Envive of Beech Grove

In the surveyor’s words

From the most serious findings on record at Envive of Beech Grove, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF803Dec 17, 2025

  Based on observation, interview, and record review the facility failed follow the menus prepared in advance for 1 of 1 dining observations. Findings include: On 12/10/25 at 1:00 p.m., observed posted menu on the wall, outside of the main dining room. The menu indicated scalloped potatoes were to be served on 12/10/25 during lunch time. During a dining observation on 12/10/25 at 1:10 p.m., the following was observed: - Resident 44, Resident 24, Resident 29, and Resident 42's lunch plate was observed to include mashed potatoes, the plate did not include the listed scalloped potatoes as indicated on the posted menu. - At that time, Resident 42's a family member indicated the meals Resident 42 received on his meal tray did not match the posted menu. […]

• No harm, potential for more than minimal, patternF812Dec 17, 2025

  Based on observation, interview, and record review, the facility failed to ensure food was served in a sanitary manner for 1 of 3 kitchen observations. A refrigerator food item was not covered, and a perishable food item was not discarded by the use-by-date. Findings include: During the initial facility tour with the Executive Director (ED) on 12/9/25 at 9:45 a.m., the resident snack pantry, located near the resident dining room area, was observed. The following was observed inside the resident snack pantry refrigerator:-One plastic gallon container of Country Fresh white milk was located on the shelf of the refrigerator door. The milk container contained a grayish colored thick substance that covered the bottom of the container. […]

• No harm, potential for more than minimal, patternF812Dec 18, 2024

  Based on observation, interview, and record review, the facility failed to ensure foods were maintained and served in a sanitary and safe manner for 4 of 4 observations. Staff hair was not covered while in the kitchen food preparation and serving area. (Dietary Manager) Findings include: 1. The initial kitchen tour was conducted with the Dietary Manager (DM) on 12/10/24 from 9:00 a.m. to 9:20 a.m. The DM was observed walking through out the kitchen area and near the food preparation table where the noon meal was being prepared. The DM was observed to have multiple loose facial chin hairs approximately one-fourth inch to one-half inch in length. The chin hairs were observed to not be covered. 2. During a follow up kitchen observation on 12/10/24 from 11:25 a.m. […]

• No harm, potential for more than minimal, patternF812Apr 4, 2022

  Based on observation, interview, and record review, the facility failed to serve food in a sanitary manner during 4 of 4 observations where staff's hair was uncovered. (Kitchen Staff 1, Dietary Cook 2) Findings include: During the initial kitchen tour on 3/28/22 from 10:55 a.m. to 11:00 a.m., Kitchen Staff 1 was observed walking through out the kitchen where the noon meal was being prepared. Kitchen Staff 1's hair, at the neckline was 3 inches in length. The hair was observed to not be covered. On 3/28/22 from 11:50 a.m. to 12:00 p.m., observed Kitchen Staff 1 walking through out the kitchen where the noon meal was being prepared and near the steamtable area where the noon meal foods were being held. Kitchen Staff 1's hair at the neckline was 3 inches in length. […]

• No harm, potential for more than minimal, isolatedF658Aug 6, 2026

  Based on interview and record review, the facility failed to ensure a new physician's order was clarified timely for 1 of 5 residents reviewed. (Resident B) Finding includes:The clinical record for Resident B was reviewed on 8/6/26 at 10:11 a.m. The diagnoses included, but were not limited to, epilepsy, diabetes, and congestive heart failure.A physician's order, started on 4/18/26 and discontinued on 4/21/26, indicated lacosamide (anti-seizure medication) 50 milligrams (mg), administer three tablets orally twice daily for seizures.A progress note, dated 4/18/26 at 1:57 p.m., indicated a pharmacy alert for a drug to drug interaction between lacosamide 50 mg and carvedilol (medication used to treat high blood pressure) 25 mg had been identified by the pharmacy. […]