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RAWLINS HOUSE HEALTH & LIVING COMMUNITY Inspection Report, Violations & Safety Grade (PENDLETON, Indiana)

300 J H WALKER DR, PENDLETON, Indiana 46064

Phone: 7657787501

CMS Overall:4/5

Overview & Bed Count

Certified Beds
110
Avg Residents/Day
105.4
Ownership
Government - County
Provider Type
Medicare and Medicaid
County
Madison
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health4/5
Staffing3/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityIndiana AvgDifference
RN Hours per Resident per Day0.760.68+0.08
Total Nurse Hours per Resident per Day3.183.73-0.55
CMS Staffing Rating3/52.6/5-
Nursing Staff Turnover43.8%45.9%-

Health Citation History

11 health citations on record

DateCategoryDescriptionSeverity
2025-12-22Freedom from Abuse, Neglect, and Exploitation DeficienciesPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.E – Moderate Harm Potential
2025-12-22Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.E – Moderate Harm Potential
2025-12-22Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.D – Moderate Harm Potential
2025-12-22Infection Control DeficienciesEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.D – Moderate Harm Potential
2024-09-11Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.E – Moderate Harm Potential
2024-09-11Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.E – Moderate Harm Potential
2024-09-11Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D – Moderate Harm Potential
2024-09-11Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2023-07-31Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.D – Moderate Harm Potential
2023-07-31Resident 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
2023-07-31Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential

Fire Safety Citation History

17 fire safety citations on record

DateCategoryDescriptionSeverity
2025-12-22Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2025-12-22Services DeficienciesHave properly installed electrical wiring and gas equipment.E – Moderate Harm Potential
2024-09-11Emergency Preparedness DeficienciesImplement emergency and standby power systems.F – Moderate Harm Potential
2024-09-11Smoke DeficienciesInstall a fire alarm system that can be heard throughout the facility.F – Moderate Harm Potential
2024-09-11Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2024-09-11Egress 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.E – Moderate Harm Potential
2024-09-11Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2024-09-11Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2024-09-11Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.E – Moderate Harm Potential
2024-09-11Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential
2024-09-11Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.C – Minimal Harm Potential
2023-07-31Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2023-07-31Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2023-07-31Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2023-07-31Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.E – Moderate Harm Potential
2023-07-31Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.E – Moderate Harm Potential
2023-07-31Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.C – Minimal Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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