Autumn Ridge Rehabilitation Centre

During an observation of the third floor, on 3/26/26 at 2:59 p.m., (the floor where Residents 5, 7, and 10 resided), there were no visible postings of State Agency or Ombudsman information.

During an observation of the first floor on 3/26/26 at 3:34 p.m., the required State Agency information was posted on the wall next to the elevators.

The posting did not include the Ombudsman's contact information.

During an interview with the Director of Nursing (DON), on 3/31/26 at 10:53 a.m., she indicated residents residing on the third floor were not given the code to the elevator because there were other residents on the third floor who were elopement risks.

All residents must be accompanied by a staff member when going downstairs.

During an interview and observation with the AD on 3/31/26 at 11:18 a.m., the required State Agency informational poster was measured at four feet and ten inches, or 58 inches, from the ground.

The AD indicated it would be difficult for a person sitting in a wheelchair to see the information at that height. A current facility policy, titled Resident Rights, provided by the Administrator on 3/31/26 at 10:12 a.m., indicated the following: .(The) facility must ensure that information is provided to each resident in a form and manner the resident can access and understand.Each facility must post the names, addresses and telephone numbers of all pertinent State client advocacy groups, including the State survey and certification agency, the State licensure office, the State ombudsman program, the protection and advocacy network, the area agency on aging, the local mental health center and the Medicaid fraud control unit.410 IAC (Indiana Administrative Code) 16.23.1-4(j)(3) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

155162 03/31/2026

Autumn Ridge Rehabilitation Centre 600 Washington Ave Wabash, IN 46992

before lunch and on her assigned weekends, and staff did a lot of extra showers. If a shower sheet

p.m., CNA 8 indicated a partial bed bath consisted of taking the residents to the bathroom, allowing

and one with rinse water.

She indicated she began with the face, armpits, then front and back of the peri-area.

She preferred to allow the residents to wash their own hands, face, and armpits when possible.

Any time she performed peri-care, she documented that as a partial bed bath.During an interview with CNA 9 on 3/31/26 at 1:00 p.m., she indicated a partial bed bath included washing the resident's peri-area and legs, and sometimes their backs.

The only option in the electronic health record was to mark peri-care as a partial bed bath. A partial bed bath could mean just peri-care or an actual partial bed bath. If a resident had four partial bed baths documented on any given day, there was no way to know if it was just peri-care or an actual partial bed bath.On 3/30/26 at 2:46 p.m., the Administrator indicated there was no facility policy regarding showering/bathing.A current facility policy, titled Resident Rights, provided by the Administrator on 3/30/26 at 2:46 p.m., indicated the following: .All staff members recognize the rights of residents at all times and residents assume their responsibilities to enable personal dignity, well-being, and proper delivery of care. 410 IAC (Indiana Administrative Code) 16.2 - 3.1-38(a)(3)

155162 03/31/2026

Autumn Ridge Rehabilitation Centre 600 Washington Ave Wabash, IN 46992

During an interview, on 3/30/26 at 2:59 p.m., LPN 5 indicated she would assess any resident complaining of mouth or jaw pain. If there are any abnormalities, she would notify the physician for orders.

She would check to see if any pain medication was able to be administered. If it was too soon to administer pain medication, she would try a warm or cold compress to the area.

During an interview, on 3/30/26 at 3:17 p.m., RN 3 indicated she should have acted quicker when Resident 22 was complaining of dental pain.

She should have assessed her, but Resident 22 had been to the dentist previously and had received her scheduled pain medications that morning.

During an interview, on 3/31/26 at 10:50 a.m., the DON indicated RN 3 should have assessed Resident 22 when she first started to complain of mouth pain. It is not uncommon for Resident 22 to complain of mouth pain.

She had seen the dentist previously. Resident 22 did have some attention seeking behaviors, but pain isn't something you normally go to when attention seeking.

Staff should address the pain complaint first, as pain is subjective.A current facility policy, dated 1/2003 and titled Pain Management Policy, provided by the Administrator, on 3/31/25 at 11:51 a.m., indicated the following: .

Policy: It is the policy of American Senior Communities to provide the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial wellbeing, including pain management. 3.

Interviewable residents- pain medications will be prescribed and given upon based upon the intensity of the pain as follows using the verbal descriptive, numerical scale (1-10) or Wong-Baker FACES scale. 410 Indiana Administrative Code (IAC) 16.2-3.1-37(a)