Envive of Indianapolis

In the surveyor’s words

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

• Immediate jeopardy, patternF812Sep 20, 2022

  A. Based on observation, interview, and record review, the facility failed to ensure dishes, trays, and pots and pans (serving- ware) were cleaned and sanitized as directed by the dishwasher instructions and dried according to regulation which resulted in 82 of 83 residents who received food from the kitchen being at risk of contamination from improperly cleaned serving-ware including the potential of exposure from kitchen serving trays being cleaned from isolation rooms. The immediate jeopardy began on 9/12/22 when the facility's industrial dishwashing machine was observed to only reach a wash temperature of 80 degrees Fahrenheit (F). […]

• Immediate jeopardy, patternF880Jan 7, 2022

  Based on observation, interview, and record review, the facility failed to ensure infection control practices for COVID-19 were implemented to prevent and contain the spread of the COVID-19 virus which resulted in immediate jeopardy when the facility failed to ensure Transmission Based Precautions (TBP) were implemented for residents after positive [MEDICATION(S)] tests and/or exposure to positive residents, to ensure TBP isolation signage and Personal Protective Equipment (PPE) were readily available, to ensure staff were informed of newly identified [MEDICATION(S)] positive residents, and staff wore appropriate PPE while providing care for residents who were presumed COVID-19 positive after exhibiting signs/symptoms of the virus. […]

• Immediate jeopardy, isolatedF684Mar 26, 2021

  Based on record review and interview, the facility failed to ensure appropriate care and treatment were provided to a resident with head injuries, facial bruising, abnormal neurological checks, suspected internal/external rotation anomaly, and complaints of pain after a fall when the resident was moved prior to the arrival of Emergency Medical Services (EMS) for 1 of 3 residents reviewed for falls (Resident F). The immediate jeopardy began on [DATE] when Resident F was found on the floor by the toilet. The resident was assessed to have sustained a concussion with injuries to the left head and forehead, and the neuro checks were positive with left eye drooping. Resident F was assisted into the wheelchair and taken to the nurses' station. […]

• Actual harm, isolatedF692Mar 27, 2026

  Based on observation, interview, and record review, the facility failed to ensure the implementation of adequate and consistent nutritional interventions for a dependent resident (Resident 10) which resulted in actual harm related to significant weight loss and compromised nutritional status for 1 of 2 residents reviewed for tube feeding (TF) and the facility failed to ensure a Resident, (Resident 8) who was at high risk for malnutrition was appropriately monitored for weight loss for 1 of 8 residents reviewed for nutrition monitoring.Findings include:1. On 3/23/26 at 10:28 a.m., Resident 10 was initially observed. He was reclined in a high back wheelchair in his room. His left leg was contracted and pulled tight to his chest, his left arm was also contracted and tucked to his chest. […]

• Actual harm, isolatedF684Jun 3, 2025

  Based on interview and record review, the facility failed to obtain timely treatment and assessments of a full thickness burn to a resident's left foot resulting in actual harm when the resident required hospitalization and surgical interventions at an acute care hospital for 1 of 4 reviewed for timely care and treatment (Resident B). Findings include: During an interview on 6/2/25 at 12:07 p.m., Resident B indicated on 5/19/25 his left foot was burned when the nurse was providing wound care. He indicated the nurse brought over a basin of water for him to soak his foot in prior to applying a treatment to the sore on the bottom of his left foot. When he put his foot into the water, he felt like it was too hot and pulled his foot out. […]