Primrose of Mishawaka

Last licensure survey

May 13, 2025

Licensure surveys in three years

2

Complaint surveys in three years

1

Complaints with findings cited

0

Complaints with no findings cited

1

State findings (first visits, three years)

10

Substantiated complaint surveys (IDOH count)

2026: 0, 2025: 0, 2024: 1

Surveys (newest first)

• May 13, 2025: Re-Licensure, 2 findings cited · survey report (PDF)
  • Food and Nutritional Services (deficiency): Based on observation, interview and record review, the facility failed to ensure food was stored, prepared and served under sanitary conditions in 1 of 1 kitchen observed. 410 IAC 16.2-5-5.1(f); correction date in the facility plan May 30, 2025
  • Infection Control (noncompliance): Based on record review and interview, the facility failed to ensure an infection control program, including monitoring and trending any infections, was maintained . 410 IAC 16.2-5-12(b)(1-4); correction date in the facility plan May 30, 2025
• December 3, 2024: Complaint, found in compliance · survey report (PDF)
  • Complaint IN00447443: No deficiencies related to the allegations are cited.
• May 30, 2024: Re-Licensure, 8 findings cited · survey report (PDF)
  • Personnel (deficiency): Based on record review and interview, the facility failed to ensure 1 of 5 employees reviewed, had not worked with an expired certifiication. 410 IAC 16.2-5-1.4(b); correction date in the facility plan June 30, 2024
  • Sanitation and Safety Standards (deficiency): Based on observation, record review, and interview, the facility failed to ensure kitchen surfaces for food preparation and storage were maintained in a clean and sanitized manner for 1 of 1 kitchen observed. 410 IAC 16.2-5-1.5(k); correction date in the facility plan June 10, 2024
  • Health Services (offense): Based on record review and interview, the facility failed to provide physician signed orders upon admission to the facility for 1 of 8 resident records reviewed for physician orders. 410 IAC 16.2-5-4(e)(1); correction date in the facility plan June 30, 2024
  • Health Services (deficiency): Based on record review and interview, the facility failed to ensure PRN (as needed) medications administered by a QMA (Qualified Medication Aide) were authorized prior to administration by a licensed nurse for 2 of 7 residents reviewed for medications. 410 IAC 16.2-5-4(e)(6); correction date in the facility plan June 21, 2024
  • Food and Nutritional Services (deficiency): Based on observation and interview, the facility failed to ensure frozen, refrigeratored and non-refidgeratted foods were stored properly and dated when opened for 1 of 1 kitchen reviewed for food storage. 410 IAC 16.2-5-5.1(f); correction date in the facility plan June 10, 2024
  Show all 8

  • Food and Nutritional Services (deficiency): Based on record review and interview, the facility failed to ensure a physician's order for a diet was obtained upon admission to the facility for 1 of 8 resident records reviewed for diet orders. 410 IAC 16.2-5-5.1(h); correction date in the facility plan June 5, 2024
  • Clinical Records (noncompliance): Based on record review, observation and interview, the facility failed to ensure an emergency information file was accurate and complete with all required information for 5 of 5 residents reviewed. 410 IAC 16.2-5-8.1(i)(1-8); correction date in the facility plan June 6, 2024
  • Infection Control (noncompliance): Based on record review and interview, the facility failed to provide a physician's health statement upon admission to the facility for 1 of 8 resident records reviewed for annual health statements. 410 IAC 16.2-5-12(d); correction date in the facility plan June 21, 2024

IDOH consumer report → (PRIMROSE OF MISHAWAKA)

Findings are counted from IDOH survey reports for first visits only, so a finding repeated on a revisit is not counted twice. Source: Indiana Department of Health, Division of Long Term Care, data as of October 16, 2026. Always visit in person and ask the community about anything listed here.