ESSEX NURSING AND REHABILITATION CENTER

πŸ“ 301 W ESSEX ST, lebanon, IN 46052 πŸ“ž 7654821950 πŸ›οΈ 38 beds

Overall Rating

⭐
1/5

Health Inspection

⭐
1/5

Staffing

⭐⭐
2/5

Quality Measures

⭐
1/5

Inspection History Overview

75
Total Violations
6 years of data
$157,425
Total Fines
2 penalties
3
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2023 22 violations

Tag 0558 D Sep 26, 2023

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Nov 17, 2023
Tag 0584 D Sep 26, 2023

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.

βœ“ Corrected: Nov 17, 2023
Tag 0609 D Sep 26, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Nov 17, 2023
Tag 0610 D Sep 26, 2023

Respond appropriately to all alleged violations.

βœ“ Corrected: Nov 17, 2023
Tag 0641 D Sep 26, 2023

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Nov 17, 2023
Tag 0684 D Sep 26, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Nov 17, 2023
Tag 0688 D Sep 26, 2023

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.

βœ“ Corrected: Nov 17, 2023
Tag 0689 D Sep 26, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Nov 17, 2023
Tag 0698 D Sep 26, 2023

Provide safe, appropriate dialysis care/services for a resident who requires such services.

βœ“ Corrected: Nov 17, 2023
Tag 0725 F Sep 26, 2023

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Nov 17, 2023
Tag 0727 F Sep 26, 2023

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

βœ“ Corrected: Nov 17, 2023
Tag 0757 D Sep 26, 2023

Ensure each resident’s drug regimen must be free from unnecessary drugs.

βœ“ Corrected: Nov 17, 2023
Tag 0759 D Sep 26, 2023

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Nov 17, 2023
Tag 0761 E Sep 26, 2023

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.

βœ“ Corrected: Nov 17, 2023
Tag 0812 F Sep 26, 2023

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

βœ“ Corrected: Nov 17, 2023
Tag 0867 F Sep 26, 2023

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

βœ“ Corrected: Nov 17, 2023
Tag 0880 F Sep 26, 2023

Provide and implement an infection prevention and control program.

βœ“ Corrected: Nov 17, 2023
Tag 0881 F Sep 26, 2023

Implement a program that monitors antibiotic use.

βœ“ Corrected: Nov 17, 2023
Tag 0882 F Sep 26, 2023

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

βœ“ Corrected: Nov 17, 2023
Tag 0883 D Sep 26, 2023

Develop and implement policies and procedures for flu and pneumonia vaccinations.

βœ“ Corrected: Nov 17, 2023

2022 9 violations

Tag 0550 D Jun 27, 2022

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Jul 27, 2022
Tag 0641 B Jun 27, 2022

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Jul 27, 2022
Tag 0660 D Jun 27, 2022

Plan the resident's discharge to meet the resident's goals and needs.

βœ“ Corrected: Jul 27, 2022
Tag 0686 D Jun 27, 2022

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Jul 27, 2022
Tag 0725 E Jun 27, 2022

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Jul 27, 2022
Tag 0727 E Jun 27, 2022

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

βœ“ Corrected: Jul 27, 2022
Tag 0801 F Jun 27, 2022

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

βœ“ Corrected: Jul 27, 2022
Tag 0803 D Jun 27, 2022

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

βœ“ Corrected: Jul 27, 2022
Tag 0812 F Jun 27, 2022

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

βœ“ Corrected: Jul 27, 2022

2021 8 violations

Tag 0558 D May 6, 2021

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Jun 5, 2021
Tag 0641 D May 6, 2021

Ensure each resident receives an accurate assessment.

βœ“ Corrected: May 19, 2021
Tag 0678 D May 6, 2021

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

βœ“ Corrected: May 28, 2021
Tag 0684 D May 6, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Jun 5, 2021
Tag 0690 D May 6, 2021

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: May 21, 2021
Tag 0757 D May 6, 2021

Ensure each resident’s drug regimen must be free from unnecessary drugs.

βœ“ Corrected: Jun 5, 2021
Tag 0761 D May 6, 2021

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.

βœ“ Corrected: Jun 5, 2021
Tag 0812 D May 6, 2021

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

βœ“ Corrected: May 21, 2021

2019 17 violations

Tag 0689 D Oct 24, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Nov 22, 2019
Tag 0550 E Aug 15, 2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Sep 14, 2019
Tag 0677 D Aug 15, 2019

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Sep 14, 2019
Tag 0679 E Aug 15, 2019

Provide activities to meet all resident's needs.

βœ“ Corrected: Sep 14, 2019
Tag 0686 G Aug 15, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Sep 14, 2019
Tag 0689 D Aug 15, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Sep 14, 2019
Tag 0690 D Aug 15, 2019

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Sep 14, 2019
Tag 0695 D Aug 15, 2019

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Sep 14, 2019
Tag 0741 D Aug 15, 2019

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

βœ“ Corrected: Sep 14, 2019
Tag 0756 D Aug 15, 2019

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

βœ“ Corrected: Sep 14, 2019
Tag 0758 D Aug 15, 2019

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.

βœ“ Corrected: Sep 14, 2019
Tag 0761 D Aug 15, 2019

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.

βœ“ Corrected: Sep 14, 2019
Tag 0806 E Aug 15, 2019

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

βœ“ Corrected: Sep 14, 2019
Tag 0809 E Aug 15, 2019

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

βœ“ Corrected: Sep 14, 2019
Tag 0812 E Aug 15, 2019

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

βœ“ Corrected: Sep 14, 2019
Tag 0867 G Aug 15, 2019

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

βœ“ Corrected: Sep 14, 2019
Tag 0880 E Aug 15, 2019

Provide and implement an infection prevention and control program.

βœ“ Corrected: Sep 14, 2019

2018 11 violations

Tag 0561 E Sep 14, 2018

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

βœ“ Corrected: Oct 14, 2018
Tag 0576 F Sep 14, 2018

Ensure residents have reasonable access to and privacy in their use of communication methods.

βœ“ Corrected: Oct 14, 2018
Tag 0600 J Sep 14, 2018

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

βœ“ Corrected: Oct 14, 2018
Tag 0609 L Sep 14, 2018

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Oct 14, 2018
Tag 0610 J Sep 14, 2018

Respond appropriately to all alleged violations.

βœ“ Corrected: Oct 14, 2018
Tag 0656 D Sep 14, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Oct 14, 2018
Tag 0679 F Sep 14, 2018

Provide activities to meet all resident's needs.

βœ“ Corrected: Oct 14, 2018
Tag 0741 F Sep 14, 2018

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

βœ“ Corrected: Dec 9, 2018
Tag 0802 F Sep 14, 2018

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

βœ“ Corrected: Oct 14, 2018
Tag 0812 E Sep 14, 2018

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

βœ“ Corrected: Oct 14, 2018
Tag 0761 F Aug 24, 2018

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.

βœ“ Corrected: Dec 9, 2018

2017 8 violations

Tag 0157 D Oct 16, 2017

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Oct 17, 2017
Tag 0242 D Oct 16, 2017

Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.

βœ“ Corrected: Nov 3, 2017
Tag 0323 D Oct 16, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

βœ“ Corrected: Nov 3, 2017
Tag 0333 D Oct 16, 2017

Ensure that residents are safe from serious medication errors.

βœ“ Corrected: Oct 20, 2017
Tag 0366 D Oct 16, 2017

Offer other nutritional food to each resident who will not eat the food served.

βœ“ Corrected: Nov 3, 2017
Tag 0431 D Oct 16, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

βœ“ Corrected: Nov 3, 2017
Tag 0441 D Oct 16, 2017

Have a program that investigates, controls and keeps infection from spreading.

βœ“ Corrected: Oct 27, 2017
Tag 0465 E Oct 16, 2017

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: Nov 15, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2018 2 penalties totaling $157,425

$157,425
Fine
August 24, 2018
$0
Payment Denial
August 24, 2018
Average: $78,713 | Range: $0 - $157,425

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

September 26, 2023
0.00

Health

June 27, 2022
0.00

Health

May 6, 2021
0.00

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Ownership Information

Government - Hospital district
Independent (Not part of a chain)
155404
155404
7654821950
Boone