Envive of Muncie

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF628Mar 31, 2026

  Based on record review and interview, the facility failed to provide written notice to the residents and/or their representatives pertaining to transfer/discharge rights and the facility's bed hold policy for 3 of 3 residents reviewed for hospitalizations. (Resident's 4, 27, and 45). Findings include: 1. Resident 4's clinical record was reviewed on 3/30/26 at 12:59 p.m. Diagnoses included cerebral infarction (stroke), atrial fibrillation (irregular heart rhythm), and vascular dementia.A progress note, dated 8/13/25 at 7:45 p.m., indicated Resident 4 was lethargic and had to be fed for dinner. Her speech was garbled. She intermittently responded to verbal or tactile stimuli. Resident 4's family was at bedside and requested the resident to be sent to the emergency room (ER) for evaluation. […]

• No harm, potential for more than minimal, patternF755Jun 9, 2025

  Based on observation, interview, and record review, the facility failed to ensure shift to shift narcotic reconciliation was completed for 3 of 4 medication carts reviewed for medication storage. (A Unit, Cottage Unit, and C Unit medication carts) This deficient practice had the potential to affect 18 out of 30 residents who resided in the facility and received controlled medications from A Unit, Cottage Unit, and C Unit medication carts. Findings include: 1. During a medication storage observation of A Unit medication cart, accompanied by LPN 9 on 6/5/25 at 9:55 a.m., the Shift To Shift Narcotic Count record was reviewed and was missing LPN 9's signature and count when she took over the cart at the beginning of her shift on 6/5/25. […]

• No harm, potential for more than minimal, patternF880Apr 16, 2025

  Based on observation, interview, and record review, the facility failed to ensure staff (LPN 1) followed the facility cleaning protocol for resident glucometers to reduce the risk of contamination and spread of infection for 5 of 5 residents reviewed for infection control during medication administration. (Resident B, H, J, K, and L) Findings include: During a medication administration observation on 4/15/25 at 5:02 a.m., the following infection control concerns were observed: LPN 1 removed the Resident B's glucometer from a plastic bag in the medication cart. The glucometer was placed directly on the medication cart while LPN 1 gathered supplies and medications. Upon entering the resident's room, LPN 1 placed the glucometer on the over the bed table. […]

• No harm, potential for more than minimal, patternF689Aug 15, 2024

  Based on observation, interview, and record review, the facility failed to ensure potentially hazardous items were safely secured on the dementia unit. This deficient practice had the potential to impact 11 of 13 mobile residents who resided on the secured dementia unit. Findings include: During an observation on 8/14/24 at 3:10 p.m., residents were moving freely on the dementia unit. Some propelled themselves in a wheelchair while others ambulated either independently or with assistance devices, such as a walker. Employees were present and interacting with residents. However, not all residents were within the employees' line of sight. During an observation on 8/14/24 at 3:14 p.m., the right-side dining area in the dementia unit was observed to have an unlocked cabinet. […]

• No harm, potential for more than minimal, isolatedF655Mar 31, 2026

  Based on record review and interview, the facility failed to ensure a resident and/or the resident representative received a copy of the resident's baseline care plan following admission for 1of 3 residents reviewed for care plans. (Resident 8) Finding includes:Resident 8's clinical record was reviewed on 3/30/26 at 10:30 a.m.Census information indicated the resident was admitted to the facility on [DATE].The clinical record lacked documentation that the resident and/or the resident's representative was provided with a copy of the baseline care plan.During an interview, on 3/30/26 at 1:30 p.m., the Social Services Director (SSD) indicated she had not completed a baseline care plan conference review note for Resident 8 due to him not having had a care plan conference since his admission. […]