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Complaint Investigation

Envive Of Lawrenceburg

September 22, 2025 · Lawrenceburg, IN · 403 Bielby Rd
Citations 2
CMS Rating 3/5
Beds 100
Provider ID 155061
Healthcare Facility
Envive Of Lawrenceburg
Lawrenceburg, IN  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

ENVIVE OF LAWRENCEBURG in LAWRENCEBURG, IN — inspection on September 22, 2025.

Found 2 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

FF0689
Quality of Life and Care Deficiencies

centimeters (cm).

The current facility policy, titled Falls and Fall Risk, managing, with a revision date

.the staff will identify interventions related to the residents' specific risks and causes to try to

policy, titled Safe lifting and Movement of Residents, with a revision date of August 2024, was provided by the Administrator on 9/22/2025 at 4:20 P.M.

The policy indicated, .In order to protect the safety and well-being of staff and residents, and to promote quality of care, this facility uses appropriate techniques and devices to lift and move residents .This citation relates to Intake 2616965.3.1-45(a)(1)

155061 09/22/2025

Envive of Lawrenceburg 403 Bielby Rd Lawrenceburg, IN 47025

During an interview and observation, on 9/22/25 at 10:14 A.M., Registered Nurse (RN) 2 indicated Resident C used a wheelchair, and was able to make his needs known.

The resident should have had a call light at the bedside at all times.

During an observation with RN 2 in Resident C's room she confirmed there was no call light plugged into the wall above the residents bed.

She identified where it should have been and asked Resident C if he had ever had a call light.

Resident C replied he had not ever had a call light.

During an interview, on 9/22/2025 at 10:40 A.M., the Maintenance Supervisor indicated he was aware there was no call light in Resident C's room. He said the room was a single room initially, so a second call light was never installed. A facility documented email was provided on 9/22/2025 at 1:50 P.M. by the Administrator, the email document titled call light boxes indicated that on 7/22/2025 they had not received the call light boxes yet and asked if they were on backorder.

The next email was dated 9/22/2025 at 10:48 A.M. and stated following up here. An email reply was returned on 9/22/2025 at 1:01 P.M. and indicated the boxes were being shipped out that day.

During an interview, on 9/22/2025 at 1:50 P.M., the Administrator indicated Resident C had a functioning call light now.

The old call light for the room was hooked up.

There were no additional emails from 7/22/2025 to 9/22/2025 about the call light boxes order.During an observation, on 9/22/2025 at 3:30 P.M., Resident C pressed his call light button while laying in bed.

The light above the residents room door did not light up nor was there a sound.

Resident C then hit the bell now placed on his bedside table three times, and then dropped the bell onto the floor. No staff responded from the sound.

During an interview, on 9/22/2025 at 3:35 P.M., the Administrator indicated Resident C's call light was on and indicated the light overtop of the stairwell beside his room was the light associated with his call light not the light over his room.

She also indicated there was no sound at the nurses station from the resident hitting the call light like the other call lights.

The clinical record for Resident C was reviewed on 9/22/2025 at 3:00 P.M. A Quarterly Minimum Data Set (MDS) assessment, dated 6/26/2025, indicated the Resident was cognitively intact.

The resident's diagnoses included, but were not limited to, hypertension, stroke, and depression.

The resident was impaired on one side for upper and lower extremities. He used a wheelchair, and required moderate assistance with lower body dressing.The current facility policy, titled Answering the Call Light, with a revision date of August 2024, was provided by the Administrator on 9/22/2025 at 4:20 P.M.

The policy indicated, .Be sure that the call light is plugged in and functioning at all time .

Ensure that the call light is accessible to the resident when in bed .Report all defective call lights to the nurse supervisor promptly .3.1-19(u)

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in LAWRENCEBURG, IN, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ENVIVE OF LAWRENCEBURG or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.

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