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PAOLI HEALTH AND LIVING COMMUNITY Inspection Report, Violations & Safety Grade (PAOLI, Indiana)

559 W LONGEST ST, PAOLI, Indiana 47454

Phone: 8127232595

CMS Overall:1/5

Overview & Bed Count

Certified Beds
109
Avg Residents/Day
75.6
Ownership
Government - County
Provider Type
Medicare and Medicaid
County
Orange
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall1/5
Health1/5
Staffing2/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityIndiana AvgDifference
RN Hours per Resident per Day0.520.68-0.15
Total Nurse Hours per Resident per Day3.203.73-0.53
CMS Staffing Rating2/52.6/5-
Nursing Staff Turnover54.4%45.9%-

Health Citation History

28 health citations on record

DateCategoryDescriptionSeverity
2026-01-15Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E – Moderate Harm Potential
2026-01-15Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.D – Moderate Harm Potential
2026-01-15Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-04-11Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.E – Moderate Harm Potential
2025-04-11Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.E – Moderate Harm Potential
2025-04-11Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E – Moderate Harm Potential
2025-04-11Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2025-04-11Resident Rights DeficienciesNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.D – Moderate Harm Potential
2025-04-11Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2025-04-11Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2025-04-11Quality of Life and Care DeficienciesEnsure each resident must receive and the facility must provide necessary behavioral health care and services.D – Moderate Harm Potential
2025-04-11Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-04-11Administration DeficienciesProvide behavior health training consistent with the requirements and as determined by a facility assessment.D – Moderate Harm Potential
2025-01-24Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J – Immediate Jeopardy
2025-01-24Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J – Immediate Jeopardy
2025-01-24Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2024-06-11Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2024-04-16Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.D – Moderate Harm Potential
2024-02-13Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E – Moderate Harm Potential
2024-02-13Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.E – Moderate Harm Potential
2024-02-13Nursing and Physician Services DeficienciesEnsure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.E – Moderate Harm Potential
2024-02-13Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2024-02-13Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2024-02-13Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.D – Moderate Harm Potential
2024-02-13Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2024-02-13Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2022-03-30Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2022-03-30Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential

Fire Safety Citation History

20 fire safety citations on record

DateCategoryDescriptionSeverity
2025-04-11Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2025-04-11Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2025-04-11Miscellaneous DeficienciesProvide a written emergency evacuation plan.F – Moderate Harm Potential
2025-04-11Smoke DeficienciesConstruct fire resistant interior walls.E – Moderate Harm Potential
2024-02-13Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2024-02-13Smoke DeficienciesInstall an approved automatic sprinkler system.E – Moderate Harm Potential
2024-02-13Services DeficienciesHave properly installed electrical wiring and gas equipment.E – Moderate Harm Potential
2024-02-13Egress DeficienciesMeet other general requirements.D – Moderate Harm Potential
2024-02-13Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.D – Moderate Harm Potential
2024-02-13Services DeficienciesHave elevators that firefighters can control in the event of a fire.D – Moderate Harm Potential
2024-02-13Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.C – Minimal Harm Potential
2024-02-13Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.C – Minimal Harm Potential
2024-02-13Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.C – Minimal Harm Potential
2022-03-30Smoke DeficienciesInstall an approved automatic sprinkler system.F – Moderate Harm Potential
2022-03-30Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2022-03-30Services DeficienciesHave properly installed electrical wiring and gas equipment.F – Moderate Harm Potential
2022-03-30Egress DeficienciesHave exits that are accessible at all times.E – Moderate Harm Potential
2022-03-30Smoke DeficienciesInstall a fire alarm system that can be heard throughout the facility.E – Moderate Harm Potential
2022-03-30Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.E – Moderate Harm Potential
2022-03-30Gas, Vacuum, and Electrical Systems DeficienciesHave proper fire barriers, ventilation and signs for the transfilling of oxygen.E – Moderate Harm Potential

Total Penalties & Fines

$28,138
Total Fine Amount (CMS)
2
Number of Fines
2
Total Penalties
DateTypeFine AmountPayment Denial
2025-01-24Fine$14,069-
2025-01-24Fine$14,069-

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