Inspection Reports for Vivera Senior Living of Jeffersonville
2105 Hamburg Pike, Jeffersonville, IN 47130, United States, IN, 47130
Back to Facility ProfileInspection Report Summary
The most recent inspection on May 21, 2025, found the facility in compliance with no deficiencies after follow-up visits related to two prior complaint investigations. Earlier inspections showed a pattern of deficiencies primarily involving medication administration errors and issues with resident discharge procedures, including missed doses of pain medication and incomplete documentation. Complaint investigations included substantiated findings related to medication availability and administration, as well as failures in grievance processes and discharge notifications, but no fines or enforcement actions were listed in the available reports. Several complaint investigations were unsubstantiated, and the facility corrected the cited deficiencies from prior complaints. The trend suggests some improvement, as the most recent inspections confirmed corrections and compliance following earlier cited issues.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
2.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
33% better than Indiana average
Indiana average: 4.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
107 residents
Based on a May 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Follow-Up
Census: 107
Deficiencies: 0
Date: May 21, 2025
Visit Reason
This visit was a Post Survey Revisit (PSR) to the Investigation of Complaint IN00454400 completed on 2025-03-18, conducted in conjunction with the PSR to the Investigation of Complaint IN00456593 completed on 2025-04-21.
Complaint Details
This visit was related to complaint investigations IN00454400 and IN00456593, both of which were corrected.
Findings
The facility was found to be in compliance with 410 IAC 16.2-5 regarding the PSR to Investigation of Complaint IN00454400. Both complaints IN00454400 and IN00456593 were corrected.
Report Facts
Residential Census: 107
Inspection Report
Follow-Up
Census: 107
Deficiencies: 0
Date: May 21, 2025
Visit Reason
This visit was a Post Survey Revisit (PSR) to the Investigation of Complaint IN00456593 completed on 2025-04-21, conducted in conjunction with the PSR to the Investigation of Complaint IN00454400 completed on 2025-03-18.
Complaint Details
This visit was related to complaint investigations IN00456593 and IN00454400, both of which were corrected.
Findings
The facility was found to be in compliance with 410 IAC 16.2-5 regarding the PSR to Investigation of Complaint IN00456593. Both complaints IN00456593 and IN00454400 were corrected.
Report Facts
Residential Census: 107
Inspection Report
Complaint Investigation
Census: 105
Deficiencies: 1
Date: Apr 21, 2025
Visit Reason
This visit was conducted for the investigation of Complaint IN00456593 regarding allegations of deficient care related to medication administration.
Complaint Details
Complaint IN00456593 was substantiated with a state deficiency cited at R0247 related to medication administration errors.
Findings
The facility failed to ensure that a resident (Resident B) received her routine pain medication as ordered by the physician. Specifically, the resident missed a dose of morphine sulfate on 3/27/25 due to a medication administration error by Licensed Practical Nurse 4, who could not locate the medication and did not notify anyone.
Deficiencies (1)
Failure to ensure a resident received routine pain medication as ordered by the physician.
Report Facts
Residents reviewed for Health Services: 3
Medication dose missed: 1
Medication dosage: 30
Census: 105
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jenny Fultz Brown | Executive Director | Provided interview and documentation related to medication policy and facility corrective actions. |
Inspection Report
Complaint Investigation
Census: 101
Deficiencies: 5
Date: Mar 18, 2025
Visit Reason
This visit was conducted for the investigation of Complaint IN00454400 related to state residential deficiencies.
Complaint Details
Complaint IN00454400 - State Residential Deficiencies related to allegations cited at R0030, R0039, R0045, R0048, and R0349.
Findings
The facility was found deficient in multiple areas including failure to return prorated rent and itemized charges upon discharge or death, failure to ensure residents and families could voice grievances and receive reasonable responses, failure to notify state agencies of discharge notices, failure to prepare relocation plans for residents being discharged, and failure to maintain accurate clinical documentation for deceased or discharged residents.
Deficiencies (5)
Failed to ensure residents received full security deposit, written notice including itemized charges, and prorated rent upon discharge or death for 3 of 9 residents reviewed.
Failed to ensure residents and/or family were able to voice grievances and received reasonable responses for 4 of 9 residents reviewed.
Failed to notify required state agencies when one resident was issued a 30-day Notice of Transfer/Discharge and one resident was transferred without a 30-day Notice.
Failed to prepare a relocation plan and provide sufficient preparation and orientation to residents and families for safe and orderly transfer or discharge for 2 of 4 residents reviewed.
Failed to ensure accurate clinical documentation for 4 of 9 deceased or discharged residents, including documentation of leave of absence and medication administration after death.
Report Facts
Census: 101
Residents reviewed for billing: 9
Residents affected for billing deficiency: 3
Residents reviewed for Resident Rights: 9
Residents affected for grievance deficiency: 4
Residents reviewed for discharge: 4
Residents affected for discharge notification deficiency: 2
Residents affected for relocation plan deficiency: 2
Residents reviewed for clinical documentation: 9
Residents affected for clinical documentation deficiency: 4
Inspection Report
Complaint Investigation
Census: 116
Deficiencies: 0
Date: Feb 17, 2025
Visit Reason
This visit was conducted for the investigation of Complaint IN00452144.
Complaint Details
Complaint IN00452144 was investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations in Complaint IN00452144 were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the complaint.
Inspection Report
Complaint Investigation
Census: 109
Deficiencies: 1
Date: Jan 24, 2025
Visit Reason
This visit was conducted for the investigation of complaints IN00450623 and IN00451573 at Vivera Senior Living of Jeffersonville.
Complaint Details
Complaint IN00450623 was not substantiated with deficiencies. Complaint IN00451573 was substantiated with a state deficiency related to medication administration failures causing resident harm.
Findings
No deficiencies were found related to complaint IN00450623. For complaint IN00451573, a state deficiency was cited due to failure to ensure a resident's medications were available and administered, resulting in the resident missing morphine doses for three days and requiring hospitalization due to pain.
Deficiencies (1)
Failed to ensure a resident's (Resident C) medications were available to administer, resulting in missed morphine doses for three days.
Report Facts
Missed medication doses: 5
Resident census: 109
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jenny F. Brown | Executive Director | Provided medication policy document and interviewed regarding medication administration responsibility. |
| Director of Nursing | Interviewed and indicated resident missed five doses of pain medication due to delayed script. |
Inspection Report
Complaint Investigation
Census: 120
Deficiencies: 1
Date: Nov 14, 2024
Visit Reason
This visit was for a State Residential Licensure Survey including the investigation of three complaints (IN00445609, IN00440252, and IN00447163). The investigation found no deficiencies related to two complaints, but cited a state deficiency related to complaint IN00447163.
Complaint Details
Complaint IN00447163 was substantiated with a state deficiency cited at R0297. Complaints IN00445609 and IN00440252 had no deficiencies related to the allegations.
Findings
The facility failed to ensure proper use related to priming of insulin kwikpens for 2 of 3 residents observed during pharmacy services. Specifically, staff did not prime the insulin pens before administration, which is required to push air bubbles out of the needle.
Deficiencies (1)
Failure to ensure proper use related to priming of insulin kwikpens for 2 of 3 residents observed for pharmacy services.
Report Facts
Residential Census: 120
Units of insulin administered: 2
Units of insulin administered: 7
Completion date for corrective actions: Nov 29, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jenny F. Brown | Executive Director | Signed the report |
| Qualified Medication Aide (QMA) 3 | Administered insulin without priming the kwikpen; interviewed regarding the practice | |
| Director of Nursing (DON) | Administered insulin without priming the kwikpen; interviewed regarding the practice and corrective actions |
Inspection Report
Complaint Investigation
Census: 127
Deficiencies: 0
Date: Jul 25, 2024
Visit Reason
This visit was conducted for the investigation of Complaint IN00438343.
Complaint Details
Complaint IN00438343 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: 104
Deficiencies: 0
Date: Dec 27, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00421477.
Complaint Details
Complaint IN00421477 was investigated and found to have no deficiencies related to the allegation.
Findings
No deficiencies related to the complaint allegation were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the complaint investigation.
Inspection Report
Annual Inspection
Census: 86
Deficiencies: 3
Date: Sep 6, 2023
Visit Reason
This visit was for a State Residential Licensure Survey conducted on September 5 and 6, 2023, to assess compliance with state regulations for the facility.
Findings
The facility was found deficient in ensuring minimum staffing with current CPR and First Aid certifications, maintaining clean and sanitary food preparation and serving areas, and proper infection control practices during medication administration. Plans of correction were provided with scheduled training and audits to ensure compliance.
Deficiencies (3)
Failed to ensure minimum of one staff member on duty with current CPR and/or First Aid certification 24 hours a day.
Failed to ensure the kitchen, dry storage room, walk-in refrigerator and freezer, and equipment were clean and sanitary during kitchen observations.
Failed to ensure nursing staff follow proper infection control practices for medication administration for 4 of 5 residents observed.
Report Facts
Residents present: 86
Dates of survey: September 5 and 6, 2023
Staff scheduled without CPR certification: 3
Staff scheduled without First Aid certification: 4
Date of compliance for deficiencies: September 11, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN 3 | Licensed Practical Nurse | Named in medication administration infection control deficiency |
Inspection Report
Original Licensing
Census: 15
Deficiencies: 0
Date: Oct 6, 2022
Visit Reason
This visit was for an Initial State Residential Licensure Survey.
Findings
Vivera Senior Living of Jeffersonville was found to be in compliance with 410 IAC 16.2-5 in regard to the Initial State Residential Licensure Survey.
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