The Fountains at Indiana.

“The home failed to report two separate incidents to the Department within 24 hours. A resident had a witnessed fall in the common area hitting their head on a coffee table and was hospitalized with multiple stitches. Another resident had an unwitnessed fall by the conference room, was hospitalized with multiple stitches, and was admitted to the hospital. Neither incident was reported to the Department.”

“A resident's medical evaluation does not indicate the resident's ability to self-administer medication, which is a required element of the medical evaluation documentation.”

“A resident was prescribed a medication (Melatonin dissolve 4 tablets - 12 mg orally at bedtime as needed) that was not available in the home at the time it was needed at 11:45 a.m. The medication was not filled by the pharmacy due to an insurance coverage issue.”

“Staff documented that multiple medications were administered to a resident (including medications taken at bedtime and daily) from certain dates, but staff interviews indicated these medications were not actually administered during that period because the resident refused them. Staff signed the medication administration record as given without properly documenting the refusal.”

“An angel food cake in the kitchen freezer chest was opened and unsealed. This was a repeat violation from 6/23/23.”

“The nearest operable smoke detector to resident bedroom #230 is approximately 28 feet from the bedroom door. The nearest operable smoke detector to resident bedroom #130 is approximately 23 feet from the bedroom door. The nearest operable smoke detector to resident bedroom #140 is approximately 19 feet from the bedroom door. Smoke detectors must be located within 15 feet of each bedroom door.”

“Resident #2 did not sign the support plan. The home did not make a notation regarding the resident's inability or refusal to sign.”

“Medical evaluations for Residents #1, #2, #3, and #4 do not indicate the need for a secured dementia care unit (SDCU), though the residents are placed in the SDCU. Medical evaluations must document the resident's diagnosis of Alzheimer's disease or other dementia and the need for SDCU.”

“The support plan for resident #1 does not address the specific services/care needs provided by home health services, physical therapy and occupational therapy. The support plan for resident #4 does not address the resident's mechanical soft diet as ordered by the physician.”

“Resident #1's assessment of care needs did not address home health services or hospice care including physical therapy, occupational therapy, and nursing care services that were ordered.”