The most recent inspection on February 7, 2025, identified deficiencies related to water temperatures in residents’ rooms on the memory care unit and food storage practices in the kitchen. Earlier inspections were mostly in compliance, with the March 13, 2024, survey showing no deficiencies and complaint investigations in 2022 and 2023 resulting in no cited deficiencies despite some substantiated complaints. The main issues involved environmental safety factors such as temperature control and food handling. There were no fines, immediate jeopardy findings, or enforcement actions listed in the available reports. The pattern suggests isolated environmental concerns in the latest inspection following a period of compliance and no cited deficiencies.
Deficiencies (last 4 years)
Deficiencies (over 4 years)0.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
88% better than Indiana average
Indiana average: 4.2 deficiencies/year
Deficiencies per year
43210
2022
2023
2024
2025
Census
Latest occupancy rate85 residents
Based on a February 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
This visit was for a State Residential Licensure Survey conducted on February 6 and 7, 2025.
Findings
The facility was found deficient in maintaining water temperatures within safe limits in residents' rooms on the memory care unit and in appropriately storing refrigerated and frozen foods in the kitchen, potentially affecting all residents.
Deficiencies (2)
Description
Failed to maintain water temperatures between 100 and 120 degrees Fahrenheit at point of use for 2 of 3 residents on the memory care unit.
Failed to appropriately store refrigerated and frozen foods in the kitchen, exposing food to air and contamination.
Report Facts
Residential Census: 85Water temperature readings: 127.5Water temperature readings: 125Hot water heater setting: 145Corrected water temperature: 118Water temperature audit sample: 75Food storage audit completion date: Mar 15, 2025
Employees Mentioned
Name
Title
Context
Crystal Hayden
Executive Director
Interviewed and signed the report
Environmental Services Director
Conducted water temperature checks and described ongoing issues with mixing valve adjustments
This visit was for the Investigation of Complaint IN00403471.
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 IN00403471 was investigated and found to have no deficiencies related to the allegations.
This visit was for a State Residential Licensure Survey which included the investigation of Complaints IN00384149 and IN00385160.
Findings
Both complaints were substantiated but no deficiencies related to the allegations were cited. The facility was found to be in compliance with the State Residential Licensure Survey requirements.
Complaint Details
Complaint IN00384149 - Substantiated with no deficiencies cited. Complaint IN00385160 - Substantiated with no deficiencies cited.
Report Facts
Residential Census: 89
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