Envive Of Lawrenceburg
ENVIVE OF LAWRENCEBURG in LAWRENCEBURG, IN — inspection on February 20, 2026.
Found 6 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 02/20/2026 at 1:34 P.M., Licensed Practical Nurse (LPN) 4 indicated when a resident was discharged from the facility, staff were to complete a discharge summary in the computer that recapped the resident's stay and provided information about the resident's care needs.
They would make sure to included information about upcoming appointments and prescriptions they might need.
The nurse would call report to the receiving facility and send the discharge summary, a face sheet, medication list, nursing notes, and any other discharge documentation required with the resident to the new facility.
During an interview, on 02/20/2026 at 2:46 P.M., the Direct of of Nursing (DON) indicated nursing staff had a bad habit of not making copies of transfer/discharge paperwork when they sent someone out of the facility.
The facility could not provide the transfer/discharge paperwork that should have been sent with the resident.
- The clinical record for Resident 66 was reviewed on 02/19/2026 at 10:42 A.M. A Quarterly MDS
assessment, dated 11/13/2025, indicated the resident was cognitively intact.
The resident's diagnoses included, but were not limited to, cancer and heart failure.
A Progress Note, dated 11/14/2025 at 7:00 P.M., indicated the resident's family member had requested the resident be sent to the emergency room.
The resident was sent to the local hospital per the request.
A Progress Note, dated 11/14/2025 at 10:00 P.M., indicated the resident was admitted to the hospital.
The clinical record lacked documentation the resident was provide a transfer/discharge form.
The current facility policy, titled Transfer or Discharge, Facility-initiated, dated 08/2024, was provided by Corporate Support Staff (CSS) 5 on 02/20/2026 at 3:19 P.M.
The policy indicated, .When a resident is transferred or discharged from the facility, the following information is documented in the medical record.That an appropriate notice was provided to the resident and/or legal representative. 3.1-12(a)(6)(A)
155061 02/20/2026
Envive of Lawrenceburg 403 Bielby Rd Lawrenceburg, IN 47025
During an interview, on 02/20/2026 at 2:03 P.M., Corporate Support Staff (CSS) 5 indicated the resident's bed hold could not be found and the resident should have had one when they discharged in November in their clinical record.
The current facility policy titled, Bed Holds and Returns, with a revision date of 08/2024, was provided by CSS 5 on 02/20/2025 at 2:04 P.M.
The policy indicated, .All residents/representatives are provided written information regarding the facility and state bed-hold policies, which address holding or reserving a resident's bed during periods of absence) hospitalization or therapeutic leave).
Residents, regardless of payor source, are proved written notice about these policies at least twice:.notice 2: at time of transfer (or, if the transfer was an emergency, within 24 hours).Multiple attempts to provide the resident representative with notice 2 should be documented in cases where staff were unable to reach and notify the representative timely.
155061 02/20/2026
Envive of Lawrenceburg 403 Bielby Rd Lawrenceburg, IN 47025
During an interview, on 02/20/2026 at 10:13 A.M., Qualified Medication Aide 2 indicated if a resident had hold parameters, she would obtain the resident's vitals prior to administering the medication and if the vitals were outside the parameters the physician ordered then she would not administer the medication.
The current facility policy titled, Medication and Treatment Orders, with a revised date of 08/2024, was provided by the Corporate Support Staff (CSS) 5 on 02/20/2026 at 2:32 P.M.
The policy indicated, .Orders for medications and treatments will be consistent with principles of safe and effective order writing.Medications shall be administered only upon the written order. 3.1-37(a)
155061 02/20/2026
Envive of Lawrenceburg 403 Bielby Rd Lawrenceburg, IN 47025
During an interview, on 02/20/2026 at 10:11 A.M., QMA 2 indicated if a resident had an order for a daily weight, then the Certified Nurse Aides would usually get the weight and report to her or the nurse.
The weight would then be transcribed in the resident's EMAR. If the resident refused the weight, then it would also be documented in the EMAR.
During an interview, on 02/20/2026 at 2:58 P.M., CSS 5 indicated daily weights should be documented in the resident's clinical record.
The facility did not have a policy related to daily weights. 3.1-46(a)(1)
155061 02/20/2026
Envive of Lawrenceburg 403 Bielby Rd Lawrenceburg, IN 47025
Based on observation, interview, and record review, the facility failed to store medications
Medication Cart on the third floor and third floor Medication Room) Findings include: 1. On 02/20/2026 at 9:39 A.M., the South Medication Cart on the third floor was observed with Qualified Medication Aide (QMA) 2 and contained the following: - A small round white pill was lying loose in the bottom of the second drawer along with dust and paper debris,- A small round white pill was lying loose in the bottom of the third drawer along with dust and several pieces of paper debris.
During an interview at the time of the observation, QMA 2 indicated she was unaware of what the pills were or who they belonged to.
There shouldn't be any loose pills in the medication cart.
The current Medication Labeling and Storage policy, dated 8/2024, was provided by Corporate Support Staff (CSS) 5 on 02/20/2026 at 2:04 P.M.
The policy indicated, .Medications and biologicals are stored in the packaging, containers, or other dispensing systems in which they arrived .2.
The third-floor medication room was observed, on 02/20/2026 at 1:21 P.M., with Licensed Practical Nurse (LPN) 4.
The medication refrigerator contained an opened vial of Tuberculin (TB) serum, with no date that indicated when it was opened.
The vial was half full. LPN 3 indicated the TB serum should be dated when opened and should be discarded after 30 days.
There was no delivery date on the serum bottle.
She was unsure when it was last used.
The TB serum package insert was provided by the CSS 5 on 02/20/2026 at 2:17 P.M.
The manufacturer's insert indicated, .vials in use more than 30 days should be discarded .3.1-25(o)
155061 02/20/2026
Envive of Lawrenceburg 403 Bielby Rd Lawrenceburg, IN 47025
control. (Resident 63)Findings include:During an observation, on 02/19/2026 at 10:58 A.M., Licensed
sanitized her hands and donned gloves.
She then provided wound treatment care to the resident.
There was no gown donned prior to or during the wound treatment.
There was no indication outside or inside the resident room that they were on EBP.
The clinical record for Resident 63 was reviewed on 02/19/2026 at 11:49 A.M. A Quarterly Minimum Data Set (MDS) assessment, dated 01/19/2026, indicated the resident was cognitively intact.
The resident's diagnoses included but were not limited to, anemia, hypertension, renal insufficiency, diabetes, anxiety, depression, cirrhosis of liver, and liver transplant status. A Wound Nurse Practitioner Report, dated 02/03/2026, indicated the resident had dermatosis to the right buttock buttocks.
The wound measured 7 centimeters (cm) X (by) 3.8 cm X 0.3 cm.
The wound had a moderate amount of serosanguineous (pale red to pink, thin and watery) drainage.
The impairment started on 10/28/2025. A Wound Culture Report, dated 02/05/2026, indicated there was a culture from the resident's right buttocks.
The wound had the following bacteria:-Sparse growth of Proteus mirabilis,-Very sparse growth of Enterococcus faecalis, and -Sparse growth of Methicillin Resistant Staphylococcus aureus.A physician's order, dated 02/09/2026 through 02/16/2026, indicated the resident was to take Amoxicillin (an antibiotic) 500-125 milligrams for 7 days for a wound infection.
The resident's physician's orders lacked and order for EBP.
During an interview, on 02/20/2026 at 10:19 A.M., the Director of Nursing (DON) indicated residents were placed on EBP if they had any drains, catheters, colostomy bags, any non-natural device, and chronic wounds. If resident were in EBP then staff should wear a gown, gloves, and face mask. Resident 63 was not on EBP because the wound was clean and not draining.
The resident did have a wound infection recently.
The resident had the wound since 10/28/2025.The current facility policy titled, Enhanced Barrier Precautions, dated August 2022, was provided by Corporate Support Staff 5 on 02/20/2026 at 2:04 P.M.
The policy indicated, .Enhanced Barrier Precautions (EBPs) are utilized to prevent the spread of multi-drug resistant organisms (MDROs) to residents.EBPs employ targeted gown and glove use during high contact resident care activities.Examples of high-contact resident care activities requiring the use of gown and gloves for EBPs include:.wound care (any skin opening requiring a dressing).3.1-18(b)
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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.