Envive Of Muncie
ENVIVE OF MUNCIE in MUNCIE, IN — inspection on November 18, 2025.
Found 1 citation. 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
not like the system currently in place where cards were counted and documented during shift changes.
Upon review of the narcotic shift-to-shift count sheets, she agreed some of the documentation was illegible and could see how inaccurate counts, blank spaces, or incomplete documentation had the potential for diversion.
The narcotic shift-to-shift sheets did not specify which hall or cart the sheet(s) were pulled from.
She just knew which carts correlated with the sheets.A current facility policy, titled Controlled Substances, provided by the DON on 11/18/25 at 10:24 a.m., indicated the following: .The facility complies with all laws, regulations, and other requirements related to handling, storage, disposal, and documentation of controlled medications (listed as Schedule II-V of the Comprehensive Drug Abuse Prevention and Control Act of 1976) . 3.
Controlled substance inventory is monitored and reconciled to identify loss or potential diversion in a manner that minimizes the time between loss/diversion and detection/follow-up.5.
Nursing staff count controlled medication inventory at the end of each shift, using these records to reconcile the inventory count.6.
The nurse coming on duty and the nurse going off duty make the count together and document and report any discrepancies to the director of nursing services.3.1-25(e)(2)(3)
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