Carillon Inc

In the surveyor’s words

From the most serious findings on record at Carillon Inc, in the surveyor’s own words.

• Immediate jeopardy, patternF697Jan 27, 2024

  Based on interview and record review, the facility failed to ensure that pain management was provided to residents who require such services, consistent with professional standards of practice for 1 of 6 residents (Resident #1) reviewed for pain management. The facility failed to assess, reassess, and/or take steps to manage Resident #1's pain when she presented with symptoms of pain. On 01/26/24 at 04:14 PM an Immediate Jeopardy (IJ) was identified. While the IJ was removed on 01/27/24 at 4:48 PM, the facility remained out of compliance at a severity level of no actual harm and a scope of pattern due to the facility continuing to monitor the implementation and effectiveness of their Plan of Removal. […]

• No harm, potential for more than minimal, patternF585Jun 17, 2026

  Based on observation, interview, and record review, the facility failed to make information on how to file a grievance or complaint available to the residents for 10 of 10 confidential residents reviewed for grievances. The facility failed to ensure 10 of 10 residents were provided, through postings in prominent locations, the Grievance Procedure, were provided information who the facility grievance official was, their contact information, how to file an anonymous grievance, and their right to obtain a written decision related to their grievance. This failure could place residents at risk of unresolved grievances and decreased quality of life. […]

• No harm, potential for more than minimal, patternF812Jun 17, 2026

  Based on observation, interview, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in facility 1 of 1 kitchen reviewed for food safety. 1) The facility failed to ensure food items in the refrigerator (x1), and freezer (x1), were labeled and stored in accordance with the professional standards for food service. 2) The facility failed to ensure the garbage can used for food waste was covered unless in use. 3) The DC failed to wear a hair restraint to cover his mustache. These failures could place residents at risk for food-borne illness and cross contamination.The findings included: During kitchen tour observations on 06/15/2026 that began at 9:32 a.m. […]

• No harm, potential for more than minimal, patternF814Jun 17, 2026

  Based on observation, interview, and record review, the facility failed to dispose of garbage and refuse properly for 2 of 3 dumpsters (dumpsters #1 and #2), in that: -The doors for dumpsters #1 and #2 were left open.-Garbage was left outside of the dumpster. These failures could place residents at risk of exposure to germs and diseases carried by vermin and rodents.The findings included: Observation on 06/15/2026 at 10:01 a.m., revealed the facility's dumpster area, which was in the docking area behind the kitchen had commercial-size dumpsters (#1 and #2), with open doors. Further observations revealed improperly trashed iron bars (x5) and black trash bags (x2) on the ground behind both dumpsters (#1 and #2). […]

• No harm, potential for more than minimal, patternF880Jun 17, 2026

  Based on observation, interview and record review, the facility failed to maintain an infection control program designed to provide a safe, comfortable, and sanitary environment to help prevent the development and transmission of diseases for 3 of 3 residents (Residents #3, #66 and #85) and 2 of 2 (RN A and RN B) staff reviewed for infection control. The facility failed to use EBP during wound care for 3 Residents (Residents #3, #66 and #85). This failure could place residents at risk for spread of infection and cross contamination. Findings include: Resident #3 Record review of Resident #3's clinical record revealed a face sheet, dated 06/17/2026, which indicated the resident was a [AGE] year-old male admitted to the facility on [DATE]. […]