Camelot Care Center

In the surveyor’s words

From the most serious findings on record at Camelot Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF761Jul 2, 2025

  Based on observation, interview and record review, the facility failed to ensure medication bottles were correctly labeled, refrigerated medications were safely stored, and medication carts were free of loose pills for 4 of 6 medication carts reviewed for medication storage. (vent-hall cart 1, vent-hall cart 2, boys-hall cart 2 and middle-hall cart 2) Findings include: 1. During a medication cart observation with Registered Nurse (RN) 4, on 6/27/25 at 9:30 a.m., the vent-hall cart 1 had one loose orange pill in the bottom of the second drawer and five sticky bottles for Resident 185 in the bottom drawer. The bottles contained the following medication: a. Two bottles of diazepam (for anxiety) 5 milligrams (mg)/milliliter (ml). b. One bottle of cetirizine (for allergy symptoms) 1 mg/ml. c. […]

• No harm, potential for more than minimal, isolatedF693Jul 2, 2025

  Based on observation, interview and record review, the facility failed to ensure staff followed the physician's order for medications given through a gastrostomy tube (a feeding tube inserted through the abdominal wall directly into the stomach) for 3 of 3 residents reviewed for medication administration. (Resident 46, 33 and 72) Findings include: 1. During an observation, on 6/26/25 at 10:57 a.m., Qualified Medication Aide (QMA) 2 indicated the resident received her medication through her gastrostomy tube (g-tube). QMA 2 poured 120 milliliters (ml) of water into a plastic cup and 130 ml into another plastic cup. She pulled Resident 46's medication out of the cart and crushed the pills. She put the crushed pills into the cup with 130 ml water. […]

• No harm, potential for more than minimal, isolatedF912Jul 2, 2025

  Based on observation, interview and record review, the facility failed to provide at least 80 square feet per resident in 1 of 33 resident rooms reviewed. (room [ROOM NUMBER]) Findings include: During the initial facility observation, on 6/26/25 at 1:12 p.m., room [ROOM NUMBER] was found to have three beds. room [ROOM NUMBER] had 3 beds and was 237.9 square feet. This was 79.3 square feet for each resident. During the entrance conference, the Regional Director provided a copy of the Indiana Department of Health recommendation, dated 11/7/24, to approve the room size waiver for room [ROOM NUMBER]. 3.1-19(l)(2)(A)

• No harm, potential for more than minimal, isolatedF758Aug 9, 2024

  Based on interview and record review, the facility failed to ensure a PRN (as needed) psychotropic medication was not ordered beyond 14 days or the attending physician documented their rationale in the resident's medical record to indicate the duration for the PRN order for 1 of 5 residents reviewed for unnecessary medications. (Residents 62) Finding includes: The clinical record for Resident 62 was reviewed on 8/9/24 at 1:44 p.m. The diagnoses included, but were not limited to, acute and chronic respiratory failure, dependence on a ventilator (machine to move air in and out of your lungs), tracheostomy, seizure, anxiety disorder, post-traumatic stress disorder, and major depressive disorder. […]

• No harm, potential for more than minimal, isolatedF761Aug 9, 2024

  Based on observation, interview and record review, the facility failed to keep medications within eyesight or stored in a location not accessible to residents or unauthorized personnel for 3 of 3 residents' medications randomly observed for medication storage. (Residents 70, 33 and 74) Finding includes: During an observation, on 8/8/24 at 3:46 p.m., the following medications were found on top of the medication cart: a. One plastic container which contained Erythromycin Benzoyl ointment (used for acne) for Resident 70. b. A bottle of Lansoprazole (a medication used to treat stomach acid) and a bottle of Topiramate (an anticonvulsant medication) for Resident 33. c. A bottle of Cefpodoxime (an antibiotic medication) for Resident 74. There were no staff observed in the hallway. […]