Owen Valley Rehabilitation And Healthcare Center
OWEN VALLEY REHABILITATION AND HEALTHCARE CENTER in SPENCER, IN — inspection on February 23, 2026.
Found 3 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
disorder or intellectual disability arises later.6.
The Social Services Director shall be responsible for
intellectual disability, or a related condition will be referred promptly to the state mental health or
exhibits behavioral psychiatric or mood related symptoms suggesting the presence of a mental disorder (where dementia is not the primary diagnosis).3.1-16(d)(1)(A) 3.1-16(d)(1)(B)
155661 02/23/2026
Owen Valley Rehabilitation and Healthcare Center 920 W Highway 46 Spencer, IN 47460
nutrition. (Resident 51)Findings include:On 2/18/26 at 10:10 a.m., Resident 51's clinical record was
resident was not on a physician prescribed weight loss program.On 1/5/26, the resident weighed 138.6 pounds. On 2/5/26, the resident weighed 124.6 pounds, which was a 10.1 percent weight loss in 30 days.A care plan, revised on 2/17/26, indicated the resident was at risk for malnutrition.
The interventions included, but were not limited to, Obtain weight as indicted report to RD [Registered Dietician], physician .A physician's order with a start date of 2/11/26 and an end date of 3/11/26 indicated, Weekly weights x [times] 4 weeks for 4 weeks.The clinical record lacked weights for the resident after 2/5/26
During an interview on 2/23/26 at 2:20 p.m., the Dementia Care Director indicated she was unaware the resident had triggered for weight loss, and there was no record of the resident being weighed after 2/5/26.
During an interview on 2/23/26 at 3:05 p.m., the Director of Nursing indicated the 2/11/26 physician's order for weighing the resident was entered into the clinical record in a manner that prevented staff from seeing it as a task to be completed, and staff would not have known to weigh the resident as ordered. 3.1-46(a)(1)
155661 02/23/2026
Owen Valley Rehabilitation and Healthcare Center 920 W Highway 46 Spencer, IN 47460
During an observation at that time, a patch was observed on the resident's right side of his chest, signed by LPN 3, and dated for 2/20/26.
The nurse further indicated no patches were administered from the emergency drug kit (EDK) because the pharmacy needed a new prescription from the prescriber. On 2/23/26 at 12:01 p.m., the resident's clinical record was reviewed.
The diagnoses included, but were not limited to Parkinson's disease, catatonic disorder (a condition that changes how a person's brain controls their body, affecting how they move, talk, and behave), and pain. A 12/10/25 physician's order, indicated the resident was prescribed a 25 microgram (mcg) fentanyl patch to be applied to the skin every 72 hours for pain at 6:00 a.m., and the old patch was to be removed at 5:59 a.m. A progress note, dated 2/23/26 at 1:44 p.m., indicated the resident's fentanyl patch was due to be changed on LPN 1's shift.
She called the pharmacy to request a refill and obtain an authorization code for the EDK.
The pharmacy technician told her a new prescription was needed and they were unable to provide an authorization code.
She contacted the prescriber for a new prescription. A review of the resident's MAR indicated the following:- On 2/20/26 at 5:01 a.m., LPN 3 removed and applied a new fentanyl patch. - On 2/23/26 at 5:34 a.m., LPN 2 applied a new fentanyl patch.
The resident's record lacked documentation the 2/20/26 patch was removed.
During an interview on 2/23/26 at 4:04 p.m., the Director of Nursing (DON) indicated LPN 2 had erroneously charted she gave the resident a new patch, when she should have charted she removed the 2/20/26 patch.
The facility had not applied a new patch because they had to get a new prescription from the doctor. On 2/23/26 at 4:20 p.m., the DON provided the facility policy Charting and Documentation, revised 7/2017, and indicated it was the policy currently being used. A review of the policy indicated, . 7.
Documentation of . treatments will include care-specific details, including: a.
The date and time the prodecure/treatment was provided . 3.1-50(a)(1)3.1-50(a)(2)