Inspection Reports for Waters of Wabash Skilled Nursing Facility East the
1900 N ALBER ST, IN, 46992
Back to Facility ProfileDeficiencies per Year
20
15
10
5
0
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Life Safety
Census: 53
Capacity: 84
Deficiencies: 16
Jun 10, 2025
Visit Reason
An Emergency Preparedness and Life Safety Code survey was conducted by the Indiana Department of Health to assess compliance with Medicare and Medicaid participation requirements, including fire safety and emergency preparedness.
Findings
The facility was found not in compliance with emergency preparedness requirements, fire safety codes, and maintenance of essential electrical systems. Deficiencies included failure to track staff and residents during emergencies, malfunctioning generator annunciator panel, obstructed corridor egress, uneven exit discharge surfaces, missing self-closing devices on hazardous area doors, lack of approved kitchen hood appliance placement method, incomplete fire alarm system maintenance, inadequate fire watch plan, corridor door not latching properly, missing annual fire door inspections, lack of ground fault circuit interrupter protection in wet locations, incomplete fire drill documentation, and incomplete testing of patient care related electrical equipment.
Severity Breakdown
Level C: 3
Level E: 5
Level F: 7
Deficiencies (16)
| Description | Severity |
|---|---|
| Failed to ensure emergency preparedness policies include a system to track location of on-duty staff and sheltered residents during and after an emergency. | Level C |
| Failed to implement emergency power system inspection, testing, and maintenance requirements; generator annunciator panel indicator lights did not illuminate. | Level F |
| Failed to maintain corridor means of egress free of obstructions; shower chair stored in corridor. | Level E |
| Failed to ensure exit discharges had level walking surfaces free of obstructions. | Level E |
| Failed to provide properly working self-closing devices on hazardous area doors. | Level E |
| Failed to provide approved method for returning cooking appliances to approved design location and failed to instruct staff on UL 300 hood system use. | Level E |
| Failed to maintain fire alarm system in accordance with NFPA 70 and NFPA 72; no documentation of smoke detector sensitivity testing. | Level F |
| Failed to provide complete written fire watch policy including proper notification procedures. | Level C |
| Failed to provide correct written policy for sprinkler system impairment and fire watch procedures. | Level C |
| Failed to ensure corridor door to Activities Lounge closed and latched properly to resist smoke passage. | Level E |
| Failed to provide ground fault circuit interrupter (GFCI) protection at wet location (ice machine receptacle). | Level E |
| Failed to ensure fire drills included verification of transmission of fire alarm signal to monitoring station. | Level F |
| Failed to conduct annual inspection and testing of fire door assemblies and maintain documentation. | Level F |
| Failed to maintain emergency generator annunciator panel in proper operating condition; indicator lights did not illuminate. | Level F |
| Failed to maintain essential electrical systems in accordance with NFPA 110; missing letter of reliability from natural gas provider. | Level F |
| Failed to conduct required maintenance and maintain documentation for Patient Care Related Electrical Equipment (PCREE). | Level F |
Report Facts
Certified beds: 84
Census: 53
Deficiencies cited: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Logan Vance | Administrator | Named as facility administrator signing the report |
| Maintenance Director | Interviewed and acknowledged multiple findings related to maintenance and fire safety |
Inspection Report
Annual Inspection
Census: 56
Capacity: 56
Deficiencies: 10
May 22, 2025
Visit Reason
This visit was for a Recertification and State Licensure Survey conducted from May 18 to May 22, 2025.
Findings
The facility was found deficient in multiple areas including resident dignity during dining, notification of Medicare non-coverage, cleanliness of wheelchairs, care plan updates after falls, pressure ulcer prevention, seizure precautions, dietary staff qualifications, meal palatability, food storage and sanitation, and infection prevention practices related to enhanced barrier precautions.
Severity Breakdown
SS=D: 7
SS=E: 1
SS=F: 2
Deficiencies (10)
| Description | Severity |
|---|---|
| Failed to provide a dignified dining experience for 2 of 20 residents observed during meal service. | SS=D |
| Failed to provide notification of Medicare non-coverage for 2 of 3 residents reviewed. | SS=D |
| Failed to provide clean equipment for 2 of 19 residents reviewed for wheelchair cleanliness. | SS=D |
| Failed to implement fall precautions and update care plan interventions following falls for 1 of 2 residents reviewed for accidents. | SS=D |
| Failed to implement interventions to prevent and promote healing of a pressure injury for 1 of 3 residents reviewed for pressure injuries. | SS=D |
| Failed to implement seizure precautions for 1 of 2 residents reviewed for accidents. | SS=D |
| Failed to ensure the Dietary Manager completed the required education to meet the qualifications for a Dietary Manager. | SS=F |
| Failed to ensure meals were palatable for 17 of 31 residents reviewed for palatable meals. | SS=E |
| Failed to store and prepare food under safe and sanitary conditions related to kitchen equipment, utensil storage, food storage, and chemical storage. | SS=F |
| Failed to consistently implement facility policy for enhanced barrier precautions for 1 of 3 residents reviewed for enhanced barrier precautions. | SS=D |
Report Facts
Survey dates: 5
Census: 56
Total capacity: 56
Residents reviewed for palatable meals: 31
Residents affected by meal palatability deficiency: 17
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Logan Vance | Administrator | Signed the inspection report |
| CNA 5 | Mentioned in wheelchair cleanliness and seizure precaution findings | |
| CNA 11 | Mentioned in wheelchair cleanliness findings | |
| CNA 12 | Mentioned in wheelchair cleanliness and meal service findings | |
| LPN 4 | Mentioned in wheelchair cleanliness and pressure ulcer prevention findings | |
| DON/Designee | Director of Nursing | Responsible for assessments, audits, staff education, and monitoring corrective actions |
| Dietary Manager | Mentioned in dietary staff qualification and food service deficiencies | |
| Regional Director of Operations | Mentioned in dietary service and kitchen sanitation findings | |
| Infection Preventionist | Responsible for infection control education and monitoring |
Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 4, 2025
Visit Reason
The inspection was conducted as a paper compliance review related to the Investigation of Complaint IN00452389 completed on March 12, 2025.
Findings
The Waters of Wabash Skilled Nursing Facility East 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 complaint investigation.
Complaint Details
Investigation of Complaint IN00452389 completed on March 12, 2025; facility found in compliance.
Inspection Report
Complaint Investigation
Census: 54
Capacity: 54
Deficiencies: 1
Mar 12, 2025
Visit Reason
This visit was conducted for the investigation of complaints IN00452389 and IN00454338. Complaint IN00452389 resulted in federal/state deficiencies related to infection prevention and control, while Complaint IN00454338 had no deficiencies cited.
Findings
The facility failed to maintain appropriate infection control practices during urinary catheter care for one resident requiring Enhanced Barrier Precautions. Specifically, a CNA failed to don a gown before catheter care despite signage and policy requirements.
Complaint Details
Complaint IN00452389 was substantiated with federal/state deficiencies cited at F880 related to infection prevention and control. Complaint IN00454338 had no deficiencies related to the allegations.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to maintain appropriate infection control practices during urinary catheter care for one resident requiring Enhanced Barrier Precautions. | SS=D |
Report Facts
Census: 54
Licensed Capacity: 54
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Logan Vance | Administrator | Signed the report and provided the Enhanced Barrier Precaution sign |
Inspection Report
Complaint Investigation
Census: 47
Capacity: 47
Deficiencies: 0
Jan 13, 2025
Visit Reason
This visit was conducted for the investigation of complaints IN00446277 and IN00449250.
Findings
No deficiencies related to the allegations in complaints IN00446277 and IN00449250 were cited. The facility was found to be in compliance with applicable regulations.
Complaint Details
Complaint IN00446277 - No deficiencies related to the allegations are cited. Complaint IN00449250 - No deficiencies related to the allegations are cited.
Report Facts
Census Bed Type: 47
Total Capacity: 47
Census Payor Type - Medicare: 4
Census Payor Type - Medicaid: 33
Census Payor Type - Other: 10
Inspection Report
Plan of Correction
Deficiencies: 0
Nov 6, 2024
Visit Reason
The document is a paper compliance submission for the Post Survey Revisit (PSR) that exited on 10/22/2024, related to the Life Safety Code Recertification and State Licensure Survey that exited on 08/29/2024.
Findings
The Waters of Wabash Skilled Nursing Facility East was found in compliance with Requirements for Participation in Medicare/Medicaid, Life Safety from Fire, and the 2012 edition of the National Fire Protection Association (NFPA) 101, Life Safety Code, Chapter 19, Existing Health Care Occupancies and 410 IAC 16.2.
Inspection Report
Re-Inspection
Census: 53
Capacity: 84
Deficiencies: 1
Oct 22, 2024
Visit Reason
A Post Survey Revisit (PSR) was conducted to follow up on previous Emergency Preparedness and Life Safety Code Recertification surveys conducted on 08/29/2024.
Findings
The facility was found in compliance with Emergency Preparedness Requirements but was not in compliance with Life Safety Code requirements due to failure to ensure smoke barrier walls were constructed to required standards. The deficiency involved penetrations sealed with joint compound instead of firestop systems meeting ASTM E 814. The facility implemented corrective actions and a plan to prevent recurrence.
Severity Breakdown
SS=F: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 3 smoke barrier walls were constructed to requirements according to the authority having jurisdiction (AHJ), with penetrations sealed improperly with joint compound instead of firestop systems meeting ASTM E 814. | SS=F |
Report Facts
Certified beds: 84
Census: 53
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Logan Vance | Administrator | Named in relation to findings and exit conference |
Inspection Report
Routine
Census: 50
Capacity: 84
Deficiencies: 17
Aug 29, 2024
Visit Reason
An Emergency Preparedness and Life Safety Code survey was conducted to assess compliance with federal and state regulations including emergency preparedness plans, fire safety, and facility maintenance.
Findings
The facility was found not in compliance with several emergency preparedness requirements including failure to annually review and update the Emergency Preparedness Plan, policies and procedures, communication plan, training program, and arrangements with other facilities. Life safety deficiencies included a collapsed ceiling smoke barrier, obstructed sprinkler heads, propped open kitchen door, corridor door not latching, improper storage of liquid oxygen in resident room, and incomplete fire watch and fire safety plans. Corrective actions and monitoring plans were implemented.
Severity Breakdown
SS=F: 11
SS=C: 3
SS=E: 3
SS=D: 1
SS=A: 1
Deficiencies (17)
| Description | Severity |
|---|---|
| Failed to review and update the Emergency Preparedness Plan at least annually. | SS=F |
| Failed to review and update Emergency Preparedness Plan policies and procedures annually. | SS=F |
| Failed to ensure Emergency Preparedness Plan included arrangements with other LTC facilities to receive residents during limitations or cessation of operations. | SS=F |
| Failed to review and update the Emergency Preparedness Plan Communication Plan annually. | SS=F |
| Failed to ensure Emergency Preparedness Plan Communication Plan included current staff names and contact information. | SS=F |
| Failed to review and update the Emergency Preparedness Plan Training and Testing Program annually. | SS=F |
| Failed to analyze and maintain documentation of all Emergency Preparedness Program drills. | SS=C |
| Failed to maintain one-hour ceiling smoke barrier between attic and living areas; ceiling collapsed due to water damage. | SS=E |
| Kitchen serving door was propped open allowing kitchen to be open to corridor. | SS=F |
| Failed to provide correct written policy for fire alarm system out of service for four hours or more in 24-hour period. | SS=C |
| Failed to ensure spray pattern for sprinkler heads were not obstructed. | SS=E |
| Resident room corridor door did not latch due to obstruction by shoe rack. | SS=D |
| Failed to provide written emergency fire safety plan incorporating all NFPA 101 required items. | SS=C |
| Failed to ensure non-hospital grade electrical receptacles in resident rooms were tested annually. | SS=F |
| Emergency generator annunciator panel horn was turned off, disabling audible alarm. | SS=F |
| Failed to ensure staff properly trained on oxygen trans-filling procedures. | SS=F |
| Failed to protect resident rooms from use of liquid oxygen cylinders stored in patient bed location or patient care room. | SS=A |
Report Facts
Certified beds: 84
Census: 50
Deficiency count: 20
Soiled linen/trash barrels: 2
Sprinkler heads obstructed: 1
Resident rooms: 40
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Logan Vance | Administrator | Named in relation to emergency preparedness plan and corrective actions |
Inspection Report
Annual Inspection
Census: 46
Capacity: 46
Deficiencies: 1
Aug 5, 2024
Visit Reason
This visit was for a Recertification and State Licensure Survey, which included the Investigation of Complaint IN00439229.
Findings
No deficiencies related to the complaint allegations were cited. However, the facility failed to report a resident suicide attempt to the Indiana State Department of Health for one resident. Immediate corrective actions and staff education were implemented, and ongoing monitoring was planned.
Complaint Details
Complaint IN00439229 was investigated with no deficiencies related to the allegations cited.
Deficiencies (1)
| Description |
|---|
| Facility failed to report a resident suicide attempt to the Indiana State Department of Health for 1 of 1 residents reviewed for accidents (Resident 11). |
Report Facts
Census: 46
Total Capacity: 46
Medicare Census: 1
Medicaid Census: 36
Other Payor Census: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Logan Vance | Administrator | Named in relation to the inspection and corrective action plan |
Inspection Report
Follow-Up
Census: 45
Capacity: 45
Deficiencies: 0
May 3, 2024
Visit Reason
This visit was a Post Survey Revisit (PSR) to the Investigation of Complaint IN00427042 completed on March 21, 2024.
Findings
The Waters of Wabash Skilled Nursing Facility East 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 Investigation of Complaint IN00427042.
Complaint Details
Complaint IN00427042 was corrected.
Report Facts
Census SNF/NF: 45
Total Capacity: 45
Census Payor Type Medicare: 1
Census Payor Type Medicaid: 34
Census Payor Type Other: 10
Inspection Report
Complaint Investigation
Census: 48
Capacity: 48
Deficiencies: 2
Mar 20, 2024
Visit Reason
This visit was conducted for the investigation of Complaint IN00427042 regarding allegations related to food quality and infection control.
Findings
The facility failed to provide palatable food to 23 residents, with issues including dry, cold, and hard meat, and mushy vegetables. Additionally, infection control practices were not maintained during meal service, as staff handled ready-to-eat food without gloves.
Complaint Details
Complaint IN00427042 was substantiated with federal/state deficiencies cited at F804 (food palatability) and F880 (infection control).
Severity Breakdown
SS=D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to provide palatable food to residents, including dry and cold meat and unappetizing vegetables. | SS=D |
| Failed to maintain infection control practices while serving food, including bare hand contact with ready-to-eat foods. | SS=D |
Report Facts
Residents affected by food palatability deficiency: 23
Census: 48
Total licensed capacity: 48
Medicare residents: 4
Medicaid residents: 33
Private pay residents: 8
Other pay residents: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michael Wolfe | Administrator | Signed the report and provided policy information |
Inspection Report
Plan of Correction
Deficiencies: 0
Jan 25, 2024
Visit Reason
Paper compliance review to the Investigation of Complaint IN00422953 completed on January 25, 2024.
Findings
The Waters of Wabash Skilled Nursing Facility East 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 IN00422953 completed on January 25, 2024; facility found in compliance.
Inspection Report
Complaint Investigation
Census: 47
Capacity: 47
Deficiencies: 4
Jan 24, 2024
Visit Reason
This visit was for the Investigation of Complaint IN00422953 related to federal/state deficiencies cited at F554, F695, F726, and F761.
Findings
The facility failed to ensure residents were assessed for ability to self-administer medications, failed to supervise a resident during nebulizer treatment, failed to administer medications per physician's orders for narcotics, and failed to store topical medications securely.
Complaint Details
Complaint IN00422953 was investigated with federal/state deficiencies cited at F554, F695, F726, and F761.
Severity Breakdown
SS=D: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to ensure residents were assessed to determine ability to self-administer medications prior to self-administration for 2 of 3 residents observed. | SS=D |
| Failed to ensure a resident was supervised per facility policy during a nebulizer treatment for 1 of 1 resident observed. | SS=D |
| Failed to administer medications per physician's order for 2 of 2 residents reviewed for narcotics. | SS=D |
| Failed to ensure resident's topical medication was stored securely for 2 of 2 random observations. | SS=D |
Report Facts
Census: 47
Total Capacity: 47
Residents receiving nebulizer treatment audited: 5
Residents receiving nebulizer treatment audited: 3
Residents receiving nebulizer treatment audited: 3
Residents audited for self-administering medications: 5
Residents audited for self-administering medications: 3
Residents audited for self-administering medications: 3
Residents bathrooms audited for creams and powders: 5
Residents bathrooms audited for creams and powders: 3
Residents bathrooms audited for creams and powders: 3
Common areas audited for creams and powders: 5
Common areas audited for creams and powders: 3
Common areas audited for creams and powders: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Natalie Smith | RDO | Laboratory Director or Provider/Supplier Representative who signed the report |
| LPN 15 | Involved in medication administration and interviews related to deficiencies | |
| QMA 23 | Involved in medication administration errors | |
| DON | Director of Nursing | Provided interviews and responsible for corrective actions and staff in-service |
Inspection Report
Routine
Census: 40
Capacity: 40
Deficiencies: 0
Sep 22, 2023
Visit Reason
This visit was conducted as a COVID-19 Focused Infection Control Survey to assess compliance with infection control regulations.
Findings
The Waters of Wabash Skilled Nursing Facility East was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 regarding COVID-19 infection control.
Report Facts
Census Payor Type - Medicare: 1
Census Payor Type - Medicaid: 26
Census Payor Type - Other: 13
Inspection Report
Follow-Up
Census: 39
Capacity: 84
Deficiencies: 0
Sep 19, 2023
Visit Reason
A Post Survey Revisit (PSR) was conducted to follow up on the Emergency Preparedness Survey and the Life Safety Code Recertification and State Licensure Survey originally conducted on 07/25/23.
Findings
The facility was found in compliance with Emergency Preparedness Requirements and Life Safety Code Requirements for Medicare and Medicaid Participating Providers and Suppliers.
Inspection Report
Annual Inspection
Deficiencies: 0
Aug 15, 2023
Visit Reason
The inspection was conducted as a paper compliance review for the Annual Recertification and State Licensure survey.
Findings
The Waters of Wabash Skilled Nursing Facility East 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.
Inspection Report
Complaint Investigation
Census: 42
Capacity: 42
Deficiencies: 0
Aug 8, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00413969.
Findings
No deficiencies related to the allegations in Complaint IN00413969 were cited. The facility was found to be in compliance with applicable regulations.
Complaint Details
Complaint IN00413969 was investigated and found to have no deficiencies related to the allegations.
Report Facts
Census: 42
Total Capacity: 42
Payor Type Census: 1
Payor Type Census: 28
Payor Type Census: 13
Inspection Report
Complaint Investigation
Census: 39
Capacity: 39
Deficiencies: 0
Jul 27, 2023
Visit Reason
This visit was conducted for the investigation of Complaints IN00413107 and IN00412344 and included a COVID-19 Focused Infection Control Survey.
Findings
No deficiencies related to the allegations in Complaints IN00413107 and IN00412344 were 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 complaints and the COVID-19 survey.
Complaint Details
Complaint IN00413107 and Complaint IN00412344 were investigated with no deficiencies related to the allegations cited.
Report Facts
Census SNF/NF: 39
Total Capacity: 39
Census Payor Type - Medicare: 2
Census Payor Type - Medicaid: 26
Census Payor Type - Other: 11
Inspection Report
Life Safety
Census: 39
Capacity: 84
Deficiencies: 7
Jul 25, 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 to assess compliance with emergency preparedness and life safety requirements.
Findings
The facility was found not in compliance with Emergency Preparedness Requirements and Life Safety Code standards, including failure to conduct required emergency plan exercises, maintain smoke barrier door latching hardware, test emergency lighting, maintain battery-operated smoke alarms, seal smoke barrier penetrations, maintain fuel-fired water heater inspections, and conduct required generator load testing.
Deficiencies (7)
| Description |
|---|
| Failed to conduct exercises to test the emergency plan at least twice per year including unannounced staff drills. |
| Failed to maintain latching hardware on smoke barrier door to the Dining hall; door did not fully close and latch. |
| Failed to ensure 6 of 6 battery backup emergency lights were tested monthly for 30 seconds and annually for 90 minutes. |
| Failed to ensure documentation for preventative maintenance of battery operated smoke alarms was complete. |
| Failed to ensure penetrations through 1 of 1 smoke barrier wall were protected to maintain smoke resistance; gap around pipe unsealed. |
| Failed to ensure 2 of 5 fuel fired water heaters had current inspection certificates. |
| Failed to maintain Emergency Power Standby System testing under load at least once within every three years; no documentation of four hour load test within last 36 months. |
Report Facts
Facility capacity: 84
Census: 39
Battery backup emergency lights: 6
Fuel fired water heaters: 5
Emergency generator load test interval: 36
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michael Wolfe | Administrator | Named as facility administrator involved in exit conferences and corrective action oversight. |
Inspection Report
Annual Inspection
Census: 37
Capacity: 37
Deficiencies: 4
Jun 30, 2023
Visit Reason
This visit was for a Recertification and State Licensure Survey conducted from June 26 to June 30, 2023.
Findings
The facility was found deficient in several areas including failure to ensure adequate supervision to prevent falls, failure to notify physicians of significant weight loss for residents, failure to implement physician-ordered enhanced barrier precautions for infection control, and failure to ensure employees completed required dementia training and two-step tuberculin skin testing.
Severity Breakdown
SS=D: 2
SS=E: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Failure to ensure adequate supervision and individualized interventions to prevent falls for a resident with repeated falls and unsteady gait. | SS=D |
| Failure to notify physician of significant weight loss for 2 of 3 residents reviewed for nutrition. | SS=D |
| Failure to provide physician-ordered enhanced barrier precautions for 3 of 6 residents reviewed for transmission-based precautions. | SS=E |
| Failure to ensure employees completed required dementia training and two-step baseline tuberculin skin testing. | — |
Report Facts
Survey dates: 5
Resident census: 37
Licensed capacity: 37
Residents on Medicare: 5
Residents on Medicaid: 24
Residents on other payor types: 8
Weight loss percentage: 7.8
Weight loss percentage: 8.7
Weight loss percentage: 16.59
Weight loss percentage: 14.78
Antibiotic dosage: 2
Dementia training hours: 6
Dementia training hours: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michael Wolfe | Administrator | Signed report and involved in interviews |
| RN 31 | Registered Nurse | Resident 31's assigned nurse, interviewed regarding weight loss and wound care |
| LPN 21 | Licensed Practical Nurse | Interviewed regarding fall interventions for Resident 16 |
| DON | Director of Nursing | Interviewed regarding falls, weight loss follow-up, and infection control |
| ADON | Assistant Director of Nursing | Interviewed regarding weight loss follow-up and infection control |
| RN 7 | Registered Nurse | Observed not wearing gown during high-contact care for Resident 95 on enhanced barrier precautions |
| CNA 34 | Certified Nursing Assistant | Interviewed regarding enhanced barrier precautions |
| Housekeeper 37 | Housekeeper | Placed enhanced barrier precaution signage and PPE cart |
Inspection Report
Complaint Investigation
Census: 40
Capacity: 40
Deficiencies: 0
Apr 6, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00405170.
Findings
No deficiencies related to the allegations in Complaint IN00405170 were cited. The facility was found to be in compliance with applicable regulations.
Complaint Details
Investigation of Complaint IN00405170 found no deficiencies related to the allegations.
Report Facts
Medicare census: 8
Medicaid census: 29
Other payor census: 3
Inspection Report
Complaint Investigation
Census: 38
Capacity: 38
Deficiencies: 0
Nov 14, 2022
Visit Reason
This visit was conducted for the investigation of Complaint IN00388551.
Findings
The complaint was substantiated, but no deficiencies related to the allegations were cited. The facility was found to be in compliance with relevant regulations.
Complaint Details
Complaint IN00388551 was substantiated; however, no deficiencies related to the allegations were cited.
Report Facts
Census Payor Type - Medicare: 2
Census Payor Type - Medicaid: 29
Census Payor Type - Other: 7
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