ADAMS HERITAGE Nursing Home


ADAMS HERITAGE (CCN: 155729) is a Government - City/county facility located in MONROEVILLE, IN (46773). The facility has an overall rating of 5/5, health inspection rating of 5/5, and a staffing rating of 3/5. It offers 61 certified beds and maintains an average of 43.7 residents per day. The nursing staff includes Nurse Aides, LPNs, and RNs working 3.65061 total hours per resident per day. It has been certified since April 28, 2004 and the last listed health inspection was on September 5, 2023, The facility is located in Allen county and provides senior and nursing home care.

ADAMS HERITAGE Summary


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Provider Name: ADAMS HERITAGE

Address: 12011 WHITTERN RD, MONROEVILLE, IN 46773

Phone: (260) 623-6440

County: Allen (010)

Ownership Type: Government - City/county

Certified Beds: 61

Average Residents Per Day: 43.7 ()

Provider Type: Medicare and Medicaid, Resides in Hospital: No

Legal Business Name: ADAMS COUNTY MEMORIAL HOSPITAL

First Approved Date: April 28, 2004

Affiliated Entity: ADAMS COUNTY MEMORIAL HOSPITAL (10)

Retirement Community: N, Special Focus Status:

Ownership Change in Last 12 Months: N

Resident Family Council: Resident

Sprinkler System Status: Yes

Overall Rating: 5 ()

Health Inspection Rating: 5 ()

QM Rating: 4 ()

Long Stay QM Rating: 4 ()

Short Stay QM Rating: 5 ()

Staffing Rating: 3 ()

Staffing Report Note:

PT Staffing Note:

Nurse Aide Staff Hours Per Day, per resident: 2.29276, LPN Staff Hours Per Day: 0.4197, RN Staff Hours Per Day: 0.9380, Licensed Staff Hours Per Day: 1.3578

Total Nurse Staff Hours Per Day, per resident: 3.65061

Weekend Nurse Staff Hours: 3.34736, Weekend RN Staff Hours: 0.6617

PT Staff Hours Per Day, per resident: 0.0144

Nurse Staff Turnover: 67.6, Nurse Turnover Note:

RN Turnover: 73.3, RN Turnover Note:

Admin Left Number: 0, Admin Turnover Note:

Case Mix Nurse Aide Hours Per Day, per resident: 2.2206, Case Mix LPN Hours Per Day: 0.7402, Case Mix RN Hours Per Day: 0.3556

Adjusted Nurse Aide Hours Per Day, per resident: 2.10344, Adjusted LPN Hours Per Day: 0.4184, Adjusted RN Hours Per Day: 0.9938

Total Adjusted Nurse Hours Per Day, per resident: 3.46955

Adjusted Weekend Nurse Hours Per Day, per resident: 3.18134

Health Survey Dates and Scores: Cycle 1: 2023-09-05 (Score: 0), Cycle 2: 2022-10-31 (Score: 4), Cycle 3: 2021-09-01 (Score: 40)

Total Weighted Health Score: 8.000

Reported Incidents: 1, Substantiated Complaints: 0

Infection Control Citations: 0

Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 3250.00, Payment Denials Number: 0, Total Penalties Number: 1

Location and GPS: 12011 WHITTERN RD,MONROEVILLE,IN,46773 (40.9777, -84.882)

Process Date: 2024-03-01


Health Inspection Citations Details

Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2022-10-31

Type: Health, Deficiency: Ensure that residents are free from significant medication errors.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-11-19

Citation on 2021-05-13

Type: Health, Deficiency: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-05-26

Citation on 2021-09-01

Type: Health, Deficiency: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-09-27

Citation on 2021-09-01

Type: Health, Deficiency: Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-09-27

Citation on 2021-09-01

Type: Health, Deficiency: 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.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-09-27

Citation on 2021-09-01

Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-09-27

Citation on 2021-09-01

Type: Health, Deficiency: Provide and implement an infection prevention and control program.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-09-27


Fire Safety Citations Details

Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2023-10-13

Type: Fire Safety, Tag: 0353, Version: New

Description: Inspect, test, and maintain automatic sprinkler systems.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-11-01

Citation on 2022-12-06

Type: Fire Safety, Tag: 0321, Version: New

Description: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-01-23

Citation on 2022-12-06

Type: Fire Safety, Tag: 0353, Version: New

Description: Inspect, test, and maintain automatic sprinkler systems.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-01-23

Citation on 2022-12-06

Type: Fire Safety, Tag: 0711, Version: New

Description: Provide a written emergency evacuation plan.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-01-23

Citation on 2022-12-06

Type: Fire Safety, Tag: 0923, Version: New

Description: Have proper medical gas storage and administration areas.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-01-23

Citation on 2021-09-14

Type: Fire Safety, Tag: 0211, Version: New

Description: Keep aisles, corridors, and exits free of obstruction in case of emergency.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-09-24

Citation on 2021-09-14

Type: Fire Safety, Tag: 0324, Version: New

Description: Provide properly protected cooking facilities.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-09-24