Heritage Grove at Indiana

The resident/home contract for a resident was not signed by the resident.

A resident's record lacked a signed statement acknowledging receipt of resident rights and complaint procedures.

A staff member roughly transferred a resident, causing physical pain and distress to the resident.

A resident was admitted without a completed pre-admission screening form.

A resident did not sign their support plan despite participating in its development.

Medication errors involving unadministered medications were not reported to the Department within 24 hours.

No carbon monoxide detectors were present near the gas dryer in the laundry room as required by state law.

A direct care staff member failed to complete required annual training topics including dementia care, infection control, and safe management techniques.

Ancillary staff members did not complete required annual training regarding resident rights, protective services, and fall prevention.

Prescribed medications were not administered to a resident because they were not available in the home.

The resident's initial support plan finalization was undated following admission to the Secure Dementia Care Unit.

The support plan failed to address the resident's elopement from the SDCU and increased issues with judgment.

An incident involving a resident laceration was not reported to the Department within the required 24-hour window.

A resident was administered five doses of an anxiety medication in a 24-hour period, exceeding the prescribed dose, allegedly to sedate the resident.

A medication administration record failed to include the staff member's initials for a dose administered at 5:46 a.m.

An allegation of resident abuse involving a staff member throwing a shirt at a resident was not reported in accordance with the Older Adult Protective Services Act until 10/13/24.

The incident involving a staff member hitting a resident in the face with a shirt was not reported to the Department within 24 hours.

A resident was not treated with dignity and respect when a staff member threw a shirt at them during dressing assistance.

Resident-home contracts for certain residents were not signed by the residents, and some contracts lacked updates regarding the change in legal entity.

A resident's record lacked a signed statement acknowledging receipt of the resident rights and complaint procedures.

Staffing levels during the 10:00 pm to 6:00 am shift were inadequate to meet resident needs and emergency evacuation requirements.

A bedrail on a resident's bed had an uncovered opening, posing a potential entrapment hazard.

A resident's medical evaluation did not include a required order for the use of the bedrail currently in use.

The designated staff smoking area was located directly outside an emergency exit, near chairs and an ashtray.