Hillside Manor: Psych Meds Unavailable for Days - IN
The resident, identified as Resident C in federal inspection records, missed multiple doses of Geodon between August 22 and August 29. Nurses documented each missed dose with the same notation: "Medication unavailable" or "not in stock."
Resident C has diagnoses including anxiety, depression, unspecified psychosis, schizophrenia, and pedophilia. The resident's most recent assessment indicated they were rarely to never understood and had moderately impaired cognitive skills related to daily function.
The physician had ordered Geodon oral capsule 40 milligrams, to be given twice daily for the resident's schizophrenia and anxiety. The order was continued on August 13.
But the medication administration record for August showed a pattern of missed doses. On August 22, nurses noted at 9:36 a.m. and 12:50 p.m. that the medication was unavailable. Four days later, on August 26, both the morning and afternoon doses were missed because the drug was "not in stock."
The pattern continued. August 27: afternoon dose not available. August 28: both morning and afternoon doses unavailable. August 29: afternoon dose not available.
Each missed dose was documented in the resident's progress notes, but the medication remained out of reach.
LPN 8 told inspectors on September 8 that the facility had trouble receiving routine medications from a particular pharmacy due to residents' payment source. The nurse said if a routine medication isn't available, staff should check the facility's emergency drug kit. If a resident still doesn't receive medication, staff should document the missed dose and notify the physician.
The Director of Nursing confirmed the facility had difficulty obtaining Resident C's ordered Geodon from the pharmacy.
But the facility's own policy, dated May 2014, required staff to call or fax the pharmacy using after-hours emergency numbers if necessary when medications weren't available. The policy also stated that ordered medications should be obtained either from the emergency box or from the provider pharmacy.
The policy specifically prohibited borrowing medications from other residents.
Federal inspectors found the facility failed to ensure adequate pharmaceutical services were available to provide physician-prescribed routine medications. The violation occurred during a complaint investigation completed September 8.
Geodon is an antipsychotic medication commonly prescribed for schizophrenia and bipolar disorder. Missing doses can lead to symptom recurrence and behavioral changes in patients with severe mental illness.
The inspection found minimal harm or potential for actual harm to few residents. But for Resident C, who relies on antipsychotic medication to manage schizophrenia symptoms, seven days without prescribed treatment represented a significant gap in care.
The facility's struggle with its pharmacy relationship left a vulnerable resident without essential psychiatric medication for over a week, despite having policies in place to prevent such lapses.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Hillside Manor Nursing Home from 2025-09-08 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
HILLSIDE MANOR NURSING HOME in WASHINGTON, IN was cited for violations during a health inspection on September 8, 2025.
The resident, identified as Resident C in federal inspection records, missed multiple doses of Geodon between August 22 and August 29.
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.