Inspection Report Summary
The most recent inspection on July 17, 2025, found no deficiencies related to the complaint investigated. Earlier inspections showed a mix of results, including a March 20, 2025, survey that cited deficiencies in resident service plans and emergency file completion, and a substantiated medication error complaint in March 2025. Prior reports included a substantiated finding in September 2022 involving failure to protect a resident’s property from theft, which led to employee termination and law enforcement involvement. Most other complaint investigations were unsubstantiated, and no fines, license suspensions, or enforcement actions were listed in the available reports. The facility’s inspection history shows some recurring documentation and medication management issues but appears to have addressed more serious concerns from earlier investigations.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
76% better than Indiana average
Indiana average: 4.2 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
136 residents
Based on a July 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 136
Deficiencies: 0
Date: Jul 17, 2025
Visit Reason
This visit was conducted for the investigation of Complaint IN00461589.
Complaint Details
Complaint IN00461589 was investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the complaint investigation.
Inspection Report
Complaint Investigation
Census: 134
Deficiencies: 0
Date: Jun 6, 2025
Visit Reason
This visit was for the investigation of complaints IN00459051, IN00460135, and IN00460890.
Complaint Details
Complaints IN00459051, IN00460135, and IN00460890 were investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations in complaints IN00459051, IN00460135, and IN00460890 were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding these complaints.
Report Facts
Residential Census: 134
Inspection Report
Renewal
Census: 141
Deficiencies: 2
Date: Mar 20, 2025
Visit Reason
This visit was for a State Residential Licensure Survey conducted on March 20, 2025, to assess compliance with state regulations for the facility.
Findings
The facility was found deficient in ensuring a current, signed service plan for 1 of 9 residents reviewed and in completing emergency files for 6 of 8 residents reviewed. The facility submitted a plan of correction addressing these issues.
Deficiencies (2)
Failed to ensure a current, signed service plan was completed for 1 of 9 residents reviewed (Resident 8).
Failed to ensure emergency files were filled out completely for 6 of 8 residents reviewed (Residents 1, 2, 3, 5, 6, and 7).
Report Facts
Residential Census: 141
Residents reviewed for service plan: 9
Residents reviewed for emergency files: 8
Residents with incomplete emergency files: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Renee Kreienbrink | Executive Director | Signed the report as Executive Director |
| Assistant Wellness Director | Interviewed regarding POA and emergency files but no full name provided |
Inspection Report
Complaint Investigation
Census: 140
Deficiencies: 1
Date: Mar 19, 2025
Visit Reason
This visit was conducted for the investigation of Complaint IN00453233 regarding medication errors.
Complaint Details
Complaint IN00453233 was substantiated with deficiencies related to medication errors cited at R0243.
Findings
The facility failed to ensure residents were free from medication errors for 1 of 3 residents reviewed (Resident B), who received her morning medications twice on 2/9/25 due to a failure to update the medication administration record and communicate the change in medication administration time.
Deficiencies (1)
Facility failed to ensure residents were free from medication error for Resident B who received morning medications twice on 2/9/25.
Report Facts
Residential Census: 140
Date of medication error: Feb 9, 2025
Number of residents reviewed for medication error: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Renee Kreienbrink | Executive Director | Signed the report and provided the medication administration policy |
| QMA 2 | Administered Resident B's medications at 8 AM and reported the medication error | |
| LPN 3 | Licensed Practical Nurse | Administered Resident B's medications at 6 AM and failed to report the administration during shift change |
| Wellness Director | Provided information about medication administration times and corrective actions |
Inspection Report
Complaint Investigation
Census: 144
Deficiencies: 0
Date: Feb 11, 2025
Visit Reason
This visit was conducted for the investigation of Complaint IN00452738.
Complaint Details
Complaint IN00452738 was investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations were cited. Georgetown Place was found to be in compliance with 410 IAC 16.2-5 regarding the complaint investigation.
Inspection Report
Complaint Investigation
Census: 137
Deficiencies: 0
Date: Oct 8, 2024
Visit Reason
This visit was conducted for the investigation of Complaint IN00444570.
Complaint Details
Complaint IN00444570 was investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations were cited. Georgetown Place was found to be in compliance with 410 IAC 16.2-5 regarding the complaint investigation.
Inspection Report
Census: 138
Deficiencies: 0
Date: May 2, 2024
Visit Reason
This visit was for a State Residential Licensure Survey conducted on April 30, May 1, and May 2, 2024.
Findings
Georgetown Place was found to be in compliance with 410 IAC 16.2-5 in regard to the State Residential Licensure Survey.
Inspection Report
Complaint Investigation
Census: 148
Deficiencies: 0
Date: Nov 17, 2023
Visit Reason
This visit was conducted for the investigation of two complaints, IN00420539 and IN00421430.
Complaint Details
Complaint IN00420539 and Complaint IN00421430 were investigated; no deficiencies related to the allegations were cited for either complaint.
Findings
No deficiencies related to the allegations in either complaint were cited. The facility was found to be in compliance with 410 IAC 16.2-5.
Inspection Report
Census: 147
Deficiencies: 0
Date: Apr 12, 2023
Visit Reason
This visit was for a State Residential Licensure Survey conducted on April 12 and 13, 2023.
Findings
The report documents the completion of a State Residential Licensure Survey at Georgetown Place with a quality review completed on April 14, 2023.
Inspection Report
Complaint Investigation
Census: 151
Deficiencies: 0
Date: Mar 23, 2023
Visit Reason
This visit was for the Investigation of Complaint IN00402411.
Complaint Details
Complaint IN00402411 - No deficiencies related to the allegations are cited.
Findings
No deficiencies related to the allegations are cited. Georgetown Place was found to be in compliance with 410 IAC 16.2-5 in regard to the Investigation of Complaint IN00402411.
Inspection Report
Complaint Investigation
Census: 160
Deficiencies: 0
Date: Feb 1, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00398541.
Complaint Details
Complaint IN00398541 was substantiated but no deficiencies related to the allegations were cited.
Findings
The complaint IN00398541 was substantiated; however, no deficiencies related to the allegations were cited. The facility was found to be in compliance with applicable regulations.
Inspection Report
Complaint Investigation
Census: 149
Deficiencies: 1
Date: Sep 27, 2022
Visit Reason
This visit was conducted for the investigation of Complaint IN00386865, which was substantiated with a State Residential Finding related to allegations of resident property theft.
Complaint Details
Complaint IN00386865 was substantiated. The investigation found that Resident M reported missing $60 cash and 2 diamond rings. CNA 1 was identified as the likely suspect and was terminated. Law enforcement was notified and is investigating the employee's recent sales to pawn shops.
Findings
The facility failed to ensure the protection of a resident's property from theft. An employee (CNA 1) was identified as the likely suspect in the theft of money and diamond rings from Resident M. The employee was terminated and law enforcement was involved.
Deficiencies (1)
Failed to ensure resident's property was protected from theft for 1 of 3 residents reviewed (Resident M).
Report Facts
Residential Census: 149
Missing money amount: 60
Employee termination date: Aug 1, 2022
Employee background check date: Jun 28, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA 1 | Certified Nursing Assistant | Identified as the likely suspect in theft of resident property and terminated on August 1, 2022 |
| Law Enforcement Detective 1 | Involved in investigation of CNA 1's suspected theft and pawn shop sales |
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