Brownsburg Meadows: Lift Transfer Injury Violation - IN
The inspection, triggered by complaints, was classified as causing actual harm to a small number of residents. Inspectors connected the citation to three separate complaint intakes, suggesting the transfer safety concern was not isolated to a single incident.
When inspectors pressed for answers, the Director of Nursing handed over a printout of the manufacturer's general information for the stand-up mechanical lift. The document was undated. It stated the lift was designed for safe use with one caregiver, but noted that circumstances such as a patient's weight might require two people. The decision, the manufacturer's materials said, was the facility's and its medical professionals' to make, based on the task, the environment, and the skill of the staff member performing the transfer.
The facility's own fall management policy, dated June 2025 and provided by the Assistant Director of Nursing that afternoon, required a care plan with fall risk interventions for every new resident and directed that those risks be communicated to the assigned caregiver through a resident profile or a CNA assignment sheet.
What the inspection record shows is a gap between those requirements and what actually happened. A resident was x-rayed. The x-ray revealed an alignment problem consistent with the injury. The facility pointed to manufacturer guidance that placed the judgment call squarely back on them.
Three complaint intakes. One undated document. A resident whose injury showed up on imaging.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Brownsburg Meadows from 2025-09-04 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
BROWNSBURG MEADOWS in BROWNSBURG, IN was cited for violations during a health inspection on September 4, 2025.
The inspection, triggered by complaints, was classified as causing actual harm to a small number of residents.
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.