ARBOR TRACE HEALTH & LIVING COMMUNITY

RICHMOND, IN · 101 beds · For profit - Corporation

86 Trust Score

Grade: A LOW Risk → Stable

Red Flags

No red flags identified.

Green Flags

✓ 4-star health inspection rating
✓ Zero health deficiencies in most recent inspection

Quick Facts

★★★★★

CMS Overall

★★★★☆

Health Inspection

0.0x state avg

Deficiencies

$3,250

Fines (3-yr)

★★★☆☆

Staffing

Violation Timeline

May 14, 2024

10 deficiencyies

F0554 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Allow residents to self-administer drugs if determined clinically appropriate.

F0561 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

F0584 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

F0641 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure each resident receives an accurate assessment.

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0684 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0756 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0883 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Develop and implement policies and procedures for flu and pneumonia vaccinations.

November 30, 2023

1 deficiency

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

March 7, 2023

7 deficiencyies

F0558 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Reasonably accommodate the needs and preferences of each resident.

F0641 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure each resident receives an accurate assessment.

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe and appropriate respiratory care for a resident when needed.

F0744 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

F0791 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide or obtain dental services for each resident.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

See full violation history →

Staffing

0.57

RN hrs/res/day

0.62

LPN hrs/res/day

2.46

CNA hrs/res/day

3.11

Weekend hrs/res/day

43%

Total nurse turnover

40%

RN turnover

A nurse checks on each resident roughly every 6.6 hours on average.

Fines & Penalties

Fine Mar 7, 2023
$3,250

Total $3,250

Ownership

For profit - Corporation Chain: CARDON & ASSOCIATES

RIVERVIEW HOSPITAL

5% OR GREATER DIRECT OWNERSHIP INTEREST

Since since 12/01/2011

100% Organization
CARDON AND ASSOCIATES INC

OPERATIONAL/MANAGERIAL CONTROL

Since since 08/23/2013

Organization
CARDON MANAGEMENT COMPANY LLC

OPERATIONAL/MANAGERIAL CONTROL

Since since 12/01/2011

Organization
MOORE OPERATING GROUP INC

OPERATIONAL/MANAGERIAL CONTROL

Since since 05/18/2020

Organization
BALLA, MATTHEW

OPERATIONAL/MANAGERIAL CONTROL

Since since 05/23/2022

Individual
BRUMMETT, ASHLY

OPERATIONAL/MANAGERIAL CONTROL

Since since 10/09/2021

Individual
CATTELL, ZACHARY

OPERATIONAL/MANAGERIAL CONTROL

Since since 04/25/2022

Individual
FAUTH, KENDRA

OPERATIONAL/MANAGERIAL CONTROL

Since since 12/26/2021

Individual
FRIEND, JAYNA

OPERATIONAL/MANAGERIAL CONTROL

Since since 06/01/2021

Individual
GORMAL, GREGG

OPERATIONAL/MANAGERIAL CONTROL

Since since 10/01/2016

Individual
HAFIDH, SAAD

OPERATIONAL/MANAGERIAL CONTROL

Since since 01/23/2023

Individual
HAUG, AMY

OPERATIONAL/MANAGERIAL CONTROL

Since since 01/04/2022

Individual
HYATT, DAVID

OPERATIONAL/MANAGERIAL CONTROL

Since since 03/27/2023

Individual
KARNER, JIM

OPERATIONAL/MANAGERIAL CONTROL

Since since 06/18/2012

Individual
LOPOSSA, LYNN

OPERATIONAL/MANAGERIAL CONTROL

Since since 12/17/2023

Individual
MCCLELLAND, THOMAS

OPERATIONAL/MANAGERIAL CONTROL

Since since 12/26/2021

Individual
MCINTOSH, ERIC

OPERATIONAL/MANAGERIAL CONTROL

Since since 10/31/2021

Individual
ROSS, MICHELLE

OPERATIONAL/MANAGERIAL CONTROL

Since since 04/11/2019

Individual
FRIEND, JAYNA

CORPORATE OFFICER

Since since 06/01/2021

Individual
HYATT, DAVID

CORPORATE OFFICER

Since since 03/29/2023

Individual
VIUM CAPITAL LLC

5% OR GREATER MORTGAGE INTEREST

Since since 05/01/2021

Organization