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)
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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.