Hillcrest Village
HILLCREST VILLAGE in JEFFERSONVILLE, IN — inspection on February 26, 2026.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 2/25/26 at 10:46 a.m., the DON indicated the only policy she could locate for priming of the insulin needle was the Administration of Medications, dated 11/15/24, included, but was not limited to, .
Subcutaneous (SC) Injections. 9.
Draw up medication dose.
The online corporate policy for Priming Insulin Needles included, but was not limited to, .
Key aspects of insulin pen priming policies in this setting include: Mandatory Before Every Injection: Insulin pens must be primed before every injection to remove air bubbles and ensure the pen is working correctly.
The dose knob should be turned to 2 units. 410 IAC (Indiana Administrative Code) 16.2-3.1-37(a) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
155203 02/26/2026
Hillcrest Village 203 Sparks Ave Jeffersonville, IN 47130
During an interview, on 2/26/26 at 9:40 a.m., RN 3 indicated the resident had a fall from his bed in early December 2025.
Two CNAs (CNA 4 and CNA 5) were giving a bed bath to the resident.
One CNA turned to obtain bath supplies and the other was by the bed.
The resident was turned onto his side and fell from the bed.
The CNA at the bedside should have been there to catch the resident. He could not move well on his own.
The new intervention was for a bariatric mattress.
During an observation of the resident's care, on 2/26/26 at 9:54 a.m., RN 3 placed the resident's left leg over the right leg onto the mattress.
She then pulled the resident toward her and rolled him onto his right side.
The resident was unable to assist staff with his mobility/roll.
During an interview, on 2/26/26 at 11:20 a.m., the Director of Nursing (DON) indicated Resident 53's care was being provided, the resident already had his legs crossed when the staff turned the resident over, there was a momentum (quantity of motion) and the resident rolled out of bed.
The Fall Management Policy, last revised June 2025, included, but was not limited to, Policy: It is the policy of the [corporation name] to ensure residents residing within the community have adequate assistance to prevent injury related to falls. 410 IAC (Indiana Administrative Code) 16.2-3.1-45(a)(1)410 IAC (Indiana Administrative Code) 16.2-3.1-45(a)(2)
155203 02/26/2026
Hillcrest Village 203 Sparks Ave Jeffersonville, IN 47130
During an observation, on 2/24/26 8:23 a.m.,
resident's room, laid the glucometer on the medication cart, and did not clean the glucometer.
During an observation, on 2/24/26 at 8:45 a.m., QMA 6 was about to obtain Resident 26's blood sugar.
She was stopped due to not having cleaned the glucometer.
She obtained a 1 inch by 2-inch alcohol wipe and rubbed the glucometer for 20 seconds.
The Staff Development Coordinator 7 reminded the QMA that she had the instructions on her medication cart and laid them on top of the narcotic folder. QMA 6 obtained the resident blood sugar at a reading of 107 milligrams per deciliter (mg/dL).
During an interview, on 2/24/26 at 8:55 a.m., QMA 6 indicated she should have cleaned the glucometer after every room.
She should have rubbed the glucometer for 1 minute and left dry for 30 seconds. QMA 6 then began reading the instructions, she had used an alcohol wipe to clean the glucometer and should have used the bleach wipe instead.
After cleaning the glucometer with the bleach wipe, she should have wrapped it for 3 minutes. 2.
During an observation, on 2/24/25 at 11:58 a.m., Licensed Practical Nurse (LPN) 8 obtained the resident's blood sugar and administered insulin to Resident 5.
During an interview and observation, on 2/24/26 at 12:03 p.m., LPN 8 indicated she had cleaned the glucometer with an alcohol wipe for a minute to a minute and a half after obtaining the blood sugar for Resident 5.
The time observed was 30 seconds of rubbing the glucometer with an alcohol wipe.
During an observation, on 2/24/26 at 12:12 p.m., LPN 8 obtained the blood sugar of Resident 103.
During an interview, on 2/24/26 at 12:20 p.m., LPN 8 indicated she used an alcohol wipe to clean the glucometer by rubbing it for 1 to 2 minutes.
Nurses were not allowed to have Clorox wipes in the medication carts anymore.
She asked, Aren't the alcohol wipes just as good? The LPN then indicated she felt the alcohol was just as good.
She then cleaned the glucometer for 30 seconds with the Clorox wipe and laid it on the cart to dry.
During an interview on 2/24/26 at 12:25 p.m., the Director of Nursing (DON) indicated she felt that the nursing staff could use an alcohol wipe or a bleach wipe to clean the glucometers.
They should rub or wrap the glucometer in the wipe for 1 minute and then let it dry for 3 minutes.
The glucometer should be cleaned after each resident use. It would be ideal for the medication carts to have two glucometers, so that the glucometer could be cleaned and set to dry while the other glucometer was being used.
The Bleach Germicidal Wipes Environmental Protection Agency (EPA) number was EPA 67619-12 (industrial-strength, unscented wipes) cleans and disinfects with efficacy: kills 58 microorganisms in three minutes or less.
The Blood Glucose Meter Cleaning/Disinfecting and Testing Skills Competency, last revised May 2021, included, but was not limited to, .
Obtain germicidal wipe approved for the glucometer approved for use on glucometer. DO NOT use alcohol preps to clean glucometer, as they are not effective in killing bloodborne pathogens.
For .glucometers the cleaning and disinfecting wipe is .Bleach Germicidal Wipes.
Wipe entire surface of the blood glucose meter with wipes for 3 minutes.
When using .Bleach Germicidal Wipes in the individual packet, it is best to squeeze out excess solution into a trash container or plastic cup to be disposed of.
Place cleaned meter on paper towel, in plastic cup, or on clean barrier.
Allow meter to completely dry. 410 IAC (Indiana Administrative Code) 16.2-3.1-18(b)(2)