type - Other: 17
Inspection Report
Complaint Investigation
Census: 50
Capacity: 85
Deficiencies: 0
Jan 22, 2024
Visit Reason
This visit was conducted for the investigation of Nursing Home Complaints IN00425958 and IN00426426.
Findings
No deficiencies related to the allegations in complaints IN00425958 and IN00426426 were cited. The facility was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1.
Complaint Details
Complaint IN00425958 - No deficiencies related to the allegation is cited. Complaint IN00426426 - No deficiencies related to the allegations are cited.
Report Facts
Census Bed Type - SNF/NF: 10
Census Bed Type - SNF: 40
Census Bed Type - Residential: 35
Total Capacity: 85
Census Payor Type - Medicare: 25
Census Payor Type - Medicaid: 10
Census Payor Type - Other: 15
Total Census: 50
Inspection Report
Complaint Investigation
Census: 48
Capacity: 85
Deficiencies: 1
Dec 14, 2023
Visit Reason
This visit was conducted for the investigation of Nursing Home Complaint IN00420694.
Findings
No deficiencies related to the complaint allegations were cited; however, an unrelated deficiency was cited involving staff neglect of a resident, specifically failure to ensure the resident's call light was functional and timely response to the resident's needs.
Complaint Details
Complaint IN00420694 was investigated and found to have no deficiencies related to the allegations. The cited deficiency was unrelated to the complaint. The complaint involved concerns about neglect related to call light functionality and response time.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure staff to resident neglect did not occur for 1 of 3 residents reviewed for abuse, specifically related to call light being pulled from the wall and delayed assistance. | SS=D |
Report Facts
Census Bed Type - SNF: 36
Census Bed Type - SNF/NF: 12
Census Bed Type - Residential: 37
Total Capacity: 85
Census Payor Type - Medicare: 25
Census Payor Type - Medicaid: 10
Census Payor Type - Other: 13
Total Census: 48
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| LPN 4 | Licensed Practical Nurse | Interviewed regarding the incident and assisted resident after call light was found unplugged. |
| CNA 3 | Certified Nursing Aide | Confirmed to have pulled the call light cord from the wall and was removed from resident care. |
| CNA 5 | Certified Nursing Aide | Entered resident's room with CNA 3 to assist resident. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 28, 2023
Visit Reason
Paper compliance review to the Investigation of Complaint IN00412995 completed on September 28, 2023.
Findings
Villages at Historic Silvercrest was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 regarding the paper compliance review to the Complaint Investigation.
Complaint Details
Investigation of Complaint IN00412995; paper compliance review found facility in compliance.
Inspection Report
Complaint Investigation
Census: 48
Capacity: 85
Deficiencies: 2
Sep 27, 2023
Visit Reason
This visit was for the investigation of complaints IN00412762, IN00412995, and IN00416511. Complaints IN00412762 and IN00416511 had no deficiencies related to the allegations, while complaint IN00412995 resulted in federal/state deficiencies cited at F580 and F689.
Findings
The facility failed to notify the physician of a critical laboratory result for one resident (Resident B) and failed to ensure adequate supervision and proper implementation of interventions to prevent accidents for the same resident. Resident B was discharged from the facility. The facility provided plans of correction including education and ongoing monitoring to ensure compliance.
Complaint Details
Complaint IN00412995 was substantiated with federal/state deficiencies cited at F580 and F689. Complaints IN00412762 and IN00416511 had no deficiencies related to the allegations.
Severity Breakdown
SS=D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to notify the physician of a critical laboratory result for Resident B. | SS=D |
| Failed to ensure adequate supervision and proper implementation of interventions to prevent accidents for Resident B. | SS=D |
Report Facts
Census Bed Type - SNF/NF: 36
Census Bed Type - SNF: 12
Census Bed Type - Residential: 37
Total Census: 85
Census Payor Type - Medicare: 22
Census Payor Type - Medicaid: 12
Census Payor Type - Other: 14
Total Census Payor: 48
Deficiency Completion Date: Oct 15, 2023
Inspection Report
Life Safety
Census: 48
Capacity: 54
Deficiencies: 2
Jun 20, 2023
Visit Reason
An Emergency Preparedness Survey and a Life Safety Code Recertification and State Licensure Survey were conducted by the Indiana Department of Health in accordance with 42 CFR 483.73 and 42 CFR 483.90(a) respectively on June 20, 2023.
Findings
The facility was found in substantial compliance with Emergency Preparedness requirements and Life Safety Code standards, but deficiencies were cited related to expired inspection certificates for fuel-fired water heaters and lack of current documentation for reliable fuel source for emergency generators.
Severity Breakdown
SS=C: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to ensure 3 of 3 fuel-fired water heaters had current inspection certificates to ensure safe operating condition. | SS=C |
| Failed to ensure current documentation that 2 of 2 emergency generators had a reliable source of fuel in accordance with NFPA standards. | SS=C |
Report Facts
Certified beds: 54
Census: 48
Fuel-fired water heaters inspected: 3
Emergency generators: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Victoria Roby Harper | Executive Director | Reviewed findings and educated staff on corrective actions |
| Director of Plant Operations | Confirmed expired certificates and involved in corrective actions | |
| Assistant Director of Plant Operations | Involved in review and corrective actions |
Inspection Report
Recertification
Census: 81
Deficiencies: 5
Jun 12, 2023
Visit Reason
This visit was for a Recertification and State Licensure Survey, including an Investigation of Complaint IN00406418 and a State Residential Licensure Survey.
Findings
The facility was found deficient in multiple areas including failure to test blood sugar levels as ordered for one resident, improper catheter maintenance for another resident, lack of emergency respiratory supplies for a resident with a tracheostomy, expired food items in the kitchen, and unsafe electrical outlets in the laundry room.
Complaint Details
Complaint IN00406418 - Federal/State deficiency related to the allegation is cited at F812 and State deficiency related to the allegation is cited at R0273.
Severity Breakdown
SS=D: 5
Deficiencies (5)
| Description | Severity |
|---|---|
| Failure to ensure a resident's blood sugar levels were tested at the appropriate time sequence as ordered by the physician for 1 of 12 residents reviewed for quality of care. | SS=D |
| Failure to ensure proper maintenance of a catheter and drainage system was off the floor for 1 of 2 residents reviewed for bowel and bladder. | SS=D |
| Failure to ensure emergency respiratory supplies were available for a resident with a tracheostomy for 1 of 2 residents reviewed for Respiratory Care. | SS=D |
| Failure to ensure expired foods were removed from service related to mustard, fruit cups and mango chunks, potentially affecting 46 of 48 residents receiving regular diets. | SS=D |
| Failure to ensure an electrical outlet was maintained in a safe, functioning manner during 2 of 2 observations of the laundry room, potentially affecting all residents. | SS=D |
Report Facts
Survey dates: June 5, 6, 7, 8, 9, and 12, 2023
Census Bed Type: 81
Residents reviewed for quality of care: 12
Residents reviewed for bowel and bladder: 2
Residents reviewed for respiratory care: 2
Residents receiving regular diets: 46
Residents currently residing: 48
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Victoria Roby Harper | Executive Director | Signed the report and mentioned in relation to facility compliance. |
| LPN 13 | Licensed Practical Nurse | Interviewed regarding blood sugar testing procedures. |
| LPN 14 | Licensed Practical Nurse | Interviewed regarding blood sugar charting and timing. |
| LPN 5 | Licensed Practical Nurse | Interviewed regarding catheter care. |
| LPN 15 | Licensed Practical Nurse | Interviewed regarding catheter care and positioning. |
| Assistant Director of Nursing | Interviewed regarding catheter care and tracheostomy supplies. | |
| Resident 32 | Resident involved in blood sugar testing deficiency. | |
| Resident 29 | Resident involved in catheter care deficiency. | |
| Resident 35 | Resident involved in tracheostomy care deficiency. | |
| Dietary Manager | Interviewed regarding expired food items. | |
| Laundry Aide 11 | Interviewed regarding laundry room electrical outlet. | |
| Housekeeping Supervisor | Interviewed regarding laundry room electrical outlet. | |
| Assistant Director of Plant Operations | Interviewed regarding laundry room electrical outlet. | |
| Director of Nursing | Interviewed regarding blood sugar testing and tracheostomy care. | |
| RN 16 | Registered Nurse | Interviewed regarding tracheostomy care and supplies. |
| AL Director 17 | Interviewed regarding tracheostomy supplies. | |
| Corporate Nurse | Provided policies and interviewed regarding maintenance and nursing. | |
| Executive Director | Interviewed regarding laundry room electrical outlet. |
Inspection Report
Annual Inspection
Deficiencies: 0
Jun 12, 2023
Visit Reason
The visit was conducted for paper compliance to the Annual Recertification and State Licensure review, including a paper compliance review of a Complaint Investigation and State Residential Licensure Survey completed on June 12, 2023.
Findings
The facility, Villages at Historic Silvercrest, was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 based on the paper review of the Recertification, State Licensure survey, and Complaint Investigation.
Complaint Details
The visit included a paper compliance review of Complaint Investigation IN00406418; the facility was found in compliance.
Inspection Report
Re-Inspection
Census: 48
Capacity: 54
Deficiencies: 0
Aug 30, 2022
Visit Reason
A Post Survey Revisit (PSR) to the Life Safety Code Recertification and State Licensure Survey conducted on 07/06/22 was performed to verify compliance with fire safety and licensure requirements.
Findings
The Villages at Historic Silvercrest was found in compliance with Medicare/Medicaid participation requirements, Life Safety from Fire, and the 2012 Edition of the NFPA 101 Life Safety Code. The facility was fully sprinklered with appropriate fire alarm and smoke detection systems.
Report Facts
Facility capacity: 54
Census: 48
Inspection Report
Renewal
Census: 43
Capacity: 75
Deficiencies: 0
Aug 2, 2022
Visit Reason
This visit was for a PSR to the Recertification and State Licensure Survey.
Findings
The Villages of Historic Silvercrest was found to be in compliance with 410 IAC 16.2-5 in regard to the PSR to the Recertification and Licensure.
Report Facts
Census Bed Type - SNF/NF: 11
Census Bed Type - SNF: 32
Census Bed Type - Residential: 32
Census Bed Type - Total Capacity: 75
Census Payor Type - Medicare: 17
Census Payor Type - Medicaid: 11
Census Payor Type - Other: 15
Census Payor Type - Total: 43
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