North Capitol Nursing: CPR on DNR Resident - IN
The resident, identified in inspection records as Resident B, was found on the floor by a licensed practical nurse who ran into the unit after being told the resident had fallen. The LPN observed the resident seizing, with blood coming from the back of her head and breathing that sounded like a snore. She called 911. A dispatcher instructed her to begin CPR. She performed light chest compressions.
The resident came out of the seizure. Her breathing returned to normal. EMS arrived, wrapped her head, placed a neck brace on her, and put her on oxygen. She was transferred to the hospital and returned to the facility the same day, roughly eight hours later.
When inspectors interviewed the LPN, she said it was the first time she had experienced a resident in that condition and that she was "in the heat of the moment." She said she had checked the resident's code status when she arrived on the unit, but did not say what she found there.
The resident's family representative told inspectors she was notified of an unwitnessed fall and seizure. She said the facility had initiated CPR on a resident who was a DNR, and that all the advanced directive paperwork was in the resident's chart. She called it upsetting. She said the nursing staff had acted in panic mode.
After the incident, staff were educated about what the facility called "moving in correct order," which it described as understanding the situation and the code status before acting.
The resident was on hospice. Her representative had been notified after EMS had already arrived and transferred her.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for North Capitol Nursing & Rehabilitation Center from 2025-10-15 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 23, 2026 · Our methodology
NORTH CAPITOL NURSING & REHABILITATION CENTER in INDIANAPOLIS, IN was cited for violations during a health inspection on October 15, 2025.
The LPN observed the resident seizing, with blood coming from the back of her head and breathing that sounded like a snore.
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.