Inspection Reports for Keepsake Village of Columbus Memory Care
2564 Fox Pointe Dr. , Columbus, IN 47203, IN, 47203
Back to Facility ProfileInspection Report Summary
The most recent inspection on April 28, 2025, found no deficiencies related to the complaint investigated. Earlier inspections showed a mixed record, with several complaint investigations resulting in no deficiencies, but some prior surveys cited issues. Deficiencies primarily involved medication administration and storage, as well as resident care and infection control, including a prior finding related to a pressure ulcer and kitchen sanitation. Complaint investigations were mostly unsubstantiated or found no related deficiencies, with one substantiated complaint that did not result in citations. The facility’s inspection history suggests some improvement in recent months following earlier citations.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
1.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
69% better than Indiana average
Indiana average: 4.2 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
35 residents
Based on a April 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 35
Deficiencies: 0
Date: Apr 28, 2025
Visit Reason
This visit was conducted for the investigation of Complaint IN00456213.
Complaint Details
Complaint IN00456213 was investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations in Complaint IN00456213 were cited. The facility was found to be in compliance with applicable regulations.
Inspection Report
Original Licensing
Census: 34
Deficiencies: 0
Date: Jan 14, 2025
Visit Reason
This visit was for a State Residential Licensure Survey conducted on January 13 and 14, 2025.
Findings
Keepsake Village of Columbus 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: 38
Deficiencies: 0
Date: Nov 22, 2024
Visit Reason
This visit was for the Investigation of Complaints IN00447322, IN00447080, and IN00445705.
Complaint Details
Complaints IN00447322, IN00447080, and IN00445705 were investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations were cited for any of the three complaints. The facility was found to be in compliance with the State Residential Licensure Survey and the Investigation of Complaints.
Report Facts
Residential Census: 38
Inspection Report
Complaint Investigation
Census: 38
Deficiencies: 3
Date: Aug 21, 2024
Visit Reason
This visit was for the investigation of Complaint IN00440216, which triggered state deficiencies related to the allegations cited at R0036 and R0305.
Complaint Details
Complaint IN00440216 was investigated with state deficiencies cited related to the allegations. The complaint involved issues with medication administration and resident care.
Findings
The facility failed to follow a physician's order timely for obtaining a urine specimen for one resident, failed to store medications securely on one medication cart, and failed to provide antibiotics in a timely manner for another resident. Additional findings included improper medication administration timing and lack of a medication storage policy.
Deficiencies (3)
Failed to follow the physician's order in a timely manner related to obtaining a urine specimen for Resident B.
Failed to store medications in a safe and secure manner for one of three medication carts reviewed; medication cart was unlocked with loose pills accessible.
Failed to provide a resident's medication in a timely manner related to antibiotics for Resident C.
Report Facts
Residential Census: 38
Medication carts reviewed: 3
Medication administration timing: 3.1
Antibiotic delay: 3
Completion date for corrective actions: Sep 21, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Heather Angel | Executive Director | Signed the report as the Laboratory Director's or Provider/Supplier Representative. |
Inspection Report
Complaint Investigation
Census: 38
Deficiencies: 0
Date: Jul 25, 2024
Visit Reason
This visit was for the Investigation of Complaint IN00438297.
Complaint Details
Complaint IN00438297 - No deficiencies related to the allegations are cited.
Findings
No deficiencies related to the allegations were cited. Keepsake Village of Columbus was found to be in compliance with 410 IAC 16.2-5 in regard to the Investigation of Complaint IN00438297.
Inspection Report
Original Licensing
Census: 31
Deficiencies: 0
Date: Dec 19, 2023
Visit Reason
This visit was for a State Residential Licensure Survey conducted on December 18 and 19, 2023.
Findings
Keepsake Village of Columbus 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: 26
Deficiencies: 0
Date: Feb 9, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00401126.
Complaint Details
Complaint IN00401126 was substantiated but no deficiencies related to the allegations were cited.
Findings
The complaint IN00401126 was substantiated; however, 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.
Report Facts
Residential Census: 26
Inspection Report
Census: 27
Deficiencies: 2
Date: Oct 25, 2022
Visit Reason
This visit was for a State Residential Licensure Survey conducted on October 25 and 26, 2022, to assess compliance with state residential care regulations.
Findings
The facility failed to provide appropriate professional staff to provide comprehensive nursing care for a resident with a self-limiting condition, resulting in a Stage 4 pressure ulcer. Additionally, infection control deficiencies were found in the kitchen related to storage and sanitation practices.
Deficiencies (2)
Failure to provide appropriate professional staff to identify and manage a pressure ulcer for a resident on hospice, resulting in a Stage 4 pressure ulcer.
Failure to follow infection control guidelines in the kitchen related to storage areas, including dirty carts, contaminated dishes, and improper thermometer maintenance.
Report Facts
Resident census: 27
Wound measurements: 6
Wound measurements: 3
Wound measurements: 2
Wound measurements: 2.5
Wound measurements: 1.5
Wound measurements: 6.5
Wound measurements: 4
Wound measurements: 2
Wound measurements: 1
Wound measurements: 1.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Heather Angel | Executive Director | Signed the report |
| LPN 3 | Licensed Practical Nurse | Interviewed regarding resident care and wound dressing |
| DM | Dietary Manager | Interviewed during kitchen tour regarding infection control |
| Maintenance Director | Interviewed regarding kitchen sanitation and cleaning schedules |
Inspection Report
Complaint Investigation
Census: 34
Deficiencies: 0
Date: Jul 26, 2022
Visit Reason
This visit was for the Investigation of Complaint IN00380315.
Complaint Details
Complaint IN00380315 - Unsubstantiated due to lack of evidence.
Findings
Complaint IN00380315 was found to be unsubstantiated due to lack of evidence. Keepsake Village of Columbus was found to be in compliance with 410 IAC 16.2-5 in regard to the complaint investigation.
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