Deficiency Records for Envive of Indianapolis
Updated as of March 01, 2022
This is not the most recent data for Envive of Indianapolis. For the most recent information, click here.
A list of the most recent deficiencies for Envive of Indianapolis. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-07 | 2022-01-28 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-01-07 | 2022-01-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-07 | 2022-01-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-12-13 | 2021-12-31 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-13 | 2021-12-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-07 | 2021-11-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-07-29 | 2021-10-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-29 | 2021-10-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-07-29 | 2021-10-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-07-29 | 2021-10-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-29 | 2021-10-14 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-07-29 | 2021-09-20 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-07-29 | 2021-09-20 | N |
| Meet other general requirements. | Fire Safety | 2021-07-29 | 2021-09-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-07-29 | 2021-09-20 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-07-29 | 2021-09-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-07-29 | 2021-09-20 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-07-29 | 2021-09-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-29 | 2021-09-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-07-29 | 2021-09-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-29 | 2021-09-20 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-07-29 | 2021-09-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-29 | 2021-09-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-07-29 | 2021-09-20 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2021-07-16 | 2021-08-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-07-16 | 2021-08-14 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-07-16 | 2021-08-14 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-07-16 | 2021-08-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-16 | 2021-08-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-03-26 | 2021-04-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-03-26 | 2021-04-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-26 | 2021-04-12 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-03-26 | 2021-04-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-03-26 | 2021-04-12 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-03-26 | 2021-04-12 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-03-26 | 2021-04-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-12-15 | 2020-12-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-12-08 | 2020-12-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-03-16 | 2020-04-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-03-16 | 2020-04-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-16 | 2020-04-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-03-16 | 2020-04-16 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-01-30 | 2020-02-13 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2020-01-30 | 2020-02-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-30 | 2020-02-13 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2020-01-30 | 2020-02-13 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2020-01-30 | 2020-02-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-01-30 | 2020-02-13 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2020-01-30 | 2020-02-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-30 | 2020-02-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-01-30 | 2020-02-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-30 | 2020-02-13 | N |
| Keep all essential equipment working safely. | Health | 2020-01-30 | 2020-02-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-23 | 2019-07-29 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-07-23 | 2019-07-29 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-16 | 2019-02-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-01-16 | 2019-02-20 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-01-16 | 2019-02-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-01-16 | 2019-02-20 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-01-16 | 2019-02-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-16 | 2019-02-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-12-17 | 2019-01-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-17 | 2019-01-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-12-17 | 2019-01-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-12-17 | 2019-01-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-17 | 2019-01-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-17 | 2019-01-16 | N |
