Zionsville Meadows: Unsecured Chemicals Found - IN
The most concerning discovery involved Resident H, who lives on the secured memory care unit. A large can of generic disinfectant spray sat visible from the hallway on the top shelf of an open closet in the resident's room. The product's caution label warned to "store preferably under lock" and noted it was "hazardous if absorbed through the skin or inhaled."
In another room, Resident M had a large can of Febreze odor eliminator spray sitting on top of a dresser, also visible from the hallway. The spray's warning label cautioned users to "do not spray toward face" and advised that "if eye contact occurred, rinse well with water and seek medical attention as needed."
The violations extended beyond cleaning products to prescription medications. Resident N had an opened bottle of selenium sulfide lotion 2.5 percent sitting on a dresser, visible from the hallway. The antifungal medicated shampoo bottle was missing its top. Inspectors found no documentation in the resident's clinical record of a physician's order allowing bedside medication storage.
The same resident, who was hospitalized during the inspection, also had an opened bottle of Pepto Bismol liquid sitting on her bedside stand. The digestive medication had no prescription label with the resident's name or usage directions. Again, inspectors found no physician's order for the medication or for bedside storage in the resident's record.
When inspectors returned the next day with the Executive Director, the administrator acknowledged the items had not been stored properly.
The facility's own policies directly contradicted what inspectors observed. The Safety-Cleaning Products policy, dated August 17, explicitly states that "all cleaning chemicals must be kept in locked storage rooms when not in use." The policy further requires that cleaning chemicals in remote locations "should be in locked storage when not in use."
Similarly, the facility's Medication Storage and Expiration Policy from November 2024 mandates that "medications including treatment items should be stored in a locked cabinet/cart or locked medication room that is inaccessible by residents and visitors." The policy also prohibits providing medications without a physician's order and requires bedside medications to be "stored in a locked compartment within the resident's room."
The violations are particularly concerning given the facility's memory care population. Residents with dementia and cognitive impairment may not understand the dangers of ingesting cleaning products or taking medications without proper supervision.
Federal regulations require nursing homes to maintain environments free from accident hazards and provide adequate supervision to prevent accidents. The open storage of hazardous chemicals and unlabeled medications in resident rooms creates obvious safety risks.
The inspection occurred in response to a complaint, though the specific nature of the complaint was not detailed in the report. Federal inspectors classified the violations as causing "minimal harm or potential for actual harm" affecting "few" residents.
The Director of Nursing Services provided the medication storage policy during the inspection, confirming it was the current facility standard. The policy's requirement for locked storage of all medications applies to both prescription drugs and over-the-counter products like Pepto Bismol.
For memory care residents specifically, the presence of easily accessible cleaning products poses additional risks. Residents with dementia may mistake aerosol sprays for food products or attempt to consume them, potentially causing serious harm through ingestion or inhalation.
The facility's failure to secure these items despite having clear written policies suggests a breakdown in staff training or oversight. The Executive Director's acknowledgment that items were improperly stored indicates management awareness of the violations during the inspection.
The selenium sulfide lotion found in Resident N's room requires particular caution, as the antifungal medication can cause skin irritation and other adverse effects if used improperly. The missing bottle cap further increased contamination and accidental exposure risks.
Federal enforcement actions for such violations can include monetary penalties and increased oversight, though the specific consequences for Zionsville Meadows were not detailed in the inspection report. The facility must submit a plan of correction addressing how it will prevent similar violations in the future.
The violations occurred despite the facility having updated its cleaning product safety policy just days before the inspection on August 17. This timing suggests the policy changes may have been reactive rather than proactive safety measures.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Zionsville Meadows from 2025-08-21 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
ZIONSVILLE MEADOWS in ZIONSVILLE, IN was cited for violations during a health inspection on August 21, 2025.
The most concerning discovery involved Resident H, who lives on the secured memory care unit.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.