Peabody Retirement Community
PEABODY RETIREMENT COMMUNITY in NORTH MANCHESTER, IN — inspection on April 9, 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
Based on observation, interview and record review, the facility failed to utilize infection prevention and
(Residents 369, 15, 109, 147, 29, and 153).
This deficiency had the potential to affect 38 of 38 residents with orders for droplet precautions.
B.
Based on observation and interview, the facility failed to ensure infection prevention and control practices were followed during dining services for 3 of 8 residents observed in the Evergreen Park Unit dining room. (Residents 75, 76, and 94)
Findings include:
A1. On 4/3/25 at 10:23 a.m., Resident 109's room had a Droplet Precautions sign posted by the door. CNA 20 exited Resident 109's room, leaving the door open. No hand hygiene was performed upon exiting the room. CNA 20 walked to another area of the unit and retrieved a mechanical lift. CNA 20 re-entered Resident 109's room and closed the door.
Upon exiting the room, CNA 20 carried a bag of trash to the appropriate trash receptacle. Resident 109 was seated in a wheelchair beside the bed. CNA 20 washed their hands with soap and water.
The CNA returned to the resident's room, retrieved the mechanical lift, and walked to another area of the unit. CNA 20 was not wearing eye covering during any part of the observation.
Resident 109's clinical record was reviewed on 4/9/25 at 1:36 p.m.
Diagnoses included unspecified dementia, coronary artery disease, and type 2 diabetes mellitus.
A current physician's order, dated 3/25/29, indicated droplet precautions, every shift, related to viral syndrome such as coughing and wheezing.
A 2/28/25, Quarterly Minimum Data Set (MDS) assessment indicated the resident was rarely or never understood. Resident 109 was dependent on staff for bed mobility and transfers.
A2.
During an observation, on 4/3/25 at 2:37 p.m., Resident 15's room had a Droplet Precautions sign posted by the door, noticeable before entry. QMA 11 answered the call light for Resident 15, leaving the door open. QMA 11 entered the resident's room, stood at the resident's bedside and spoke with them for several minutes. QMA 11 exited Resident 15's room. No hand hygiene was performed. QMA 11 was not wearing eye covering during the observation.
Resident 15's clinical record was reviewed on 4/9/25 at 1:37 p.m.
Diagnoses included hemiplegia and hemiparesis following cerebral infarction affecting right dominant side, type 2 diabetes mellitus, and morbid obesity.
A current physician's order, dated 3/25/29, indicated droplet precautions, every shift, related to Influenza A diagnosis.
A 1/22/25, Quarterly MDS assessment indicated the resident was cognitively intact. Resident 15 required substantial assistance from staff for bed mobility and transfers.
155655
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 155655 B.
Wing 04/09/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Peabody Retirement Community 400 W Seventh St North Manchester, IN 46962